Purulent sore throat

Probably everyone is familiar with the condition, when the throat hurts, it becomes difficult to swallow, the tonsils swell and increase in size. This is how purulent angina can manifest itself - an infectious disease that is accompanied by an inflammatory reaction in the palatine tonsils.

The disease can affect both children and adults. The prevalence of purulent sore throat is more than 15% of the inhabitants of our region per year, with the main incidence occurring in the spring-autumn period.

ICD-10 code

According to the international classification of diseases, acute purulent tonsillitis (tonsillitis) takes the following position:

• J03.0 Streptococcal angina;
• J03.8 Acute angina caused by other identified pathogens (additional code B95-B97 may be used). Exception: pharyngotongillitis of herpetic etiology;
• J03.9 Acute angina, unspecified etiology (ulcerative, follicular, gangrenous, infectious, unidentified).

Causes of purulent sore throat

The most common cause of purulent tonsillitis is a catarrhal disease. The effect of cold air leads to a reduction in tonsillar mucosa, which becomes an excellent nutrient medium for the activity of pathogenic microorganisms. Thus, the proliferation of pathogens of angina occurs in a short time and is very active.

Often a factor in the development of the disease becomes non-compliance with preventive measures when communicating with an already ill person. Use of common dishes, towels, inhaling air containing infectious agents: the causative agent of angina in everyday life easily passes from sick to healthy people. Microparticles with the pathogen appear in the air at the time of sneezing, coughing, or just breathing. A healthy person, inhaling these particles, may well get sick. Usually, signs of infection appear from the second to the fifth day after infection.

How is purulent angina transmitted? Most often it's an air-drip way, less often - through household items, dishes and other supplies.

Is purulent sore throat? Of course, yes, if you do not adhere to the rules of hygiene and do not wear a protective dressing when you contact the sick person.

Sometimes a person, becoming ill with a cold, infects with the infection "himself": the pathogen can enter the throat from other infectious foci. Such foci can become carious teeth, chronic sinusitis, gum disease, etc.

The danger of getting sick is increased if a person is cold, if his immunity is reduced, and if he has bad habits: smoking and alcohol abuse.

[1], [2], [3], [4]

The causative agent of purulent sore throat

Purulent angina in the vast majority of cases is an infectious disease caused by β-hemolytic group A streptococcus. This pathogen is found in approximately 60-80% of cases of purulent angina. The assumption that angina can be of viral origin has not been fully confirmed. At the moment, the importance of adenoviruses in the development of angina.

Most specialists still tend to attribute angina to streptococcal infectious diseases. However, the possibility of purulent angina of staphylococcal and pneumococcal origin is not ruled out. There are also descriptions of angina leafereletic etiology.

In addition to the above forms of purulent sore throat, provoked in most cases by streptococcal or staphylococcal infection (less often pneumococcal), acute damage to palatine tonsils (often - one tonsil) can cause a combined effect of the oral spirochaete and spindle-shaped rod (the so-called ulcerative form of the disease).

Incubation period of purulent sore throat

The incubation period of purulent sore throat can be from 2 to 5 days. Symptoms of the disease appear quickly enough, and one of the first signs, as a rule, is a chill, followed by a strong fever.

A characteristic feature is that soreness in the throat gradually increases, starting to bother from a simple feeling of discomfort to severe pain, whether or not associated with swallowing.

The incubation period of purulent sore throat is almost the same in duration, as in other infectious diseases of the nasopharynx.

Through how many passes a purulent sore throat? If the patient turns for help and begins treatment, while still in the incubation period, or at the first signs of the disease, the duration of the disease is significantly reduced. If the patient adheres to the doctor's recommendations, the disease will go to "no" on the second day of treatment, and on the fifth (maximum - tenth) day, you can return to your usual lifestyle. It is inadmissible to carry a purulent sore throat, as they say, "on the feet": bed rest is one of the main conditions for a speedy recovery.

If you do not treat or mis-treat the disease, there can be very adverse effects.

Symptoms of purulent sore throat

Medical specialists identified a number of the most characteristic signs of purulent sore throat:

• chills, fever, fever, fever (39-40 ° C);
• Increasing soreness of the throat, which increases during swallowing movements;
• when palpated, painful and enlarged mandibular lymph nodes;
• increase and reddening of the tonsils;
• areas of pus and white deposits in the tonsils, which can be removed with a medical tool without damaging the mucous membranes;
• bright symptoms of intoxication, with pain in the head, a sense of weakness and loss of appetite.

Symptoms of purulent sore throat can have a different degree of severity, depending on the form and neglect of the infectious process.

Purulent sore throat in adults can take place without significant rise in temperature. In this case, the main and determining signs are pain in the throat, changes in the appearance of the tonsils: redness, swelling of the mucosa, pustules and plaque on the tonsils.

What does purulent angina look like?

The throat with purulent sore throat can have a different appearance: it depends on the type of purulent lesion.

1. Purulent follicular angina is characterized by swelling and hyperemia of the tonsils. Simultaneously, they can clearly see small light or pastel abscesses, similar, at first glance, with millet grains. The abscesses tend to progress, increase: sooner or later they are opened, releasing the purulent contents into the pharyngeal cavity.
2. Purulent lacunar angina - its distinctive feature is the formation of a plaque on the tonsils, especially in the lacunar region. Lacunas are craters of a kind that are especially well seen on the swollen tonsils. Accumulations of a yellowish-white hue can overflow lacunae, occupying the entire surface of the amygdala. They can be easily removed with a medical tool or spoon, but after removal, the plaque soon appears again. If the disease is not treated, then the clusters become dense, forming purulent plugs in a purulent sore throat.
3. Purulent-necrotic tonsillitis - on the surfaces of the tonsils can be found light yellowish-gray films, clearly visible against a healthy mucosa. The films have a soft consistency and are perfectly removed with the help of a cotton swab, exposing a site damaged by the ulcer process. Such a site can bleed, as necrosis spreads into the depths of the tissues. If the process is not stopped, it can go beyond localization, spreading to the gum area and even the tongue.

Frequent purulent angina can easily grow into a chronic form, in which an increase in nearby lymph nodes, such as submandibular or parotid. Lymph nodes become dense and painful when palpated. A strange unpleasant odor appears from the mouth.

Purulent sore throat in adults

Adult patients suffer from purulent sore throat, usually due to a decrease in protective immune forces, or with weakening of immunity by other chronic diseases: sinusitis, periodontitis, etc. The provoking factors are also acute cooling of the body, poor sanitary conditions at home or in the workplace, meager or monotonous nutrition and etc.

In adults, much more often acute purulent angina is transformed into a chronic one. This occurs as a result of improper or inadequate treatment, since it is adults who, for many reasons, prefer to carry the disease "on their feet", sometimes without thinking about what is dangerous purulent angina.

But in rare cases, chronic purulent angina occurs independently. This situation can happen when the infection passes from other nearby foci: the nasal or oral cavity.

Chronic purulent angina in adults can become a provoking factor in the development of pathologies of autoimmune and allergic etiology: kidney damage, rheumatism, and functional disorders of the central nervous system. If treatment is not initiated on time, or is performed with impairments, the risk of complications increases many times.

Purulent angina in children

Very often purulent angina occurs in children. This is due, first of all, to the peculiarities of the structure of children's tonsils. It is noteworthy that not always purulent angina in children begins with problems in the throat and high fever: often angina can begin with the defeat of another nearby organ, for example, with otitis.

The complexity of treating children in childhood is that the children's body is much more vulnerable than an adult, so the choice of antibiotics for therapy is not so wide. And the likelihood of developing allergies in children is higher than in older children or in adult patients.

Purulent sore throat in pregnant women

Due to a decrease in immunity in pregnancy, women can develop various infectious pathologies, mostly colds. Depending on the course, such diseases can disappear without a trace, or may adversely affect the course of pregnancy. Such purulent diseases include purulent angina in pregnant women.

According to statistics, more than 60% of women during pregnancy "pick up" ARI, ARVI or flu. And this despite the fact that all doctors constantly indicate that during pregnancy, it is extremely undesirable to care for yourself and the future baby.

If a pregnant woman becomes ill with purulent sore throat, she has a number of risks:

• high temperature, an abundance of toxins in the body, a deficiency of vitamin and nutrients, hypoxia - can lead to spontaneous abortion;
• taking medications and, in particular, antibiotics - can adversely affect the development of the fetus and pregnancy in general.

All these negative consequences can be avoided if one adheres to some rules recommended to pregnant women in case of purulent sore throat.

• Rule I: at the first sign of a cold, keep bed rest, ventilate the room more often, take plenty of liquid (3-4 liters / day).
• Rule II: do not take any medications without doctor's advice.
• Rule III: rinse the throat with herbal decoctions, but be careful not to take them inside without the doctor's permission.
• Rule IV: Eat more vegetables and fruits, limit the consumption of salt and spicy condiments that irritate the throat.

Without a doctor, you can not do without this: the doctor will determine the most effective medicine for you and the medicine safe for the baby, as well as help you understand the herbs allowed for use during pregnancy.

Purulent sore throat during breastfeeding

For young mothers breastfeeding, diseases of cold and sore throat often becomes an excuse for stopping breastfeeding. Intoxication of the body, taking medications - all this negatively affects the quality and composition of milk, besides many medications are given with milk to the child, and this is unacceptable.

But if it happened, then purulent angina still have to be treated. But independent treatment here is unacceptable: therapy should be prescribed by a doctor, given the risk to a newborn baby and the benefit for a young mother.

What can the nursing mother do before the doctor arrives:

• drink more warm liquid, tea, milk;
• gargle every hour, you can use a solution of salt with soda and 2-3 drops of iodine;
• drink and gargle with a decoction of chamomile;
• take paracetamol at a temperature;
• hold inhalation with hot steam, boiling water with soda, apply thermal compresses to the neck (with enlarged lymph nodes).

But most importantly - do not worry and turn to the doctor in time. If the doctor decides that you need a course of antibiotic therapy, be prepared for the fact that you may have to give up breastfeeding for a while. If this happens, do not worry, continue to decant milk until you resume feeding, otherwise it may disappear. For this period, transfer the child to the infant formula.

Types of purulent sore throat

By the nature of manifestations of the disease purulent sore throat is divided into lacunar, follicular and purulent-necrotic.

• Purulent lacunar tonsillitis - an infectious lesion spreads to the mucous lining of lacunae, where there is accumulation of purulent discharge that has arisen as a result of inflammatory reaction and necrosis of damaged tissues. The accumulating pus goes beyond the lacunae by separating the yellowish white plugs.
• Purulent follicular angina - an infectious lesion spreads to the almond follicles, which is outwardly manifested by the appearance on the surface of the tonsils of yellow nodules with purulent exudate inside. Nodules can merge, forming an abscess.
• Purulent-necrotic angina - the infectious process is distinguished by an aggressive course with negative dynamics, causing the formation of areas of death of the tissues of the tonsils and ulcerative lesions.

The listed types of purulent sore throat can develop both independently and mixed: for example, purulent angina in adults can occur with simultaneous lesion of follicles and the formation of ulcerative necrotic surfaces on the tonsils.

Purulent angina in children can have a peculiar course: one amygdala can be affected by follicular angina, and the other - lacunar.

In addition, distinguish between acute and chronic course of angina:

• acute purulent angina begins suddenly, against a background of absolutely normal state of health, and develops rapidly, with the increase of acute symptoms of the disease;
• chronic purulent angina is a consequence of the already transferred acute angina, which was incorrectly subjected or not treated at all.

The difference between acute purulent angina and chronic is primarily due to the fact that in chronic course there are no acute signs of inflammation, sudden temperature rises and other symptoms of general intoxication of the body. Chronic purulent angina is characterized, as a rule, by a rather general symptomatology, indicative of a slow inflammatory process: pain in the heart, increased sweating, joint soreness, general discomfort and constant fatigue. The throat is dry, perhaps a constant "perspiration" or feeling of a foreign object in the pharynx. During the period of exacerbation, the symptomatology resembles the acute form of angina.

Consequences of purulent sore throat

Now we will tell you about what is dangerous purulent angina, if not to conduct a qualified and timely treatment. The consequences of purulent sore throat can be local and general, that is, develop localized or affect other organs and systems of the body.

Common complications of purulent sore throat:

• Rheumatism is an inflammatory process that captures, for the most part, the heart and joints. Complication affects the valvular heart system and selectively joints;
• myocarditis - an inflammatory reaction in the heart muscle, with the further possible development of thromboembolism;
• endocarditis - an inflammatory disease of the inner shell of the heart, may act as one of the manifestations of rheumatism, or may occur independently;
• pericarditis - inflammation of the pericardial sac and the outer shell of the heart;
• pyelonephritis, glomerulonephritis - a pathology of the renal system, which can be caused by the formation of protein compounds in the blood during a sore throat, which negatively affects the efficiency of the kidneys;
• septic infection of blood is the most complex consequence of purulent sore throat, accompanied by the spread of purulent infection with blood flow through the body.

Local complications of purulent sore throat:

• abscessing of the process - the emergence of one or more purulent cavities inside the amygdala, which in the future may require surgical intervention;
• phlegmonous inflammation is a process involving muscle tissues, tendons and okolomindalnaya fiber;
• defeat of the tympanic membrane, mastoid process or middle ear - the phenomenon of acute otitis. If the complication is not treated properly, the pathology can trigger the appearance of adhesions and loss of auditory function;
• laryngeal edema - the edema of the laryngeal region, if untreated, can quickly become an obstacle to respiratory function, which can result in suffocation and death;
• the discovery of bleeding of the tonsils is a fairly frequent complication of purulent-necrotic sore throat when an ulcer penetrating deep into tissues damages a blood vessel.

Many experts note that purulent angina is not so terrible in itself, how dangerous its consequences are. Therefore, it is necessary to deal with the diagnosis and treatment of purulent sore throat as early as possible.

[5], [6]

Diagnosis of purulent sore throat

Diagnosis of purulent sore throat can be divided into several main areas.

1. Clinical researches:

• collection of information about the disease;
• external examination and palpation of the neck, ear and occiput;
• examination of the oral and pharyngeal cavity with a spatula;
• listening to the respiratory system and heart activity.

2. Laboratory research:

• conducting a general blood test (signs of an inflammatory reaction);
• sowing and isolating the culture of the pathogen on nutrient media;
• taking a smear from the pharyngeal and nasal cavity to exclude diphtheria.

Often, the doctor only needs an external examination to establish a diagnosis: inflamed tonsils, characteristic plaque, folds and craters filled with purulent secretions, as well as purulent plugs in purulent sore throat are all characteristic symptoms of the disease. To the laboratory methods, the doctor often resorts only to identify the pathogen and prescribe exactly those antibiotics that will best affect a particular type of pathogen. Identification also makes it possible to differentiate purulent angina from other diseases of the pharyngeal region.

[7], [8], [9]

Treatment of purulent sore throat

Treatment of purulent sore throat should begin with the elimination of the main symptoms, as well as measures to strengthen the defenses of the body. The best help for drug therapy will be the right diet, drinking regimen, sufficient rest and sleep. Bed rest is mandatory in order to prevent the development of complications.

Important are the following rules:

• exclude any physical activity at the time of treatment. Remember about bed rest;
• ventilate the room where the person is ill, three times during the day and at night;
• to eat foods rich in vitamins and trace elements, without sharp seasonings and sour sauces, with a minimum amount of salt;
• apply warming procedures to the area of inflamed lymph nodes, inhalation treatment.

An important link in successful treatment is drug therapy, which the doctor should appoint after diagnosis. Such therapy includes the admission of such groups of drugs:

• sulfonamides;
• antibiotics (for irrigation, as well as in the form of tablets and injections);
• vitamin complexes;
• means for rinsing and lubricating the tonsils.

How quickly to cure purulent sore throat?

It's no secret that most adult patients want to cure the disease as soon as possible in order to avoid work-related abnormalities to perform urgent tasks, etc. But it should be remembered that purulent sore throat, under no circumstances, should be "on legs". However hard it may be, work and other worries should be postponed until the moment of full recovery. Do not forget that health is a hundred times more important.

Is it possible to warm purulent sore throat?

Angina at the initial stages of development is quite successfully treated by the method of warming up the throat: staging hot compresses, using dry heat. When the process turns into a purulent form and there is a persistent increase in body temperature, the application of warming procedures in the neck should be significantly reduced.

They can be returned when the body temperature is normalized.

So, in what situations should you not purulent sore throat?

• High body temperature.
• Damage to the skin in places where the compress is supposed to be put (wounds, cuts, boils, allergic rashes, etc.).
• Vascular diseases, including pathology of cerebral vessels.
• Blood clotting disorders, thrombophlebitis.
• Concomitant acute infections.

In all other cases, warming procedures will have a beneficial effect and will help the healing process. It is especially important to resort to warming with increasing cervical and submandibular lymph nodes: this will improve blood and lymph flow and will help to cope with the disease more quickly.

To set up a compress with purulent tonsillitis use all kinds of liquids, most often in the form of alcohol solutions. Compress is prepared in this way:

• prepare gauze or cotton fabric folded several times;
• impregnate the tissue in a solution heated to body temperature;
• squeeze out excess fluid and apply tissue to the necessary area of the skin;
• on top of the fabric apply polyethylene or food film so that the film protrudes beyond the boundaries of the tissue by 3-4 cm;
• compress wrap it with a woolen shawl or warm scarf.

Do not use pure alcohol for setting up a compress: the most optimal is the application of diluted vodka to 25-30 °. Compress on alcohol is often applied at night, or for a period of time not less than 5-6 hours.

If there is no vodka in the house, you can prepare a simple but no less effective saline solution - 2 full st. L. Salt on a glass of warm water. The cloth moistened in solution is applied to the neck area, covered with a film and wrapped up warmly. As a rule, in the morning the pain in the throat is much easier.

Remedies for purulent sore throat

For the treatment of follicular or lacunar form of purulent sore throat, medicines are used in the form of rinses, lubrication and irrigation of the pharyngeal region. For internal use use of salicylic agents, sulfonamides and antibiotics, which in some cases (in severe cases) are also prescribed as injections.

Assign desensitizing drugs, vitamin complexes to strengthen the body and raise immunity.

If purulent angina occurs against the background of acute inflammation of the adenoids, then incidentally prescribed antibacterial drops in the nose, interferon.

Funds from purulent sore throat must necessarily be taken in a complex way: treatment with any one drug is not acceptable and will not give the expected positive result. Moreover, in the absence of treatment, recovery is also not expected. Remember that purulent sore throat is not so terrible in itself, how dangerous the complications of the disease can become.

Next, we'll talk in more detail about the drugs used to treat purulent sore throat.

Antibiotics for purulent sore throat

The choice of antibiotic for purulent angina affects the ability of the drug to act on a specific pathogen of infection (etiotropism), the peculiarity of the course of the disease, as well as the individual sensitivity of the patient's body to antibiotic therapy.

When striking streptococcus or pneumococcus often still use medications penicillin series, or semisynthetic penicillins of a wide range of effects (eg, ampicillin).

However, in some cases, among all possible strains of the pathogen, there may be separate forms that do not respond to the action of penicillin-resistant drugs of the penicillin series. In such cases, resort to the use of other drugs: cephalosporins, macrolides, etc.

Consider the most common antibiotics for purulent angina.

1. Sumamed is a macrolide antibiotic with broad antibacterial activity, rapidly creating high concentrations of the active substance in the infectious focus. In medical circles is better known as Azithromycin. It has a harmful effect on streptococci, staphylococci, gram (-) microorganisms, some anaerobes. Does not show activity to some microbes, resistant to the effects of erythromycin. The drug is taken relatively short course, as Sumamed for a long time remains in the blood, continuing to have a disastrous effect on the pathogenic flora. Assign the drug 1 time per day, preferably on an empty stomach, or 2 hours after eating, 0.5 g (2 tablets) for 3 to 5 days. When the drug is prescribed, the patient's sensitivity to antibiotics must be specified.
2. Amoxicillin is a penicillin β-lactam antibiotic that destroys gram (+) and gram (-) coccal flora, rod-like flora. It is acid-fast, perfectly digestible in the digestive tract. Most often, the drug is used 3 times a day for 0.5 g, in some cases, the dosage is increased to 3 g / day. Amoxicillin does not affect bacteria synthesizing penicillinase (a substance with destructive activity against penicillins).
3. Cefazolin is a cephalosporin β-lactam antibiotic that prevents the formation of a bacterial wall. With an injection, for the first hour, it has the most active effect on the microbial cell. The drug is used in the form of IM injections, previously dissolved in saline. On average, the daily dosage can be up to 4 g of cefazolin, with a single amount of 0.25 to 1 g.
4. Erythromycin is a macrolide antibiotic, similar in its nature to penicillin preparations. The drug has a wide spectrum of activity, but it quickly develops resistance to itself. For this reason, erythromycin is often prescribed in combination with other drugs, for example, tetracycline or sulfonamide series. Erythromycin is taken in tableted or encapsulated form, up to 0.25-0.5 g at a time, every 5 hours. The maximum dose of medication per day is 2 g. The drug can not be taken for a long time: bacteria quickly develop resistance to erythromycin.
5. Augmentin is a penicillin β-lactam antibiotic, a combination of amoxicillin and clavulanic acid. Due to the complex composition, the spectrum of activity of the drug increases, which makes it possible to use it for various bacterial infections. Adult patients take 1 tab. Three times a day. In case of complications, an increase in the dose to 2 tab. Three times a day. The maximum single dose of the drug is 1.2 g. The drug can not be used for more than 2 weeks, as well as during pregnancy and lactation.
6. Suprax is a cephalosporin antibiotic containing the active ingredient cefixime. Has a wide range of activities, including those related to aerobes and anaerobes, gram (+) and gram (-) bacteria. For adult patients, 400 mg of the drug are used per day, for one or two doses. The duration of therapy is determined individually, but not less than 10 days. The drug is not prescribed for pregnant and lactating women, as well as for elderly people and those with impaired renal function.
7. Flemoxin is a penicillin antibiotic with an active component of amoxicillin. Flemoxin Soluteba with purulent angina is very active, due to rapid absorption in the digestive system and complete digestion. The peak level of the active substance is observed as early as 60 minutes after the drug is used. Tablets have a pleasant citrus flavor, they can be swallowed whole, divided into parts, to prepare from them a syrup or suspension. The daily dosage of the drug for an adult patient is 0.5 to 2 g per day. The duration of therapy is 1 week, but this may depend on the complexity of the patient's condition, as well as on the susceptibility of the bacteria to the active ingredient. Flemoxin necessarily take an additional 2 days after the relief of symptoms of purulent sore throat. The drug is not prescribed with a penchant for allergies to penicillins and cephalosporins. In pregnancy, Flemoxin is approved for use after consultation with a physician.
8. Amoxiclav is a penicillin combined antibiotic, the active components of which are represented by amoxicillin and clavulanic acid. Analogue of drugs Augmentin and Flemoxin. It is produced in the form of tablets, powder for making a suspension, or a powder for making an IV solution. Amoxiclav for adult patients is used in an amount of 1 g twice daily, with the maximum daily dosage of 6 g amoxicillin and 0.6 g clavulanic acid.
9. Ceftriaxone is a third generation cephalosporin antimicrobial agent. Use the drug for in / m and / in the injections. Before carrying out / m injections, ceftriaxone is diluted with sterile water in the proportion: 0.5 g per 2 ml, or 1 g per 3.5 ml. At a time, do not administer more than 1 g of ceftriaxone. For IV infusions dilution is carried out in the proportion: 0.5 g per 5 ml, or 1 g per 10 ml of water. The drug is usually well tolerated if there is no individual hypersensitivity to the drug.

In cases of severe purulent sore throat, adherence or presence of a mixed type of bacterial lesion, as well as for increased exposure, two (more rarely, more) antibiotic medications can be prescribed simultaneously.

Remember that prolonged use of antibiotics can provoke intestinal dysbiosis and the development of fungal diseases, so it is recommended to take antifungal medications simultaneously and after antibiotic therapy, as well as agents that normalize the intestinal microflora.

[10], [11],

Than to rinse a purulent sore throat?

For rinses with purulent angina, a solution of furacilin, a 0.1% solution of ethonia, 0.1% rivanol, sodium benzoate, a decoction of a leaf of sage, a root of a tent, camomile is most often used. You can irrigate with interferon, 0.05% levamisole, sodium bicarbonate. Rinsing is recommended to be done every hour, until pain disappears completely and signs of inflammation in the throat.

Rinse the purulent sore throat with the following means:

• solution of salt, soda and iodine - 3-4 drops of iodine, 1 tsp. Table salt and soda for 200 ml of warm water;
• strong infusion of chamomile color with 1 tsp. Salt per 200 ml;
• a solution of furacilin 1: 5000;
• garlic water - insist 2 cloves of garlic in 200 ml of boiling water for an hour;
• solution of apple cider vinegar - 1 tsp. Of this vinegar for 200 ml of warm water;
• beet juice with apple cider vinegar (200 ml of juice and 20 ml of vinegar);
• chlorophylliptom, Lugol's solution, Iodinol, Miramistin, Dioxydin, etc.

Consider some of the most popular rinse products.

1. Lugol is an antiseptic and antifungal solution based on molecular iodine. Produced in the form of a liquid or aerosol for the treatment of tonsils. The drug is used up to 6 times a day, optimally - 2-3 times a day. The course of treatment is from 3 to 5 days. Lugol is not used for hypersensitivity of the body to iodine preparations.
2. Peroxide is a known antiseptic, which inhibits the activity of organic clusters: protein, purulent and other secretions. Stops the bleeding of the capillaries. For rinsing of the throat and palatine tonsils apply 0.25% solution of hydrogen peroxide. When rinsing, you should beware of getting the drug on the eye area.
3. Miramistin is an effective antiseptic, it affects gram (-) and gram (+) bacteria, aerobes and anaerobes, microorganisms that form and do not form spores, as well as some fungi and viruses. Miramistin 0.01% solution is used to rinse the throat, up to 6 times a day. The duration of therapy depends on the dynamics of the disease. Sometimes there may be a burning sensation in the throat when using a medication. This is a temporary and normal phenomenon and does not require the withdrawal of the drug.
4. Furacilin is an antimicrobial agent of the nitrofuran series, it destroys the majority of gram (+) and gram (-) microorganisms. With purulent angina, furacilin is used as an aqueous solution in the proportion of 1: 5000.
5. Hexoral is an antiseptic, deodorizing and analgesic medication based on hexaethidine. It destroys fungi, gram (+) and gram (-) bacteria, as well as pseudomonads and protozoa. A 0.1% solution is used to rinse and treat the throat, 15 ml 2 times a day after ingestion. After rinsing, it is advisable not to drink or take food for 1.5 hours. With prolonged use of Geksoral, a taste disorder and a change in the shade of tooth enamel are possible.
6. Streptocide is a proven sulfanilamide agent that destroys streptococci, Escherichia coli, pneumococci, meningococci, gonococci and other microbes. The drug is in the form of tablets that can be used for oral administration or for rinsing. In 200 ml of warm water we pour the crushed streptocid tablet, dissolve, mix. We use it to rinse the throat with purulent sore throat. If there is no possibility to rinse, it is allowed to just hold the streptocid tablet in the mouth until it is completely absorbed (1 tablet 3-4 times a day). This use of the drug is no less effective, but it has its disadvantage: the tablet has a bitter taste, so you will have to suffer. After resorption of the pill, drink and seize the medication can not be, otherwise its effect is canceled.
7. Tantum Verde is a non-steroidal anti-inflammatory and analgesic medication based on indozole. Produced in the form of tablets for resorption and solutions for rinsing the throat, as well as in the form of an aerosol for irrigation. For rinsing use 1 tbsp. L. Solution of Tantum Verde every 2 hours. Do not swallow! Aerosol is used in an amount of 5-8 clicks every 2 hours. When using the drug, the appearance of unpleasant sensations in the oral cavity: this is considered normal and is not an excuse for refusing to use the drug.
8. Stopangin - a popular antiseptic, used in the form of an aerosol or a solution for gargling. Contains hexetidine and a number of essential oils: peppermint, anise, cloves, eucalyptus, etc. Stopangin is used immediately after a meal or 1-1.5 hours before it. For rinsing use 1 tbsp. L. Solution, the procedure is repeated about 5 times a day. Duration of treatment - 7 days. The aerosol form of the drug is used to irrigate the pharyngeal region 3 times a day, trying to treat every amygdala. Avoid swallowing the drug and getting it on the eye area.

Tablets with purulent sore throat

If we talk about what tablets are taken with purulent angina, then the medication can be immediately divided into groups of drugs used:

• antibiotic therapy - initially prescribe antibiotics of a wide spectrum of activity. The main task of antibiotic therapy is to eliminate and neutralize the causative agent of the infection, and also to prevent the development of complications. Of the most common drugs are penicillin series (benzylpenicillin, amoxicillin, augmentin), cephalosporin series (ceftriaxone, cefazolin, etc.), macrolide antibiotics (clarithromycin, erythromycin). In some cases, it is recommended that a sample be made for the sensitivity of pathogens to antibiotic therapy: thus, the healing process can be accelerated and the risk of complications may be reduced;
• antihistamine therapy - used in antibiotic therapy in order to reduce the sensitization of the body and reduce the risk of allergic reactions. The drugs of choice for antihistamine treatment are suprastin, diazolin and dimedrol. In this case, suprastin has much fewer side effects, so it is prescribed more often (2-3 tablets per day for adults);
• antifungal therapy - is appointed to prevent antibiotic suppression of the beneficial microflora of the digestive tract. It is known that dysbacteriosis, which can occur after a course of antibiotic therapy, provokes not only the appearance of problems with digestion, but can significantly reduce immunity. And the fall of immune defense, in turn, will provoke the development of pathogenic flora and fungal infection in the body. Of the antifungal agents most often prescribed ketoconazole, fluconazole, levorin or nystatin. The most popular are the first two drugs, because they are more convenient to use. For example, fluconazole for prevention is used once a day for 50 mg throughout the course of antibiotic therapy. Nystatin or levorin - very popular drugs even 10-20 years ago - should be used more often: from 4 times a day for 1 tablet;
• immunotherapy - taking pills and funds to strengthen the body's defenses. Such medicines include echinacea, imudon, immunal, levamisole, cycloferon. Means for raising immunity are prescribed individually, given the degree of weakening of the body's defenses. Often appoint multivitamins and complex products, enriched with vitamins and minerals.

Inhalation with purulent sore throat

Inhalation with purulent angina can significantly alleviate the condition of the patient, but only if the inhalation treatment is not independent, but is performed against the background of drug therapy. In general, various solutions of antiseptics are used for inhalation procedures. Of the simplest, but no less effective solutions, use a solution of soda with iodine, chlorhexidine. In general, the list of time-tested solutions for inhalations is quite extensive. It can be infusions and decoctions of medicinal plants (chamomile, sage, eucalyptus, calendula, etc.), as well as a couple of boiled potatoes, turnips, etc. However, there are special means for inhalations that can be purchased at pharmacies.

1. Bioparox is an inhalant based on fusafungin - a polypeptide antibiotic. Destroys bacteria, both gram (+) and gram (-), and fungal infection. Effectively removes signs of an inflammatory reaction. Bioparox is used for inhalation treatment. Before use, a special nozzle for oral inhalations is put on the balloon, which should be inserted into the mouth, pressed with the lips and inhaled by pressing the base of the can. After injection, hold the breath for a few seconds so that the product is distributed over the surface of the respiratory tract. For adults, four injections of Bioparox 4 times a day are used. The duration of therapy is 1 week.
2. Ingalipt - an aerosol with essential oils, has an anti-inflammatory and antiseptic effect. Inhalation Ingaliptom is used from 3 to 4 times a day, for 2 seconds. The drug should be retained in the oral cavity as far as possible up to 8 minutes. The effect of the drug is palpable not only in the treatment of purulent sore throat, but also in stomatitis, bronchitis, laryngopharyngitis.

If purulent angina occurs with a strong increase in temperature, then during this period of inhalation it is better not to apply. With the normalization of temperature indicators, you can proceed to inhalation procedures.

Alternative treatment of purulent sore throat

There are many alternative recipes that speed up recovery with purulent sore throat. We will present to you the most common and effective recipes, so that everyone can choose the most suitable for themselves.

• Apply a mixture of fir and eucalyptus oil on tonsils (using a pipette or cotton swab) up to 5 times a day. If there is a burning sensation in the throat - not scary, for 15 minutes all is normalized.
• Dried pine needles to be filled up to the top in a glass jar and completely poured with quality vodka with the addition of salt (10 g of salt per 100 ml of vodka). Insist 1 week in a dark closet, stirring occasionally. This tincture is used for inhalation: 100 g of tincture is diluted in 1 liter of water and brought to a boil. Remove from the fire and breathe over couples, covered with a towel, about 15 minutes. The remedy can be stored for a long time and used as needed.
• Green pine cones are poured with honey and left for 2-3 months (1 kg of cones per 0.5 liters of honey). Next, honey consumes 1 tbsp. Spoon before each meal.
• Freshly squeezed carrot juice diluted with warm water 1: 1, add 1 tbsp. L. Honey. Use for gargling.
• In 200 ml freshly squeezed carrot juice squeeze 2 large or 3 small cloves of garlic and drink half an hour before meals twice a day for 3 days.
• Boil the peel with boiling water from the onion (2 tbsp shells per 500 ml of water), use for rinsing the throat.
• Bake a large onion, breathe over the vapors.
• Prepare a mixture of juice of colanchoe or aloe with warm water (1: 1), use to rinse your throat.
• Prepare the infusion: 2 tbsp. L. St. John's wort, 1 tbsp. L. Oak bark to fill in a thermos and pour 700 ml of boiling water. Infuse for 2 hours, then filter and use to rinse your throat (every 2 hours).
• Prepare an infusion of sage (1 tablespoon of raw material for 200 ml of boiling water), use for frequent rinsing, with simultaneous ingestion of 100 ml three times a day for 20 minutes before meals.
• Birch buds are infused in boiling water for 1 hour. Use the infusion inside at 400-600 ml per day.

Alternative methods of treatment have a positive effect on the process of recovery. However, one should not rely solely on such treatment. Medication therapy should only be supplemented with alternative recipes to avoid possible and dangerous complications.

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Honey with purulent sore throat

Honey with purulent sore throat helps reduce the duration of the disease. There are facts that honey contains substances that destroy streptococcal flora - the source of pyogenic infection, so when purulent sore throat is simply an indispensable product.

Due to its rich composition, honey accelerates the flow of blood through the capillary network, accelerating the excretion of toxic substances and supplying the inflamed foci with nutrients and oxygen. Honey components strengthen immunity, tone up the body and set it up for recovery.

In the acute period of the disease, a very useful habit will be the use of 1 tsp. Natural honey after each meal: honey envelops the tonsils, neutralizing the bacterial flora and removing the inflammatory reaction. In addition, honey is recommended to be added to warm tea or milk (up to 40 ° C, at a higher temperature, honey loses its healing properties).

Treatment with honey can be contraindicated in allergies to beekeeping products, as well as children under 1 year of age and lactating women.

Honey can be used as a self-sufficient medicinal product, or in a mixture with other products:

• The honey has an excellent effect in the mixture with the juice from the green peel of the walnut. It is useful to add this mixture to tea or other warm drinks;
• a good effect is observed when gargling with a solution of honey in warm water (1: 3), several times a day;
• 1 tbsp. L. A high-quality butter mix with 1 tbsp. L. Honey, add a pinch of baking soda, warm in a water bath until the foam forms. Drink the mixture warm, after or between meals.

Propolis with purulent angina

Propolis is no less effective alternative than honey. In this case, only propolis will bring benefits, which will cause a tingling in the oral cavity when used. If there is no such sensation, then, perhaps, propolis is not real.

Propolis with purulent angina is chewed after eating. One piece is the size of a fingernail. Qualitative propolis eliminates all the symptoms of purulent sore throat for a couple of days, without fear for the development of consequences.

In order to prepare an alcohol solution, it is necessary to mash 10 g of propolis and pour it 100 g of alcohol. Store in a dark place at room temperature for 7 days. Such a solution can be used for rinsing, for which 10 ml of the tincture is diluted with water (1:10). It is also useful to add tincture to tea (5-10 drops).

An excellent effect has propolis oil: 10 parts of cocoa butter is heated in a water bath, add 1 part propolis (crushed), stir and cool. Take 1 tsp. Three times a day one hour after meals and at night.

The best effect is provided by the integrated use of propolis and honey.

Lemon with purulent sore throat

Lemon with purulent sore throat will help relieve the symptoms of sore throat and stabilize the temperature. However, do not just use tea with lemon. With the initial symptoms of pain in the throat should take a medium-sized lemon, rinse it in boiling water and eat at a time, without sugar. If this is difficult for you, you can limit yourself to using ½ lemon, then after 2 hours - the second half, after which another 1 hour do not eat any food and drinks.

You can also do the following: we clean the lemon from the peel and divide into slices (as a mandarin). For every hour slowly dissolving in the mouth of one lemon slice.

Some people can not eat lemon without sugar. In this case, you can recommend natural honey: we pour a slice of lemon and dissolve in the mouth.

What is the secret of the useful effect of lemon in purulent sore throat? First, the lemon is known to increase immunity. Secondly, the combination of vitamin C and citric acid complicates the existence of pathogenic flora: in such an acidic environment even streptococcal infection dies.

Than to treat a purulent angina at the child?

With the development of purulent sore throat, the child needs adequate help from a doctor and antibiotic therapy. Small children under 3 years old should be treated in a hospital under the supervision of a pediatrician. If the child is older and is treated at home, then he must strictly comply with bed rest.

It is unacceptable to experiment on a child by testing alternative methods and means: as a rule, most of these methods are designed for adult patients. The untimely treatment of childhood purulent sore throat is fraught with extremely negative consequences.

Why do not experts advise to resort to independent treatment of purulent sore throat in children? The fact is that many antimicrobial agents are contraindicated in childhood, and even more difficult to calculate the dosage for children, but it is much easier to harm the child with wrong treatment. Use sprays and aerosols for inhalations in small children is contraindicated, since this can cause laryngospasm.

In addition, babies are simply not yet able to rinse their throats, keep a pill or solution in their mouths, and local treatment in children is usually reduced to external processing of the glands.

When purulent angina child should often offer warm tea with honey or raspberry (currant, cranberry) jam. Since swallowing the baby becomes more difficult, it is recommended to feed it with mashed and liquid warm food: first dishes, mashed potatoes, soufflé, porridges. In all other respects, follow the doctor's recommendations and adhere to the prescribed treatment regimen.

What can I eat with a purulent sore throat?

When purulent sore throat is recommended to adhere to easily assimilated, vitamin-enriched diet. Since the disease has sore throat and a problem with ingestion of food, the dishes should be consumed liquid, rubbed and semi-liquid, in a warm state (not cold and not hot). It is necessary to exclude foods that irritate the inflamed mucous: spices and condiments, cold and too hot dishes and drinks, alcohol, rough food.

Priority products for purulent sore throat are:

• dishes from cottage cheese, puddings, eggs, puree from vegetables (potatoes, carrots, pumpkin, cauliflower, celery), mashed boiled meat, yoghurt, oatmeal, semolina and rice porridge;
• broths from meat, chicken and fish;
• warm freshly squeezed juices, compotes, jelly, jelly, fruit mousses, bananas;
• tea with lemon, milk with honey, herbal teas (preferably black currant, raspberry or rosehip tea);
• honey and bee products.

The following products are not recommended:

• bakery products;
• preservation, pickled mushrooms, pickled cucumbers and tomatoes;
• chocolate, cakes and cakes with cream, ice cream;
• alcohol;
• carbonated drinks;
• fried and smoked products.

Take food in small portions, but often. Products for cooking dishes are crushed, wiped, served only in boiled or steam form.

It is recommended to drink more warm liquid.

Prevention of purulent sore throat

Given the possible development of adverse effects of purulent sore throat, it is recommended to prevent the disease. This can be done by observing some simple rules:

• dress according to the weather, not overheating and not supercooling. Do not eat cold food and drinks in the cold season. Do not swim in cold water, avoid drafts;
• accustom yourself to cold conditions gradually - take a contrast shower, go in for sports outdoors;
• regularly visit the dentist, promptly treat caries;
• fully and diversely eat, include vegetables and fruits in the diet;
• Do not smoke or abuse alcohol.

If the patient appears in the house, then it must be isolated from the rest, to allocate individual dishes and utensils for him. It is recommended that households wear gauze dressings and ventilate the room once in 2 hours.

In epidemics of colds in the autumn-spring period, it is recommended to take complex multivitamin preparations and agents that activate immune defense (interferon, bronchomunal, immunal, echinacea extract).

Prognosis of purulent sore throat

The prognosis of a purulent sore throat can be favorable under condition of carrying out of appropriate treatment. If such treatment was not available, or if it was performed with impairments, serious general complications such as articular rheumatism, endocarditis, nephritis or sepsis can occur. Therefore, predict the outcome of the disease with caution, especially with repeated angina or chronic course of the process.

Purulent angina is not an excuse to rely on one's own knowledge and conduct experiments on the body: self-treatment or unauthorized alteration of the treatment plan prescribed by a doctor will not improve the prognosis of the disease.