Angina

Angina is an acute infectious disease. In this case, the inflammatory process most often affects the palatine tonsils. This disease can cause serious complications and pathologies, so for timely treatment we recommend that you consult a doctor and not self-medicate. Doctors at the K+31 clinic are always ready to help restore your health.
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Etiology

Most sore throats are caused by group A ß-hemolytic streptococcus, but other pathogens also occur – for example, pneumococci and staphylococci.

The infection that causes the disease is usually transmitted by airborne droplets. However, it often spreads from internal sources of infection. For example, sore throat is provoked by caries, inflammation of the sinuses and chronic pathologies of the nasopharynx.

Etiology

Symptoms

The main manifestation of sore throat is acute pain in the throat, which becomes more intense when trying to swallow. Most often, the inflammatory process affects both sides of the pharynx. When swallowing food or saliva, the pain often radiates to the ear area. In some cases, it is so strong that it becomes difficult for a person to eat solid food.

In addition to a sore throat, sore throat is accompanied by fever, increasing weakness, profuse sweating and loss of appetite. These signs indicate the body's response to the infectious process.

Sore throat without fever is rare. The absence of fever is most often due to low reactivity of the body. However, some forms of the disease occur without fever due to the fact that the pathogens release small amounts of toxins into the blood.

Clinical manifestations

Doctors distinguish several types of sore throat. After a sore throat, complications often arise. These include laryngeal edema, sinusitis, laryngitis, neck phlegmon, otitis and lymphadenitis.

Catarrhal

Characterized by a slight increase in temperature (up to 37.5°C). Additional symptoms include general malaise, chills, headaches and dry throat. Swallowing becomes painful. Examination reveals a red throat with loose, enlarged tonsils. There is often a coating on the tongue.

Lacunarnaya

Develops against the background of progression of the catarrhal form. The lesion is localized in the lacunae - the recesses of the tonsils. They expand and become covered with purulent plaque.

Follicular

This is a severe form of the disease in which there is deep inflammation of the tonsils. Whitish-yellowish dots appear on their surface - ulcers, reminiscent of millet grains. Over time, they enlarge and open. The temperature jumps to 39-40°C. The pain in the throat becomes very severe and radiates to the ear.

Necrotic

The most severe form. Necrotic greenish-yellow or gray plaques form on the tonsils, penetrating deep into the tissue. Additional symptoms include high fever, severe intoxication and pain when swallowing. In addition, there is a significant increase and tenderness of the lymph nodes.
General information about the treatment of sore throat

Methods for diagnosing angina

To accurately determine the cause of a sore throat, the doctor refers the patient to a general blood test. Additional diagnostic methods:

  • Streptate tests. Designed for rapid diagnosis of streptococcal infection. They are based on enzyme immunoassay
  • Cultural methods (culture) and antigen tests. They detect the presence of group A beta-hemolytic streptococcus
  • Antistreptolysin-O (ASL-O) test. It is used to confirm streptococcal infection

In most cases, instrumental methods are not used to diagnose angina.

Treatment of sore throat

Sore throat of viral origin usually does not require specific therapy. In order to prevent the spread of infection, patients are simply advised to stay at home.

To reduce sore throat, rinse with antiseptic solutions (furatsilin, miramistin) and infusions of medicinal herbs. Lozenges containing antiseptics and analgesics can also help relieve symptoms. Soda-salt rinse solution (1 tablespoon of salt and soda per glass of warm water) is used up to 6 times a day, after meals.

If the disease is caused by bacteria, antibiotics are added to the general recommendations. In this case, penicillins with clavulanic acid (for example, Augmentin) or macrolides (Sumamed) are usually prescribed.

In the treatment of angina caused by penicillin-resistant cephalosporins, third generation cephalosporins (Ceftriaxone, Cefixime) are used.

Treatment of sore throat in children

Treatment is carried out at home. In this case, you must adhere to the following tactics:

  • Keep bed rest
  • Use separate dishes and towels
  • Drink more water and eat liquid foods

When treating bacterial tonsillitis in children, antibacterial drugs are used. If β-hemolytic streptococcus is detected, the therapeutic course includes penicillins, macrolides, cephalosporins or carbapenems. To reduce allergic reactions and strengthen the child’s immune system, antihistamines, B vitamins, ascorbic acid and immunomodulatory drugs are also prescribed.

Local treatment involves the use of antiseptic solutions for gargling, as well as decoctions of calendula, chamomile and sage. Aerosols are used to irrigate the pharynx. For viral sore throat, antiviral agents and interferon (for the treatment of the pharynx) are additionally prescribed.

If a sore throat is accompanied by the formation of abscesses, surgical intervention is required. If the child has a recurrent sore throat, doctors consider the possibility of performing a tonsillectomy - surgery to remove the tonsils.

Treatment of sore throat during pregnancy

Treatment of sore throat in pregnant women requires a special approach. In cases of catarrhal, follicular, lacunar or fibrinous forms of the disease, in the absence of obstetric complications, treatment is usually carried out on an outpatient basis. Hospitalization is required only when phlegmonous tonsillitis is detected or against the background of aggressive progression of the ulcerative-necrotic form.

At elevated temperatures, a woman should remain in bed and drink plenty of warm liquids. In addition to water, you can drink weak tea, rosehip decoction, compotes from fresh or dried fruits.

Drug treatment includes taking safe antibacterial agents. Usually the doctor prescribes penicillin antibiotics.

In addition to antibacterial therapy, symptomatic medications are prescribed to help alleviate the general condition. In particular, gargling with antiseptic solutions, the use of sprays and aerosols, as well as taking vitamins and immunomodulating agents are recommended.

Prevention

Compliance with preventive recommendations will help prevent the risk of developing the disease. They include:

  • Maintain personal hygiene. Wash your hands regularly, especially after visiting public places. Do not touch your face with dirty hands. This will help reduce the risk of infection entering the body
  • Isolation of the patient. If there is a person in your environment who has a sore throat, try to limit contact with him. To prevent the spread of infection, use separate dishes
  • Sanitation of foci of infection. Treat chronic inflammation (in particular, carious teeth) in a timely manner
  • Physical activity and hardening. Regular moderate physical exercise and hardening increase overall immunity and improve the body's resistance to infections
  • Humidification and ventilation of the room. Maintaining an optimal level of humidity in the room and regularly ventilating it help reduce the concentration of viruses and bacteria in the air
  • Personal protective equipment. Using masks or respirators in dusty or gas-filled areas helps protect the respiratory tract from infectious agents
  • Selection of clothes according to the weather. Wear warm clothes during the cold season. This will avoid hypothermia
  • Be careful when choosing drinks. Avoid drinking drinks that are too cold (especially in hot weather). This will help avoid the risk of inflammation of the tonsils
  • Consult a doctor in a timely manner. Try to promptly treat diseases that cause difficulty in nasal breathing
  • Complete nutrition and vitamins. The diet should be enriched with vitamins and minerals

Complete cessation of smoking and drinking alcohol also helps improve immunity.

Our doctors
Sadikov
Ilya Sergeyevich
Head of the Clinic for Otorhinolaryngology, Otorhinolaryngologist
Tetzoeva
Zalina Muratovna
Head of the department of otorhinolaryngology, otorhinolaryngologist
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Lopatin
Andrew Stanislavovich
Chief Specialist in Otorhinolaryngology
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
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