Doctor insights on:
Lingual Tonsillitis Treatment
Depends: Choice of therapy depends upon the etiology of the tonsillar inflammation. Often due to grp a beta-hemolytic strep, but can be due to staph aureus or other bacterial pathogens. If due to infectious mononucleosis or similar viral infections there is no treatment. Many doctors will begin with a physical exam. It it looks bacterial then an oral cephalosporin, quinolone, amoxicillin/clavulanate. ...Read more
My 14 months old son has had tonsillitis three times in the last six months. What is the best treatment.?
Infection: There is not a lot that you can do for a viral illness even if it occurs multiple times. Hand washing is key in preventing many contact diseases. ...Read more
INFECTION. ..?: Both sounds infection, by virus or bacteria. If mild, there can be low grade fever, cough, poor oral intake. Make sure the child drinks enough fluid, use a humidifier in the room, keep nose clean. With these 2 diagnosis you made: the child needs to be seen by a qualified medical personnel of a doctor. ...Read more
Bacteria vs. Viral: There are 2 possible answers to your question. If a throat culture has not been taken, then all bets are off because you do not know the cause of your tonsillitis (presuming that is the correct diagnosis) either an inappropriate antibiotic has not been used or the cause is viral. Make sure of the correct diagnosis and and get the correct treatment. ...Read more
Viral tonsillitis: This usually runs its course within 7-10 days. Exception: mono is a virus that can cause a severe case that can last for weeks! With viral tonsillitis, there is no specific treatment. General treatment includes steroids to decrease swelling, pain medications (tablets or numbing gargles). Drink plenty fluids, rest plenty, take Ibuprofen for fever. ...Read more
I keep getting tonsillitis, despite X 2 Penicillin V prescriptions. AOS blood tests "upper range of normal" what treatment would help?
Don't overtreat: Penicillin won't prevent future attacks, and is appropriate only if there's good reason to think this is strep throat. Antistreptolysin O titers are useful only if actual rheumatic fever is a consideration; don't over-interpret these or any other labs especially when they're in reference range or you'll go crazy. Ask about tonsillectomy given that there's variable evidence / thought. ...Read more
Diagnosed by ENT for Chronic Tonsillitis. Want a 2nd opinion please on any treatment before going to surgery. Any options to discuss with my ENT?
Prescribed Phenoxymethly penicillin for infected nose piercing and tonsillitis. 2 4 times a day for 10 days. Is this a good treatment?
I've just finished antibiotic treatment 4 tonsillitis. Feeling great but I discovered on 1 side of my neck close to jawline a movable, hard lump. Scared?
Lymph node.: That is your lymph node (part of your body, s immune system to fight infection) which probably got enlarged because of your recent tonsillitis, It is nothing to worry about and should decrease in size gradually, but if it continues to get bigger or you notice other symptoms, have it evaluated. ...Read more
Could I have a tonsil stone? One sided tonsillitis 3 weeks ago, still feels like something behind tonsil, sore and difficult swallowing. Treatment?
I am suffering from acute and chronic follicular tonsilitis. Please suggest the treatment and diet?
Antibiotics: I am a huge fan of an antibiotic called clindamycin. Tonsillitis usually involves mouth organisms either primarily or secondarily. Clindamycin is very effective against mouth bacteria whereas a lot of other antibiotics aren't. I'm aggressive with tonsil infections treating with antibiotics even with a viral cause. This is because bacterial superinfection occurs as the virus weakens the tonsil. ...Read more
My doctor prescribed me 300 mg clindamycin 3 x a day for 21 days for a mild case of lingual tonsillitis isn't that excessive?
Yes: Lingual tonsillitis as an isolated problem without palatine tonsillitis is not common. Secondly, without a culture you do not know if it is bacterial. Finally most upper respiratory infections are viral and 21 days of Clindamycin is more than most physicians would order. Clindamycin is an excellent antibiotic when indicated but 21 days is too long and can give rise to bacterial resistance. ...Read more
Have lingual tonsillitis take antibodiacs. 10 days day 5 have water blisters on back tongue chest, tired hard to swallow, what is wrong?
See doc: Not responding to antibiotics. See MDGet a more detailed answer ›
I get tonsillitis maybe 1 or 2 times per years always get amoxicillin to cure it. How can I avoid this or other treatments ?
Tonsillectomy?: You don't want to let throat infections go without treating them as bad things can result. If you're having that many infections each year, you might wanna consider having your tonsils removed. If you're an adult (as I assume) then this isn't a trivial operation but it might give you some relief. ...Read more
Not really: Chronic tonsillitis is usually from a chronic bacterial infection especially h. Flu or actinomyces. Consider a 3 week course of Augmentin (amoxicillin and clavulanate) which will cover both or Clindamycin which is especially good for actino. Adults with chronic tonsillitis who require tonsillectomy in 6 mo have much better health, markedly less pain and antibiotic usage making the pain of the surgery worth it in the long run. ...Read more
Zithromax: Azithromycin (zithromax) is a good option for streptococcal tonsillitis. There is some cross-reactivity between penicillins and cephalosporins (such as keflex), and these would not be my first choice. Many infections are caused by viruses, and in this situation antibiotics are not effective. ...Read more
I have tonsilites what's the best treatment for it and should I go to the doctors because ive had it for 2 days now?
Tonsillitis: Most cases of tonsillitis are due to viruses which don't respond to antibiotics. However, Strep throat, as proven by rapid Strep test or throat culture, will respond to Penicillin. We often use Centor criteria (http://www. Mdcalc. Com/modified-centor-score-for-strep-pharyngitis/) to determine need for testing or empiric (educated guess) antibiotics. But you'll need to see your Family Doc for meds. ...Read more
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