How is lacunar streptococcal tonsillitis transmitted? Features of diagnosis and treatment of streptococcal tonsillitis in adults and children

Streptococcal sore throat, the causative agent of which is streptococcus, is transmitted by airborne droplets or as a result of ingestion of pathogenic bacteria with food. The disease occurs in people of any age, but more often in children after three years of age.

Reasons why the disease occurs

The bacteria are tenacious, can settle on the body of adults and children, leading to inflammation of the larynx and throat mucosa. The throat becomes damaged in adults as a result of smoking, overuse alcohol, heartburn, which inevitably leads to the development bacterial infection. People with weakened immune systems are susceptible to infection with bacteria as a result of exposure to chemotherapy and radiotherapy, long-term use corticosteroids, patients with diabetes, HIV infection. You can catch an infection in a hospital, where there are many infected people and sometimes even antibiotics have no effect on the bacteria living there.

Acute symptoms begin to appear 2-3 days after a person becomes infected with this infection:

lethargy, irritability, and a broken state are observed;
temperature rises sharply to 40 degrees, chills;
increase lymph nodes;
pain in the abdomen, when swallowing, while eating;
the mucous membrane of the throat turns red, pustules form on the tonsils;
Nausea, vomiting, and dizziness appear.

The infection first begins with light form, body temperature does not rise much, the symptoms are similar to catarrhal tonsillitis. Next, when untimely treatment the sore throat intensifies, and with the accumulation of pus, intoxication of the body appears. Streptococcal sore throat is similar to tonsillitis or pharyngitis, but despite damage to the tonsils, the patient is completely free of cough, runny nose and conjunctivitis.

Symptoms can vary, so correct setting To confirm the diagnosis, an additional bacterial test is performed on a throat smear.

How dangerous is the disease?

If you do not undergo a course of antibiotic treatment within 10 days of the onset of infection, further development of the infection may lead to:

pneumonia;
rheumatism;
abscess;
meningitis;
sinusitis;
otitis;
sepsis;
infectious myocarditis;
lymphadenitis of the neck.

What are the differences between the symptoms of sore throat in children?

Children over 3 years of age are more susceptible to developing this infection than adults. Until 2 years of age, symptoms are practically absent; only minor intoxication of the body, low-grade fever, purulent discharge from the nasal cavity, loss of appetite. older age manifests itself in a more severe form: the child begins to be capricious, complains of headache, pain when swallowing, in the abdomen, signs of fever and vomiting may appear, and the temperature rises.

The first symptoms are similar to intestinal infection or acute appendicitis. In case of abdominal pain, for correct diagnosis, an analysis is taken for the presence. The infection leads to swelling of the throat and throat of children, on the tonsils, tongue and back wall pharynx can be detected with purulent plaque, soft palate covered with small pinpoint rash. The papillae of the tongue often enlarge and become bright red. If all the symptoms are accompanied by a rash on the body, then the development of scarlet fever can be assumed.

Treatment of sore throat in children

At the first redness of the throat, children are prescribed penicillin drugs with a dose depending on the child’s body weight. It is good to gargle with furatsilin, dissolving 1 tablet in 0.5 liters of water; it is also important to give children vitamins B and C. When the temperature rises to 38 degrees, children can be given paracetamol, the dose also depends on age.

You cannot delay the process and self-medicate; it is better to consult a doctor for qualified help.

You can independently lubricate your sore throat with brilliant green and give injections containing gamma globulin.

Inflammation is well relieved traditional methods. For gargling, decoctions are prepared from oak bark, chamomile, hazel leaves or basil. It is good to gargle with a solution of salt and soda; the drink should be warm and plentiful. You can give your child tea made from rose hips and mint. It is better to replace sweets with ascorbic acid and glucose.

Streptococcal sore throat is treated within a week. The patient is prescribed bed rest, drink plenty of fluids and eat food that does not irritate the mucous membrane of the throat. The body must not become dehydrated; as the temperature rises, fluid intake must be increased. For angina, antibiotics are prescribed: Cephalexin, Cefotaxime, Amoxicillin, Augmenton, Summed, Azithromycin, Erythromycin. Taking antibiotics will clear tonsils from purulent plaque, blocks further development of inflammation.

It's important to pass full course appointments, otherwise stopping treatment halfway will lead to undertreatment and a re-outbreak of infection. After a few days, the tonsils should clear and the temperature should not rise.

Antibiotics always have a negative effect on the intestines, leading to dysbiosis. It is recommended to additionally take medications containing bifidobacteria, you can use Linex, Bifidumbacterin, Lactobacterin.

Streptocide kills staphylococcus

It is streptocide that is often prescribed for treatment of this disease. It has excellent anti-inflammatory and antibacterial effects. But before use, you still need to consult a doctor, since treatment directly depends on the stage of the disease, its form, individual tolerance patient.

Powdered streptocide is used to powder the tonsils and inflamed areas of the mucous membrane. After powdering, it is advisable not to swallow saliva for several minutes, then do not drink or eat for about 15 minutes. After half an hour, you can rinse your throat and repeat the procedure every 3-4 hours. When purchasing tablets, streptocide can be crushed.

How to treat streptococcal sore throat with folk remedies

Increase therapeutic effect Can drinking plenty of fluids with added sugar or honey. Enveloping effect have jelly made from non-acidic fruits and berries. It is good to gargle a sore throat with infusions of calendula, chamomile, sage, and also carry out inhalations with the same compounds. You can use a spray bottle and spray the mouth of small children.

For older children, it is good to make aromatic inhalations by adding fir or eucalyptus oil. To do this, pour 1.5 liters into a container hot water, add a couple of drops of eucalyptus oil and, covering the child with a towel, ask him to breathe these vapors through his mouth and nose, but with his eyes closed.

You can prepare a compress from alcohol and water, in a ratio of 1 to 4. Soak gauze in the solution, apply it to your neck, and tie it around your throat. plastic bag and a scarf. Leave the compress for several hours and repeat the procedure in the evening before going to bed. Children and adults are advised to chew propolis, which has a detrimental effect on pathogenic bacteria. Taking propolis for initial stage illness will help to avoid it further development, and the healing process will go much faster. Treatment of streptococcal sore throat should be carried out under the full supervision of a physician. Children with exacerbations undergo treatment in a hospital.

It is important to avoid colds, communication with infected people and treat the disease itself early stage his appearance.

Streptococcal tonsillitis is the most common type of tonsillitis.

With this pathology, damage to the lymphoid formations of the pharynx, the so-called lymphoid ring, develops. The lymphoid ring is formed by six tonsils, which have protective role in the body.

In most cases, when an infection occurs on the tonsils, inflammation does not occur.

This is explained by the fact that antibodies begin to be produced and the pathogen dies. But with many negative factors an inflammatory process occurs.

As is already clear from the name, streptococcal tonsillitis is caused by bacteria - streptococci.

There are several groups of streptococci, but sore throat is caused mainly by the pathogen of group A, much less often by groups C and G.

Streptococcal etiology of sore throat is common in children over four years of age; before this age, viral infections are most common.

But this disease can also occur in adults, but much less frequently.

Transmission of the infectious agent (streptococcus) is carried out by airborne droplets.

In most cases, the source is a patient with tonsillitis, but the pathogen can also be transmitted from a carrier of the infection (chronic infections).

IN organized groups(children's groups, military units) outbreaks may occur streptococcal tonsillitis. This infection is especially common in winter and spring.

The development of acute streptococcal tonsillitis is promoted by:

hypothermia;
eating cold food;
chronic inflammatory processes in the body;
bad habits;
inhalation of smoky air in megacities or in factories;
poor nutrition;
hypovitaminosis;
wrong lifestyle.

How does the disease manifest itself?

After contact with the source of the infectious agent, it can take from several hours to several days until the disease manifests itself.

Symptoms of streptococcal tonsillitis begin sharply, suddenly. The patient initially complains of general poor health:

increase in temperature;
chills;
aches in joints and muscles;
increased fatigue;
significant general weakness;
headaches;
Children may experience vomiting and nausea;
painful sensations in the stomach.

All these symptoms develop due to the development of intoxication of the body.

In the first hours, the symptoms of intoxication syndrome are leading. By the end of the first day, illnesses begin to appear and local symptoms streptococcal tonsillitis:

severe sore throat;
pain when swallowing may spread to the ear area;
tonsils swell;
redness of the tonsils appears;
lymph nodes enlarge.

Enlargement of regional lymph nodes develops from the fact that streptococci spread through the lymphatic tract. The submandibular and cervical lymph nodes are the first to enlarge.

Streptococcal acute tonsillitis is purulent form tonsillitis, it occurs in two forms:

follicular;
lacunar.

Follicular tonsillitis includes all symptoms, but there are characteristic local changes– round purulent follicles no larger than 5 mm in size are found on the tonsils.

And with lacunar tonsillitis, purulent discharge accumulates in the natural recesses of the tonsils, in the lacunae.

With a significant inflammatory process, purulent formations merge, and a plaque appears that completely covers the entire mucous membrane.

It can be easily removed, leaving intact mucous membrane underneath. Also, streptococcal infection of the tonsils can also occur as chronic tonsillitis.

It is different from acute form disease in that it does not have such vivid manifestations. On initial stages The patient may not be bothered by anything, there are only:

minor intermittent pain in the throat;
there may be a dry throat;
tonsils hypertrophy;
characterized by the presence of plugs on the tonsils.

Subsequently, the infection spreads, and the person develops other manifestations of the pathological process:

low-grade fever;
general malaise;
mild headaches;
fatigue.

Streptococcal infection can cause a number of complications in other organs. General and local complications of the pathological process may develop.

When local complications nearby organs are affected:

pharynx;
bronchi;
paratonsillar tissue;

Other organs affected are the valvular and muscular apparatus of the heart, the glomerular apparatus of the kidneys, and the cartilaginous surface of the joints.

Diagnosis and treatment of the disease

If signs of streptococcal tonsillitis appear, you should definitely consult a doctor. The disease is treated by a local doctor and an otolaryngologist.

Now there are methods for rapid diagnosis of streptococcal infection, with which you can immediately determine the etiology of the disease at the appointment.

A throat swab is also taken. Therapy for streptococcal tonsillitis must include antimicrobials.

Treatment is carried out the following groups medicines:

Penicillins (Augmentin, Flemoxin, Amoxiclav);
Macrolides (Azithromycin, Sumamed, Clarithromycin);
Cephalosporins (Ceftriaxone, Cefixime, Suprax).

Treatment begins primarily with penicillin antibacterial agents. The course of treatment should be at least seven days, often ten days.

When treating the disease, local procedures are also carried out. The throat is rinsed with the following means:

Furacilin;
Infusions of anti-inflammatory herbs;
Saline solutions;
Hydrogen peroxide solution;
Miramistin.

Irrigation with anti-inflammatory agents helps relieve pain and inflammation:

Kameton;
Bioparox;
Hexoral;
Hexaspray.

All types of therapy are used in combination, this promotes rapid recovery.

The prognosis for streptococcal tonsillitis is favorable with appropriate treatment.

You cannot self-medicate, as this can lead to the disease developing into chronic tonsillitis and the development of complications.

Despite the fact that the cause of throat diseases in the vast majority of cases are viruses, streptococcal sore throat remains a widespread disease. Streptococcal tonsillitis - acute infectious disease organs pharyngeal ring, the causative agent of which is various types streptococcus. Group A beta-hemolytic streptococcus (GAStreptococcus) is the main causative agent of sore throat and has a pronounced hemolytic activity, pathogenesis is associated with the production of toxins.

When treating a disease, the most effective means remain antibacterial drugs, especially penicillin group. Unlike other bacteria, GAS does not produce penicillinase, an enzyme that breaks down antibiotics of this group, making them ineffective.

Etiology

Streptococci are bacteria that are present in the body of any person. Make up 30–60% of total number bacteria found in the throat. Beta-hemolytic streptococcus of group A in 70% of cases is the causative agent of tonsillitis, also called pyogenic, has the greatest toxicity and is capable of destroying red blood cells.

The microorganism behaves peacefully as long as the human immune system functions fully. As soon as the body’s protective function weakens, streptococcus begins to actively multiply, acquiring the characteristics of a pathogen. Among the main factors that contribute to the development of streptococcal sore throat:

decreased local and general immunity;
recent viral or bacterial disease;
hypothermia;
contact with the patient and/or his things.

During illness, a person becomes dangerous to others because he emits large number streptococci outside, which is highly contagious (infectious).

In addition to tonsillitis, streptococcus can cause:

bronchitis,
periodontitis,
abscess,
erysipelas,
rheumatism,
scarlet fever,
glomerulonephritis,
pharyngitis,
pneumonia.

Streptococcal tonsillitis is dangerous because most of the listed diseases develop as its complications.

This often occurs in a weakened body or in the absence of proper treatment. Streptococcus extends far beyond the pharyngeal ring, developing pathologies, for example, in connective tissue, especially in the membranes of the heart, as in rheumatism, or autoimmune reactions of the body, as in glomerulonephritis.

Streptococcal tonsillitis should be suspected in the acute onset of the disease, severe pain in the throat when swallowing and fever. The site of introduction and development of the pathogen becomes a focus of inflammation.

Most streptococci are found in the tonsils, which filter incoming air, water and food.

An acute inflammatory process in the tonsils can take various forms:

catarrhal (redness of the tonsils, no purulent foci, cloudy mucus on the surface is noticeable),
follicular (enlarged tonsils with ulcers in the follicles),
lacunar (large area of inflammation on the tonsils in the form of gray-yellow spots of irregular shape),
necrotic (extensive area purulent inflammation, a loose, peeling film on the tonsils that gives way to ulcers).

Symptoms

The incubation period lasts from several hours to 5 days. During the first day of the disease, the main set of symptoms appears. Toxins released by bacteria are carried circulatory system throughout the body. Within 2–3 days the patient feels typical signs intoxication: malaise, headache, aching feeling in joints and muscles, nagging pain in the lower back. If the body is severely weakened, patients experience vomiting and dehydration occurs.

Streptococcal tonsillitis has a characteristic set of symptoms by which it is diagnosed:

pus on the tonsils and back of the throat, swelling of the tonsils;
enlarged lymph nodes;
sore throat radiating to the ear.

Sore throat, initially mild, intensifies over time and reaches a peak by the second day. Upon palpation, enlarged lymph nodes are detected in the area of inflammation. The tonsils are noticeably enlarged, and depending on the shape of the sore throat, the presence of white ulcers or yellow-gray spots of irregular shape is observed.

Features of the course in children

When diagnosed with streptococcal tonsillitis, the symptoms and treatment of tonsillitis in children, in general, repeat the therapy for adults. Bacterial forms of sore throat are much more common in children over 3 years of age. At severe course By 2–3 weeks the baby may develop illnesses serious complication: abscesses or purulent lymphadenitis that require surgical treatment, bacterial endocarditis, rheumatic fever, meningitis.

Previously, it was believed that children under 3 years of age with similar symptoms did not need to undergo bacteriological analysis. For this group of patients, the development of streptococcal sore throat was considered an uncharacteristic phenomenon, and therefore children under 3 years of age were considered out of risk. However, in recent years scientists record an increase in patients with streptococcal tonsillitis in this group.

Most often, children become infected through airborne droplets through contact with carriers of the infection, since streptococcus is highly contagious. Another feature of the course of the disease in young children is that rheumatism does not develop as a complication. A bacteriological analysis must be done, first of all, in order to exclude other pathologies (leukemia, diphtheria, etc.).

The cause of tonsillitis in children over 3 years of age in 30-40% of cases is streptococcus.

Treatment of streptococcal sore throat with normal course without complications lasts about 10 days. If a bacteriological analysis reveals streptococcus as the causative agent of tonsillitis, the otolaryngologist in most cases prescribes a course of penicillin. The antibiotic is low cost, streptococcus has low resistance to it, and it significantly reduces the risk of complications. Has a significant side effect to work gastrointestinal tract, therefore it is prescribed in conjunction with bifidobacteria.

Once in the focus, it interferes with the restoration and synthesis of the cell walls of the bacterium, which leads to its death. This explains his high efficiency: improvement occurs within the first 24 hours. The most effective is benzylpenicillin, which is administered by injection 6 times a day, which is impossible with outpatient treatment. In such cases, amoxicillin (Augmentin) and amoxicillin-clavunate are prescribed. Clavunatic acid in the latter increases the effectiveness of the antibiotic.

The group of patients for whom the penicillin group is contraindicated are prescribed cephalosporins or macrolides:

allergy sufferers;
pregnant women
women breastfeeding
infectious mononucleosis in children (streptococcal tonsillitis precedes its development).

In addition to the penicillin group, streptococcal tonsillitis can be treated with cephalexin or cefadroxil. These antibiotics belong to the cephasporins, the effectiveness of which is due to inhibition of the synthesis of peptidoglycan, which is a structural component of the bacterial wall.

Among macrolides good results Azithromycin (Sumamed) demonstrates its effectiveness in the fight against gram-positive bacteria. In view of long period removal of the antibiotic from the body (stays for 5–7 days after administration), azithromycin is prescribed in short courses (3–5 days).

Mandatory addition antibacterial therapy antimicrobial drugs act local action. Their use increases the creature's effectiveness treatment course, accelerates the recovery process of patients, reduces the risk of the pathogen spreading beyond the oropharynx.

Bioparox based on fusafungine is a topical inhalation drug. It has a broad antimicrobial and anti-inflammatory effect. The drug can be used by children after 4 years of age. Application time: 10 days.

Combined drug Tonzilgon N, which includes a number of components medicinal herbs(marshmallow, chamomile, horsetail). The principle of action is based on increasing the phagocytic activity of granulocytes and macrophages, which allows activating local immunity.

The inflammatory process that appears on the tonsils of the palate is a type of acute or chronic tonsillitis. The first type is called streptococcal tonsillitis. This disease is quite contagious, so it requires quick treatment. Children are more often susceptible to the disease, and their parents become infected. But not every case of sore throat is caused by a bacterial pathogen. Viruses are the most common cause of sore throat. Only 10-20% of throat diseases are caused by bacteria. And of this volume, only 10% is caused by B-hemolytic streptococci. They spread through the air when the patient sneezes or coughs. It is almost impossible to become infected through dishes or food. Children under 2 years of age cannot get streptococcal sore throat due to the characteristics of their body.

Factors that contribute to the development of tonsillitis are:

chronic diseases of the nasopharynx;
temperature changes;
decreased immunity;
lack of vitamins;
damaged tonsils.

Streptococci are the main source purulent sore throat. They stimulate the immune system to accelerate the production of antibodies, which in turn destroy not only foreign cells, but also healthy ones. This is the reason that tonsillitis sometimes causes complications. It is especially difficult for children to bear it. The disease often causes vomiting and nausea in them.

Characteristic symptoms of tonsillitis

Symptoms of streptococcal sore throat may vary depending on the severity of the disease and strength immune system. This disease has symptoms similar to other types of sore throat: fever, sore throat, intoxication. But streptococcal tonsillitis has a number of the following features:

Types of streptococcal tonsillitis

There are several types of streptococcal tonsillitis: catarrhal, fibrous, follicular, lacunar and necrotic.

Catarrhal tonsillitis is characterized by a slight deterioration general condition, slight increase in body temperature, headache, redness of the palate and slight enlargement of the tonsils. Follicular and lacunar forms give pronounced intoxication, chills, temperature 39-40 ° C, poor appetite, severe pain when swallowing.

For follicular tonsillitis yellowish-white suppuration is characteristic.

Depending on the location, a distinction is made between sore throat of the nasopharyngeal and palatine tonsils, sore throat lingual tonsil, larynx or lateral ridges.

How is the disease diagnosed?

To make a correct diagnosis, doctors take into account the following factors:

symptoms;
having contact with an already sick person;
laboratory tests.

The most accurate analysis is sputum culture. Treatment is prescribed immediately, and if it is effective, then this fact accordingly confirms the diagnosis. Some clinics perform a rapid test for the presence of antibodies. In terms of accuracy, it is only slightly inferior to sowing. The most reliable diagnostic method is immunooptical analysis, but it is not available everywhere.

At differential diagnosis determine the type of sore throat, since streptococcal and viral tonsillitis are completely curable different drugs. It sometimes happens that sore throat caused by streptococci has mild symptoms. In this case, it can be confused with the following diseases:

diphtheria, which is characterized by breathing problems;
scarlet fever, since its symptom is a similar rash;
mononucleosis;
leukemia.

A simple sore throat doesn't mean anything. But, if you have a fever and swollen lymph nodes, these may be the first signs of a disease such as streptococcal tonsillitis. Of course accurate diagnosis Only a doctor can diagnose it, so it’s better to contact him rather than start treatment on your own.

Possible complications

Most often, after starting to take antibiotics, they begin to act on the first or second day. If the drugs do not have the desired effect, the cause may not be the bacterial nature of the inflammation or the occurrence of complications. These include:

Typically, complications can arise as a result of inattention to the disease: insufficient medication, non-compliance with bed rest, hopes for self-healing, etc.

In pregnant women, if treatment for streptococcal tonsillitis is not started on time, it can lead to serious complications in the fetus, for example, the development of rheumatism, liver, heart or kidney diseases.

Treatment of streptococcal sore throat

The course of treatment for streptococcal sore throat is at least 10 days. Its duration depends on the severity and form of tonsillitis. During the treatment process, the action of medications is aimed both at the cause of the sore throat and at eliminating the symptoms.

How are adults treated?

The main treatment for streptococcal sore throat is antibiotics. If there is a fever, the doctor will prescribe an antipyretic drug. A special solution for treating the throat is also often prescribed. Inflammation and swelling are relieved with sucking tablets or irrigation sprays. To get rid of intoxication as quickly as possible, drink a lot of warm liquid and herbal teas.

If the disease is in an advanced form, a solution of sodium chloride or glucose is injected inside. Physiotherapy, together with medications, can also help. Its duration ranges from five to ten days. As aids The following methods can be used:

Children can be wiped off with lukewarm water for fever.
Don't drink sour juices and compotes.
Gargle with a decoction of chamomile, calendula or weak solution Yoda.
Drink no more than a glass of chamomile, hawthorn and St. John's wort decoction internally.

During treatment, you should strictly adhere to the dosage of medications prescribed by your doctor. It is also important to withstand the entire period of treatment, otherwise the bacteria will remain in the body and lead to a new exacerbation of the condition.

For oral administration medications are often prescribed for tonsillitis penicillin series: Cefuroxime, Erythromycin, Cephalexin. In cases where the patient is intolerant to penicillin, macrolites are used, for example Summed.

If a pregnant woman gets sick with streptococcal tonsillitis, the doctor will prescribe her an antibiotic that will be safe for her and the child. But in this case, carry out treatment with traditional methods or take it yourself medicines contraindicated. You should only do what the specialist has prescribed!

How are children treated?

If treatment of the child is started immediately, the disease will quickly recede and will not lead to negative complications. Otherwise, streptococcal sore throat may develop into chronic form.

A complex of medications will help to effectively overcome tonsillitis in a child, just as in an adult. Be sure to stay in bed and follow all prescribed procedures.

Penicillin-based antibiotics are effective against streptococcus and cause less side effects, the more modern drugs. If you are intolerant to penicillin, you can take erythromycin.

It should also be noted that small children cannot swallow throat lozenges. Various sprays are better suited for their treatment: ingalipt, hexoral and others. You need to spray carefully so as not to exceed the dose and not cause laryngeal spasm.

Prevention

After streptococcal sore throat, a person’s immunity is very weakened, so there is a high probability that the disease will occur again. Protective functions The body needs a long time to recover. To prevent the recurrence of sore throat, it is important to follow preventive measures:

reduce the frequency of occurrence in public places during seasonal colds;
support optimal temperature and indoor air humidity;
prevent the appearance inflammatory processes V oral cavity, including caries;
strengthen the immune system;
maintain a sleep, nutrition and rest regime that is favorable for the body.

Among diseases affecting the ENT organs, tonsillitis is considered the most common. In 90% of cases the cause of the disease is staphylococcal or streptococcal infection, less commonly viral or fungal pathogens. Sore throat like independent disease is not dangerous to human health, but when the patient does not adhere to all the doctor’s recommendations, the disease is fraught with its own complications. Many patients after acute period complain that their kidneys hurt after a sore throat. Such complaints should not remain unattended by a competent specialist.

Any complications that occur with tonsillitis can cause the development chronic diseases. Complications on the kidneys after a sore throat can occur for several reasons:

lack of proper treatment;
incorrect diagnosis;
failure to comply with doctor's instructions;
presence in the person’s medical history of chronic diseases of the genitourinary system.

People with reduced immunity, children, as well as those who lead unhealthy image life, abuses alcohol, does not watch his diet. The child’s body is in the stage of growth and development and is not always able to resist pathogenic bacteria, so the risks of complications after a sore throat are quite high. Competent treatment under medical supervision will significantly reduce possible consequences diseases.

Normally, the human kidneys perform a kind of “laboratory” function for the body. They remove toxins and harmful substances. When their work is disrupted, toxins begin to accumulate in the body, causing symptoms of intoxication. If kidney function is impaired, the recovery period will take much longer. Complications of angina more often appear when the patient refuses to treat the disease with antibiotics, preferring drugs traditional medicine or completely ignores the symptoms of the disease.

The causative agents of sore throat (streptococci, staphylococci) contain antigens that are similar to kidney and cardiac tissues. During the development of sore throat immune antibodies people begin to resist infection, destroy foreign antigens, affecting those contained in renal tissues. As a result, the kidneys cannot cope with their functions, which increases the risk of complications.

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Kidney disease due to sore throat

Complications of tonsillitis can be early or late. The consequences of the disease can be noticed on the 4-5th day of illness. Late ones appear 1-2 or more weeks after the acute period. Among the consequences of angina that affect the functioning of the kidneys and urinary system are:

pyelonephritis;
nephritis;
poststreptococcal glomerulonephritis;
glomeluronephritis.

TO severe complications include renal failure, which is characterized by a complete or partial decrease in kidney function.

Attention! Nephrologists claim that in 75% of cases the cause is acute nephritis, pyelonephritis is a previously suffered sore throat, the treatment of which was carried out incorrectly.

Signs of complications

According to medical observations, kidney damage after tonsillitis ranks second after the heart. Complications can be recognized by severe symptoms, which may appear 1-4 weeks after tonsillitis:

discomfort, pain in the lumbar region, lower abdomen;
increased body temperature;
problems with urination;
urine becomes cloudy;
blood in the urine;
increased blood pressure;
swelling of the limbs;
deterioration in general health;
signs of intoxication.

The symptoms that appear should be a reason for immediate contact with a urologist or nephrologist. Self-medication for such symptoms is unacceptable.

Diagnostics

If you suspect complications of angina affecting kidney tissue, you should contact a specialist in the field of nephrology. The doctor, after listening to the patient’s complaints, will prescribe a number of examinations:

clinical blood test;
general urinalysis;
radiography;
Ultrasound of the kidneys.

The obtained results of instrumental and laboratory diagnostics will help you draw up full picture diseases, make the correct diagnosis, select the necessary therapy.

What to do when your kidneys hurt after a sore throat

If, after suffering from a sore throat, symptoms appear indicating disturbances in the functioning of the kidneys, you should consult a doctor as soon as possible. Based on the collected complaints, laboratory results and instrumental diagnostics the doctor will be able to determine the cause, the degree of damage to the kidney tissue, make the correct diagnosis and then prescribe necessary therapy.

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Treatment for diseases affecting the kidneys depends on the diagnosis. Complex therapy any disease of the urinary system and kidneys consists of taking medicines, compliance dietary nutrition, the right image life. The doctor can also recommend traditional medicine recipes that will complement the basic treatment and speed up the recovery period.

Drug therapy may include symptomatic and systemic drugs to cope with the cause and symptoms of the disease. This:

antibiotics;
uroseptics;
anti-inflammatory drugs;
herbal preparations;
hormonal immunosuppressants.

The choice of medication always remains with the attending physician. Often after tonsillitis, the risk of complications is prescribed Bicillin, the administration of which will minimize negative consequences. Active ingredient After administration, the drug retains its effect for a week.

Taking medications will eliminate the source of infection, improve kidney function, and prevent the disease from becoming chronic.

Treatment of kidneys after tonsillitis in addition to taking medications:

bed rest in the first days of illness;
take all medications prescribed by your doctor;
drink plenty of fluids;
follow diet number 7.

Important! If glomerulonephritis develops against the background of a previous sore throat, the amount of daily fluid should be reduced. For pyelonephritis - increase to two liters per day. Fruit drinks, herbal teas, and compotes are allowed as drinks. Coffee and any alcohol should be completely avoided.

After treatment, the patient may be prescribed physiotherapeutic procedures, therapeutic exercises, kidney massage. All these techniques will help improve blood supply to the kidney tissues and improve their functionality. Will bring benefits spa treatment in latitudes with warm climates, healing waters and dirt.

If a kidney pathology that appears against the background of a sore throat is detected in time, correct treatment, you can prevent the disease from becoming chronic, thereby avoiding problems in the future.

Prevention of complications

Sore throat refers to bacterial diseases, so taking antibiotics is mandatory. In addition to antibacterial therapy, the patient must take other medications prescribed by the doctor for oral or topical use.