Chronic tonsillitis in pregnant women. How chronic tonsillitis affects pregnancy
Pregnant women very often, with a lack of minerals in the body, may experience discomfort in the form of various ones, among which there is tonsillitis. Especially often tonsillitis during pregnancy occurs in the autumn-winter period, when the body is weakened, and pathogenic microorganisms are at the peak of activity. In this article, we will talk in detail about how to treat tonsillitis and what the consequences may be.
Symptoms
The symptoms of tonsillitis in early and late pregnancy can be slightly different. In addition, it is chronic inflammation of the tonsils that is the form of the disease, which often worsens with the onset of the first cold weather. The restructuring of the body of the expectant mother in the first weeks after also threatens to exacerbate tonsillitis. 
The main manifestations of the defeat of the tonsils in the first weeks of carrying a child:
- Periodically there is a dry cough, while there is pain when swallowing solid food.
- Discomfort in the throat cavity - ranging from mild perspiration to acute pain.
- Slightly elevated body temperature (within 37-38 degrees).
- Enlarged lymph nodes in the lower part of the jaw, when pressed, mild or moderate pain occurs.
- Constant lack of strength, irritation, drowsiness.
Important! Statistics show that about 78% of the world's population is infected with bacteria that periodically cause various diseases, including tonsillitis. Therefore, frequent medical examinations while carrying a child are mandatory.
At later stages of carrying a child, inflammation of the tonsils may occur due to a sharp weakening of the body or the development of an acute form of the disease. In such cases, there may be the following symptoms:
- The almond tissues begin to disintegrate, which is why an unpleasant odor will constantly come from the mouth.
- When visually examining the tonsils, their enlargement, redness, purulent abscesses, etc. are observed. In addition, in the process of eating, severe pain may occur.
- Chills, severely elevated body temperature (in some cases it can reach up to 40 degrees).
- The lymph nodes in the neck are greatly enlarged, which ache when pressed lightly.
- Frequent muscle pain even when resting, headaches, constant fatigue and lack of strength.
Toxic substances, along with all pathogenic microorganisms, can quickly spread throughout the woman's body along with the general bloodstream, which increases the risk of sad consequences not only for the woman, but also for the child. The reasons
Often this disease is caused by various pathogenic microorganisms. The most common causes of inflammation of the tonsils are staphylococcus aureus, hemolytic streptococcus and pneumococcus. In rare cases, tonsillitis can occur due to the direct influence of viruses or fungi on the tonsils.
As a result of exposure to any of the above pathogenic microorganisms, the normal physiological functionality of the tonsils is disrupted, and soon they signal the presence of a focus of infection in them. 
Did you know? About five centuries ago, the word "tonsillitis" denoted a heart disease, which is now called angina pectoris (now it is a non-chronic (acute) form of tonsillitis). The fact is that the word "ango" is translated from Latin as "strangle, squeeze." Therefore, with pressing pains in the area, medieval healers diagnosed "angina".
With untimely diagnosis of the first signs of tonsillitis, its chronic form may occur, which is practically not amenable to complete cure. It is most dangerous during pregnancy, especially when the mother's body needs complexes of various macro- and microelements, as well as vitamin compounds.
Chronic tonsillitis occurs due to negligence in the course of a mild form of the disease, the causes of which can be hypothermia, improper respiratory function of the nose, vitamin deficiency, caries, and a low level of the body's defenses.
What is dangerous during pregnancy
Inflammation of the tonsils is a serious test for the expectant mother, especially if she decides to self-medicate. This disease occurs in different forms: chronic and acute. 
Any of these forms of tonsillitis is unfavorable for the normal functioning of the two organisms. Tonsillitis at the first symptoms immediately leads to an increase in body temperature, which signals an infection that has spread throughout the bloodstream. And since the mother's body is connected to the fetus through the placenta, infectious microorganisms can also affect the fetus.
At any stage of pregnancy, inflammation of the tonsils is the cause of pronounced toxicosis. Immediately increases the risk of miscarriage, intrauterine damage to the organs and tissues of the fetus by pathogenic microorganisms.
Moreover, the chronic form of inflammation of the tonsils seriously increases the risk of preeclampsia at a late stage of pregnancy. The decay products of the lymphoid tonsil tissues and the remains of bacteria in the process of exacerbation of the disease begin to spread throughout all the organs of the mother and fetus along with the bloodstream, as a result of which a late one appears. 
I would also like to note that the tonsils are a kind of protective barrier of the body in the fight against the ingress of various viruses and bacteria. And when the tonsils are affected and begin to collapse, the immune system is sharply weakened, which can cause other pathogenic microorganisms to enter the body.
That is why the chronic form of tonsillitis is a dangerous disease not only for the mother, but also for the child. With untimely treatment, an infectious lesion of the tonsils can cause premature and various fetal pathologies.
Important!It is best to overcome chronic tonsillitis even before the conception of a child.
Go to the doctor
In order to effectively and correctly deal with tonsillitis of various forms, you need to consult a doctor in a timely manner. First of all, you need to inform the gynecologist about all your symptoms. In the future, the gynecologist will consult with an ENT, who will examine the condition of your tonsils. Based on the results of the diagnosis, you will be prescribed the most gentle treatment, which will be aimed at eradicating the focus of the disease. In this case, the course of therapy will consist of those chemicals that have the most minimal side effects.
Features of treatment
It is important to understand that the treatment of tonsillitis during pregnancy should take place under the strict supervision of a physician. Regular and timely examinations will help eliminate the risk of various complications.
In addition, self-treatment during the period of carrying a child is prohibited, since the list of permitted chemicals in this case is very small, and they must be taken with extreme caution and only in agreement with employees of medical institutions.
Medical preparations
When treating tonsillitis during pregnancy, doctors try to do therapeutic courses without the participation of antibiotics, which can have an extremely negative effect on the normal development of the fetus. Often, topical preparations are used, which are aimed at the destruction of pathogenic microorganisms in the throat cavity. Among them are tablets and spray. 
One of the most effective and safe pharmaceutical preparations during pregnancy are Tonzipret tablets. The main active ingredient of "Tonzipreta" is the American lakonos, which helps to strengthen the body's defenses, overcome pain and relieve inflammation. In addition, the composition of the drug includes guaiac tree and medicinal pepper.
The active substances of the first help to increase sweating and reduce the inflammatory process on the mucous membranes of the oral cavity. Medicinal pepper is an excellent antiseptic. In the acute form of tonsillitis, doctors recommend sucking one tablet every 2-3 hours. They will help to quickly eliminate the source of infection and strengthen the immune system.
At a very high temperature, you can use Paracetamol, but only after consulting a doctor. This drug is an undesirable chemical agent for, so it should be used only in extreme cases. It is best to bring down a low temperature with dressings soaked in acidified water (solution and acetic acid). 
If a purulent plaque is found on the surface of the tonsils, the doctor will prescribe procedures for its removal using the Chlorophyllipt solution (or hydrogen peroxide, propolis tincture, etc.). A cotton swab should be moistened in any of the concentrates and gently wipe the surface of the tonsils. If sparing drugs are powerless, then doctors will prescribe chemicals based on amoxicillin.
Did you know?Viagra tablets were originally developed for the treatment of tonsillitis (angina pectoris). And only in 1992 in England, scientists discovered their high efficiency in the fight for male power.
In the most urgent cases, when an advanced form of tonsillitis is found in a pregnant woman, more or less benign antibiotics can be prescribed. Most doctors forbid expectant mothers to take antibiotics, but in extreme cases they can be prescribed, because pathogenic microorganisms can cause much more harm to the mother's body than a five-day antibiotic regimen.
Folk remedies
Many expectant mothers often try to resort to the treatment of inflammation of the tonsils according to traditional medicine recipes, because they are, although less effective in curing the disease, but more gentle for them. Various healers and herbalists have long practiced the treatment of tonsillitis with decoctions, tinctures, compresses and gargles. If traditional medicine recipes are used correctly and wisely, then they will definitely help you. 
Propolis tinctures are one of the most well-known ways to eliminate bacteria that cause inflammation of the tonsils. Moreover, you can use propolis not only in the form of tinctures. This useful herb will be an excellent helper in the fight against tonsillitis, both in the form of extracts and in the form of alcohol tinctures and oils.
Propolis can be used without any particular fear during the period of carrying a child, but you need to be extremely careful with reactions. Moreover, some substances of this herb can cause burning and itching (not always, only in people who have individual sensitivity to the constituent elements of propolis). Therefore, before treating acute inflammation of the tonsils with such a folk remedy, be sure to consult your doctor. 
In the fight against tonsillitis, decoctions and tinctures of horsetail and burdock root will also help well. Even a doctor can recommend gargling with these decoctions, especially during the period when you are carrying a child. In addition, horsetail juice can be lubricated with inflamed tonsils to eliminate the source of infection.
Many specialists of medical institutions can recommend you to use various inhalations according to folk recipes, which are absolutely harmless for both the mother's body and the child's body. With inflammation of the tonsils, inhalations with steam of potatoes, sage, and eucalyptus help very well.
They help to alleviate the symptoms of the disease and eliminate a certain part of pathological microorganisms. Hot baths with thyme can also help in the fight against tonsillitis, but they must be taken with extreme caution (forbidden at elevated body temperature, excessive redness of the face and sensitivity to). 
Important!Reduce winter walks to 15-20 minutes a day, and the risk of exacerbation of tonsillitis will be significantly reduced.
A decoction of chamomile is also very effective in gargling the throat and mouth. Preparing it is simple: mix a tablespoon of herbs in 200 ml of water, then let the tincture stand and strain everything. Gargle with chamomile tincture 5-7 times a day.
What Not to Do
If you find the first symptoms of tonsillitis in yourself, you should immediately consult a doctor. During the treatment of the disease it is impossible:
- There is too much, while junk food (you need it right, the diet should include more fruits, preferably citrus fruits, which are rich in vitamin C).
- Engage in self-medication. If you do not go for a consultation with a doctor and begin to treat yourself, then it is unlikely that you will be able to overcome the source of infection without harm to yourself and the child.
- Smoking and drinking alcoholic beverages. This is contraindicated in general for all pregnant women, and even more so with tonsillitis, since bad habits contribute to the inhibition of the body's defenses.
- Read a lot, watch TV or browse the Internet. Such activities contribute to an increase in mental activity, which (at a high level) is contraindicated in tonsillitis.
- Taking too hot showers or taking long walks in the cold.
- Drive a car. When driving a car, you need to carefully monitor the road, and a serious illness contributes to the oppression of concentration and attention.
So, from all that has been said in this article, we can conclude: consult a doctor in a timely manner and observe all the nuances in the treatment. Do not be afraid of tonsillitis if you are under the supervision of a doctor. Frequent examinations will help you reduce the risk of exacerbation of the inflammatory process on the tonsils in the autumn-winter period. What is dangerous chronic or acute tonsillitis during pregnancy, how it manifests itself at different times, the causes of its occurrence, possible consequences and methods of treatment.
What is the danger of tonsillitis during pregnancy
Tonsillitis (tonsillitis) is a disease that is accompanied by inflammation of the lymphoid tissues of the pharynx - the tonsils. It can occur in acute form and chronic.
If a woman falls ill during pregnancy, then this is a rather serious test for both the expectant mother and the fetus. Immediately after infection, the patient's temperature rises, usually up to 39-40 degrees. Also, the onset of angina is characterized by general intoxication of the body and the child, as well, since it is connected with the mother through the placenta.
At all stages of pregnancy, pathogens cause severe toxicosis, there is a threat of miscarriage, premature birth, as well as intrauterine infection of the fetus. Also, a mother who suffers from an acute or chronic form of tonsillitis may experience weak labor activity if the infection or exacerbation of the disease occurred at a late stage of pregnancy.
Chronic tonsillitis can provoke the development of such a serious and dangerous pathology in late pregnancy as preeclampsia. Toxins that enter the bloodstream as a result of the vital activity of bacteria and the decay of the lymphoid tissue of the tonsils, along with the bloodstream, are carried to all organs of the woman and the child. This causes general intoxication and manifestations of the so-called late toxicosis.
It is worth noting the importance of the tonsils in the process of confronting the body with harmful bacteria and viruses. These organs are the protective filter of the immune system. And if they become inflamed, and sometimes even completely destroyed, this barrier is weakened, the risk of entering and developing various infections in the body increases.
For this reason, pregnant women who suffer from chronic tonsillitis tend to have a weak immune system. They are susceptible to various infectious diseases, which is fraught with weakening of the fetus, the risk of intrauterine infection and the development of various pathologies increases.
Causes of tonsillitis during pregnancy
The causes of infection with tonsillitis are, as a rule, various bacteria that act directly on the tonsils. These are hemolytic streptococcus, staphylococcus, pneumococcus. Sometimes some fungi and viruses can cause the disease. As a result, the normal process of their self-purification is disrupted, and lymphoid tissues are destroyed.
If the disease was started and developed into a chronic form, then it is almost impossible to cure it completely. It can escalate from time to time. The reasons for this may be a long stay in the cold, beriberi, low immunity, nasal breathing disorders due to a deviated nasal septum, untreated caries, sinusitis.
It is extremely important during pregnancy to prevent exacerbations of chronic tonsillitis, which can adversely affect the child. Therefore, it is necessary to carefully monitor your health and be sure to inform your gynecologist about your diagnosis.
The main symptoms of tonsillitis in pregnant women
As a rule, an exacerbation of a chronic disease occurs in late autumn and winter, when the body is especially susceptible to harmful bacteria and viruses. Also often during this period, symptoms of acute tonsillitis appear due to a lack of vitamins and hypothermia. Therefore, it is extremely important to recognize the dangerous signs of the disease in time and begin timely treatment.
Signs of tonsillitis in early pregnancy
If at the time of pregnancy a woman was sick with tonsillitis in a chronic form, then it is the conception and subsequent restructuring of the body that can become the impetus for an exacerbation of the disease.
It is accompanied by the following symptoms:
- Unpleasant sensations in the throat - from a slight tickling or tickling to a severe pain syndrome;
- Feeling of stuffy throat, it is hard to swallow food, dry cough begins to disturb;
- Pain when pressing on the lymph nodes under the jaw, which increase over time;
- Body temperature rises, but usually slightly - within 37.3-38 degrees;
- Constant feeling of fatigue, drowsiness, apathy.
Symptoms of tonsillitis in late pregnancy
If in late pregnancy chronic tonsillitis worsened due to a weakening of the body or an acute form of the disease developed, then this is accompanied by the following symptoms:
- Increased pain when swallowing: on visual inspection, the tonsils are enlarged, inflamed, there is redness, swelling, plaque, purulent plugs;
- Bad breath, which is caused by the process of disintegration of the tissues of the tonsils;
- high body temperature, chills;
- Severe fatigue, headache and muscle pain during movement and at rest;
- Enlarged cervical lymph nodes, when pressed, they are painful.
How to treat tonsillitis during pregnancy
It is extremely important that even during the planning of pregnancy, a woman undergoes all the necessary medical examinations in order to identify serious pathologies, which include chronic tonsillitis. After all, the list of permitted drugs during childbearing is extremely small, and it can be very difficult to treat the disease. In any case, a mandatory consultation with a doctor is necessary, who, based on the individual characteristics of the woman's body, will select the appropriate therapy that excludes the occurrence of complications or serious allergic reactions.
Treatment of exacerbation of tonsillitis during pregnancy with medications
Antibiotic therapy is highly undesirable during childbearing. Therefore, in the treatment of tonsillitis, doctors try to use the possibilities of less toxic drugs to the maximum.
After examining, the doctor may prescribe relatively harmless medicines to the pregnant woman: Tantum Verde spray or Lisobact tablets. They have a local effect and help destroy bacteria in the oropharynx, preventing them from multiplying and poisoning the body.
Tablets "Tonzipret" based on American lakos, medicinal pepper and guaiac wood also effectively help with tonsillitis. The composition of the drug contains only ingredients of plant origin. Thanks to modern manufacturing technology, all components of "Tonzipret" do not lose their medicinal qualities and useful substances - flavonoids, essential oils. Lakonos helps relieve inflammation, pain and strengthen the immune system. The active substances of the guaiac tree relieve inflammation of the mucous membranes of the oral cavity, help to increase sweating. Pepper has antiseptic properties. The combination of these active ingredients promotes rapid healing and boosts immunity. In the acute form of the disease, it is necessary to dissolve 1 tablet of Tonzipret every 2-3 hours.
Paracetamol will help bring down the temperature in acute tonsillitis. True, it is undesirable to get involved in it and, if possible, it is necessary to try to reduce the temperature by folk methods - rubbing with acidified water, cool baths.
To remove purulent plaque from the tonsils, it is necessary to moisten a cotton swab in Chlorophyllipt solution (you can also use propolis tincture or hydrogen peroxide) and carefully treat the surface.
If, after limited drug treatment, relief does not occur, antibiotics from the amoxicillin series are prescribed.
In the case of a severe form of the disease, the doctor will be forced to prescribe a more potent treatment in the form of antibiotics to the pregnant woman. Experts explain this appointment by the fact that properly selected drugs will cause less harm to the mother and fetus than pathogenic microorganisms.
Treatment of tonsillitis during pregnancy with folk remedies
Having discovered the first symptoms of the disease, the expectant mother should drink as many warming liquids as possible. Drinks such as cranberry juice, compotes from various fruits, weak sweet tea, decoctions of some herbs are allowed during pregnancy.
Local treatment is widely practiced - inhalations, rinses, compresses, as well as the intake of decoctions and tinctures inside. The following methods of therapy against chronic tonsillitis during pregnancy are common:
- Gargling with saline solution. For this simple and effective procedure, you need to prepare a liquid at the rate of 1 teaspoon of salt per glass of warm water. Rinsing should be done every 2-3 hours.
- Gargling with a decoction of sage and calendula. We prepare a remedy according to this recipe: mix sage and calendula flowers in equal proportions, pour a tablespoon of the mixture with a glass of boiling water and leave for half an hour. Ready infusion is filtered and used for rinsing. The liquid has an anti-inflammatory effect.
- Chamomile rinse. This plant is absolutely harmless and is allowed to relieve the symptoms of tonsillitis, even in pregnant women. We prepare the broth as follows: pour a tablespoon of chamomile flowers with a glass of cold water and bring to a boil. Filter the product, cool to a warm state. Gargle with decoction 4-5 times a day. Thanks to the wonderful healing properties of chamomile, you will feel relief after 3-4 rinses.
- Propolis resorption. This is an effective natural remedy that relieves inflammation in the throat, swelling, and reduces pain. It is enough to take a piece of propolis in your mouth and suck for several hours, throwing it from one side of your mouth to the other. It is worth noting that such treatment is contraindicated for allergy sufferers.
- Eucalyptus inhalations. To do this, you need to dissolve a few drops of eucalyptus essential oil in a container of hot water. Then we lean over the steam and cover our heads with a towel. So you need to breathe for 7-10 minutes.
Remember that even "harmless", at first glance, herbal preparations can be dangerous for your baby, therefore, before starting therapy according to alternative recipes, it is imperative to consult with your doctor.
Consequences of tonsillitis during pregnancy
The causative agents of the disease after entering the body begin to actively multiply and produce pathogenic toxins. These substances cause severe toxicosis and can even lead to premature birth. The risk of infection of the fetus inside the womb is not excluded.
If you do not pay due attention to the treatment of tonsillitis before pregnancy, then during the bearing of a child, a woman may develop various complications. So, inflammation of the heart muscles (myocarditis), rheumatism or glomerulonephritis often develops. The kidneys and heart of a woman are primarily affected by the waste products of bacteria that cause angina. And in view of the fact that the intake of potent drugs is limited, it is extremely difficult to deal with these complications.
In addition, the child is also seriously suffering from angina. Often he has oxygen starvation, which leads to serious developmental abnormalities and pathologies.
The most dangerous consequence of chronic and acute tonsillitis during pregnancy can be blood poisoning and inflammation of the meninges (meningitis).
How to treat tonsillitis during pregnancy - look at the video:
Taking care of your own health should be in the first place for a woman who is planning a pregnancy. Regular examinations and consultations with specialists will help to identify tonsillitis in time and sanitize the foci of inflammation. And preventive measures against chronic or acute diseases with the help of preparations with natural ingredients will help protect a woman and a baby from serious complications.
Tonsillitis during pregnancy, as well as breastfeeding a newborn baby with milk, poses a real danger to the health of the mother and the developing child. The threat comes directly from the bacterial microflora, which acts as a causal factor in the occurrence of this disease. Tonsillitis affects a woman's body as a chronic irritant, which systematically reduces the protective function of the immune system, makes it weak and unable to withstand other challenges that are present in excess in environmental conditions. For the fetus and newborn child, tonsillitis is also dangerous because of infectious pathogens that can penetrate into the tissues of the baby and cause inflammation in any internal organ.
How does chronic tonsillitis affect pregnancy at conception, first trimester and beyond?
The presence of chronic tonsillitis in a woman has a really negative effect on all stages of pregnancy and fetal development. Right at the very moment of conception and the birth of a new life in the womb of a woman in the first days after sexual intercourse, the disease does not affect in any way. Problems begin at 2-3 weeks of the first trimester, when the formation of fetal tissues becomes more active and the load on the immune system of the expectant mother increases.
At least 27% of all premature cases of fetal rejection that develops in the first trimester of its life occurs precisely because of the presence in the body of a woman of a focus of a chronic inflammatory process in the form of tonsillitis. At the same time, the degree of risk of losing a child in the early stages of pregnancy increases in proportion to the severity of inflammation and the aggressiveness of the bacterial microflora. If Staphylococcus aureus conducts its pathogenic activity in the tissues of the tonsils, then the probability of miscarriage is 75%, since this microorganism is very dangerous, quickly builds its bacterial colonies, has natural immunity to traditional penicillin antibiotics and can even provoke blood poisoning.
Anomalies of development
In pregnant women suffering from chronic tonsillitis at all stages of childbearing, the risk of having a baby with various anomalies of physical and mental development remains. They manifest themselves in the form of heart defects, lower and upper limbs, backwardness in the formation of intellectual abilities, reduced rates of psycho-emotional development. It's all about the bacterial microflora, which, together with the blood, migrates through the mother's body and enters the tissues of the developing child. A similar effect occurs during breastfeeding. The infection can enter the baby's body along with mother's milk. In such cases, bacterial infection of the digestive tract of the newborn occurs. It is difficult to predict how the infection will behave in the future. The appearance of symptoms of inflammation of the gastrointestinal tract is not excluded.
preterm birth
Pregnancy is a real moral and physical test for the female body. Therefore, if the body is initially weakened by the presence of chronic tonsillitis, and then during the first two trimesters, it is also subjected to overloads in the process of fetal development, then in some cases, premature birth occurs. So the body tries to get rid of the burden that the woman's immune system is no longer able to fully serve. In this case, premature birth is possible at 7 or 8 months of pregnancy.
Congenital autoimmune pathologies
Pregnant women who suffer from chronic tonsillitis often give birth to children with pathologies of the immune system. They develop as a result of the fact that in the early stages of the formation of the baby's body, an infectious invasion occurs in its tissue. At this stage of his life inside the mother, the immune system is still not fully developed, and under the influence of pathogenic bacteria, the process of its formation is disrupted.
As a result, a child is born with initially incorrectly functioning cells of the immune system, which is no longer able to cope with its functional purpose.
Such children from early childhood are prone to frequent colds, viral, and infectious diseases, noticeably lag behind in growth in relation to their peers. Also, autoimmune reactions of impaired immunity as a result of the pathogenic activity of chronic tonsillitis bacteria also manifest themselves in the form of other non-typical reactions of the body, but all of them, without exception, are negative and negatively affect the health of the baby. The most common autoimmune pathology in newborns, due to the presence of chronic tonsillitis of an infectious nature in the mother, is an allergy to food, dust, pet hair and other environmental irritants that do not pose any danger or discomfort to a child with a healthy immune system.
Contraindications and consequences for the child
The consequences for a child whose mother suffered from chronic tonsillitis during the entire period of pregnancy directly depend on the severity of the disease and whether the infection has penetrated the tissues of the developing fetus. The main negative consequences are described above in terms of the impact of the disease on the process of child formation in the first trimester of pregnancy and later.
In order to minimize the risk of negative consequences for a newborn child, a pregnant woman must observe the following contraindications and restrictions:
In all trimesters of pregnancy, it is extremely important to undergo regular examinations and consultations with an obstetrician-gynecologist, as well as an ENT doctor, in order to keep the infectious disease under control and monitor the stable course of pregnancy.
How and how to treat tonsillitis during pregnancy?
The presence of a state of pregnancy and hypersensitivity of a child developing inside the mother makes its own adjustments and limitations in terms of the use of a wide range of drugs for chronic tonsillitis. Therefore, for women suffering from this infectious disease, doctors prescribe the following therapies.
Tonsilotren
These are lozenges that are designed to suppress the activity of bacterial microflora in the throat and tonsils in order to reduce the toxic effect of chronic tonsillitis and reduce the severity of a sluggish inflammatory process. Tablets dissolve like lollipops. It is necessary to take this medicine 2-3 times a day, 1 lozenge after meals. The composition of the drug contains only natural ingredients, so there is no harm to the unborn baby, and the positive therapeutic effect remains at a high level. Tonsilotren is approved for use in all trimesters of pregnancy.
Chamomile decoction
Using a decoction of the stems, leaves and flowers of chamomile is one of the easiest and safest ways to treat chronic tonsillitis in pregnant women. To prepare it, you only need to boil 15 gr. dry chamomile in 1 liter of water for 20 minutes and rinse the throat cavity 1-2 times a day. The best option for this procedure will be the morning and evening hours after meals. Chamomile perfectly relieves inflammation, removes puffiness, has antiseptic properties, and washes away purulent plaques from the tonsils.
Tonsilor
It is a special antibacterial solution that is produced by the manufacturer in order to combat the manifestation of symptoms of chronic tonsillitis. The drug is also completely safe for the body of a pregnant woman and a developing fetus. The main thing is that in the course of rinsing there should be no swallowing of the medication. It is allowed to perform the procedure of washing the throat with Tonsilor up to 5 times a day.
Tonsillitis during breastfeeding - what should nursing mothers do, can I feed?
If a nursing mother has a chronic form of tonsillitis, it is certainly impossible to rush prematurely and refuse lactation of the child with breast milk. It is necessary to undergo an examination of the body and, first of all, donate blood and milk for bacterial analysis. The study of these biological fluids of the female body will give an exhaustive answer to whether the infection is present in the blood and milk of the mother, and whether it is possible to continue feeding the baby. If the results of the bacteriological examination are positive and doctors find a strain of Staphylococcus aureus, streptococcal infection or any other pathogenic microorganism in milk or blood, then the child's lactation will have to be stopped.
I am 34 years old, planning my 2nd pregnancy. Upon examination, the ENT said that I had “bad tonsils, chronic tonsillitis” and gave a referral for tests: rheumatic complex, KLA, OAM, cardiogram, smear from ng. At the same time, she said that, most likely, it would be necessary to remove the tonsils so that there were no complications during pregnancy or an “irreversible process” after pregnancy - rheumatism, etc. (I don’t have any special problems with my throat - it often aches and perches - autumn-winter, without fever, I get by with rinsing, or it goes away on its own).
The results of the CBC are all normal, the cardiogram is also, the results of the OAM and smears are not ready yet.
I am worried about the result of the analysis for rheumatic complex:
c-reactive protein (res. - 3.9; norm - up to 10 mg / l); rheumatoid factor (res. - positive 8.0 U / ml, norm - negative (up to 8.0 U / ml)); Antistreptolysin-O (res. - 169, norm - up to 150 U / ml) Thymol test (res. - 1.5, norm - up to 5 units)
According to the cardiologist, there are no problems with the heart (he looked at the cardiogram and the rheumatic complex).
1. Do I need an additional consultation with a rheumatologist before pregnancy?
2. Is such a deviation from the norm according to this analysis very large and dangerous?
3. Is it possible for me to get pregnant and give birth without removing the tonsils (there was no tonsillitis at a conscious age, my throat ached and itched until the first child)?
4. Can my situation with tonsils and the presence of such results on this analysis during pregnancy or after childbirth negatively affect me or the child?
5. Do I need an additional examination before pregnancy in my situation?
P.S. There is a feeling that they just want to “intimidate” to lay me down for an operation (I already had a similar experience), but at the same time, I don’t want to risk the health of the unborn child and my own.
Berezovskaya E.P. answers.
Looking ahead (or I don’t know where), I’ll say right away that rheumatoid arthritis does not progress during pregnancy, but rather regresses and calms down. That is, pregnancy has a peculiar therapeutic effect on RA. This topic has been discussed in one of the questions here: Rheumatoid Arthritis. When can you get pregnant?
Of course, the doctor intimidates you in full, but it is completely unreasonable.
A few words from my personal history: I have suffered from chronic tonsillitis since childhood. Several times in a row they were sent for an operation to remove the tonsils in order to be sent home again, because the operation was contraindicated due to inflammation. My sister suffered the same, so she got into the wave of total tonsil removal in the younger generation. Yes, there was such a fashion for the removal of tonsils, even without any evidence. After that, she developed serious heart problems (endocarditis), her throat became more inflamed, and the infections lasted longer. Constantly says that it was a serious mistake to remove the tonsils, and I completely agree with this. I, with my loose and large tonsils (Horror! They will suffocate you one day! Your heart will fail because of them!) Endured two pregnancies and gave birth to healthy children. Heart pah, pah, pah ... Arthritis? So I try to go to the gym regularly or periodically (depending on the availability of free time), but I walk every day, at least 30 minutes. So far, no arthritis ... A healthy lifestyle is the prevention of many diseases.
Have you ever wondered why we need tonsils and why they become inflamed? What is the oropharynx? This is the cavity where air and food enter. These are, in fact, the only large gates in the human body through which a mass of everything foreign - alien (air and food) enters in a constant mode. Therefore, nature took care that a person does not die at the first breath and at the first sip of water or food. She created a lymphatic ring around this entry gate, and the tonsils play a very important role in the function of this ring. The folding of their surface is like a certain filter-brush that traps pathogenic particles and, in addition, reduces the lumen of the entrance to the nasopharynx. These organs in structure are an accumulation of lymphoid tissue covered with a mucous membrane.
The air, once in the nose, is cleared only of large particles, thanks to the villi of the nose and the folding of the mucous membrane of the nasal cavity. After that, the air enters the nasopharynx, further into the larynx, connected to the trachea. The bronchi are covered with a dense network of lymphatic tissue with many lymph nodes. Together with the mucus produced by the inner lining of the bronchi, lymphocytes and other cells of the immune system purify the air of pathogenic agents and foreign particles. Therefore, with inflammation of the respiratory tract, a large amount of mucus is often produced - a person coughs and sputum is released.
The intestine contains 60% of human lymphoid tissue! Firstly, lymphocytes and other protective substances and structures are all necessary for the same neutralization of food. Secondly, toxins are formed due to the vigorous activity of hundreds of billions of bacteria of the intestinal group. So that these bacteria do not go beyond the intestines and do not harm neighboring organs, a dense network of lymphoid tissue with many knots around the intestinal loops is involved in protective mechanisms.
Thus, in the human body there are three large accumulations of lymphoid tissue: the lymphoid ring of the nasopharynx, the region of the bronchi and the region of the intestine. If the tonsils are unreasonably removed, the first gate of defense is broken. It is also important to remember that if the intestines do not work well (which is 90% due to improper, unbalanced nutrition, abuse of antibiotics and other drugs, smoking and inactivity), the largest immune defense organ in the human body fails - this very intestine. Therefore, all organs and organ systems begin to suffer: the first nearby ones are the urinary system, reproductive system, liver, and then other organs.
I gave such an extensive introduction to human anatomy and the role of some of its parts in protecting against everything foreign in order for you to understand that frequent inflammatory diseases in different parts of the body, including the throat, are a natural result of the presence of other breakdowns, possibly at the level the same intestine. Watch your diet carefully, start exercising if you are not doing it. If you have constipation, eat more vegetables, fruits, especially rich in fiber.
Coming back to your situation. For your age, you are a perfectly healthy woman. Don't expect perfection. Also, considering your age again, there is not much time left to plan pregnancy, because for most women, after 37 years, a new wave of death of the remaining eggs begins - the woman’s body is preparing for menopause, although the state of mind can be as much as 25 years old.
Now the answers are:
1. Do I need an additional consultation with a rheumatologist before pregnancy? - If there are no complaints, except for those that periodically have a sore throat (I'm 48, but my throat has been periodically sore all my life), and if you are planning a pregnancy, you do not need a consultation with a rheumatologist. Rheumatoid arthritis requires treatment if there are clinical signs of arthritis. In all other cases, physical activity is a good prevention of arthritis (any).
2. Is such a deviation from the norm according to this analysis very large and dangerous? - Based on the results of the tests, we do not make diagnoses, especially since such deviations may be characteristic of an infectious process that has been transferred in the recent past.
3. Can I get pregnant and give birth without removing the tonsils? - It is possible and necessary, because you are not of the age to play for time.
4. Can my situation with tonsils and the presence of such results on this analysis during pregnancy or after childbirth negatively affect me or the child? - Chronic tonsillitis does not affect pregnancy and the child. On the contrary, during pregnancy inflammation of the tonsils is often suppressed, especially from the second trimester.
5. Do I need an additional examination before pregnancy in my situation? - If everything is normal in terms of the gynecological part, then, in principle, an additional examination is not necessary. On the topic of pregnancy planning, there are articles in the library, and a whole book "Preparing for pregnancy." Start taking folic acid now - this is important.
And a successful journey into the world of motherhood for the second time!
All answers
The immunity of a woman during pregnancy is weakened. Therefore, tonsillitis during pregnancy, like other ENT diseases, can overshadow the happy expectation of a child. It is important to recognize the manifestations of pathology in time and take measures to cure it.
Symptoms
This inflammatory disease of the palatine tonsils is caused by streptococcus. Pathology can be both acute and chronic.
Tonsillitis during pregnancy is manifested by the following symptoms:
sore throat that increases when swallowing; redness and enlargement of the palatine tonsils, sometimes accompanied by the appearance of purulent plugs, plaque; perspiration; sensation of a foreign body, a lump in the tonsils; enlargement, soreness of the submandibular lymph nodes, determined by palpation (normally they have a diameter of up to 1 cm, are painless); increase in body temperature to subfebrile values (37.0-37.5 ° C); asthenic syndrome - lethargy, weakness, weakness, malaise.
If angina is not treated in time, then it becomes chronic. In this case, the clinic can be erased, the symptoms are not so pronounced, the course of the disease is long with alternating periods of exacerbations and remissions.
Chronic tonsillitis and pregnancy is a dangerous combination. Pathology is dangerous with formidable complications, up to the loss of a child. Exacerbation of chronic tonsillitis during pregnancy can occur with hypothermia (both general and local), prolonged and frequent exposure to stress factors, overwork.
The reasons
The occurrence of pathology can occur for several reasons:
frequent colds; hypothermia; untreated acute form of the disease; chronic sources of infection in the body - carious teeth, chronic diseases of other ENT organs; weak immune system.
What is dangerous tonsillitis
Chronic tonsillitis during pregnancy is dangerous for the development of complications. Normally, the tonsils serve as a kind of barrier that holds back pathogenic bacteria and prevents their further penetration into the body and blood.
Inflamed tonsils can be compared to a dirty water filter - instead of being cleaned of unnecessary impurities, it itself becomes a source of infection. When it enters the bloodstream, pathogenic bacteria can cause complications from other organs and systems, as well as infection of the fetus.
Especially dangerous is tonsillitis in the early stages of pregnancy, when the laying of organs and systems in the child occurs. A woman during this period should be as attentive as possible to the state of her health.
Tonsillitis during pregnancy is dangerous for the development of such serious consequences as:
miscarriage; premature birth; infection of the fetus; weakness of labor (in these cases, you have to resort to caesarean section); development of nephropathy, myocarditis, rheumatism, heart defects in a woman.
Which doctor should I contact with tonsillitis during pregnancy
Treatment of tonsillitis during pregnancy is carried out by an otolaryngologist or therapist. With the development of complications, it may be necessary to consult a rheumatologist, nephrologist, and other narrow specialists.
Treatment
How to treat tonsillitis during pregnancy? First, methods that are safe for the mother and fetus. Secondly, in the shortest amount of time possible.
Medical treatment
Treatment of chronic tonsillitis during pregnancy is possible with the help of drugs such as Tantum Verde spray or Lizobakt sublingual tablets, Doctor MOM lozenges, Strepsils. They do not have a toxic effect, are safe for women and fetuses. With normal iodine tolerance, you can lubricate the tonsils with Lugol's solution.
Of the physiotherapeutic methods of treatment, magnetotherapy, ultrasound, and KUF on the tonsils are shown.
You can gargle with mineral water, solutions of furacilin, baking soda, sea salt, potassium permanganate. Rinses are harmless, have a local anti-inflammatory, antibacterial effect. In addition, there is a mechanical flushing of pathogenic bacteria from the tonsils.
Such procedures for chronic tonsillitis should be carried out as often as possible. It is better to alternate different rinse solutions. In this case, the resistance of microbes will not form. Solutions prepared from decoctions and tinctures of medicinal plants (Chlorophyllipt, Rotakan) are well suited for rinsing.
Miramistin is an antiseptic with anti-inflammatory, antibacterial, antiviral, antifungal effects. It can be used both for rinsing and for irrigation of the tonsils, oral cavity. Aerosols Kameton, Ingalipt, Geksoral are also applied topically.
In extreme cases, antibiotics are used. During pregnancy, the use of penicillin preparations is allowed. Amoxicillin, Flemoxin are usually prescribed. They do not have a harmful effect on the embryo and have a wide range of effects.
Folk remedies
Treatment of chronic tonsillitis during pregnancy with alternative methods should be agreed with the doctor.
The most common means:
propolis, honey in the absence of allergies; gargling with decoctions of herbs - horsetail, chamomile, eucalyptus, St. John's wort, mint, sage; lubrication of the tonsils with horsetail juice; the use of juice of medicinal plants - aloe, kalanchoe; steam inhalations with soda, mineral water, herbal decoctions.
You can simply chew propolis or gargle with a solution (1 teaspoon of propolis tincture for 1 glass of water). Honey has antipyretic, anti-inflammatory effect. It can be added to tea, just dissolve in the mouth.
The simplest steam inhalation is to inhale the vapors of boiled potatoes over a saucepan. Such procedures can be carried out with a solution of baking soda or salt. You can add a small amount of Asterisk balm containing extracts of herbs and essential oils to the water.
But prolonged exposure to steam is undesirable during pregnancy. Therefore, inhalations using a nebulizer with mineral water or saline are best suited. Read more about inhalation during pregnancy →
Prevention
In order not to be caught by the disease during pregnancy, a woman should take care of the rehabilitation of foci of infection in the oral cavity even before conception. Being in a position, you should avoid hypothermia, crowded places, contact with sick people.
If it was not possible to prevent the exacerbation of chronic tonsillitis during pregnancy, then it should be treated as early as possible. The main thing is not to start the process, not to lead to complications. Treatment should be carried out, taking into account the recommendations of the doctor. Unauthorized use of medicines can adversely affect the health of both the woman herself and the unborn child.
Despite the fact that pregnancy is a wonderful, exciting and very bright period, it can often be complicated by various diseases. Moreover, to the diseases that first occur precisely during the period of expectation of the baby (among them, for example, varicose veins, hemorrhoids and others), exacerbations of chronic diseases are also added, which before pregnancy could not cause inconvenience. One of them is chronic tonsillitis.
What is the danger of tonsillitis during pregnancy
Tonsillitis is called inflammation of the palatine tonsils, which are a kind of obstacle to the penetration of infections into the body. It is no coincidence that at present, European doctors are categorically against the removal of tonsils in children, insisting on the conservative treatment of tonsillitis.
The disease is accompanied by perspiration and sore throat, cough, and sometimes fever. According to statistics, in twenty percent of the inhabitants of the planet, the disease has passed into a chronic stage, which requires special approaches to treatment, especially during pregnancy.
Tonsillitis not only brings discomfort to the expectant mother, but can also cause various complications - for example, intrauterine infection of the fetus, since microbes from the tonsils enter the bloodstream. The immunity of women suffering from tonsillitis is weakened, so the risk of contracting infectious diseases increases.
Methods of treatment
The best way to minimize the risks associated with chronic tonsillitis is, of course, pregnancy planning and getting rid of the disease before conception. However, it is possible to treat exacerbations during the period of expectation of the child, under the guidance of both an experienced otolaryngologist and a gynecologist. Therapeutic measures such as:
Washing the tonsils in the office of an ENT doctor. During this procedure, the doctor, using a special syringe, injects an antiseptic solution into the gaps, as a result of which the contents are washed out of the tonsils;
Gargling with infusions of medicinal herbs. It should be remembered that some herbs that are traditionally used for rinsing are contraindicated for pregnant women, first of all we are talking about sage, aloe, barberry;
Lubrication of the tonsils with antiseptic solutions (for example, Lugol);
Use of local sprays (Ingalipt, Bioparox, Chlorophyllipt and others).
During pregnancy, such methods of treating exacerbations of chronic tonsillitis are contraindicated, such as:
Physiotherapy;
- the use of antihistamines;
- antibiotic therapy (doctors talk about relative contraindications, that is, if the harm from the antibiotic is less than from streptococcus, which appears with tonsillitis, such drugs are prescribed with caution).
