When we speak of the tonsils that can be seen behind the tongue on both sides of the throat, we mean the palatine tonsils (Tonsillae palatinae). They are lymphatic organs and form with the other tonsils (eg the pharyngeal tonsil, Tonsilla pharyngea) the lymphatic pharyngeal ring. They are used to detect pathogens in the mouth and throat at an early stage and to prepare the immune system for them. For example, pus on the tonsils often occurs in the course of tonsillitis. One then speaks of tonsillitis or tonsillitis, the tonsils are red and swell. In addition, you have white spots of pus on the tonsils or they are completely suppurated. Pus is usually a yellowish, variable in its consistency fluid and always a sign of an inflammatory response of the body. It is a mass of dead white blood cells (mostly neutrophilic granulocytes, a subspecies of leukocytes). With few exceptions, pus is always an indication of an infection caused by bacteria.
Pus is a sign of a bacterial infection in most cases, but tonsillitis is mostly caused by viruses. At a viral tonsillitis one has initially no pus on the tonsils. However, if the infection is so severe that the tonsils are weakened in their defense function, bacteria (eg pneumococci or streptococci) can spread and grow in the mouth and throat area. Other causes of tonsillitis may also be the Pfeiffersche glandular fever or scarlet fever, both are infectious diseases. White chunks on the almonds do not necessarily have to be pus, they can also be almonds. These arise in the furrows of the tonsils and are then expelled into the mouth. Almond stones are not harmful, but are easily confused with tonsillitis, but the tonsils are not red and swollen. Almond stones can be a cause of bad breath.
For diagnosis, the doctor examines the mouth, nose and throat. Swollen and reddened almonds, which are covered with pus, are a relatively safe indication of tonsillitis. The doctor scans the neck for swollen and tender lymph nodes. In addition, the doctor can make a throat swab with a long cotton swab, so that the responsible pathogens in the laboratory or a quick test can be accurately determined. The diagnosis of Pfeiffer's glandular fever is based on the detection of Epstein-Barr virus antibodies and an increased white blood cell count. Scarlet fever can be differentiated, as in addition to the inflamed, purulent tonsils additionally inflammation and redness of the entire throat area and a red discolored tongue with white dots (strawberry tongue) occur. In addition, a rash develops. The detection of streptococci, which cause scarlet fever, strengthen the diagnosis.
If the tonsils are inflamed and ulcerated, it is a bacterial purulent tonsillitis. If this suspicion is confirmed by the examination of the doctor and evidence of, for example, streptococci, then antibiotics must be used against these bacteria. Penicillin V or cephalosporins are used primarily for this purpose. It is important to fight the bacterial infection so that possible secondary diseases, such as rheumatic fever, can be prevented. If the inflammation is not properly treated and cured, it can develop into chronic tonsillitis. This in turn can lead to kidney, heart and joint inflammation. In order for the medication to work properly, it is important to take it strictly as directed by the doctor. Also, the duration of the intake is very important, the doctor has ordered a certain period of time and the inflammation has gone back, you should continue to take the antibiotics anyway. Only then is the absolute kill of all bacteria guaranteed. If you suffer from the infection in addition to fever, bed rest and adequate hydration is important to compensate for the loss of water through sweating.
If tonsillitis persists or swells so much in the patient that even breathing is obstructed, almonds may need to be surgically removed. In so-called tonsillectomy both palatine tonsils are completely removed. In another variant, tonsillotomy, only parts of the palatine tonsils are removed and the almond capsule remains. This operation is mainly used in children and has a lower risk of rebleeding. However, it is less often performed today than tonsillectomy. If an operation is not absolutely necessary, it should also be avoided, since the tonsils are important for the defense against pathogens in the throat.
For tonsillitis, the use of Aconitum napellus C9 (five globules every hour) is recommended for the treatment of sore throats. If you have additional difficulty swallowing and fever, you can use Belladonna C9 instead (again five globules per hour). In addition, if the tonsils are reddened and covered with pus, Mercurius corrosivus C30 promises relief. In case of chronic tonsillitis, potassium muriaticum C9 should be used (five globules twice a day). There are many other remedies (Eucalyptus, Marum verum, Phytolacca, Calcium iodatum, Arum triphyllum, etc.), all of which are adapted to various forms of the disease and should therefore be selected individually. You can read through the respective descriptions of the funds. However, homeopathy should be treated with caution, since there is no proper proof of the mode of action. Homeopathic treatment should not replace a doctor's visit, especially for fever and sore throats that last longer than three days.
If the pus on the tonsils is due to a purulent tonsillitis, there are several side effects that brings the disease with it. Since the tonsils and throat are inflamed and swollen, you have difficulty swallowing and sore throat. Swelling in the neck area can even cause hoarseness and speech problems. The lymph nodes on the head and neck are swollen and sensitive to pain. The inflammation and the deposits on the tonsils may cause bad breath. If the inflammation attacks the body too much, it reacts with fever. Fever is a natural defense mechanism of the body to fight the bacteria. With the Pfeifferschen glandular fever the body reacts even stronger, one develops flu symptoms, feels weak and has body and limb pain. Children may also experience abdominal pain. If the almond coating is caused by tonsillitis in the course of a scarlet fever disease, additional symptoms appear. These include, for example, the strawberry tongue (red, with white coating) and a rash.
An acute tonsillitis can occur at any time of the year and at any age. The course and duration of the disease can vary widely and depend on the type of treatment. In most cases, the tonsillitis is easy to treat and sounds in a short time without consequences. Under antibiotic therapy, the disease is usually cured after about two weeks. Even if the symptoms disappear, the medication must be taken anyway, depending on the doctor's instructions. If the antibiotics are discontinued too early, the germs can trigger a new tonsillitis. In severe cases, if the inflammation is not treated properly and becomes chronic, it can last for more than three months and then cause more complications.
White plaque on the tonsils does not necessarily mean tonsillitis. They can also be almonds, which can be found in the depths of the almonds (they are rugged and have deep furrows called crypts). When they are "rinsed out" by the almonds they come to the surface. Almond stones are not painful and not dangerous, they can only cause bad breath. Once you have them, the stones may appear more frequently. For example, they can be extracted by an ear, nose and throat specialist. Since they are not dangerous, there is no reason to remove the tonsils surgically.
An tonsillitis does not necessarily have to be accompanied by fever. Fever is a reaction of the body to infections, it tries by the increased body temperature to kill bacteria. If the infection on the tonsils is only mild, the body does not necessarily react directly to fever. The inflammation persists locally in the pharynx and is not systemically controlled by the body. If the inflammation is not so strong, the almonds, which are also part of the immune system, can fight the bacteria themselves and regenerate.
Before you get the antibiotic therapy or even accompanying it, there are a lot of home remedies that can reduce the discomfort. However, you should not replace a doctor's visit. Warm drinks, for example tea with honey, can help, as honey contains ingredients that have a slightly antibacterial effect. The heat has an analgesic effect on the neck area.
Also horseradish is an old proven home remedy, as it also has an antibacterial effect. For making the tea, horseradish root must be freshly grated and poured with water. The horseradish tea should draw about 15 minutes and can then be drunk in small sips. However, you should refrain from using particularly hot or particularly cold drinks, as the extreme temperatures can irritate the inflamed tonsils and lead to even more pain. Everyone reacts differently, so it may be that cold drinks have a beneficial effect. The cold ensures that the neck swells and additionally relieves the pain. Just try both and see what you get better. There is still the possibility of gargling iodine in a mouthwash, it works against the inflammation. You can get iodine in pharmacies, otherwise you can gargle just salt water. Another option is to warm the neck from the outside, for example with potato wraps. To do this you must cook the potatoes, wrap them in a cloth and then crush them. However, it should also be ensured here that the wrap is not too hot. In addition, you should wear a scarf or a scarf, even while sleeping. This keeps the throat warm and helps the immune system to work better. Should one express pus on the almonds?
Stippchen on the almonds can be removed. However, you should not try this with tweezers or other pointed objects, as this will hurt the almonds and cause them to bleed. Instead, you can help yourself with cotton swabs. The most effective way is to gently push from the side against the spot. Inflamed tonsils, however, are red and very sensitive to pain, here extreme caution is required when expressing. The pus removal can also be done at the ear, nose and throat doctor.