Appearance of white pus in tonsils is one of the symptoms of tonsillitis. This bacteria induced disease assumes a certain risk, associated with the development of complications, such as rheumatism, affection of the heart and kidneys. It is usually provoked by streptococci; however we also distinguish between specific, viral and even oncology related tonsillitis. Only the otolaryngologist can identify the type of this disease and prescribe effective treatment, which is either limited to conservative therapy or requires surgical intervention.
Etiology of tonsillitis, accompanied by the appearance of white pus on tonsils
The most common causative agent of tonsillitis is β-hematolytic streptococci, which can penetrate into the tonsils from another carrier of the disease through droplet infection or due to using common utensils, towels, etc.
Very often tonsillitis is being provoked by the promotion of an autoinfection, which is contained in the crypts (folds) of tonsils in healthy people. Apart from bacteria, conditions that lead to the decrease of responsiveness of the organism, are of significant importance, particularly:
- General hypothermia;
- Extensive decrease of temperature in lower limbs;
- Intake of cold drinks or products;
- Hypovitaminosis (vitamin deficiency);
- Chronic exhaustion.
Besides, we distinguish between such types of tonsillitis, which occur on the background of blood diseases (agranulocytosis, monocytosis, leukosis). They are caused by specific agents (such as syphilis) or infectious mononucleosis (“the kissing disease”).
The inflammatory process affects such vital target systems, as the capillary network and nerve endings, provoking the reaction of the protective system of blood, which explains the majority of symptoms of tonsillitis. Disturbance of vascular permeability and penetration of pathological agents into the blood stream, thus affecting the vital activity of microorganisms, provoke intoxication and promotion of allergies. Involvement of nerves into the inflammatory process causes painful swallowing. The clinical picture may vary depending on the specific incitant agent and the individual course of the disease.
The treatment, providing for the removal of white pus on tonsils
Considering the “hidden dangers” of this disease, namely constant threat of the development of rheumatism, carditis or pyelonephritis, the treatment of tonsillitis should be initiated only under the strict supervision of an otolaryngologist.
Only a specialist can identify the type of tonsillitis: acute tonsillitis or exacerbation of the chronic form. The doctor can also define its anatomicopathological subtype: catarrhal, follicular, fusospirochetal or necrotic. This will correct the vector of therapy. Treatment of acute tonsillitis should include:
- Bed rest;
- Special diet, consisting of products, least irritating the mucous membrane;
- Massive water consumption;
- Anti-inflammatory and antiallergic medication;
- Polyvitamins ;
- Gargling of the throat and antiseptic sprays.
In the case of chronic tonsillitis, the doctor shall be making a decision regarding the advisability of tonsillectomy – surgical excision of hypertrophic tonsils, covered by white pus, resembling caseous plugs.
It is important to bear in mind there are multiple diseases, characterized by the occurrence of white blotches on throat, not necessarily pus. These diseases include candida mycosis, leptothrix, and oncological pathologies. Differentiation of these conditions is up to the ENT-specialist, who can also prescribe adequate treatment for this or that type of the disease.