Description

• Subclinical infections of tonsils without an acute attack
• It may be a complication of acute tonsillitis
• Mostly affects children and young adults. Rarely occurs after 50 years

TYPES

• Chronic follicular tonsillitis - Tonsillar crypts are full of infected cheesy material which shows on the surface as yellowish spots
• Chronic parenchymatous tonsillitis - There is hyperplasia of lymphoid tissue. Tonsils are very much enlarged and may interfere with speech, deglutition and respiration
• Chronic fibroid tonsillitis - Tonsils are small but infected, with a history of repeated sore throats

Types

• Recurrent attacks of sore throat or acute tonsillitis
• Chronic irritation in the throat with cough
• Halitosis due to pus in crypts
• Thick speech, difficulty in swallowing

Complications

• Peritonsillar abscess
• Parapharyngeal abscess
• Intratonsillar abscess
• Tonsilloliths
• Tonsillar cyst

Investigation

• Throat examination
• Throat Swab
• Complete blood count

Treatments

• Conservative treatment – General health, diet
• Treatment of coexistent infection of teeth, nose and sinuses
• Tonsillectomy - when tonsils interfere with speech, deglutition and respiration 

Ayurvedic Treatment

• Advice to avoid seetha vihara

Internal medicines

• Varanadi kashaya
• Panchathiktaka kashaya
• Nirgundyadi kashaya
• Pachanamrutha kashaya
• Kanchanara guggulu
• Gopeechandanadi gutika
• Vettumaran gutika
• Guggulu panchapala choorna
• Amrutarishta
• Punarnavasava

Procedures

• Nasya - shadbindu taila
• Shirodhara - surasadi thaila
• Kabala -Triphala kashaya , Khadira gulika as kashaya
• Pratisaranam - Tankana + Honey
• Lepa(Ext) – Rasna jambeera , Sasasruthi as samoola
• Application on head - Asanavilwadi taila , Nirgundyadi taila, Lakshadi kera

Department

Salakya - ENT