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MoonDragon's Health & Wellness
TONSILLITIS
(Tonsilitis)




BASIC INFORMATION


"For Informational Use Only"
For more detailed information contact your health care provider
about options that may be available for your specific situation.


sore throat


DESCRIPTION

SORE THROAT OVERVIEW

Sore throats are one of the most common health complaints and are so common that they are one of the main reasons people see a health care provider. But many of those office visits are not needed. The dry scratchiness and painful swallowing that are the hallmarks of a sore throat can make you miserable. Sore throats can be caused by many things. Viruses (like those that cause colds) can lead to a sore throat. Bacteria can also cause a sore throat, as can smoking, breathing polluted air, drinking alcohol, and hay fever and other allergies.

A sore throat is known medically as pharyngitis. It is most often caused by a viral infection such as a cold or the flu (influenza). In many cases, a sore throat is the first sign that you are getting sick. In most cases, a sore throat is caused by a virus that soon goes away on its own. A sore throat is rarely caused by a bacterial infection that requires medical care or treatment with antibiotics. Until you are feeling better, over-the-counter medications and home treatments can help ease your symptoms.

mouth and throat anatomy nasal, mouth and throat anatomy


TYPES OF SORE THROATS

Sore throats are usually named for the anatomical site affected.
  • Pharyngitis: The pharynx, the area of your throat directly behind your mouth and soft palate, is a common hallway for food, liquids, and air. Swallowing safely delivers solids and liquids to the stomach through the esophagus. Pharyngitis is pain and inflammation of the pharynx.


  • Tonsillitis: Tonsillitis typically involves inflammation of the palatine tonsils (tonsils are located on either side of the base of the tongue). The palatine tonsils are the accumulation of lymphatic tissue on the right and left sides of the upper throat. It can be caused by either viral or bacterial infection. Generally, younger children tend to get viral tonsillitis, while older children and adults tend to get bacterial tonsillitis - usually caused by Streptococcus bacteria.


  • Laryngitis: The larynx, the top portion of your windpipe (trachea), has an important gatekeeper function. It allows passage of air in and out of the lungs (through the trachea), but bars the entry of solids and liquids. Sound production at the vocal cords is an important side job of the larynx. Laryngitis is pain and inflammation of the larynx (often associated with a hoarse voice). Croup is a form of laryngitis in children (it tends to be associated with a seal bark cough and difficulty inhaling air).


  • Epiglottitis: This rare type of sore throat is inflammation of the epiglottis (a tall semitubular structure at the opening to the larynx separating it from the base of the tongue).

TONSILLITIS OVERVIEW

Tonsillitis refers to inflammation of the pharyngeal tonsils. The inflammation may involve other areas of the back of the throat including the adenoids and the lingual tonsils (areas of tonsil tissue at the back of the tongue). There are several variations of tonsillitis: acute, recurrent, and chronic tonsillitis and peritonsillar abscess.

Viral or bacterial infections and immunologic factors lead to tonsillitis and its complications. Nearly all children in the United States experience at least one episode of tonsillitis. Because of improvements in medical and surgical treatments, complications associated with tonsillitis, including mortality, are rare.

Tonsillitis most often occurs in children; however, the condition rarely occurs in children younger than two years. Tonsillitis caused by Streptococcus species typically occurs in children aged five to 15 years, while viral tonsillitis is more common in younger children. A peritonsillar abscess is usually found in young adults but can occur occasionally in children. The patient's history often helps identify the type of tonsillitis (i.e., acute, recurrent, chronic) that is present.





sore throat - viral vs bacterial infection


SYMPTOMS

Symptoms of sore throat throughout the body include fever, headache, nausea, body aches, and malaise. These may be present with either a viral or bacterial infection. Cold viruses tend to cause more coughing, sneezing and runny nose than strep throat.

Symptoms specific to the throat include pain with swallowing for pharyngitis and a hoarse voice when laryngitis is present.

General signs of sore throat may include the following:
  • A dry, scratchy or swollen throat.
  • Pain when swallowing, breathing or talking.
  • Pus on the surface of the tonsils (can happen with bacteria or viruses).
  • Redness of the oropharynx (the pharynx viewed though the mouth).
  • Tender neck glands (inflamed lymph nodes).
  • Drooling or spitting (swallowing becomes too painful).
  • Difficulty breathing (inhaling can be especially difficult when the passage through the pharynx or larynx becomes too narrow for a normal stream of air).
  • Vesicles (bubbles of fluid on a red base) in the oral cavity or oropharynx may indicate the presence of Coxsackie virus or herpes simplex virus.
  • Two-thirds of people with strep throat have only redness with no pus on the tonsils.

VIRAL SORE THROAT

sore throat cause by a virus


In most cases, the underlying cause of a sore throat - such as a cold or the flu - will get better on its own within a week. Less often, a sore throat is caused by something that needs treatment to get better.

BACTERIAL (STREP THROAT OR TONSILLITIS)

sore throat caused by a strep bacterial infection


Tonsillitis means swelling of the tonsils (at the back of your mouth on each side of your throat). It can cause a sore throat and other symptoms. Signs of strep throat and tonsillitis are often alike Tonsillitis is usually caused by bacteria, though sometimes a virus may be involved. Signs that your sore throat may have a more serious underlying cause, such as tonsillitis or strep throat, include:
  • White (or yellowish-grey-white) patches or pus on your throat or tonsils (semi-liquid malodorous material that can readily be scraped off the tonsils.
  • Inability or difficulty swallowing due to tonsil enlargement.
  • A sore throat that does not get better on its own or keeps coming back.
  • Stomachache and sometimes vomiting, especially in younger children.
  • Skin rash (scarlatiniform), such as seen with scarlet fever - a severe strep infection.
  • Headache.
  • Severe throat pain and sudden onset of sore throat.
  • Swollen (hypertrophy), red tonsils (erythema - beefy redness).
  • Earache.
  • Sore glands in the jaw and throat, especially swollen and tender anterior cervical lymph nodes (alongside the front of the neck on both sides, at the angle of the jaw)
  • Nausea & vomiting.
  • Nasal obstruction and discharge.
  • Enlarged lymph nodes throughout the body.
  • Fever & chills. A sudden onset high fever over 101°F (38.3°C) in babies under age 6 months or 103°F (39.4°C) in older children and adults.
  • Small pinpoint bleeding spots on the roof of the mouth (palatal petechiae).
  • Swollen, red uvula (mucosal "punching bag" flap hanging down from the center of the soft palate).
  • Strawberry tongue (the tongue may be very red with little white spots, like a strawberry).

Associated symptoms include malaise, body aches, loss of appetite, and abdominal pain.

normal throat


TONSILLITIS SYMPTOMS BY TYPE

The type of tonsillitis determines what symptoms will occur.

  • Acute Tonsillitis: Patients have a fever, sore throat, foul breath, dysphagia (difficulty swallowing), odynophagia (painful swallowing), and tender cervical lymph nodes. Airway obstruction due to swollen tonsils may cause mouth breathing, snoring, nocturnal breathing pauses, or sleep apnea. Lethargy and malaise are common. These symptoms usually resolve in three to four days but may last up to two weeks despite therapy.


  • Recurrent Tonsillitis: This diagnosis is made when an individual has multiple episodes of acute tonsillitis in a year.


  • Chronic Tonsillitis: Individuals often have chronic sore throat, halitosis, tonsillitis, and persistently tender cervical nodes.


  • Peritonsillar Abscess: Individuals often have severe throat pain, fever, drooling, foul breath, trismus (difficulty opening the mouth), and muffled voice quality, such as the "hot potato" voice (as if talking with a hot potato in his or her mouth).


  • acute tonsillitis


    SYMPTOMS REQUIRING MEDICAL CARE

    Although uncomfortable, most sore throats are not harmful and go away on their own in five to seven days. But sometimes they can signal a more serious condition. See your health care provider if you or a child has any of the following:
    • A sore throat that is severe or lasts more than 48 hours to a week or longer.
    • Difficulty swallowing or breathing due to enlarged tonsils or pharyneal swelling.
    • A fever over 101°F (38.3°C) in babies under age 6 months.
    • A fever over 103°F (39.4°C) in older children and adults.
    • Tender and swollen lymph nodes in the neck, jaw and throat.
    • Pus or white patches at the back of the throat.
    • Skin rashes, which can be a sign of an underlying condition such as measles, meningitis or mono (infectious mononucleosis).
    • Hoarseness or a cough that lasts longer than two weeks.
    • Blood in the saliva or phlegm.
    • Signs or symptoms of dehydration, such as sunken eyes, severe weakness and decreased urine output.
    • Contact with someone who has been diagnosed with strep throat.
    • Sore throats that get better but keep coming back.
    • Excessive drooling (in a young child).





    CAUSES OF TONSILLITIS

    The tonsils are lymph nodes in the back of the mouth and top of the throat. They normally filter out bacteria and other microorganisms to prevent infection in the body.

    They may become so overwhelmed by bacterial or viral infection that they swell and become inflamed, causing tonsillitis. The infection may also be present in the throat and surrounding areas, causing inflammation of the pharynx. The pharynx is in the back of the throat, between the tonsils and the voicebox (larynx).

    The herpes simplex virus, Streptococcus pyogenes (GABHS) and Epstein-Barr virus (EBV), cytomegalovirus, adenovirus, and the measles virus cause most cases of acute pharyngitis and acute tonsillitis. Bacteria cause 15-30 percent of pharyngotonsillitis cases; GABHS is the cause for most bacterial tonsillitis.

    Tonsillitis is a disorder that is most common in children, but it can occur at any age. In adults, it may be a sign that the body's resistance to disease is lower than it should be. An improper diet that is high in refined carbohydrates and low in protein and other nutrients may also predispose one to developing tonsillitis.

    REPEATED TONSILLITIS INFECTIONS

    Some people have repeated bouts of tonsillitis, and it can become a chronic condition. If untreated, tonsillitis can lead to a very severe condition called peritonsillar abscess, in which the airways become obstructed. making breathing difficult. The infection can also spread into the neck and chest area. In general, the more repeated bouts of tonsillitis a person has, the more difficult it is to cure. Each time the tonsils become inflamed, scar tissue accumulates on the tonsils.

    MoonDragon's Health & Wellness: Sore Throat





    PREVENTION

    The best way to prevent illness is also one of the simplest: frequent, thorough hand washing. Alcohol-based hand sanitizers are an excellent alternative to hand washing, particularly when soap and water are not available. However, it is not necessary to use antibacterial soaps. With proper hand washing, standard soap will kill germs just as well.

    MoonDragon's Infection Control: Handwashing Guidelines

    Try these tips to keep you and your children healthy:
    • Avoid sharing eating utensils, glasses, napkins, food or towels with others.


    • Clean your hands frequently, especially before eating and after using the toilet. This is a powerful way to help prevent many sore throat infections.


    • Avoid touching public phones or drinking fountains with your mouth.


    • Regularly clean telephones, TV remotes and computer keyboards with sanitizing cleanser. When you travel, clean phones and remotes in your hotel room.


    • Avoid close contact with people who are sick and if you are sick avoid others. You might avoid some sore throats by reducing contact with people with sore throats, but often these people are contagious even before they have symptoms, so this approach is less effective. Cold viruses appear to be more readily transmitted than streptococcal infections. Only about 25 percent of family members exposed to strep develop strep throat. Usually a person with strep throat becomes noninfectious within 24 hours after the first antibiotic dose. The incubation period (the time between exposure to strep germs and onset of illness) is usually 2-5 days. Children should stay home from school and day care during infectious periods.


    • Stay indoors as much as possible on high pollution days. Avoid dust and fumes.


    • Do not smoke, and avoid exposure to secondhand smoke. Chronic coughing may contribute to sore throats.


    • Get regular dental care. Tooth or gum infections, dental work and oral abrasions can contribute to sore throats and illness.


    • Humidify your home if the air is dry. A cool mist vaporizer or humidifier can prevent some sore throats caused by breathing dry air with an open mouth.


    • Cough or sneeze into a tissue and then throw it away. Wash hands afterward.


    • On a commercial airplane keep the air nozzle above you closed. The recirculated air can be a source of spreading viruses.


    • Do not strain your voice by excessive shouting or loud talking. If you sing, take care of your voice.

    Not too long ago, tonsils were commonly removed in an attempt to prevent sore throats. This is no longer recommended in most circumstances.




    DIAGNOSIS & TREATMENT


    EXAMS & TESTS

    PREPARING FOR YOUR HEALTH CARE APPOINTMENT

    Your health care provider will want to know what symptoms you have been having and how long you have had them. He or she will ask you a number of questions and do a physical examination to try to determine the cause of your sore throat.

    You can help by writing down any symptoms you are experiencing. Make a list of all medications, vitamins and any other supplements you are taking. Be sure to write down any questions you may have to ask your health care provider. Your time is limited with your health care provider, so preparing a list of information and questions will help you make the most of your time together and will prevent you from forgetting something you feel is important. In addition to the questions that you have prepared to ask your health care provider, do not hesitate to ask questions during your appointment at any time that you do not understand something.

    THE EXAMINATION

    Your health care provider will perform a general physical examination of your ears, nose, mouth and throat and check for swollen tonsils. He or she may want to know some details about the sore throat, such as:
    • When did the symptoms begin?
    • How long has the sore throat been present?
    • Have you (or your child) had a cold, sinus infection or ear infection?
    • Have other family members had recent sore throats?
    • How high has the fever been and how long has it lasted?
    • How severe are the symptoms?
    • Do you (or your child) have any allergies?
    • Is the pain increasing, staying the same, or decreasing?
    • Are you able to swallow saliva, fluids, and food?
    • Is there excessive drooling (in infants)?
    • Are you hoarse?
    • Is it worse at night?
    • Are you able to sleep?
    • Are you breathing through your mouth?
    • Is the soreness better in the morning?
    • Better with moist air or mist?
    • Better with medication?
    • What other symptoms are also present, such as noisy breathing, fever, wheezing, allergies, rash?
    • Have you had a recent injury or surgery?
    • Are there swollen lymph glands in your neck?
    • Are there sores or pus in the back of your throat?
    • Is there a sensation of gagging?
    • What medications are you taking?
    • What is your typical daily diet?

    Most often, your health care provider will diagnose the cause of a sore throat on the basis of a physical exam and a throat culture. During the exam, your health care provider is likely to check your throat for redness and swelling and for white streaks or pus on your tonsils and tenderness in the lymph nodes in the jaw and neck. Although these signs indicate an infection, there is no accurate way to tell by looking if the infection is viral or bacterial.

    A physical examination of a young patient with tonsillitis may find:
    • Fever and enlarged inflamed tonsils covered by pus.


    • Group A beta-hemolytic Streptococcus pyogenes (GABHS) can cause tonsillitis associated with the presence of palatal petechiae (minute hemorrhagic spots, of pinpoint to pinhead size, on the soft palate). Neck nodes may be enlarged. A fine red rash over the body suggests scarlet fever. GABHS pharyngitis usually occurs in children aged 5-15 years.


    • Open-mouth breathing and muffled voice resulting from obstructive tonsillar enlargement. The voice change with acute tonsillitis usually is not as severe as that associated with peritonsillar abscess.


    • Tender cervical lymph nodes and neck stiffness (often found in acute tonsillitis).


    • Signs of dehydration (found by examination of skin and mucosa).


    • The possibility of infectious mononucleosis due to EBV in an adolescent or younger child with acute tonsillitis, particularly when cervical, axillary, and/or groin nodes are tender. Severe lethargy, malaise and low-grade fever accompany acute tonsillitis.


    • A grey membrane covering tonsils that are inflamed from an EBV infection. (This membrane can be removed without bleeding.) Palatal petechiae (pinpoint spots on the soft palate) may also be seen with an EBV infection.


    • Red swollen tonsils that may have small ulcers on their surfaces in individuals with herpes simplex virus (HSV) tonsillitis.


    • Unilateral bulging above and to the side of one of the tonsils when peritonsillar abscess exists. A stiff jaw may be present in varying severity.

    Your health care provider may also do a throat culture to check for signs of a viral, bacterial or fungal infection. The following diagnostic tests may be performed:
    • Complete blood count (CBC).
    • Monospot test (to rule out mononucleosis).
    • Throat swab culture.
    • Rapid Strep Test.

    swabbing a sore throat for infection detection


    RAPID STREP TEST & THROAT CULTURE

    Your health care provider is likely to take a throat culture and/or perform what is known as a rapid strep test to check for the presence of bacteria that cause strep throat. In either case, your health care provider will rub a sterile swab over the back of your throat and tonsils to get a sample of the secretions.

    A rapid strep test to check for bacterial infection will give results fast, usually within about 15 minutes to a few hours. But the test will not tell if your sore throat is caused by a bacterium other than Streptococcus or if it is caused by a virus. Because Rapid Tests may miss a fair number of infections, your health care provider may choose to have additional laboratory testing done as well.

    A throat culture takes longer (about 24-48 hours), but it is more accurate. If your health care provider thinks you may have mono, he or she will probably do a blood test.

    Since the rapid strep test is sometimes unreliable and the throat culture can take up to 48 hours for results, your health care provider may prescribe antibiotics based on the history and examination alone. Treatment with antibiotics can be either initiated on a delayed basis or discontinued if begun already based on this final result.

    MONONUCLEOSIS TESTING

    A blood count and antibody test may be helpful when mononucleosis is suspected (although not often necessary, because mononucleosis is a viral illness generally requiring only symptomatic treatment).

    OTHER TESTS

    When epiglottitis is suspected, neck x-rays may be helpful.





    strep throat
    Mom has the right idea when she asks her kids to say "ahhh". Looking inside the throat can reveal important clues about what is causing the pain. Strep often produces a distinct pattern of white patches in the throat and on the tonsils, as well as red swollen tonsils.


    TONSILLITIS & STREP THROAT

    Tonsillitis is usually caused by strep bacterial infection in older children and adults. Recurrent tonsillitis often occurs when the strep bacteria has not been sufficiently destroyed during treatment.

    STREP THROAT IS A BACTERIAL INFECTION

    The reason it is so important to distinguish between strep and a common sore throat is that strep is caused by a bacterial infection (Group A Streptococcus) and a simple sore throat may be caused by other types of bacteria or viruses. The Streptococcus bacteria are the same bacteria that causes rheumatic fever. Only 5-10 percent of adult sore throats are caused by strep, whereas about 15-40 percent of sore throats in children are related to strep. The pain of strep throat often feels much like sore throats caused by other bacteria or by viruses. What is important and different about strep throat is that if it is not treated with the right antibiotics, it can sometimes result in rheumatic fever, in which the strep bacteria may enter the bloodstream and travel to the heart, damaging the valves of the heart or other vital organs. Though rare, this can cause serious illness.

    EARLY DETECTION

    A major objective of treating strep throat is to prevent the development of rheumatic fever, a serious illness that can cause joint pain and heart valve damage. However, antibiotics do not necessarily speed the healing of the sore throat itself, and antibiotics are of no help for a sore throat unless it is caused by strep. Another strep-related illness, scarlet fever, can cause a rash, but will not cause heart injury or joint pain.

    STREP THROAT DIAGNOSIS

    Most cold-related sore throats are caused by viruses and require no treatment. They usually do not last more than a day. When the sore throat persists and is very painful the health care provider will want to rule out or confirm the presence of the strep bacteria.

  • Coughing and sneezing can make your throat feel bad, but these symptoms are a fairly good sign that you do not have strep. When congestion, runny nose, and other cold symptoms accompany a sore throat, a cold virus is usually to blame.


  • Colds sometimes cause a fever, but it is generally low grade. A sore throat with a fever over 101 degrees Fahrenheit raises the likelihood of strep. However, strep can be present even with little or no fever.


  • The health care provider will look for redness and pus-filled patches on the tonsils and back of the throat. Enlarged tonsils are less likely to indicate a strep throat.


  • Strep throat may cause the lymph nodes in the neck to become swollen and tender. The practitioner will feel the sides of the neck for swollen lymph nodes. If the lymph nodes are not swollen, it is less likely to be a strep throat. The lymph nodes are responsible for collecting and destroying germs. When part of the body is infected, the nearest lymph nodes tend to swell as they carry out their job.


  • A sore throat caused by a cold can be plenty painful, but it usually goes away after a couple of days. Strep throat tends to be more severe and persistent - the pain may be so bad, it is hard to swallow. In some cases, strep may cause nausea, a lack of appetite, or pain in the head and abdomen.


  • rash associated with scarlet fever


  • A less common sign of strep is a rash that appears on the neck and chest, eventually spreading to the rest of the body. When this rough, sandpaper-like rash develops, the infection is known as scarlet fever. Although the full body rash may be alarming, it is not dangerous when treated with antibiotics.


  • RAPID STREPTOCOCCUS ANTIGEN TESTS / RAPID ANTIGEN DETECTION TEST (RAD)

    A rapid streptococcus antigen test is used to quickly diagnose strep throat, a contagious infection of the pharynx caused by a Group A streptococcus (Streptococcus pyogenes), commonly referred to as GAS. While a throat culture remains the gold standard for diagnosis of group A streptococcus infection, this procedure takes 24-48 hours for results. A rapid strep test takes only five minutes to perform. Since streptococci are sensitive to penicillin and related drugs, antibiotic therapy can be initiated immediately when the test is positive. A positive test result eliminates the need for bacterial throat culture.

    An untreated strep throat can increase the patient's risk of developing scarlet or rheumatic fever, which is associated with meningitis; and diseases affecting the heart, skin, kidneys, and joints. False-negative results occur with this test with a frequency ranging from 4-39 percent. Therefore, negative test results should be confirmed by throat culture.

    Approximately 10-19 percent of all sore throats are caused by group A beta-hemolytic streptococci. The majority of strep throat infections occur in children between the ages of five and fifteen, although adults with weakened immune systems are also at risk. The highest incidence of strep throat occurs during the winter and early spring months. Rapid streptococcal tests utilize antibodies to detect streptococcal antigens. There are four different direct streptococcal antigen detection platforms available in a wide number of different commercial products. These are latex agglutination; optical immunoassay; double antibody sandwich immunoassay; and immunochromatographic detection. The majority of rapid assays used today are based on double antibody sandwich and/or immunochromatography because these techniques do not require mixing, multiple reagent addition, or washing. An example of a combined double antibody sandwich immunochromatography method is described below.

    The first step of a rapid strep test is the extraction of specific Group A streptococcal carbohydrate antigen from the swab. The swab is placed in a test tube to which the extracting reagents have been added. The swab is rotated vigorously in the solution while pressing the tip against the sides of the test tube. After all fluid is pressed from the swab, it is discarded and the extract is applied to a nitrocellulose membrane containing both immobilized antibodies and non-immobilized antibodies to different regions of the Group A strep antigen. The non-immobilized antibodies are conjugated to dyed colloidal gold particles. If Group A streptococcal carbohydrate antigen is present in the extract, the conjugated antibodies bind to it, forming antigen-antibody complexes. These migrate along the membrane until they reach the reaction zone containing immobilized antibodies to the same Group A strep antigen. These antibodies capture the antigen-antibody complexes, forming a colored band or line (usually pink or blue) in the reaction zone area.

    Specificity of these tests is approximately 97-98 percent. Few causes of false positives have been reported. False positives are possible when the patient's throat contains a heavy growth of Staphylococcus aureus. False-negative test results are commonly reported and often occur when insufficient antigen is obtained from the swab extraction procedure.

    All rapid group A strep tests require a sample from the infected patient's throat. The sample is obtained by depressing the tongue and swabbing the back of the throat and tonsils, while avoiding the tongue, saliva and lips. The swab should come in contact with all the inflamed areas, vesicles and pustular tonsils. Swabs made of rayon or Dacron should be used. Swabs containing cotton, calcium alginate, or wooden shafts, or that have been placed in transport medium containing charcoal are not recommended.

    There are no aftercare concerns with this test and there are no complications associated with this test. These tests are usually performed in a health care provider's office.

    Normal results are negative. However, these assays tend to have low sensitivity, and thus it is recommended that all negative tests be followed by culture of a different throat swab on a blood agar plate for the isolation of beta-hemolytic streptococci. A positive result indicates an infection with group A streptococcus, and does not require culture follow-up.

    THROAT CULTURE

    A cotton swab is used to take a sample of pus in the throat for a throat culture. A throat culture is the most effective and least expensive test for confirming the presence of strep throat. It takes 24-48 hours to obtain a result.

    If the Rapid Strep Test is negative, a second swab is used to perform a qualitative culture on one half of a blood agar plate (Selective Streptococcal Agar, Becton Dickinson, Cockeysville, MD), and a bacitracin disk (Taxo A Disk, Becton Dickinson). The throat swab sample is placed on the streaked agar. Culture plates are incubated at 37°C in air for 24 hours. A technologist (or on-call practitioner on Sundays) interprets the cultures each day. Growth of Beta-hemolytic colonies with a zone of inhibition around the bacitracin disk is identified presumptively as GABHS (Group A Beta-Hemolytic Streptococci).

    Strep Detection - Beta-Hemolytic Streptococci Culture

    ANTIBIOTICS FOR STREP THROAT

    If you are diagnosed with strep, your health care provider may prescribe 7 to 10 days of antibiotics. You will probably feel better in a day or two, but it is vital to take the entire course of antibiotics anyway - otherwise some of the bacteria may survive. Remember, your strep can still be contagious, so wash your hands often, cover your mouth when coughing, and do not share utensils. And be sure to throw away your toothbrush after you have had strep. If are allergic to penicillin or if your sore throat is caused by a different bacteria, your health care provider may prescribe another type of antibiotic.

    The following antibiotics are generally used to treat strep throat:
    • Penicillin is usually the antibiotic of choice unless the patient is allergic. A full 10 days may be necessary. Amoxicillin, a form of penicillin, is proving to be effective when taken in a single daily dose for 10 days.


    • Macrolide antibiotics. Erythromycin is known as a macrolide antibiotic and is the first choice for patients with penicillin allergies. A 10-day regimen is needed. Another macrolide, azithromycin, can be given as a single daily dose and may be effective in 5 days. It is expensive, however, and bacterial resistance to macrolides is growing, so it should not be given as a first choice.


    • Cephalosporins are very effective in eradicating the bacteria.

    Antibiotics are very commonly inappropriately prescribed for non-strep sore throats. One study reported that an estimated 6.7 million American adults visited their health care provider because of sore throat between 1989 and 1999, with 73 percent of them receiving antibiotics. Studies indicate, however, that fewer than half of adults and far fewer children with even strong signs and symptoms for strep throat actually have strep infections.

    Parents should be comforted that a delay in antibiotic treatment while waiting for lab results does not increase the risk that the child will develop serious long-term complications, including acute rheumatic fever. If a patient is severely ill, however, it is reasonable to begin administering antibiotics before the results are back. If the culture is negative (there is no evidence of bacteria), the health care provider should call the family to make certain the patient stops taking the antibiotics and any remaining pills are discarded.

    Children who have a sore throat and who have had rheumatic fever in the past should receive antibiotics immediately, even before culture results are back. Children with a sore throat who have a family member with strep throat or rheumatic fever should also receive immediate antibiotic treatment.





    CONVENTIONAL MEDICAL TREATMENT FOR GENERAL SORE THROAT & TONSILLITIS

    Care of any sore throat involves treatment of pain, dehydration, or difficulty breathing. Airway problems are common with croup or epiglottitis.

    Usually, treatment will be delayed until the culture results are known. Health care providers will often begin treatment of a sore throat immediately if there is a family history of rheumatic fever, if the patient has scarlet fever, or if rheumatic fever is commonly occurring in the community at the time. Otherwise, antibiotics should NOT be given without a positive strep test (culture or rapid strep test).

    Tonsillitis is usually treated with a regimen of antibiotics. Fluid replacement and pain control are important. Hospitalization may be required in severe cases, particularly when there is airway obstruction. When the condition is chronic or recurrent, a surgical procedure to remove the tonsils is often recommended.

    ANTIBIOTICS

    At one time, health care providers automatically treated all sore throats with antibiotics, both to cure the infection and to prevent dangerous complications such as rheumatic fever. Now, health care providers are much less likely to prescribe antibiotics because the overuse of antibiotics has led to an alarming increase in antibiotic-resistant strains of bacteria. Most importantly, most cases of sore throat are not caused by bacteria, so antibiotics will not help.

    Antibiotics are not helpful when a virus causes a sore throat. Sometimes it is difficult to determine whether the cause is viral or bacterial, so antibiotics may be prescribed as a precaution. Antibiotics are usually NOT wise in the absence of a positive strep test or throat culture. Antibiotics speed the resolution of a strep throat by an average of only 1.5 days.

    Antibiotics are helpful in preventing rheumatic fever (an uncommon but severe complication of a streptococcal infection, which may cause severe inflammation of the heart muscle and heart valves). Corticosteroids can be helpful in the treatment of a few select types of sore throats. Although they impair immune function, the anti-inflammatory effect can be very useful. They are mostly used in cases of severe tonsillitis or in cases of croup.

    When antibiotics are started, it is important to complete the entire course as directed, even after symptoms improve. This helps prevent the infection from coming back. It also prevents bacteria from becoming resistant to the medication. Children can return to school or day care after antibiotics are started if your child feels well and does not have a fever or when they are no longer contagious - usually 24 hours after beginning treatment.

    SELF-CARE AT HOME

    Treatment of pain is often the number 1 priority if you have a sore throat and tonsillitis. Most sore throats are soon over. In the meantime, the following remedies may help:
    • Throat Lozenges / Hard Candy: Sucking on hard candies or throat lozenges can be very soothing, because it increases saliva production. However, throat lozenges often prove inadequate for all but the most minor cases. This is often as effective as more expensive remedies, but should not be used in young children because of the choking risk.


    • Salt Water Gargle: Gargling with salt water is sometimes helpful. Gargle several times a day with warm salt water (1/2 teaspoon of table salt in 1 cup warm water), which can help keep the throat moist and reduce that raw, scratchy feeling. Gargling with warm salt water of warm water and then spitting the the saltwater out will soothe your throat and clear it of mucus. Saltwater mixture gargled 3 times a day will help reduce swelling, relieve pain, and remove mucus.


    • Increased Fluids: Drinking enough fluids is very important. Since fever and painful swallowing can lead to dehydration, it is important to increase your intake of fluids to combat it. Water and ginger ale are good choices. Avoid citrus drinks which can irritate an inflamed throat. A fever can increase Choose high-quality fluids such as soup broth (replaces both salt and water losses) and sugar-containing solutions (they help your body absorb the fluids more rapidly). Drink warm liquids. Honey and/or lemon tea is a time-tested remedy. Stir honey and lemon to taste into a glass of very hot water, allowing it to cool to room temperature before you or your children sip it. The honey coats and soothes your throat, and the lemon helps cut mucus. This time-tested recipe may relieve most of your pain, if only temporarily. Avoid caffeine (found in coffee, non-herbal teas, and some sodas) because it is a natural diuretic and avoid alcohol, both of which can cause water loss and dehydration.


    • MoonDragon's Health & Wellness: Dehydration

    • Cold Liquids or Foods: Cold liquids, such as milk shakes, ice chips, or popsicles help some sore throats. If you need an excuse to eat ice cream, a sore throat is a good one. Gelatin is another soothing food. The cold has a numbing effect, and the creamy texture makes it easy to swallow. This comfort food is also great for cheering up young (and not-so-young) patients. With severe sore throats, it is best to avoid crunchy or spicy foods.


    • NSAIDs: Although they may be rough on the stomach, NSAIDs are non-steroidal anti-inflammatory drugs, such as aspirin, ibuprofen (Advil, Motrin, Nuprin), and naproxen (Aleve) are often more effective pain relievers than acetaminophen (Tylenol). Pain treatment can help increase fluid intake. Do NOT give aspirin to children since aspirin use when a fever is present may result in Reye's Syndrome. NSAIDS are helpful for treating a fever.

      MoonDragon's Health & Wellness: Fever

    • Rest: When it is hard for you to drink, it is important to decrease your body's requirements for fluid through rest and lowering any fever. Getting extra sleep can promote more rapid recovery, especially if a virus is the cause. Malaise (a general feeling of illness) is the body's cry for rest. Stay home and in bed when you are sick. This also help to prevent spreading the illness to others by limiting contact with people outside your home.


    • Humidifier or Vaporizer: Use a cool-mist vaporizer or humidifier to moisten and soothe a dry and painful throat. Breathing in steam from a humidifier or vaporizer can keep a sore throat moist and cut down on pain. Adding moisture to the air prevents your mucous membranes from drying out. This can reduce irritation and make it easier to sleep. Be sure to change the water in a room humidifier daily and clean the unit at least once every three days to help prevent the growth of harmful molds and bacteria. You can get the same result by leaning over a sink with hot running water. Drape a towel over your head to trap the steam and breathe deeply. Try this for five to 10 minutes several times a day. Placing a pan of water on a radiator, or boiling a pot of water on the stove can add moisture to the air. Moistening steam stimulates the blood flow to the mucous membranes, promoting healing.


    • Decongestant Nasal Sprays: For adults, if you have a cold and you have a plugged nose or fluid draining from your nose that is irritating your throat, you might want consider trying a decongestant nasal spray, which can dry up postnasal drip and give your throat some relief. Nasal sprays such as Afrin may be used for two to three days to prevent mouth breathing. It is NOT a good idea to use these products for more than a couple of days as you may become dependent on them. Other decongestant products, such as Sudafed, may be helpful. If you have hypertension or cardiovascular conditions, diabetes mellitus, thyroid problems, or an enlarged prostate check with your health care provider before using a nasal spray.


    • Hot or Cold Compress: Try placing a warm heating pad against the outside of your throat. Or make your own warm compress by wetting a towel with hot water. This may be especially soothing if you have tender lymph nodes in the neck. You can also try using a cold compress to sooth pain or alternating hot and cold. Use the method that works best for you and provides the most relief to the throat area.


    • MoonDragon's Health Therapy: Hot & Cold Therapy

    • Avoid Pollutants: Avoiding smoke and other air pollutants is important. Tobacco smoke irritates a sore throat. At least while you are sick, stop smoking and avoid all fumes from household cleaners and paint. And do not expose children to secondhand smoke.


    • Rest Your Voice: If your sore throat has affected your voice box (larynx), talking may lead to more irritation and temporary loss of your voice (laryngitis).





    RECURRENT TONSILLITIS

    If the cause of the tonsillitis is bacteria such as strep, antibiotics are given to cure the infection. The antibiotics by be given once as a injection or taken for 10 days by mouth. If antibiotic pills are used, they must be taken for the entire amount of time prescribed by the health care provider. DO NOT stop taking them just because the discomfort stops, or the infection may not be cured.

    Recurrent tonsillitis and sore throat is one of the very common childhood disorders and can have significant impact on the health of a child. The winter months with severe cold weather can be very troublesome for those kids who have the tendency for it.

    Tonsils are a pair of tissues situated on either side inside your throat. They are made up of lymph tissue (this means that they are a part of our body?s defense system).Their function is to filter harmful bacteria's and viruses going inside our body through the mouth. These tonsils are filled with white blood cells ready to catch and destroy harmful microorganisms but at times they are overwhelmed by these microorganisms and inflammation in the tonsils takes place. This inflammation in the tonsils is called as tonsillitis. This causes them to swell up and become fiery red in color too

    The diagnosis of Recurrent Tonsillitis is made if the child has multiple episodes of acute tonsillitis. In acute tonsillitis, Pain in throat is often the symptoms that children first complain off. If you examine your child's throat with torchlight, you will notice tonsils are enlarged and also red in color. They may also show white spots on them. Other signs and symptoms of tonsillitis include pain while swallowing and or difficulty in swallowing food, fever is common with inflamed tonsils. They may also complain of headache as well as enlarged and sore glands in the jaw and neck. In some children the voice may also get altered. Airway obstruction due to swollen tonsils may cause mouth breathing, snoring, and nocturnal breathing pauses.

    HOMEOPATHIC TREATMENT

    Homeopathic treatment can treat both the acute condition and also stop the recurrence of tonsillitis. In acute tonsillitis homeopathic medicines such as Baryta Carb, Mercurius group, Belladonna, Aconite, Hepar Sulph work wonders if employed according to their indications. When an acute infection is treated with the right homeopathic medicine, the chances of tonsillitis recurring again also slim down. But in some cases a specialized treatment which actually fortifies the child's defense system also needs to be done. This kind of treatment is known in homeopathic philosophy as constitutional treatment where Deep-acting medicines are used to treat the constitution of the child and bring about lasting relief.

    MoonDragon's Health & Wellness: Sore Throat





    tonsilectomy


    SURGICAL TREATMENT (TONSILECTOMY, TONSILLECTOMY)

    Surgical drainage of an abscess behind a tonsil (peritonsillar abscess) or between the spine and pharynx (retropharyngeal abscess) is required in rare cases. Tonsillectomy or surgical removal of the tonsils is occasionally indicated for tonsillitis that returns often (once a month).

    Tonsillectomy is a surgery used to remove tonsils. Most people who have tonsillitis do not need a tonsillectomy. You might need a tonsillectomy if you get severe tonsillitis a lot or if your tonsils are too large and cause problems with your breathing. Your health care provider can tell you if a tonsillectomy is needed.

    Unfortunately, there may be a time when medical therapy (antibiotics) fails to resolve the chronic tonsillar infections that affect your child. In other cases, your child may have enlarged tonsils, causing loud snoring, upper airway obstruction, and other sleep disorders. The best recourse for both these conditions may be removal or reduction of the tonsils and adenoids. The American Academy of Otolaryngology - Head and Neck Surgery recommends that children who have three or more tonsillar infections a year undergo a tonsillectomy; the young patient with a sleep disorder should be a candidate for removal or reduction of the enlarged tonsils.

    tonsillectomy using electrocautery
    TONSILLECTOMY

    The surgical removal of one or both tonsils, usually through a sharp wire loop, scalpel, or electrocauterization.


    The first report of tonsillectomy was made by the Roman surgeon Celsus in 30 AD. He described scraping the tonsils and tearing them out or picking them up with a hook and excising them with a scalpel. Today, the scalpel is still the preferred surgical instrument of many ear, nose, and throat specialists. However, there are other procedures available - the choice may be dictated by the extent of the procedure (complete tonsil removal versus partial tonsillectomy) and other considerations such as pain and post-operative bleeding. A quick review of each procedure follows:
    • Cold Knife (Steel) Dissection: Removal of the tonsils by use of a scalpel is the most common method practiced by otolaryngologists today. The procedure requires the young patient to undergo general anesthesia; the tonsils are completely removed with minimal post-operative bleeding.


    • Electrocautery: Electrocautery burns the tonsillar tissue and assists in reducing blood loss through cauterization. Research has shown that the heat of electrocautery (400°C) results in thermal injury to surrounding tissue. This may result in more discomfort during the postoperative period.


    • Harmonic Scalpel: This medical device uses ultrasonic energy to vibrate its blade at 55,000 cycles per second. Invisible to the naked eye, the vibration transfers energy to the tissue, providing simultaneous cutting and coagulation. The temperature of the surrounding tissue reaches 80°C. Proponents of this procedure assert that the end result is precise cutting with minimal thermal damage.


    • Radiofrequency Ablation (Somnoplasty): Monopolar radiofrequency thermal ablation transfers radiofrequency energy to the tonsil tissue through probes inserted in the tonsil. The procedure can be performed in an office setting under light sedation or local anesthesia. After the treatment is performed, scarring occurs within the tonsil causing it to decrease in size over a period of several weeks. The treatment can be performed several times. The advantages of this technique are minimal discomfort, ease of operations, and immediate return to work or school. Tonsillar tissue remains after the procedure but is less prominent. This procedure is recommended for treating enlarged tonsils and not chronic or recurrent tonsillitis.


    • Carbon Dioxide Laser: Laser tonsil ablation (LTA) finds the otolaryngologist employing a hand-held CO2 or KTP laser to vaporize and remove tonsil tissue. This technique reduces tonsil volume and eliminates recesses in the tonsils that collect chronic and recurrent infections. This procedure is recommended for chronic recurrent tonsillitis, chronic sore throats, severe halitosis, or airway obstruction caused by enlarged tonsils. The LTA is performed in 15 to 20 minutes in an office setting under local anesthesia. The patient leaves the office with minimal discomfort and returns to school or work the next day. Post-tonsillectomy bleeding may occur in two to five percent of patients. Previous research studies state that laser technology provides significantly less pain during the post-operative recovery of children, resulting in less sleep disturbance, decreased morbidity, and less need for medications. On the other hand, some believe that children are adverse to outpatient procedures without sedation.


    • Microdebrider: The microdebrider is a powered rotary shaving device with continuous suction often used during sinus surgery. It is made up of a cannula or tube, connected to a hand piece, which in turn is connected to a motor with foot control and a suction device. The endoscopic microdebrider is used in performing a partial tonsillectomy, by partially shaving the tonsils. This procedure entails eliminating the obstructive portion of the tonsil while preserving the tonsillar capsule. A natural biologic dressing is left in place over the pharyngeal muscles, preventing injury, inflammation, and infection. The procedure results in less post-operative pain, a more rapid recovery, and perhaps fewer delayed complications. However, the partial tonsillectomy is suggested for enlarged tonsils - not those that incur repeated infections.


    • Bipolar Radiofrequency Ablation (Coblation): This procedure produces an ionized saline layer that disrupts molecular bonds without using heat. As the energy is transferred to the tissue, ionic dissociation occurs. This mechanism can be used to remove all or only part of the tonsil. It is done under general anesthesia in the operating room and can be used for enlarged tonsils and chronic or recurrent infections. This causes removal of tissue with a thermal effect of 45-85°C. The advantages of this technique are less pain, faster healing, and less post operative care.

    Consult with an otolaryngologist regarding the optimum procedure to remove or reduce your tonsils and adenoids.

    PREPARING CHILDREN FOR TONSILLECTOMY

  • Talk to your child about his/her feelings and provide strong reassurance and support.


  • Encourage the idea that the procedure will make him/her healthier.


  • Be with your child as much as possible before and after the surgery.


  • Tell him/her to expect a sore throat after surgery.


  • Reassure your child that the operation does not remove any important parts of the body, and that he/she will not look any different afterward.


  • If your child has a friend who has had this surgery, it may be helpful to talk about it with that friend.


  • SURGERY PREPARATION FOR ADULTS & CHILDREN

  • For at least two weeks before any surgery, the patient should refrain from taking aspirin or other medications containing aspirin. (WARNING: Children should never be given aspirin because of the risk of developing Reye's syndrome).


  • If the patient or patient's family has had any problems with anesthesia, the surgeon should be informed. If the patient is taking any other medications, has sickle cell anemia, has a bleeding disorder, is pregnant, has concerns about the transfusion of blood, or has used steroids in the past year, the surgeon should be informed.


  • A blood test and possibly a urine test may be required prior to surgery.


  • Generally, after midnight prior to the operation, nothing may be taken by mouth (including chewing gum, mouthwashes, throat lozenges, toothpaste, water.) Anything in the stomach may be vomited when anesthesia is induced, and this is dangerous.


  • DAY OF THE SURGERY

    When the patient arrives at the hospital or surgery center, the anesthesiologist or nursing staff may meet with the patient and family to review the patient's history. The patient will then be taken to the operating room and given an anesthetic. Intravenous fluids are usually given during and after surgery.

    TONSILLITIS SURGICAL DESCRIPTION & PROCEDURE (TONSILLECTOMY)

    Tonsillectomy is the surgical removal of the tonsils. The tonsils are two pads of glandular (lymphatic) tissue, one situated each side of the back of the throat. The tonsils are relatively small in the first year of life and increase in size as a child grows older. They are usually at their largest between the ages of four and seven years. The role of these pads is to help provide a defence against infection which, in this case, enters through the nose or mouth. Tonsils also help in the production of antibodies to fight the infection more effectively.

    Excision of the adenoids (adenoidectomy) is often performed concurrently with a tonsillectomy. Adenoids sit high on each side of the throat behind the nose and the roof of the mouth. Tonsils and adenoids are often removed when they become enlarged and block the upper airway, leading to breathing difficulty. They are also removed when recurrence of tonsil infections or strep throat cannot be successfully treated by antibiotics.

    T&A is an outpatient surgical procedure lasting between 30 and 45 minutes and performed under general anesthesia. Normally, the young patient will remain at the hospital or clinic for about four hours after surgery for observation. An overnight stay may be required if there are complications such as excessive bleeding or poor intake of fluids.

    Problems Associated With Tonsillitis

    Tonsils are prone to inflammation and enlargement. This can lead to a condition called tonsillitis. If these attacks become frequent and severe, or cause complications, your health care provider might suggest an operation. Some reasons which suggest that an operation should be carried out include:
    • Recurrent bouts of tonsillitis accompanied by pain, discomfort and high temperature.
    • Chronic tonsillitis that does not clear up with antibiotics.
    • Frequent ear infections associated with tonsillitis.
    • Breathing difficulties due to enlarged tonsils.
    • Abscesses forming in the throat (peri-tonsillar abscesses or "quinsy").
    • A child failing to thrive because of difficulty in swallowing due to frequent infection and enlargement of the tonsils.

    Medical Considerations

    Your health care provider will give you a complete physical check-up. The tonsil pad has a large blood supply, and special note will be taken whether you have any abnormal bleeding tendencies. Your health care provider will check to see if your tonsils are actively inflamed and, if so, will prescribe antibiotics for a few weeks to control the infection prior to surgery.

    Surgical Procedure

    A tonsillectomy is performed under general anesthesia. The patient's mouth is propped open and the tonsils are clamped with special instruments. The glandular tissue is contained inside a "skin lining". This lining is cut using scalpel, scissors, laser or an electric current (electrocautery). The tonsils are then removed. Each tonsil pad has a substantial blood supply, so electrocautery is often used to fuse the blood vessels and reduce the risk of hemorrhage.

    tonsils removed


    POST-SURGERY

    After the operation, the patient will be taken to the recovery area. Recovery room staff will observe the patient until discharged. Every patient is unique, and recovery time may vary.

    After the surgery you can expect:
    • When you wake up, you will be lying on your side. This is to prevent choking should any bleeding occur from the tonsil pad.
    • A sore throat.
    • Painkilling injections, if necessary.
    • The nursing staff will observe you frequently to check your pulse, blood pressure, breathing rate, and check your throat for any signs of bleeding.
    • For the first four hours after surgery, you will probably not be allowed to have any food or liquids.
    • You may find it difficult to eat or drink but you will be encouraged to do so - the more often you use your throat, the better.
    • You can expect a hospital stay of just one day or so.

    Your ENT specialist will provide you with the details of preoperative and postoperative care and answer any questions you may have.

    There are several post-operative symptoms that may arise. These include, but are not limited to, swallowing problems, vomiting, fever, throat pain, and ear pain. Occasionally, bleeding may occur after surgery. If the patient has any bleeding, your surgeon should be notified immediately.

    Any questions or concerns you have should be discussed openly with your surgeon.

    HOME CARE FOLLOWING TONSILLECTOMY

    Taking care or yourself at home can be guided by your health care provider. Most children require seven to ten days to recover from the surgery. Some may recover more quickly; others can take up to two weeks for a full recovery. Some general recommendations may include:
    • Do not smoke.
    • Avoid vigorous exercise immediately after surgery.
    • Usually, you should have a week or so at home before returning to work or school.
    • Avoid crowded, enclosed areas for at least one week, to reduce the risk of infection.
    • Your sore throat may last for two to three weeks, but try to get back to your normal diet as soon as possible. Avoid sticking to a gelatin (jello) and ice cream diet.
    • Some foods can cause irritation and pain. Avoid sour or tart drinks (such as citrus fruit juices), spicy foods and roughly textured foods for about 10 days or so.
    • Avoid taking aspirin, since it can exacerbate bleeding. Only take those pain medications recommended by your health care provider or surgeon.

    The following are post-surgical home care guidelines for children:
    • Drinking: The most important requirement for recovery is for the patient to drink plenty of fluids. Milk products should be avoided in the first 24 hours after surgery. Offer juice, soft drinks, popsicles, and Jell-O (pudding, yogurt, and ice-cream after 24 hours). Some patients experience nausea and vomiting after the surgery caused by the general anesthetic. This usually occurs within the first 24 hours and resolves on its own. Contact your health care provider if there are signs of dehydration (urination less than 2-3 times a day or crying without tears).


    • Eating: Generally, there are no food restrictions (other than milk products) after surgery. The sooner the child eats and chews, the quicker the recovery. Tonsillectomy patients may be reluctant to eat because of sore throat pain; consequently, some weight loss may occur, which is gained back after a normal diet is resumed.


    • Fever: A low-grade fever may be observed several days after surgery. Contact your health care provider if the fever is greater than 102°F.


    • Activity: Bed rest is recommended for several days after surgery. Activity may be increased slowly, with a return to school after normal eating and drinking resumes, pain medication ceases, and the child sleeps through the night. Travel away from home is not recommended for two weeks following surgery.


    • Breathing: The parent may notice abnormal snoring and mouth breathing due to swelling in the throat. Breathing should return to normal when swelling subsides, 10-14 days after surgery.


    • Scabs: A scab will form where the tonsils and adenoids were removed. These scabs are thick, white, and cause bad breath. This is not unexpected. Most scabs fall off in small pieces five to ten days after surgery and are swallowed.


    • Bleeding: With the exception of small specks of blood from the nose or in the saliva, bright red blood should not be seen. If such bleeding occurs, contact your health care provider immediately or take your child to the emergency room. Bleeding is an indication that the scabs have fallen off too early, and medical attention is required.


    • Pain: Nearly all children undergoing a tonsillectomy/adenoidectomy will have mild to severe pain in the throat after surgery. Some may complain of an earache (because stimulation of the same nerve that goes to throat also travels to the ear), and a few may incur pain in the jaw and neck (due to positioning of the patient in the operating room).


    • Pain Control: Your health care provider will prescribe appropriate pain medications for the young patient such as codeine, hydrocodone, Tylenol with codeine liquid, or Lortab (hydrocodone with Tylenol). Generally, an acetaminophen (Tylenol, Tempra, Panadol) teaspoon solution is recommended for regular administration to the patient for three or four days after surgery.

    If you are troubled about any phase of your child's recovery, contact your health care provider immediately.

    Although in past years the removal of the tonsils by surgery was often performed in children. Today, surgery is not a good solution. The modern medical world has realized that removing a body part whose function itself is to protect the body from infection does no good. In reality it predisposes the body more towards infection. A better choice would be Homeopathic treatment as it offers a safe and a very effective solution in treating and even eradicating ones tendency towards tonsillitis.





    FOLLOW-UP CARE

    As with other illness, you should contact your health care provider if you become more ill despite treatment. Sometimes, determining whether a condition became worse because of the natural course of the illness or because of a side effect of the medication you are taking can be difficult. (For example, both the infection causing a sore throat and a reaction to medication can cause nausea.)




    PROGNOSIS (OUTLOOK)

    Tonsillitis symptoms usually improve 2 or 3 days after treatment starts. The infection is cured after treatment is completed, but some people may need more than one course of antibiotics.

    Complications of untreated strep tonsillitis may be severe. Children with tonsillitis related to strep throat or pharyngitis should generally be kept home from school or daycare until they have been on antibiotics for 24 hours. This helps reduce the spread of illness.





    POSSIBLE COMPLICATIONS OF TONSILLITIS

  • Blocked airway from swollen tonsils.
  • Dehydration from difficulty swallowing fluids.
  • Inflammation of the Kidney, post-streptococcal glomerulonephritis, or kidney failure.
  • Peritonsillar abscesses or abscesses in other parts of the throat.
  • Pharyngitis (viral).
  • Rheumatic Fever and related cardiovascular disorders.


  • sore throat tea for relief


    HOLISTIC RECOMMENDATIONS


    While it may be difficult to prevent sore throats altogether, some precautions may help reduce their incidence. Boost your immune system through a diet rich in vitamins and minerals, and consider taking supplements. Try to keep your living and working environments humid and breathe through your nose so the air that flows to your larynx is moist. Breathing in through your nose will also allow the fine hairs in your nose to filter out harmful substances. If you frequently suffer from scratchy throat and are prone to hoarseness, avoid speaking loudly, smoky rooms, and chemical fumes along with extreme temperatures. Natural plant remedies, inhaled or used in gargle form, can provide quick relief.




    NUTRITIONAL & DIETARY RECOMMENDATIONS

  • Be sure to cook all your food until it is tender. Roasting and steaming are good methods of cooking to retain moisture.


  • Cut your food into very small pieces or grind or puree it. This will cause less irritation to the throat. Be sure to chew your food well before swallowing.


  • Use frozen popsicles, ice cream, yogurt, and sherbet to soothe a sore throat.


  • Avoid eating foods that are spicy, hot, salty, or acidic. These can be irritating to the throat.


  • If you are having an especially difficult time swallowing and are not able to get the proper intake of nutrients, try drinking and instant breakfast drink or liquid nutritional supplement (such as Ensure).


  • Herbal Remedies: Multi-Vitamin & Mineral Liquid Supplement, Baby & Children, ChildLife, 8 fl. oz.

    Herbal Remedies: Alive! Whole Food Energizer, Liquid Multi-Vitamin, Citrus Flavor, Nature's Way, 30 oz.

    Herbal Remedies: Daily Maintenance Group For Infants & Children Supplement Kit, Multi-Vitamins & Minerals, Essential Fatty Acids, Colostrum, Probiotics, Vitamin C



  • If your health care provider prescribes antibiotics for a bacterial throat infection, eat yogurt and take an acidophilus supplement to replace the "friendly" bacteria in your digestive tract. Do not take the acidophilus at the same time as the antibiotic, however.


  • Herbal Remedies: Lactobacillus Acidophilus Kosher Liquid, All Natural, Vegetarian Medium, Lactose-Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.

    Herbal Remedies: Colostrum Plus Probiotics For Children Powder, 1.76 oz.

    Herbal Remedies: Primadophilus Bifidobacterium Powder For Children, Freeze Dried & Refrigerated, Nature's Way, 5 oz.

    Herbal Remedies: Simply Digestion 2000 Plus, With Digestive Enzymes, Dairy Free, Kosher & Vegetarian, Dynamic Health, 16 fl. oz.

  • Take a liquid vitamin C supplement. You can purchase a liquid form of this vitamin or make it yourself by dissolving vitamin C powder in water or juice. This is good to sip throughout the day. Allow it to drip down the throat slowly.


  • Herbal Remedies: Vitamin C Liquid For Baby & Children, 4 fl. oz.

    Herbal Remedies: Vitamin C Liquid, With Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.

    Herbal Remedies: The Right C, Vitamin C Powder, Nature's Way, 120 Grams

  • Avoid cow's milk products, sugar and refined wheat foods, since they promote mucus formation.


  • Drink a lot of fresh Pineapple Juice, possibly warmed. You can even gargle the juice before swallowing. Fresh pineapple has Bromelain, a natural enzyme good for a healthy body.


  • Herbal Remedies: Bromelain 2000 GDU Supplement, NOW Foods, 500 mg, 90 Tabs

    Herbal Remedies: Quercetin With Bromelain, Hypoallergenic, Bioflavonoid, NOW Foods, 800 mg, 120 VCaps

  • Mix a cup of hot water with a spoonful of Honey and with the juice of half a lemon. Drink it several times a day. Drink 4-6 glasses of water each day.


  • A cleansing juice fast for 3 days with vegetable broth can be helpful.


  • MoonDragon's Health Therapy: Fasting

  • Drink plenty of liquids. Fresh juices are best. If you can drink citrus juice, drink plenty diluted with water so they do not irritate the sore throat.


  • MoonDragon's Nutrition Therapy: Juicing

  • Bee Propolis is good for treating tonsillitis. Caution: Do not take bee propolis if you are allergic to bee stings. Do not give this supplement to a young child.


  • Herbal Remedies: Bee Propolis, Lemon Honey Flavor, Made in New Zealand, 12 High Potency Lozenges

    Herbal Remedies: Bee Propolis, Original Flavor, Made in New Zealand, 12 High Potency Lozenges

    Herbal Remedies: Bee Pollen (Bee Propolis) Tincture, 2 fl. oz.

    Herbal Remedies: Propolis Throat Spray, 1.05 fl. oz.





    herbal teas for sore throat


    HERBAL & HOME REMEDIES FOR SORE THROAT & TONSILLITIS

  • Bee Pollen, Blackberry, Calendula, and Cayenne all have been known to soothe or heal a sore throat. Drink as a tea.


  • Herbal Remedies: Bee Pollen Supplements & Products

    Herbal Remedies: Blackberry Supplements & Products

    Herbal Remedies: Calendula Supplements & Products

    Herbal Remedies: Cayenne Supplements & Products

  • Cayenne Gargle. Warm up some water in your microwave. Make it hot, but not so hot that it is going to burn your mouth. Add a pinch of salt and a teaspoon of Cayenne powder to your cup of water. Gargle the mixture for about 30 seconds at a time. There is no need to swallow the mixture (but you can if you want, it is healthy and has many nutrients for fighting infection). It is best to gargle the mixture on and off over a period of about an hour. Be careful not to burn your mouth with water that is too hot


  • Herbal Remedies: Cayenne Supplements & Products

  • Catnip tea enemas help to reduce fever. Warm catnip tea is soothing for children and adults to drink. Catnip works as a mild sedative and allows the patient to get some rest while recovering.


  • Herbal Remedies: Catnip Supplements & Products

    MoonDragon's Health Therapy: Enemas

    MoonDragon's Health Therapy: Catnip Enema

  • Echinacea and Goldenseal fight bacterial and viral infection. Echinacea not only fights tonsillitis infection, but it also boosts the immune system. Make Echinacea tea and drink as much of it as you can. Or take it in tincture form, 1/2 teaspoon every three to four hours until your symptoms improve.


  • Take alcohol-free Echinacea Extract by mouth; this will generally end an infection if you catch if early.


  • Place 1/2 dropperful of alcohol-free Goldenseal Extract in your mouth and swish it around for a few minutes before swallowing. Do this every three hours for three days. Alternating Echinacea with Goldenseal works wonders. For an infant, put the extract in formula or expressed breast milk, or in fruit-flavored sugar-free yogurt. Caution: Do not take goldenseal on a daily basis for more than one week at a time, and do not use it during pregnancy. If you have a history of cardiovascular disease, diabetes, or glaucoma, use it only under a health care provider's supervision.


  • Herbal Remedies: Goldenseal Root Tincture, 100% Organic, 2 fl. oz.

    Herbal Remedies: Echinacea & Goldenseal Tincture, 100% Organic, Nature's Way, Alcohol Free, 1 fl. oz.

    Herbal Remedies: Echinacea Tincture For Children, Orange Flavor, Alcohol Free, 100% Organic, 1 fl. oz.

  • Fenugreek used as a gargle can relieve a sore throat and reduce the pain of swollen glands. Add 20 drops of extract to 1 cup of water and gargle with the mixture 3 times daily.


  • Herbal Remedies: Fenugreek Supplements & Products

  • Lungwort soothes throat irritation.


  • Herbal Remedies: Olbas Herbal Instant Tea, Peppermint & Other Herbs, 100% Natural, Swiss Made, 7 oz.
    Use Olbas Herbal Instant Tea For Soothing relief from Cold and Flu symptoms. Olbas Instant Herbal Tea is a delicious blend of 20 soothing herbs, enhanced with essential oils that make Olbas Remedies world famous. Made in Switzerland and produced from only pure, natural ingredients, Olbas Instant Herbal Tea provides a warm, soothing feeling of relief from chills and symptoms of a cold, flu or bronchitis. A tasty beverage that you can enjoy anytime. Suitable for adults and children, and may be enjoyed hot or iced. Provides a warm, soothing feeling of relief from chills and symptoms of a cold, flu or bronchitis. A tasty instant beverage that you can enjoy anytime. Use 2 teaspoons per cup of hot water. Stir until completely dissolved. If desired, sweeten to taste. For Iced Tea, dissolve in a small amount of hot water, then add cold water and ice. Contains Grape Sugar, Sugar, 20 Herb Extract (Peppermint, Chamomile, Fennel, Thyme, Iceland Moss, Licorice Root, Lungwort Herb, Star Anise, Marigold, Yarrow Root, Elder Flowers, Lime Flowers, Blackberry Leaves, Sage, Eucalyptus Leaves, Plantain Leaves, Cyani Flowers, Cowslip, Mullein Flowers, Malva Flowers), Fruit Pectin, Menthol, Peppermint Oil, and Eucalyptus Oil. Made in Switzerland.

  • Licorice soothes a sore, hoarse throat. The herb licorice (Glycyrrhiza glabra) is a common ingredient in herbal teas for sore throat, such as the herbal tea products Throat Coat (Traditional Medicinals) and Throat Comfort (Yogi Teas). Although licorice has not been associated with adverse effects when used for ten days or less, excessive longer-term use may result in side effects such as high blood pressure, swelling, and headaches. There is some evidence that licorice may lower testosterone in men. When used in high doses, licorice may even cause heart failure and a muscle disorder called rhabdomyolysis. People with high blood pressure, heart disease, diabetes, breast cancer, liver disease, or kidney disease, or those who are taking certain drugs such as digoxin, thiazide or loop diuretics, or corticosteroids should not use licorice. Licorice should not be taken by pregnant or nursing women and children.


  • Herbal Remedies: Licorice Supplements & Products

  • Slippery Elm is very soothing for a painful, scratchy sore throat and for mouth irritation. Slippery Elm was once a popular drugstore remedy for sore throats in North America. The herb was listed in the United States Pharmacopeia, a compendium of drug standards, until 1960. A member of the elm family, the slippery elm tree (Ulmus Rubra Muhl) grows primarily in the eastern region of North America. For sore throats, herbalists use the inner bark of the tree. The inner bark contains mucilage, a gel-like substance that swells when it is mixed with water. The mucilage is thought to coat the throat, reduce irritation, and soothe sore throat. Slippery elm is often the primary ingredient in herbal sore throat lozenges found in health food stores or in the natural food section of some grocery stores and drug stores. A popular brand of slippery elm lozenges is Thayer's. The safety of slippery elm in pregnant or nursing women has not been established.

  • Licorice and Slippery Elm can be found in lozenge form. Caution: Do not use licorice on a daily basis for more than 7 days in a row. Avoid it if you have high blood pressure.


  • Herbal Remedies: Thayer's Slippery Elm Lozenges, Cherry Flavor, 24 Lozenges

    Herbal Remedies: Thayer's Slippery Elm Lozenges, Tangerine Flavor, 24 Lozenges

    Herbal Remedies: Thayer's Slippery Elm Lozenges, Original Flavor, 24 Lozenges

    Herbal Remedies: Thayer's Lozenges, Dry Mouth, Citrus Flavor, Sugar Free, 100 Lozenges

    Herbal Remedies: Slippery Elm Supplements & Products

    MONEY SAVER


    Make your own throat lozenges with Slippery Elm Powder and Licorice Extract Tincture. Stir in enough extract into 1/4 cup of Slippery Elm Powder to create a sticky dough. Roll the dough into little round balls or flatten into wafers and let them air dry for 2 days. Wrap in plastic and store in an airtight container for use as needed.


  • Marshmallow root tea soothes a scratchy, itchy throat. Marshmallow, a herb that grows in North America and Europe, has been used for centuries as a sore throat remedy. Like slippery elm, marshmallow contains mucilage, which is thought to coat and soothe sore throats. Herbalists recommend marshmallow root tea for sore throats. Steep 3 heaping teaspoons of Marshmallow blossoms in 3 cups of cold water for 12 hours, then heat and strain. Drink 2-3 cups daily. Adding one tablespoon of the dried Marshmallow root to a cup (8 ounces) of boiling water, steeping it covered for at least 10 minutes, and then straining. Herbalists usually suggest drinking up to three cups a day. Consult a health care provider before taking marshmallow if you have diabetes, as it may make your blood sugar too low especially when combined with diabetes medication. Marshmallow may also slow the absorption of other drugs taken at the same time. Marshmallow should not be taken by pregnant or nursing women.


  • Herbal Remedies: Marshmallow Supplements & Products

  • Astragalus is an old Chinese remedy. Used as a tonic, it strengthens the body's resistance to disease.


  • Herbal Remedies: Astragalus Root Supplements & Products

  • Hot Mullein poultices are soothing to sore throats.


  • Herbal Remedies: Mullein Supplements & Products

    MoonDragon's Health Therapy: Poultices

  • Olive Leaf extract has been found to be a good remedy for a sore throat. It helps the body to fight infection.


  • Herbal Remedies: Olive Leaf Extract Tincture, 100% Organic, 2 fl. oz.

  • Singer's Saving Grace from Herbs, Etc., is a soothing throat spray that contains a combination of several herbs, including Echinacea, Licorice, and Ginger.




  • Red Raspberry Leaf tea is good for easing the pain of a sore throat as well as fever blisters.


  • Gargle with Raspberry Leaf tea. Raspberry leaf tea can make a great gargle. (To make, pour 1 cup boiling water over 2 teaspoons dried leaves. Steep for ten minutes, then strain. Allow to cool.) If you also have a fever, the gargle can be used as a fever-reducing drink, too. Do not drink any liquid you have used as a gargle. Drink remaining liquid left over after gargling for the health benefits.


  • Herbal Remedies: Red Raspberry Supplements & Products

  • Thyme reduces fever, headaches, and mucus. It is good for chronic respiratory problems and sore throat.


  • Herbal Remedies: Thyme Supplements & Products

  • For sore throat, take tinctures of alcohol-free Goldenseal extract or St. John's Wort. Place 6 drops or 1/2 dropperful of extract under your tongue and leave it there for a few minutes before swallowing. Do this 4 times daily for 3 days. Caution: Do not take Goldenseal internally on a daily basis for more than one week, do not use it while pregnant or breastfeeding, and use it with caution if you are allergic to ragweed.


  • Shaman Shop: Goldenseal Root Extract Tincture, Alcohol Free, 1 fl. oz.

    Shaman Shop: Goldenseal Root Extract Tincture, Alcohol Free, 4 fl. oz.

    Herbal Remedies: St. John's Wort Tincture, Alcohol Free, 1 fl. oz.

  • Pau D'Arco is a natural antibiotic and potentiates immune function. It is also a powerful antioxidant.


  • Herbal Remedies: Pau D'Arco Tea, Incan Purple LaPacho, 48 Tea Bags

    Herbal Remedies: Pau D'Arco Extract, Incan Purple LaPacho, 100% Natural Herbal, 4 fl. oz.

    Herbal Remedies: Pau D'Arco Tincture, 100% Organic, 2 fl. oz.

    Herbal Remedies: Pau D'Arco, Inner Bark, Nature's Way, 545 mg, 180 Caps

    Herbal Remedies: Pau D'Arco Bark Powder, 4 oz. Bulk

    Herbal Remedies: Pau D'Arco Supplements & Products

  • Drink Apple Cider Vinegar. This sore throat cure is found in several different remedies. Here are a few of the more popular ones:
    • For sipping: Mix 1 tablespoon each of Honey and Cider Vinegar in 1 cup warm water.


    • For gargling: You will need 1 teaspoon salt, 1/2 cup Cider Vinegar, and 1 cup warm water. Dissolve the salt in the vinegar, then mix in the water. Gargle every 15 minutes as necessary.

    Herbal Remedies: Sea Salt Supplements & Products

    Herbal Remedies: Organic Apple Cider Vinegar (Mother), Dynamic Health, 16 fl. oz.

  • Flaxseed Oil reduces pain and inflammation, and aids recovery.


  • Herbal Remedies: Flaxseed Oil Supplements & Products

  • A hot infusion made from equal parts of dried Elderberry Flower, Peppermint, and Yarrow eases the pain of tonsillitis. Drink throughout the day.


  • Herbal Remedies: Elderberry & Elder Flower Supplements & Products

    Herbal Remedies: Peppermint, Mint & Menthol Supplements & Products

    Herbal Remedies: Yarrow Oil Supplements & Products

  • Make a horseradish cocktail. Try this Russian sore-throat cure. Combine 1 tablespoon pure horseradish or horseradish root with 1 teaspoon Honey and 1 teaspoon ground Cloves. Mix in a glass of warm water and drink slowly.


  • Herbal Remedies: Horseradish Supplements & Products

    Herbal Remedies: Cloves Supplements & Products

    Herbal Remedies: Honey Supplements & Products



  • Sip lemon juice. Mix 1 tablespoon each of Honey and lemon juice in 1 cup warm water. Sip this mixture.


  • Drink lime juice. Combine 1 spoonful with a spoonful of honey and take as often as needed for a sore throat.


  • Gargle with warm salt water. If you can gargle without gagging, make a saline solution by adding 1/2 teaspoon salt to a cup of very warm water. Yes, when your mother told you to gargle with salt water, she knew what she was talking about. It cuts phlegm and reduces inflammation. Dissolve 1/2 teaspoon salt in 1/2 to 1 cup warm water, and gargle every three to four hours.


  • Herbal Remedies: Sea Salt Supplements & Products

    cloves tea for a sore throat
    myrrh for a sore throat
    DISINFECTANT GARGLES


  • For a basic Honey and Vinegar Gargle, dissolve 1 teaspoon of honey and 1 tablespoon of cider vinegar in a glass of warm water, and gargle with this mixture several times daily.
  • Gargle with a tea made from Sage and Myrrh when there are swollen membranes and excess mucus. These herbs are antibiotic and astringent.
  • Cloves prepared as a tea have an anesthetic effect and may be used to ease pain.


  • Eat a frozen juice bar. This is cold and soothing to a hot throat. You can make your own frozen juice bars using an ice cube tray or small paper cups. You can use heavy toothpicks or popsicle sticks if you want to have something to pick it up by or simple put in a cup and pop one in your mouth to melt in your mouth. Do not suck, though. Sucking may irritate the throat even more. Simply let small pieces melt in your mouth.


  • Drink hot liquids. Especially if you are not good at gargling, drink hot fluids, such as herbal teas, or hot lemonade. Coating the tissue in your throat with warm liquid provides a benefit similar to applying hot packs to infected skin. (And sipping hot tea is more pleasant than trying to swallow a hot pack.)


  • Suck on hard candy. Think of a sore throat as an excuse to indulge your sweet tooth, since some health care providers say that sugar can help soothe a sore throat, as well as the ticklish cough that may come with it. If nothing else, sucking on hard candy (sugar-free variety) can help keep your mouth and throat moist, which will make you feel more comfortable. Do not give hard candy to small children since there is a choking hazard. Cinnamon or peppermint candy is flavorable. Herbal cough drops made from Eucalyptus can be used in place of hard candy.


  • Herbal Remedies: Thayer's Lozenges, Dry Mouth, Citrus Flavor, Sugar Free, 100 Lozenges

    Herbal Remedies: Thayer's Dry Mouth Spray, Citrus, Sugar Free, 4 fl. oz.

    Herbal Remedies: Thayer's Dry Mouth Spray, Menthol, Sugar Free, 4 fl. oz.

    soothing vapors for a sore throat
    chamomile for a sore throat
    thyme for a sore throat
    SOOTHING VAPORS


    Chamomile, Oregano and Thyme have antimicrobial, antispasmodic and expectorant properties. Their volatile oils, which also lend these plants their characteristic aromas, have a direct effect on the mucous membranes when their vapors are inhaled. Mix the dry herbs in equal parts, and pour 1 quart of hot water over 1/2 cup of the blend. Cover your head with a towel and bend over it. Inhale the vapors for 15 minutes; inhale first through the nose to decongest the sinuses, and then through the mouth to ease the throat, tonsils and lungs. If you prefer, you can use essential oils instead of the dried herbs. A drop or two of the oils in the hot water will have the same effect.

  • Chamomile Essential Oil

  • Oregano Essential Oil

  • Thyme Essential Oil


  • One old-fashioned remedy for a cold or sore throat is a steam tent. This is done by sitting with your face over a bowl of steaming hot water and your head covered with a towel to keep the steam in. Adding 1 to 2 drops eucalyptus oil can be soothing. While it is easy to dismiss such a simple measure as an old wives' tale, several scientific studies have shown that steaming can actually shorten the duration of a throat infection.


  • MoonDragon's Health Therapy: Steam Inhalation Therapy

  • Keep your fluid intake high. Drink as much fluid as possible - at least eight to ten 8-ounce glasses per day. Keeping your throat well lubricated with soothing liquids can prevent it from becoming dry and irritated and may even help banish the infection faster.


  • MoonDragon's Health & Wellness: Dehydration

  • An Amish Garlic remedy can treat or prevent sore throats. Peel a fresh clove, slice it in half, and place 1 piece in each cheek. Suck on the garlic like a cough drop. Occasionally, crush your teeth against the garlic, not to bite it in half, but to release its allicin, a chemical that can kill the bacteria that causes strep throat. If you like garlic, you can eat two raw cloves each day without anything or chop finely and add to hot soup just before serving. Another possibility is to crush one clove of raw garlic and add 2 teaspoons of honey and fresh squeezed lemon juice. Take from the mixture 1 teaspoon several times a day.


  • Herbal Remedies: Garlic Supplements & Products

  • Make a Marjoram drink. Make a soothing tea with a spoonful of Marjoram steeped in a cup of boiling water for ten minutes. Strain, then sweeten to taste with Honey.


  • Herbal Remedies: Marjoram Supplements & Products

  • Gargle with Sage. This curative herb is a great sore-throat gargle. Mix 1 teaspoon in 1 cup boiling water. Steep for ten minutes, then strain. Add 1 teaspoon each Cider Vinegar and Honey, then gargle four times a day. There is some evidence that a throat spray made from the herb sage can help to reduce sore throat. A randomized controlled trial compared the effectiveness of a 15 percent Sage (Salvia officinalis) throat spray to a placebo in patients with sore throat. The spray was significantly more effective than the placebo in reducing throat pain. Symptomatic relief occurred within the first two hours after the first administration.


  • Sage tea, made with a bit of Alum, can be used as a gargle. It can also be prepared with hot malt vinegar and taken orally in 2-3 ounce doses.


  • Herbal Remedies: Sage Supplements & Products



  • Gargle with Turmeric. Try this gargle to calm a cranky throat. Mix together 1 cup hot water, 1/2 teaspoon Turmeric, and 1/2 teaspoon salt. Gargle with the mixture twice a day. If you are not good with the gargle, mix 1/2 teaspoon Turmeric in 1 cup hot milk and drink. Turmeric stains clothing, so be careful when mixing and gargling.


  • Herbal Remedies: Turmeric Supplements & Products

  • Gargle with Listerine. Another good gargling fluid is Listerine mouthwash. If you share the product with anyone else in your household, do not drink straight from the bottle; instead, pour a small amount into a cup (and do not share that, either).




  • Analgesic sprays, such as Chloraseptic, may be effective in temporarily relieving sore-throat pain. The only problem is that the effect does not last long. You may have to spray several times an hour. However, the sprays will not harm you and may take the edge off an extremely painful throat.



  • When treating a sore throat, avoid the colas and scratchy foods, such as chips and pretzels. They will irritate an already irritated throat.


  • Wrapping the throat loosely with a cold cloth will cause the body to send more blood to the neck in attempt to warm the region. Bringing more blood to the throat speeds healing by delivering more oxygen, more white blood cells and antibodies, as well as speeding the removal of wastes, mucus and tissue debris. A cold compress can be made by wetting a hand towel with water, wring out until damp and fold lengthwise. Place inside a plastic bag (such as a small trash bag) long enough for the length of the towel to lie flat and tie off the bag. This bag with the towel can be placed in the freezer until very cold. Remove from the freezer and place the bag-towel compress around the neck. When it warms up, it can be replaced back into the freezer to re-chill again.


  • An Old-Fashioned Sore-Throat Tonic: The following was extracted from a book of home remedies published more than 130 years ago. Some health care providers still swear that it is surprisingly palatable and works wonders. (Do not give it, or any other honey-containing food or beverage, to children under two years of age. Honey can carry a bacterium that can cause a kind of food poisoning called infant botulism and may also cause allergic reactions in very young children.)
      1 tablespoon Honey, any kind.
      1 tablespoon Apple Cider vinegar.
      8 ounces hot water.

      Mix all the ingredients together in a mug and sip slowly (but do not let it get cold). Use as often as desired.

  • There are loads of gargle recipes, but they have a few common ingredients like:

  • Hot and Spicy Gargle: The most amazing and effective treatment is using 5 shakes of Cayenne Pepper (Capsicum frutescens) Powder in a cup of hot water (or herbal tea or saline solution or lemon juice) and gargle every 15 minutes with the spicy elixir. May swallow each time a tiny bit. Gargling with cayenne can cause a strong burning sensation of lips and tongue. Therefore is good keeping milk or yogurt in your mouth after gargling until the burning disappears.


  • If you do not have Cayenne Pepper, use 10-20 drops of Tabasco sauce in a glass of warm water, the effect will be the same. Tabasco sauce is made from Cayenne Pepper, vinegar and salt.


  • Herbal Remedies: Cayenne Supplements & Products



  • If you do not have access to Cayenne or Tabasco, Chili Peppers, hot Paprika or White Pepper are similarly useful. All this pungent spices contain capsaicin, which dulls the pain and has anti-viral properties.


  • Ginger (Zingiber officinalis) tea is also a good choice. Simmer 10 grams grated fresh ginger root or ginger powder in a cup of water for ten minutes. Strain and give optionally fresh lemon juice and/or Honey and/or a pinch of Cayenne Pepper. Use as a gargle every 30 minutes. Caution: Cayenne pepper is a natural blood thinner, do not take it before surgery or dental treatment.


  • Herbal Remedies: Ginger Supplements & Products

    Herbal Remedies: Cayenne Supplements & Products

  • If you can not stand hot stuff, Vinegar or other acidic substances (like lemon) are nearly as effective as pungent gargles. The strong acidic pH kills germs, so it is a good sore throat remedy.


  • Acidic Gargle: Hot vinegar like Apple Cider Vinegar or Pickle Juice (brine from a jar of pickles) bring immediate relief and soothe within the first few sips. They are really great remedies! Add 2 tablespoons of Apple Cider Vinegar to a cup of hot water and gargle and drink it as hot as possible. Or heat up the pickle juice, like hot tea, sip it and/or gargle.


  • The traditional way is using fresh lemon for sore throat, just suck on a lemon or gargle with freshly pressed lemon juice diluted with an equal amount of warm water. You may eat freshly squeezed lime juice mixed with equal amount of honey. Caution: vinegar and lemon are strong acidic substances and can damage teeth enamel. Please rinse your mouth with water, after gargling. Lemon juice dries up the throat, do not use it, if you have a dry throat irritation.


  • Sometimes the germs in your throat are acid-resistant and the infection does not improve from vinegar. You may use a strong alkaline solution to kill viruses and bacteriums, since they are rarely alkaline-resistant.


  • Alkaline Gargle: Using Potassium Carbonate or if you do not have it, Sodium Bicarbonate (baking soda) solution will bring amelioration. Add 1/2 teaspoon of Potassium Carbonate (or baking soda) to a glass of warm water. Gargle every 30 minutes.




  • The most common sore throat remedy is the old fashioned salt water gargle, but additional ingredients (e.g. cayenne pepper or crushed garlic) can be added to the basic saline solution. It is a mild antiseptic and draws water out of mucus membranes, so it reduces swelling and helps to clear phlegm.


  • Herbal Remedies: Cayenne Supplements & Products

    Herbal Remedies: Garlic Supplements & Products

  • Herbal Gargle: The best sore throat remedy is Slippery Elm (Ulmus rubra) bark or Marshmallow (Althaea officinalis) root. They contain mucilage that coat the throat, ease soreness and calm inflammation. To make a tea, mix 2 teaspoons of the dried root or bark in two cups of water, bring to boil and simmer gently for 10-15 minutes, strain and gargle/drink every hour.


  • Herbal Remedies: Slippery Elm Supplements & Products

    Herbal Remedies: Marshmallow Supplements & Products

  • A traditional recipe is to simmer 1 teaspoon Marshmallow root and 1 teaspoon chopped fresh Ginger root in 250 ml water for 10 minutes in a covered pot. Remove from the heat, cover and steep for additional 10 minutes. Strain, add Honey and/or lemon and/or 1/2 teaspoon of salt and gargle every 30 minutes if helps.


  • Herbal Remedies: Ginger Supplements & Products

    Herbal Remedies: Marshmallow Supplements & Products

    tormentil for sore throat
    eucalyptus for sore throat
    GENTLE HERBAL GARGLES FOR RELIEF


  • An effective gargle for sore throats may be made from Eucalpytus tea, rich in anti-inflammatory tannins that reduce swelling and mucus. Boil 2 teaspoons of the powdered her in 1 cup of water, and then let the decoction steep for 15 minutes. Pour it through a sieve and gargle with the warm tea every hour.
  • Tormentil, also known as Cinquefoil (Potentilla Erecta) can remedy a sore throat, too. Gargle with a tincture of Tormentil every few hours. A tincture is easily made by adding 4 ounces of dried herb to a glass bottle, cover with 100 proof vodka and seal the jar tightly. Put into a dark place and shake the bottle daily for 6 weeks. Strain and bottle into an eyedropper bottle. Average dose is 12 drops of tincture.

    Making Herbal Tinctures


  • A lovely old folk remedy is Baked Lemon with Olive Oil. Take one lemon and poke some holes with a fork, put it in the oven (300-340°F) and bake it until juice bubbles out the holes. Cool and squeeze the lemon put the juice in a jar and add equal amount of Olive Oil and some Honey. Shake well! Take a small spoonful now and again as needed.


  • A very nice old home remedy is Layered Onion with Honey. Layer slices of onion or turnip with honey (or sugar) in a dish and leave overnight. Next morning pour off the liquid in a jar and take it sometimes as a lozenge for sore throat. (It is an excellent cough syrup as well).


  • Tomato or Vegetable Cayenne Cocktail: This concoction uses a HUGE amount of cayenne pepper to, essentially, "nuke" and numb out the inflamed tissues of your throat. It absolutely works, and FAST. It is hot, but it makes the sore throat pain go away as well as kicking any infection in the seat of the pants as well with its curative powers and speeds recovery from the illness by killing off the virus. I use this whenever I feel I am coming down with a cold or the flu and it is very nice for sore irritated throats. I really enjoy this beverage and drink plenty of it since I find it quite soothing. A healthy dose of fresh garlic can be added to it for an extra punch since garlic is also known to have anti-viral effects.
      CAYENNE PEPPER TOMATO TEA SORE THROAT CURE RECIPE

      1 Large Can Tomato Juice, V-8 or Vegetable Juice or even Tomato Sauce or Soup can work.
      water to thin, if desired to preferred consistency (I do not use water, I like my juice as is)
      2 Large cloves garlic, minced fine
      1 Teaspoon ground cayenne Pepper
      Optional: a splash of Lemon Juice (fresh)

      Place all ingredients in a saucepan and heat through to hot soup drinkable temperature. Sip the mixture, inhaling the fragrance of the garlic. Enjoy the feeling of the pepper as it "burns away" the pain, numbing it out and killing the virus! This will works well at cleaning your sinuses too and warms your tummy.

      ALTERNATE GARGLE METHOD:

      If you only have cayenne pepper on hand, you can make a simple gargle of a cup of water and a teaspoon of cayenne pepper (or as much as you can stand). Stir the water to keep the pepper afloat while you gargle with it a few times. Not nearly as pleasant or tasty, but effective in removing the pain.

  • Gargle with warm sea salt and water. Table salt tends to irritate the throat. Use just one teaspoon of sea salt. Then drink Chamomile tea with a teaspoon of raw Honey. Make sure it says pure raw honey, Manuka Honey is really great. Most honey found in the grocery store contains a lot of corn syrup with very little honey. Take Tylenol or Advil and very soon you should feel like new.


  • Concoct an herbal cure. Infuse a glass of water with natural antiviral vegetables and herbs, such as Garlic, fresh Ginger slices, Basil, green onion and Cinnamon, to ward away cold symptoms.


  • Herbal Remedies: Garlic Supplements & Products

    Herbal Remedies: Ginger Supplements & Products

    Herbal Remedies: Basil Supplements & Products

    Herbal Remedies: Cinnamon Supplements & Products

  • For a cough or sore throat, chew a garlic clove. Raw garlic, which has both an antiviral and immune-stimulating effect on the body, may actually clear infection. If raw garlic is too strong for your taste, try popping it in the microwave briefly before ingesting.


  • Herbal Remedies: Garlic Supplements & Products

  • Honeysuckle Flower is an herb that taste as sweet as it smells (and sounds), honeysuckle flower is one of the most commonly used sore throat remedies in traditional Chinese medicine (TCM). Honeysuckle flowers are not as easy to find as slippery elm and marshmallow. Health food stores occasionally carry it, but it is primarily sold in Chinese herbal stores. Practitioners of traditional Chinese medicine often recommend making honeysuckle tea by bringing one quart of water to a boil using this method: add one cup of honeysuckle flowers (not the leaves), steep for at least 10 minutes, covered, and then strain. Up to four cups a day are typically recommended.


  • Ginger tea has a spicy, invigorating taste. It is used as a home remedy for indigestion, nausea, and to ward off colds, flu, and sore throats. Ginger tea is very easy to make. Here is a recipe for you to try. Take 4 cups of water and a 2 inch piece of fresh ginger root. You can add honey and a lemon slice to the tea, if desired. Peel the ginger root and slice it into thin slices. Bring the water to a boil in a saucepan. Once it is boiling, add the ginger. Cover it and reduce to a simmer for 15-20 minutes. Strain the tea. Add honey and lemon to taste. Note: Keep in mind that if you are making ginger tea as a home remedy during cold and flu season, sweeteners are not recommended.

    HOMEOPATHIC REMEDIES

    This is a very effective and well-proved remedy combination for the beginning of a strep throat or a really severe sore throat. Take 3 pills of each, dissolving under your tongue, alternately every 2-3 hours for 1 day.
    • Hepar sulphuris 12C

    • Belladonna 30C

    (Do not eat 5 minutes before and after taking the sore throat remedy.) Stop taking the next day if it does not help, and visit a homeopath or health care provider. If you notice marked improvement take the remedies 3 days more but less frequent.



    Because dosage recommendations vary from case to case, consult a homeopath for administration suggestions, including how often to take the remedy.

  • Acontium: For a dry mouth an throat, shivering and fever.




  • Belladonna: For an extremely red, dry throat lining, for difficulty swallowing, for painful tonsils, and for convulsive hacking coughs.




  • Bromium: For a scratchy sore throat and for difficulty breathing.




  • Spongia: For hoarseness.




  • Homeopathic Laboratories: Homeopathic Products

    ESSENTIAL OILS

  • For relief of tonsillitis pain, inhale essential oils of Bergamot, Lavender, Tea Tree, Thyme, Benzoin, and Lemon.


  • Increasingly popular is Wild Oregano (Origanum vulgare) Essential Oil is a very effective sore throat remedy. Soak a cotton swab in oil of Oregano and dab it directly on the inflamed area. You may gargle with 2-3 drops of Oregano oil in some hot water as well. Your sore throat will be gone in less then an hour.


  • Besides using gargles a fine, oil external throat massage can speed up the healing process. Add 2 drops each of Thyme (Thymus vulgaris), Sandalwood (Santalum album), and Myrrh (Commiphora molmol) Essential oils to 1 tablespoon of Olive Oil and massage the external neck area. Wrap a warm scarf around the neck afterwards.


  • For a stubborn cough, also try sniffing Eucalyptus Essential Oil, which naturally clears mucus.


  • MoonDragon's Health Therapy: Using A Poultice

    MoonDragon's Health Therapy: Herbal Poultices Index - Recipes





    NUTRITIONAL SUPPLEMENTS

    Unless otherwise specified, the following recommended doses are for adults over the age of 18. For a child between 12 and 17 years, reduce the dose to 3/4 the recommended dose. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended dose.

    NUTRIENTS
    Supplement Suggested Dosage Comments
    Important
    Vitamin C With Bioflavonoids 5,000-20,000 mg daily, in divided doses. See Ascorbic Acid Flush for more information. Boosts immunity response and fights infection. Has antiviral properties.
    Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
    Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
    Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
    The Right C, Nature's Way, 1000 mg, 120 Tabs
    Zinc 1 15-mg lozenge every 2 to 3 waking hours for 3 days, then reduce to 1 lozenge 4 times daily until healed. For pain relief and healing. Quickens and improves immune response. Aids in reducing infection. Lozenges are recommended.
    Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
    Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
    Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
    Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
    Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps
    Helpful
    Acidophilus
    Or
    Kyo-Dophilus
    As directed on label. Take on an empty stomach for easier access into the small intestine. Helps to replenish and maintain healthy intestinal flora by replacing "friendly" bacteria, especially if antibiotics are prescribed. Use a non-dairy formula.
    Acidophilus Supplement Powder, Non Dairy, 3 oz. Bulk,
    Acidophilus, 3 Billion, NOW Foods, 90 Tabs,
    Lactobacillus Acidophilus Supplement, Non Dairy, 100 Caps,
    Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.,
    AE Mulsion Forte
    (Biotics)
    As directed on label, to supply 50,000 IU vitamin A and 600 IU vitamin E daily. For adults. Aids in controlling the infection.
    Bee Propolis As directed on label. Protects mucous membranes of the mouth and throat. Caution: Do not use if you are allergic to bee stings.
    Bee Propolis Extract, NOW Foods, 500 mg, 100 Caps,
    Bee Propolis, Lemon Honey Flavor, Made in New Zealand, 12 High Potency Lozenges,
    Bee Propolis & Tea Tree Oil Toothpaste, All Natural, Made in New Zealand, 3.5 oz.,
    Bee Propolis, Original Flavor, Made in New Zealand, 12 High Potency Lozenges
    Chlorophyll As directed on label. Use as a gargle. Chlorophyll has an antibiotic effect and can heal irritations in the mouth and throat. Use a liquid form.
    Chlorofresh Chlorophyll Liquid Supplement, Mint Flavor, Nature's Way, 16 fl. oz.,
    Chlorophyll With Alfalfa Powder, NOW Foods, 100 mg, 90 Caps,
    Chlorella Powder, 4 oz. Bulk.,
    Chlorella Powder, 100% Pure, NOW Foods, 4 oz.
    ClearLungs
    (Ridgecrest Herbals)
    2 capsules 3 times daily. Helps to strengthen the immune system, enhances tissue repair, and controls inflammation.
    Cod Liver Oil As directed on label. Aids immune response and healing of tissue.
    Barlean's Fishery Oil, Fresh Catch, Lemonade Flavor, Cod Liver Oil, 8 fl. oz.,
    Cod Liver Oil, Strawberry Flavor, 8 fl. oz.,
    Fresh Catch Kids DHA-Omega-3 EPA/DHA Cod Liver Oil, Fruit Punch Flavor, Barlean's, 8 fl. oz.
    Colloidal Silver As directed on label. Gargle with it before swallowing. A powerful, natural antibiotic with no known side effects.
    Colloidal Silver, Trace Minerals, 8 fl. oz.,
    Colloidal Silver Liquid, SilvaSolution, 10 ppm, 16 fl. oz.,
    Colloidal Silver Liquid, SilvaSolution, Super Strength Pro 50, 8 fl. oz.,
    Colloidal Silver, Silva Pro Spray, 2 fl. oz.,
    Colloidal Silver Pump Spray, SilvaSolution, 2 fl. oz.
    Garlic (Kyolic) 2 tablets 3 times daily, with meals. Acts as a natural antibiotic and for improved immune function.
    Garlic Oil Tincture, Alcohol Free, Nature's Way, 1 fl. oz.,
    Garlic Bulb Cloves, Garlic Supplement, Nature's Way, 580 mg, 100 Caps,
    Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels,
    Garlic Supplement, Kwai, Triple Concentrated, 180 Tabs,
    Every Day Garlic Supplement, Kwai, 30 Tabs,
    Garlic Tincture, 100% Organic, 2 fl. oz.,
    Aged Garlic Extract, Cardiovascular Formula 100, Wakunaga Kyolic Supplements, 300 Caps,
    Kyolic Liquid Aged Garlic Extract, Cardiovascular, Vegetarian, Wakunaga Kyolic, 4 fl. oz.,
    Kyolic Aged Garlic Extract, One-A-Day, Vegetarian, 1000 mg, Wakunaga Kyolic, 30 Caps,
    Aged Garlic Extract, Cholesterol Formula 104, Wakunaga Kyolic, 200 Caps
    Grape Seed Extract
    And/Or
    Pycnogenol
    As directed on label.

    50 mg 4 times daily.
    Antioxidants that protect the skin, reduces inflammation, boosts and enhances the immune system and protects lung tissue; reduces the frequency and severity of infections and their complications.
    Grape Seed (Grapeseed) (Vitus vinifera), 100% Pure, NOW Foods, 16 fl. oz.,
    Pycnogenol With Vitamin E, 100% Natural, Nature's Way, 50 mg, 30 Tabs
    Kyo-Green
    (Wakunaga)
    As directed on label. Contains live enzymes, amino acids, vitamins, minerals, and chlorophyll for healing.
    Or
    Green Superfood Supplements
    As directed on label. Contains chlorophyll, vitamins, minerals, enzymes, fiber and amino acids and other important nutrients for healing.
    Super Green Energy Food, Superfood Supplement, Nature's Secret, 300 Tabs,
    Barlean's Greens Superfood Supplement, 120 Caps,
    Barlean's Greens Superfood Supplement, 9.3 oz.,
    Alive! Whole Food Energizer, Nature's Way, 90 Tabs,
    Green Phyto Foods, Vegetarian Powder, NOW Foods, 10 oz.,
    Super Veggie Powder, Truman's Best, 3.5 oz.,
    Spirulina Green Blends, Cleansing Formula Powder, 7.4 oz.,
    ProGreens Powder With Advanced Probiotic, Allergy Research Group / Nutricology, 9.3 oz.,
    Chlorella Powder, 4 oz. Bulk.,
    Chlorella Powder, 100% Pure, NOW Foods, 4 oz.
    Maitake
    Or
    Shiitake
    Or
    Reishi
    As directed on label.

    As directed on label.

    As directed on label.
    Mushroom extracts with immune boosting anti-viral properties. Fights viral infection.
    Three Mushroom Tincture, Red Reishi, Shiitake & Maitake Mushroom Extract, 100% Organic, 2 fl. oz.,
    Red Reishi Mushroom Tincture, 100% Organic, 2 fl. oz.,
    Shiitake Mushroom Tincture, 100% Organic, 2 fl. oz.,
    Maitake Mushroom Tincture, 100% Organic, 2 fl. oz.,
    Reishi Mushroom, Whole, 100% Organic, 4 oz.,
    Shiitake Mushroom, Whole, 100% Organic, 4 oz.,
    Maitake Mushroom, Whole, 100% Organic, 4 oz.
    Multi-Vitamin Complex As directed on label. All nutrients are needed in balance for healing and for immune response.
    Multi-Vitamin With Minerals, Hi-Tech, 90 Caps,
    Liquid Multi-Vitamin & Mineral Complex With Trace Minerals, Orange Mango, 32 fl. oz.,
    Liquid Multi-Vitamin & Mineral, Strawberry-Raspberry, Trace Minerals, 32 fl. oz.,
    Multi-Vitamin Mineral Complete, Trace Minerals, 120 Tabs,
    Maxi Multi-Vitamin With Trace Minerals Liquid, 32 fl. oz.,
    Alive! Whole Food Energizer, Liquid Multi-Vitamin, Trace Minerals, Citrus Flavor, Nature's Way, 30 oz.,
    Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 32 fl. oz. (98% Bio-Available for Absorption),
    Damage Control Master Formula, High Potency, Multi-Vitamin & Mineral, 60 Packets (30 Day Supply)
    Proteolytic Enzymes
    Or
    Infla-Zyme Forte
    As directed on label, take between meals. Aids in reducing inflammation.
    MetabolicZyme (Hypoallergenic), Allergy Research Group / Nutricology, 900 Tabs,
    Plant Enzymes, NOW Foods, Vegetarian, 120 VCaps,
    Enzymes, All Complete, 250 mg, 90 Caps
    Vitamin A 10,000 IU daily for 3 days, then reduce to 5,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily. Helps heal the inflamed mucous membranes and aids healing and strengthens the immune system. Emulsion form is recommended for easier assimilation and greater safety at high doses.
    Vitamin A, 100% Natural, Nature's Way, 10,000 IU, 100 SoftGels,
    Dry Vitamin A & D, Nature's Way, 15,000 IU / 400 IU, 100 Caps Vitamin A, Fish Liver Oil, NOW Foods, 25,000 IU, 250 SoftGels
    Plus
    Natural Beta-Carotene
    With
    Carotenoid Complex (Betatene)
    As directed on label. Provides important antioxidant protection. Enhances immunity.
    Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
    Multi-Carotene Antioxidant, Nature's Way, 60 Softgels
    Vitamin B Complex 50 mg 3 times daily. (Amounts of individual vitamins in a complex will vary.) To help maintain a healthy mouth and throat.
    Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
    Liquid Yeast B Complex, Twinlab, 16 Fl oz.,
    Vitamin B-100 Complex, W/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps,
    Vitamin B=50 Complex, W/ Coenzyme B-2, Nature's Way, 330 mg, 100 Caps,
    Plus Extra
    Pantothenic Acid (Vitamin B-5)
    100 mg daily. Plays a role in the production of the formation of antibodies and aids in the utilization of other vitamins.
    Pantothenic Acid (Vitamin B-5), 100% Natural, Nature's Way, 250 mg, 100 Caps
    And
    Vitamin B-6 (Pyridoxine)
    50 mg daily. Helps reduce swelling.
    Vitamin B-6 (Pyridoxine), 100% Natural, Nature's Way, 100 mg, 100 Caps
    Vitamin E Start with 200 IU daily and increase 400 IU daily. Enhances immune function, promotes healing and tissue repair. Use d-alpha-tocopherol form.
    Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels,
    Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels,
    Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels,
    Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels





    TONSILLITIS & SORE THROAT SUPPLEMENTS & PRODUCTS

    Supplements and products for tonsillitis, an inflammation of the tonsils, the glands of lymph tissue located on either sides of the throat. Supplements and products for sore throat, a common ailment characterized by a raw, burning pain in the back of the throat. Supplements and products for strep throat, an infection of the back of the throat, tonsils, and/or adenoids that is caused by the Streptococcus bacteria.

    AHCC (Active Hexose Correlated Compound), NOW Foods, Vegetarian, 500 mg, 60 VCaps

    NOW Foods AHCC is a rich source of polysaccharides such as beta glucan 1,3 and activated hemicellulose produced by enzymatic modification of organic medicinal mushrooms, including shiitake.
    Antibiotic, Natural, Support Tincture, 100% Organic, 2 fl. oz.

    Use this natural antibiotic to support the immune system.
    Bayberry Root Bark, Nature's Way, 475 mg, 100 Caps

    Bayberry Root Bark is often used for its astringent properties and can boost the immune system.
    Bee Propolis Extract, NOW Foods, 500 mg, 100 Caps

    Bee Propolis Extract is a natural antibiotic used for colds, flu, fever, and digestive disorders. A substance collected by honey bees containing phytotonizides is believed to contain immunity factors that stimulate the body and gives it a natural resistance to diseases.
    Bee Propolis, Lemon Honey Flavor, Made in New Zealand, 12 High Potency Lozenges

    These New Zealand Bee Propolis, Lemon & Honey Lozenges with Manuka Honey, offer a soothing relief from a sore or irritated throat. Each package comes with 12 lozenges and a great lemon flavor.
    Bio Defender, Antibacterial, Antiviral, and Antifungal Formula, Balanceuticals, 56 Caps

    This unique antibacterial, antiviral and antifungal formula is a clinical nutritionist response to bio terrorism such as anthrax.
    Black Seed & Honey Herbal Lozenges, Echinacea Berry, 28 Pieces, 4 oz.

    Enjoy the nutritional benefits of Black Seed Oil in the form of great tasting herbal throat lozenges. Made with pure Black Seed Oil, Honey and Echinacea, these herbal lozenges are sure to please the taste buds of kids & adults alike.
    Black Seed & Honey Herbal Lozenges, Ginger Drops, 28 Pieces, 4 oz.

    Enjoy the nutritional benefits of Black Seed Oil in the form of great tasting herbal throat lozenges. Made with pure Black Seed Oil, Honey and Ginger, these herbal lozenges are sure to please the taste buds of kids & adults alike.
    Black Seed & Honey Herbal Lozenges, Honey Lemon, 28 Pieces, 4 oz.

    Enjoy the nutritional benefits of Black Seed Oil in the form of great tasting herbal throat lozenges. Made with pure Black Seed Oil, Honey and Lemon, these herbal lozenges are sure to please the taste buds of kids & adults alike.
    Black Seed & Honey Herbal Lozenges, Honey Licorice, 28 Pieces, 4 oz.

    Enjoy the nutritional benefits of Black Seed Oil in the form of great tasting herbal throat lozenges. Made with pure Black Seed Oil, Honey and Licorice, these herbal lozenges are sure to please the taste buds of kids & adults alike.
    Black Seed & Honey Herbal Lozenges, Honey Mint, 28 Pieces, 4 oz.

    Enjoy the nutritional benefits of Black Seed Oil in the form of great tasting herbal throat lozenges. Made with pure Black Seed Oil, Honey and Mint, these herbal lozenges are sure to please the taste buds of kids & adults alike.
    Black Seed & Honey Herbal Lozenges, Orange Vitamin C, 28 Pieces, 4 oz.

    Enjoy the nutritional benefits of Black Seed Oil in the form of great tasting herbal throat lozenges. Made with pure Black Seed Oil, Honey and Orange with Vitamin C, these herbal lozenges are sure to please the taste buds of kids & adults alike.
    Black Seed Theramune Ultimate With Garlic, 100 Caps

    Promotes healthy circulation, useful for arthritis and cardiovascular & respiratory support. It also supports digestion and is a natural remedy for ulcers. Garlic is known to lower cholesterol naturally.
    Boiron Roxalia Homeopathic Sore Throat Remedy, 60 Tabs

    Boiron Roxalia Homeopathic Sore Throat Remedy helps relieve your sore throat the natural way.
    Colds & Flu Homeopathic Remedy, Boericke & Tafel Alpha CF, 40 Tabs

    Alpha CFO, Colds & Flu Homeopathic Remedy is clinically proven as an all natural cold and flu remedy that offers relief for your cold or flu in a great homeopathic remedy! Take it for runny nose, fever, chills, stuffy nose and aches.
    Colloidal Silver, Liquid Silver Homeopathic Formula, SilvaSolution Advanced Immune System Activator for Colds and Flu, 8 fl. oz.

    TriMedica SilvaSolution Advanced Liquid Silver Homeopathic Formula integrates the basic principles of homeopathy and is a profound healing system designed to increase the body's ability to respond to immune challenges and restore optimal health.
    Colloidal Silver Pump Spray, SilvaSolution, 2 fl. oz.

    Colloidal Silver Spray works great to promote throat health, as well as provide immune system support.
    Echinacea Angustifolia Root Powder, 4 oz. Bulk

    Echinacea is an excellent herb for all kinds of viral & bacterial infections, strengthens the immune system against pathogenic infection by stimulating phagocytosis & T-Cell formation, blood cleansing properties, acne, bronchitis, colds & flu, congestion, psoriasis, tonsillitis, wounds, ear infections and stimulates the immune system.
    Echinacea Herb, Nature's Way, 400 mg, 180 Caps

    Echinacea herb supports the immune system and promotes general well-being in cold and flu season.
    Echinacea Root Complex, Nature's Way, 180 Caps

    Echinacea Root Complex helps promote general well-being during the cold and flu season and support the Immune System.
    Echinacea Root Tincture, 100% Organic, 2 fl. oz.

    Echinacea Root is also known as Purple Coneflower and considered very valuable by North American Indians.
    Echinacea Tincture For Children, Orange Flavor, Alcohol Free, 100% Organic, 1 fl. oz.

    ChildLife's great tasting Echinacea can provide extra support at the first sign of colds, flues, sore throats, upper respiratory symptoms, sinusitis, and ear infections. Periodic use, especially during the winter months, may increase the overall strength of your child's natural defense system.
    Echinacea With Elderberry & Zinc, Nature's Way, 100 Caps

    Nature's Way Echinacea with Elderberry and Zinc is a synergistic combination of the latest scientific research and traditional herbal medicine to Support the Immune System.
    Elderberry Herb, Nature's Way, 575 mg, 100 Caps

    Elderberry herb is popular for health concerns during the winter season.
    Enzyme Phytonutrient (EPN) Ionic Supplement, Fully Absorbable, 16 fl. oz.

    WaterOz Ionic EPN is a pure liquid enzyme supplement. EPN complex is a patent-pending enzyme phytonutrient from a plant source that provides enzyme and saccharides necessary for optimal cellular communication. No combination of vitamins, minerals, amino acids or herbals can replace the necessary saccharides found in EPN.
    First Defense Homeopathic Formula For Children, 4 fl. oz.

    A complete and effective natural broad spectrum anti-infective formula available for infants and children. Completely safe and non-toxic for infants and children of all ages. A homeopathic Formula.
    Garlic Oil Tincture, Alcohol Free Nature's Way, 1 fl. oz.

    Garlic oil is often used to soothe the ear and as an antibiotic but most often used as a food and herb and also to lower serum cholesterol and blood pressure and to improve circulation as well as possibly inhibiting the growth of ulcer causing bacteria.
    Get Soothed Herb Tea For Scratchy Throats No. 8, Republic of Tea, 36 Tea Bags

    Do your throat a favor and try our naturally caffeine-free herbal blend. Fragrant and good-tasting, it's based on organic rooibos, the wonder herb known to keep your body's defenses strong.
    Ginger Tea, 20 Tea Bags

    Caffeine Free Ginger Tea is used in Chinese medicine to remove toxins, warm the stomach, maintain good health, especially in changing weather conditions, and to prevent seasickness.
    Grapefruit Seed Extract (GSE) Liquid Concentrate, 1 Gallon

    Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.
    Grapefruit Seed Extract Liquid Concentrate, 2 fl oz.

    Used Grapefruit Seed Extract topically as an antiseptic wound cleaner and to treat infections of the skin.
    Grapefruit Seed Extract Liquid Concentrate, 4 fl oz.

    Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.
    Head & Throat Soother Herbal Tea, 20 Tea Bags

    This Caffeine Free tea is an Ideal Drink for the Cold & Flu Season to remove heat and maintain normal nasal and respiratory functions and Sooth the Head & Throat.
    Honey (Pure Manuka Honey UMF 5+), New Zealand, 16 oz.

    Pure New Zealand Manuka Honey direct from New Zealand. Made from the Manuka flower to produce a honey rich in natural taste and healing qualities that are only created from the Manuka.
    Hyssop Throat Comforts, Natural Herb Comforts, 61 Lozenges

    Throat Soothers with natural Hyssop can be used to comfort the throat while undergoing ear candling treatments.
    Kombucha Miracle Fungus, Kombucha Tea Benefit's, By Harald Tietze, Paperback

    One time best seller, Kombucha Miracle Fungus is all about synergy and Kombucha Tea Benefit's it is an easy read for those interested in the synergy Kombucha offers or Kombucha benefit's.
    Kombucha 2000, Concentrated Kombucha Capsule, 30 Caps

    Concentrated Kombucha Capsules are new to the market, but Kombucha 2000 is one of the very first successful kombucha tea producers in the United States.
    Manganese Ionic Mineral Supplement, Fully Absorbable, 30 +/- ppm, 16 fl. oz.

    WaterOz Ionic Manganese is a pure liquid Manganese supplement. Manganese, also called the "brain mineral," is important in the utilization of all mental facilities/functions.
    Nature's Antiseptics Tea Tree Oil & Grapefruit Seed Extract, CJ Puotinen, Paperback

    Nature's Warfare, this book covers tea tree oil and grapefruit see extract use in safely destroying viruses, bacteria, molds, yeasts and parasites that want to live in us and on us.
    Nutribiotic First Aid Skin Spray, With Grapefruit Seed Extract & Tea Tree Oil, 4 fl. oz.

    Grapefruit Seed Extract acts as a broad spectrum antiseptic and antibiotic. Keeps the wound clean and helps to speed healing with Grapefruit Seed Extract & Tea Tree Oil.
    Nutribiotic Nasal Spray, With Grapefruit Seed Extract, 1 fl. oz.

    Nasal Spray is useful to aiding many conditions. During allergy season it helps to re-moisturize the nasal passages and clean them of dust, dirt, dander and other allergens. The nasal spray is also useful during a bout of sinusitis, or inflammation and infection of the sinus passages.
    Olbas Cough Syrup, 100% Natural, Swiss Made, 4 fl. oz.

    Olbas natural cough syrup is a pleasant tasting and effective combination of herbal extracts, essential oils and wildflower honey.
    Olbas Pastilles, 100% Natural, Swiss Made, 27 Herbal Cough Drops

    Olbas pastilles, Herbal Cough Drops, temporarily controls cough due to minor throat and bronchial irritations associated with the common cold or inhaled irritants.
    Olive Leaf Extract Tincture, 100% Organic, 2 fl. oz.

    Olive Leaf extract is used internally, as a laxative and disperser of acids, and is often used in enemas. Olive Leaf extract is also used in a poultice, Olive Leaf relieves pruritis and the effects of stings or burns.
    Pelargonium, Coughs & Chest Ailments, 3 fl. oz.

    Pelargonium is rich in phytochemicals, vitamins, minerals and amino acids that enhance the body's functioning and protects it against diseases.
    Propolis Throat Spray, 1.05 fl. oz.

    Propolis Throat Spray combines the antibacterial and anesthetic properties of bee propolis with essential oils of aniseed, peppermint, clove and myrrh to provide a refreshing oral hygiene spray and breath freshener.
    Sage Tincture, 2 fl. oz.

    Sage is used as a mouthwash and gargle for mouth infections, bleeding gums and sore throats.
    Sambucus Elderberry & Vitamin C, Nature's Way, 30 Lozenges

    Sambucus Lozenges contain the original formulation of the award winning black elderberry extract. Sambucus Black Elderberry extract has been used by millions of people with positive results being reported worldwide.
    Sambucus Immune System Formula With Elderberry & Echinacea, 7.8 fl. oz.

    Sambucus Immune System Elderberry Formula supports your natural defenses against the Flu, and Colds, and is especially popular during the winter season.
    Sambucus Kid's Formula Elderberry Syrup, Nature's Way, 4 oz.

    Sambucus for Kids supports the immune system, and is especially popular during the winter season. Black elderberry extract has been used by million of people with positive results being reported worldwide.
    Sambucus Original Black Elderberry Syrup, Nature's Way, 8 fl. oz.

    Sambucus Black Elderberry is used by millions of people with positive results being reported worldwide, Sambucus is especially popular for promoting good health against the Flu and Colds during the winter season.
    Silver Biotics Liquid, Silver Supplement, 8 fl. oz.

    Silver Biotics was tested by researchers and was found to kill every strain of bacteria that it was tested against and that these bacteria, many of which have become resistant to antibiotics, cause many human ailments.
    SilverSolution Colloidal Silver & Zinc Lozenges, 90 Lozenges

    Now you can get powerful liquid silver in the most convenient form ever with new Silva Solution Silver and Zinc Lozenges.
    Sympacho Tea, 20 Tea Bags

    Sympacho tea is a delicious, all-natural way to reduce inflammation and pain and boost immunity.
    Tamarind Tango Black Seed Herbal Lozenges, Amazing Herbs, 4 oz., 28 Pieces/Bag

    Now there is a great new way to enjoy the nutritional benefits of Black Seed in the form of great tasting lozenges. Made with pure Black Seed Oil & Honey, they are sure to please the taste buds of kids & adults alike. Select from Honey Lemon, Ginger or Echinacea Berry flavors.
    Tea Tree Oil (Melaleuca Alternifolia), 100% Pure Oil, 2 fl. oz.

    Tea Tree Oil can be used for general first aid uses such as cuts, burns, abrasions, insect bites, bee stings, rashes, impetigo, boils, sinus problems, sore throat, thrush, fingernail and toenail infections.
    Thayer's Slippery Elm Lozenges, Cherry, 24 Lozenges

    Prized By Singers, these gentle Thayer's Slippery Elm Lozenges are all natural and used for temporary relief of minor discomforts and protection of irritated areas in sore mouths and throats.
    Thayer's Slippery Elm Lozenges, Original Flavor, 24 Lozenges

    Prized By Singers, these gentle Thayer's Slippery Elm Lozenges are all natural and used for temporary relief of minor discomforts and protection of irritated areas in sore mouths and throats.
    Thayer's Slippery Elm Lozenges, Tangerine, 24 Lozenges

    Prized By Singers, these gentle Thayer's Slippery Elm Lozenges are all natural and used for temporary relief of minor discomforts and protection of irritated areas in sore mouths and throats.
    Think! Cherry With Gingko Black Seed Herbal Lozenges, Amazing Herbs, 4 oz., 28 Pieces/Bag

    Now there is a great new way to enjoy Black Seed in the form of great tasting candies and lozenges. Made with pure Black Seed Oil & Honey, they're sure to please the taste buds of kids & adults alike.
    Throat Spray GSE, 4 fl. oz.

    This natural formulation is designed to promote healthy conditions in the mouth and throat. NutriBiotic Throat Spray provides protection from sore throat due to germs.
    Umcka Cold Care, Original Formula Drops, Nature's Way, 1 fl. oz.

    Shortens duration and reduces severity of symptoms associated with the common cold and throat, sinus, bronchial irritations. Shortens duration & reduces severity of upper respiratory symptoms.
    Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz.

    Vitamin B-12 Helps to maintain a healthy nervous system, and helps in the prevention of pernicious anemia. Folic Acid should be taken by all females of child bearing age to help prevent neuro-tube birth defects. Folic acid is also linked to heart health.
    Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps

    Nature's Way Vitamin C With Bioflavonoids provides antioxidant provides antioxidant protection for many of the body's important enzyme systems.
    Vitamin C Liquid For Baby & Children, 4 fl. oz.

    Vitamin C is known as a principal anti-oxidant, the need for which is greatly increased in infants and children due to today's elevated environmental stresses and pollution.
    Xylitol Plus Natural Sugar Substitute, NOW Foods, 20 Packets, 4.4 oz.

    Xylitol Plus Natural Sugar Substitute is derived from fruit, such as strawberries, pears and plums, or trees, specifically birchwood.
    Zinc Lozenges With Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges

    Nature's Way Zinc lozenge boosts cold season defense with zinc, widely recognized as an important nutritional support during the cold season, and echinacea pupurea, clinically shown to support the immune system, and Vitamin C, a vitally important vitamin for general health maintenance.


  • Herbal Remedies: Tonsilitis / Quinsy Information


  • Herbal Remedies: Tonsilitis / Quinsy Supplements & Products


  • Herbal Remedies: Sore Throat Information


  • Herbal Remedies: Sore Throat Supplements & Products


  • Herbal Remedies: Strep Throat / Streptococcus Supplements & Products


  • Herbal Remedies: Ear, Nose & Throat For Children Supplements & Products




  • NOTIFY YOUR HEALTH CARE PROVIDER IF...

  • A sore throat lasts longer than 48 hours.


  • New symptoms develop.


  • Symptoms get worse.


  • You have other symptoms with the sore throat.
    • Severe difficulty swallowing or breathing. Difficulty breathing from a sore throat can also be a symptom of a more serious illness.


    • Excessive drooling in a young child. If swallowing hurts enough that drooling occurs, you should go to a hospital's emergency department.


    • A fever, especially 101°F or greater.


    • Tender or swollen lymph glands in the neck.


    • Pus in the back of the throat.


    • A red rash that feels rough, and increased redness in the skin folds.


    • Severe sore throat without much of a cough.


    • Associated headache, abdominal pain, or vomiting.


    • Another family member recently diagnosed with a strep throat.


    • You or a family member seems to be dehydrated (dry mouth, sunken eyes, severe weakness, or decreased urine output), an urgent health care provider's appointment is indicated. Symptoms of dehydration in adults may be different from symptoms of dehydration in children. Significant dehydration associated with inability to drink fluids is often best treated at the hospital.


    • MoonDragon's Health & Wellness: Dehydration

    • You or a family member cannot get good pain relief from over-the-counter medications or cannot get to sleep because of pain.

    Because health care provider's offices vary in their ability to treat serious conditions in the office or see people on an urgent basis, you might want to call your health care provider to get advice on whether you should come to the office or go to the emergency department. Keep in mind that urgent care centers are generally poorly equipped for treatment of serious conditions.

    For more information about disorders often related to sore throat symptoms, see these links:

    MoonDragon's Health & Wellness: Sore Throat

    MoonDragon's Health & Wellness: Allergies

    MoonDragon's Health & Wellness: Chickenpox

    MoonDragon's Health & Wellness: Common Cold

    MoonDragon's Health & Wellness: Croup

    MoonDragon's Health & Wellness: Ear Infection

    MoonDragon's Health & Wellness: Influenza (The Flu)

    MoonDragon's Health & Wellness: Mononucleosis

    MoonDragon's Health & Wellness: Rheumatic Fever

    MoonDragon's Health & Wellness: Rubella Measles

    MoonDragon's Health & Wellness: Rubeola Measles

    MoonDragon's Health & Wellness: Sinusitis





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    HELPFUL PRODUCTS & FURTHER EDUCATION

  • Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
    -- by Phyllis A. Balch, James F. Balch - 2nd Edition

  • Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
    -- by Phyllis A. Balch, James F. Balch - 4th Edition

  • Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
    -- by Phyllis A. Balch

  • The Complete Guide to Natural Healing



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    HERBS, OILS, & SUPPLIES

    MoonDragon's Health & Wellness: Manufacturers & Distributors

    Mountain Rose Herbs. A Herbs, Health and Harmony Company. Since 1987


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