With angina with intense formation of pus, it usually has two forms - local abscess-follicles and free discharge on the surface of the tonsils. In order to answer the question of whether it is necessary and whether it is possible to remove pus with angina, it is necessary to very clearly distinguish between these two types of purulent discharge. The success of the treatment of the disease and the speed of recovery will directly depend on the correctness of actions and the choice of tactics of behavior.
Follicular ulcers
These formations on the surface of the glands are a kind of reservoirs in which the "results" of the body's struggle and antibiotics against a bacterial infection are accumulated. Pus is a mixture of destroyed bacterial agents, dead cells of the blood and immune system, intracellular fluid, as well as a very large number of different components.
But it should also be understood that pain in angina, an increase in temperature and other symptoms are caused not by abscesses, but by the tonsils affected by inflammation.
That is, even if you remove all the pus from the tonsils, you will not get any significant improvement in the patient's condition. And vice versa, if you carry out the correct antibacterial treatment with specially selected antibiotics, then even if the abscesses persist, the patient will quickly recover.
Ulcers do not have any effect on the patient's well-being and do not complicate the course of angina. It is not necessary to remove them from the tonsils with this pathology.
Purulent formations with adequate treatment will disappear on their own. This is due to the fact that correctly prescribed antibiotic therapy, within a few days after the start of medication, leads to the almost complete destruction of pathogens. Accordingly, pus stops forming. And the contents of the already existing abscesses will be washed out by the blood stream and excreted from the body over the next 3-4 days.
Complications with improper removal
Self-removal of abscesses with angina is not only meaningless from the point of view of clinical effectiveness, but also poses a rather serious danger. Even if you manage to open the purulent follicle and more or less qualitatively clean it from the contents, then an unprotected wound surface is formed at this place. In addition to the fact that it will deliver additional pain to the patient, it also represents the entrance gate for the penetration of any infection. And this is a direct way to the formation of abscesses in the throat, which will have to be treated by surgery.
In addition, the removal of abscesses at home is almost always a rather crude process associated with extensive damage to the mucous membrane. Even if it seems to the patient that such manipulations are performed very carefully, in fact, this is not the case.
Intense mechanical trauma leads to the development of additional foci of inflammation, lengthening of the duration of the disease and worsening of the patient's condition.
Finally, severe damage to the mucous membrane caused by attempts to remove purulent follicles on the tonsils usually heals very poorly. In this case, rough scars and scars are formed. These elements significantly impede the normal outflow of fluid from the lacunae on the surface of the tonsils, which often leads to chronic tonsillitis, and sometimes even becomes a reason for surgical intervention.
Removal of abscesses can only be carried out by a doctor, guided by serious indications. In a hospital setting, special instruments are used and a thorough treatment of the tonsils at the end of the procedure.
Superficial deposits of pus
This pus, in principle, can be removed from the surface of the tonsils. This procedure will not bring particular benefit in the treatment of purulent sore throat, but if done correctly, it will slightly speed up the final recovery.
The criterion for which pus can be removed, and which one should not be touched, is the ability to wash it off with rinsing. What can be removed using throat flushing is the surface deposits of pus. And what remains on the tonsils is already purulent follicles that should not be touched.
It should also be noted that rinsing can indirectly affect the follicles. They stimulate the development of these formations with angina, the accumulation of pus in them and, accordingly, the fastest breakthrough. Such a breakthrough, if it happened naturally, will actually completely cover the wound formed with the surrounding tissues. This means that no scars will form during healing.
Pus rinses
In order to remove superficial deposits of pus from the tonsils, it is not so important what exactly to gargle with. After all, this effect is exerted by the liquid itself. Irrigation technique matters more:
The temperature of the solution should be comparable to the normal temperature of the human body (36-370C) or slightly exceed it (up to 500C).- The rinsing procedure must be performed about 6 times a day and must be carried out after meals.
- The duration of each rinse should be approximately 2-3 minutes.
- Do not use aggressive chemical solutions or apply too much force during the rinsing process. Excessive chemical or mechanical irritation of the glands will slow down the healing process.
The temperature of the solution should be comparable to the normal temperature of the human body (36-370C) or slightly exceed it (up to 500C).Although almost any neutral liquid can be used to remove purulent plaque from the tonsils, it is most convenient to use solutions with additional healing properties. Thanks to this, you will receive several healing effects at once that will help with angina. Liquid compounds are commonly used that have anti-inflammatory, analgesic and disinfectant effects:
- sodium chloride solution, including 1 teaspoon of common salt, dissolved in half a liter of water;
- baking soda solution (1 tsp soda per 1 liter of water);
- a mixture of 1 tsp. soda and 1 tsp. salt in 1 glass of water with the addition of 2-3 drops of iodine;
- infusions and decoctions of medicinal herbs and plants - calendula, wild rose, St. John's wort, chamomile, oak bark, yarrow, sage, oregano, coltsfoot, etc .;
- a solution of potassium permanganate, including 5-6 granules of dry potassium permanganate, diluted in 1 glass of water;
- solutions of boric acid, furacilin, chlorophyllipt, chlorhexidine, stopangin and other pharmaceutical preparations.
With angina with a purulent component, you can not use Lugol's solution or Ingalipt. These substances are characterized by increased viscosity due to the presence of glycerol and for this reason, on the contrary, make it difficult to remove pus from the surface of the tonsils.
How not to remove pus?
The methods described below can often be found in the form of all kinds of "useful tips". But their use from a medical point of view carries a huge risk of complications and only aggravates the course of the disease.
- Squeezing out abscesses with cotton swabs coated with hydrogen peroxide.
Puncture of a purulent follicle with a needle, followed by squeezing with the same needle in order to squeeze out pus.- Using tampons made from bandage or cotton wool wrapped around a finger or pencil. Such tampons are dipped in a solution (more often by Lugol, which only worsens the situation) and rubbed with them on the tonsils.
- Lubrication of the throat with kerosene or chemical trauma to the tonsils with acetic acid.
- Compresses and warming up of the throat, supposedly aimed at increasing the accumulation of pus and accelerating the breakthrough of the abscess.
Puncture of a purulent follicle with a needle, followed by squeezing with the same needle in order to squeeze out pus.
