The cause of the appearance of abscesses in the pharynx may be an acute or chronic inflammatory process. However, in the overwhelming majority of cases, when detecting plugs, we are talking about chronic tonsillitis, the focus of the lesion in which is the palatine tonsils. Ulcers in the throat are also considered a sign of a decrease in local immune resistance, that is, a violation of the ability of the tonsils to resist infectious agents. Treatment of chronic tonsillitis should be comprehensive; it takes a long time and includes not only drugs, but also non-drug drugs.
Choice of treatment
Chronic tonsillitis, despite the locality of the infectious and inflammatory process, affects the entire body as a whole. A person suffering from this disease for a long time is faced with the inevitable consequences of the existence of a focus of chronic infection: asthenic syndrome, functional disorders of the heart, blood vessels, kidneys, as well as associated pathologies (parapharyngitis, paratonsillar abscess). Treatment activities should be started as early as possible. How to get rid of purulent plugs in the throat? The tactics of treatment are chosen based on the existing classification of forms of chronic tonsillitis:
- Simple form (also considered as an initial stage).
- Toxic-allergic form I (TAF I).
- Toxic-allergic form II (TAF II).
A simple form of chronic tonsillitis is an indication for a course (2 times a month) conservative therapy lasting up to 3 months in general. If during this period of time there is no clinically significant improvement in the condition, white plugs remain on the tonsils, the question of the advisability of tonsillectomy (removal of the palatine tonsils as a causal focus) is considered. However, it is worth noting that this measure is not always resorted to, and in some cases a decision is made to try again conservative treatment - but only if there is no objective deterioration, and the disease does not progress.
In the toxic-allergic form of the first degree, the risk of complications is very high. If there are signs of severe intoxication, numerous abscesses in the throat, and episodes of angina are repeated more than 3 times during the year, tonsillectomy is necessary, otherwise it is not possible to remove the plugs from the tonsils. Conservative therapy is used only with mild changes inherent in TAF I, at the very beginning of its development. Up to 3 courses are carried out, after which the results achieved and the need for surgical intervention are assessed.
Conservative course therapy is carried out without exacerbation and begins no earlier than a month after its relief.
Conservative treatment is also stopped when the patient has absolute contraindications to surgery.
If a patient has a second-degree toxic-allergic form, tonsillectomy is the only effective way to correct the condition, since the severity of pathological changes is only aggravated, new complications are added. Tonsils lose useful physiological functions and become exclusively a focus of chronic 
inflammation and a source of production of bacterial toxins, upon examination, numerous caseous plugs in the throat are found.
Some experts in the field of otolaryngology are of the opinion that the very idea of the existence of a "compensated", that is, a relatively favorably flowing form of tonsillitis, is erroneous - chronic inflammation cannot be cured, and from the very beginning of the development of tonsil disease should be perceived as an infectious focus. It will not be possible to get rid of the congestion in the throat in a conservative way. According to this statement, early tonsillectomy is proposed - the removal of pathologically altered infected tissues is used as a way to prevent complications and associated diseases.
Conservative treatment
How to remove abscesses on the tonsils? Conservative therapy options are:
- washing the lacunae of the tonsils with drugs;
- the introduction of antibiotics and antiseptics into the lacunae;
- the appointment of topical forms of antiseptics in the form of tablets, sprays, rinsing solutions;
- the appointment of local immunomodulatory drugs;
- physiotherapy.
Washing the lacunae and filling them with medicinal substances is carried out only by a specialist doctor using a special syringe or various devices ("Tonsilor"). Chlorhexidine, Miramistin, Hexetidine are used, then Lugol's solution is applied to the surface of the mucous membrane of the tonsils. Pus on the tonsils cannot be removed during one procedure; in addition, it will continue to appear as long as the inflammatory process is active.
Among the topical forms of antimicrobial drugs, Septolete, Strepsils, Sebidin, Geksaliz can be recommended, and among immunomodulators - IRS-19. If we are talking about the first of the groups mentioned, it is preferable to choose the tablet form of the drug. Due to slow resorption, the drug is evenly distributed over the surface of the mucous membrane, and its concentration is maintained for a long time without significant fluctuations. Also, the patient makes swallowing movements, during which the mucous membrane is additionally moistened, the pus on the tonsils is partially removed.
Physiotherapy includes:
- laser therapy;
- magnetotherapy;
- centimeter wave therapy, etc.
These methods promote the activation of phagocytosis, improve microcirculation and regeneration of the epithelium in the lesion focus, enhance the bactericidal activity of the blood. It is believed that with the help of physiotherapy, pus in the throat is easier to eliminate.
A prerequisite is the sanitation of foci of chronic infection before starting treatment.
If the patient has pus in the throat, it is necessary to assess the condition of the oropharynx and nasal cavity, identify carious teeth, chronic inflammatory processes and draw up a scheme of therapeutic measures to eliminate them. It is also important to exclude factors irritating the mucous membrane: cold, hot, dry air, smoking, alcohol, hot spices, dust.
Antibacterial drugs (Augmentin, Cefazolin) are indicated only for exacerbation of chronic tonsillitis and should not be used unreasonably, excessively for a long time or, conversely, with short courses - this contributes to the development of the phenomenon of resistance (resistance) of bacteria to drugs. In addition, a single course is not enough to eliminate purulent plugs in the throat - the treatment should be comprehensive. When prescribing antibiotics, it is advisable to supplement the therapy with agents for the prevention of an imbalance of the intestinal microflora (Lacidophil, Linex).
Surgery
When congestion in the throat bothers - how to treat so that the white lumps disappear? If surgery is indicated to the patient, it consists of tonsillectomy. The operation is performed in a hospital setting, local anesthesia or anesthesia can be used. In accordance with international standards, tonsil removal should be performed only after general anesthesia; other options are considered if the patient has contraindications or unwillingness to undergo anesthesia.
Recovery after surgery takes about a week in the hospital and the same amount at home after discharge, if the surgical outcome is successful. On the first day, the patient should not talk, gargle, take irritating food, smoke; he has increased salivation (salivation), pain when swallowing, and saliva may contain an admixture of blood.
Tonsillectomy for chronic tonsillitis is bilateral.
To eliminate the focus of chronic infection, you need to remove both palatine tonsils. When they are removed, pus does not accumulate in the throat, and bad breath disappears (if it was caused by chronic tonsillitis).
Home methods
How to get rid of sore throat? If the form of the course of chronic tonsillitis allows conservative therapy, along with pharmacological drugs, home treatment does not lose its popularity. It should be said right away that home remedies can only be used in addition to the medications prescribed by the doctor. Before preparing any of them, you should consult with a specialist.
Treatment of purulent plugs in the throat with home methods includes:
- resorption of honey;
- the use of essential oils;
- gargling with herbal remedies;
- gargle with saline.
How to get rid of purulent plugs on the tonsils? Dissolving honey in the mouth is considered beneficial due to its bactericidal and anti-inflammatory properties. This procedure can be performed at any time of the day, repeated up to 3 times a day. A teaspoon or tablespoon of honey is taken in the mouth and slowly dissolves, similar to the dissolution of a pill or lozenge. Do not use honey if you are allergic to bee products.
Treatment with essential oils is called aromatherapy. As an auxiliary method, it has a beneficial effect on the mucous membranes of the oropharynx and the general condition of the body. Can choose 
tea tree oil, as well as lemon essential oil to eliminate pustules in the throat - treatment is carried out through rinsing, inhalation. Essential oils can cause allergies, so be careful. Add 3 to 5 drops of oil to a glass of water; if you need to dissolve it, kitchen salt will do - the oil is previously applied to a teaspoon of salt and this mixture is added to warm water.
Gargling with herbal medicines is most often used for acute processes - for example, if the patient is wondering what to do if there are white dots on the tonsils. Chamomile, sage and calendula are used to treat acute tonsillitis and with exacerbation of the chronic course of the disease, the main action is anti-inflammatory, as well as a mild antiseptic. For the preparation of infusions, dry raw materials, extract or alcoholic tinctures are taken. The easiest way is to pour the required amount of dry ingredient with hot water, leave for 20 minutes to an hour, use warm.
Salt solution is a versatile product that can be prepared with kitchen or sea salt. The recipe is simple: a glass of water (0.2 l) requires a teaspoon of salt. The medicine must be made and used immediately, warm. If the patient has abscesses on the tonsils, it can be used for hygienic purposes to cleanse the oropharyngeal cavity after eating or in the morning after sleep.
The higher the salt concentration, the more pronounced the irritating effect on the mucous membranes.
Deliberately increasing the amount of the salt ingredient can increase the soreness and sore throat. For regular hygienic rinsing, it is better to use a saline solution purchased from a pharmacy or prepared yourself.
Knowing how to treat traffic jams, you must also remember about the precautions. Even if, upon examination, there is only one cork, and resembles a small spot, you cannot try to remove it yourself - this will lead to injury to the mucous membrane. Since even in a healthy person, the oropharynx is inhabited by various microorganisms, suppuration is possible.
Purulent plugs in the tonsils are the result of chronic inflammation, the continuous multiplication of microorganisms in the lacunae. In fact, this is one of the main symptoms, and it can only be eliminated by treating the underlying disease. Chronic tonsillitis is a serious and dangerous pathology, therefore, when choosing a therapy, you need to follow the recommendations of the attending physician, use home methods only as an aid.
