Recovery Time for Peritonsillar Abscess and White Patches - Otolaryngology

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Peritonsillar abscess


Hello Doctor: I had a peritonsillar abscess that did not improve after taking medication for three days at a small clinic.
On December 1, I went to a large hospital where they incised and drained the abscess, and I have been on antibiotics for seven days.
The doctor said that if there are no special circumstances after finishing the medication, I do not need to return for a follow-up.
My condition has improved significantly, but I noticed several white spots in my mouth, with about three areas that have not completely reduced in swelling.
They look like ulcers covered with a white layer, and one of them causes slight pain when I drink water.
I am worried about a recurrence.
How long does it typically take for these white pus spots, which are left over from the infection, to disappear? I am really concerned because I haven't seen the white spots go away.
Thank you, Doctor.

Mr. Wei, 50~59 year old female. Ask Date: 2018/12/08

Dr. Ji Zhaoyun reply Otolaryngology


Hello, regarding the issue you mentioned about the white pus spots left from the infection, I recommend maintaining good oral hygiene by rinsing your mouth after meals.
This can help clear some tonsil stones (located in the tonsillar crypts).
Additionally, try to avoid catching colds, and if you do catch one, seek medical attention promptly.
These measures can reduce the chances of tonsillitis.
If it is confirmed that it is not tonsil stones but pus, I suggest visiting the clinic again for further evaluation.
Wishing you peace and good health.

Sincerely,
Dr.
Chi Chao-Yun
Director, Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare

Reply Date: 2018/12/08

More Info


Recovery from a peritonsillar abscess can be a concerning process, especially when you notice white patches in your mouth after treatment. It’s understandable to feel anxious about these symptoms, particularly after experiencing pain and discomfort from the abscess itself.
When a peritonsillar abscess occurs, it typically results from a bacterial infection that leads to the accumulation of pus around the tonsils. The treatment often involves incision and drainage, as you experienced, along with a course of antibiotics to help eliminate the infection. After the procedure, it is common for patients to notice changes in their oral cavity, including the presence of white patches or ulcers.
The white patches you are observing are likely a result of the healing process. These patches can be composed of necrotic tissue, pus, or even a protective layer of fibrin that forms as the body works to heal the affected area. It is not uncommon for these patches to be tender or painful, especially when consuming food or beverages.
In terms of recovery time, the healing process for a peritonsillar abscess can vary significantly from person to person. Generally, you can expect the initial symptoms to improve within a week or two after drainage and antibiotic treatment. However, the complete resolution of any residual white patches or ulcers may take longer, often several weeks. It is important to monitor these areas for any signs of worsening, such as increased redness, swelling, or pain, which could indicate a recurrence of the infection.

If the white patches persist beyond a few weeks or if you experience any new symptoms, it would be advisable to follow up with your healthcare provider. They can assess the healing process and determine if any further intervention is necessary. In some cases, persistent white patches may require additional treatment, such as topical medications or further evaluation to rule out other conditions, such as oral thrush or other infections.

In the meantime, maintaining good oral hygiene is crucial. Rinse your mouth with warm salt water to help soothe the area and promote healing. Avoid irritants such as spicy or acidic foods that may exacerbate discomfort. Staying hydrated and consuming soft foods can also aid in your recovery.

In summary, while the presence of white patches after a peritonsillar abscess is often a normal part of the healing process, it is essential to remain vigilant for any signs of complications. If you have concerns about the duration or appearance of these patches, do not hesitate to reach out to your healthcare provider for further guidance. Your health and peace of mind are paramount, and they can provide the reassurance and care you need during your recovery.

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