Do I need to take antibiotics until my tonsillitis is cured?
Hello, Doctor.
A week ago, I started feeling a sensation of something stuck in my throat (I felt a bit chilled that night while sleeping), and I had a feeling of foreign body sensation while swallowing.
I thought it was a mild cold and didn't seek medical attention right away.
Later, I began to notice a bad taste in my mouth, which didn't improve after a few days, so I went to see an ENT specialist.
I have been taking the antibiotics and other medications prescribed by the doctor for 5 days now.
The bad taste in my mouth has almost resolved, but I still have a sore throat and the sensation of something stuck while swallowing.
I would like to know if tonsillitis can resolve on its own, or if I need to continue taking antibiotics until all uncomfortable symptoms are gone.
Additionally, does gargling with salt water help? Thank you, Doctor!
Miss Huang, 20~29 year old female. Ask Date: 2020/09/28
Dr. Zheng Jueyi reply Otolaryngology
Hello: If you are using antibiotics, it is recommended to complete the entire course to avoid the development of antibiotic resistance.
For a sore throat, you can gargle with plain water or saline solution to reduce secretions and alleviate symptoms.
Wishing you safety and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2020/09/28
More Info
When it comes to the treatment of tonsillitis, particularly when antibiotics have been prescribed, it is crucial to understand the role of antibiotics and the body's healing process. Tonsillitis can be caused by viral or bacterial infections, and the treatment approach may differ based on the underlying cause. In cases where a bacterial infection is confirmed, antibiotics are typically prescribed to help eliminate the bacteria and prevent complications.
In your situation, since you have been on antibiotics for five days and have noticed an improvement in the bad breath, it suggests that the treatment is effective. However, the persistence of throat pain and the sensation of something being stuck while swallowing indicates that the infection may still be present or that inflammation is ongoing.
Should You Continue Antibiotics Until Complete Recovery?
It is generally recommended to complete the full course of antibiotics as prescribed by your physician, even if symptoms improve before finishing the medication. This is important for several reasons:
1. Preventing Resistance: Stopping antibiotics prematurely can lead to the survival of bacteria that are not fully eradicated. These bacteria can develop resistance to the antibiotic, making future infections harder to treat.
2. Ensuring Complete Recovery: Completing the prescribed course helps ensure that the infection is fully resolved. Incomplete treatment can lead to a resurgence of symptoms or complications, such as the development of an abscess.
3. Symptom Monitoring: While antibiotics can help alleviate symptoms, they may not eliminate all discomfort immediately. It is important to monitor your symptoms and continue the medication as directed. If symptoms persist beyond the course of antibiotics, a follow-up with your healthcare provider is necessary.
Can Tonsillitis Heal on Its Own?
In some cases, especially with viral tonsillitis, the body can indeed heal itself without the need for antibiotics. However, bacterial tonsillitis typically requires antibiotic treatment to prevent complications. If your symptoms are primarily due to a viral infection, supportive care, such as rest, hydration, and over-the-counter pain relievers, may be sufficient.
The Role of Saltwater Gargles
Gargling with salt water can provide symptomatic relief for sore throats. Saltwater gargles can help reduce swelling and discomfort, and they may also aid in the removal of mucus and debris from the throat. This practice is a common home remedy and can be beneficial alongside prescribed treatments.
Conclusion
In summary, it is advisable to continue taking the antibiotics as prescribed until the full course is completed, even if you start to feel better. This approach helps prevent antibiotic resistance and ensures that the infection is fully treated. Additionally, using saltwater gargles can provide symptomatic relief. If you have any concerns or if your symptoms do not improve after completing the antibiotics, it is essential to follow up with your healthcare provider for further evaluation and management.
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