Page strand angina
What is a Seitenstrangangina?Especially sore throat and dysphagia characterize the Seitenstrangangina.
The Seitenstrangangina is a special form of pharyngitis (pharyngitis). It is much less common than the acute pharyngitis and causes mainly on the side of the pharyngeal wall running lymphatic discomfort.
These are also called side strands and are red in the case of inflammation and swollen and populated with white specks. A lateral transeptina may also be associated with earache due to the proximity of the lateral strands to the Eustachian tube. This forms the connection from the ear to the nose and throat area. The patient also suffers from dysphagia and scratching in the throat, as well as a general malaise with lethargy and possibly fever.
There is also a coughing stimulus, which is caused by irritation in the throat area. Characteristic of a lateral transeptina, however, are painfully swollen lymph nodes in the neck area. Especially when swallowing it comes to pain, which can radiate into the ears.
A side-atrial ganglia is more common in patients whose tonsils have been surgically removed, since they no longer have the automatic protective function of the tonsils, allowing pathogens to enter the pharynx unhindered.
Mostly, it arises as a result of a virus-related cold, which initially affects the nasal mucosa and causes a cold. Subsequently, the inflammation spreads in the throat and leads to throat scratching and coughing. The lateral strands of the weakened by the previous cold patients are now colonized by bacteria. The pathogens of the lateral transept are mainly pneumococci or staphylococci.
Symptoms, complaints & signs
First signs of the Seitenstrangangina are a strongly reddened throat, which is swollen sideways. Partly yellowish spots or specks and deposits in the throat and on the tongue can be seen.
Compared to classic angina, the pain in the throat and throat is more pronounced in the lateral branch. Often it comes to a coughing and swallowing compulsion, which is perceived as very unpleasant. The pain in the neck area usually has a particular effect on one side.
The throat feels dry and rough, swallowing hurts. In addition to a general feeling of illness, accompanied by classic symptoms such as runny nose and fatigue, it comes to fever, but which is lower than in classical angina. In addition, earache that radiate from the neck, and headache as a concomitant compliment the disease.
The doctor can determine if the lateral urethra has caused a middle ear infection. The lymph nodes under the ears are sensitive to pressure and swollen by the acute inflammation. In strong cases, the lymph nodes are already visible from the outside. In the course of the disease usually cough is added, which can develop into a strong irritant cough.
Diagnosis & History
The diagnosis of a Seitenstrangangina is characterized by the symptoms. Above all, the pain radiating to the ears as well as an existing cold are pointing the way.
When inspecting the pharynx, the doctor can identify the inflamed lateral strands. Using a smear from the affected area, the exact pathogen can be determined. For additional earache, the doctor can see the ear with the otoscope and assess whether the inflammation has spread to the inner ear or eardrum.
A possible complication of the lateral transept is the middle ear infection, which manifests itself with severe earache. The pathogens of the lateral transeptina may also cause an abscess in one of the palatine tonsils or in the pharynx. However, the course of the disease depends on the individual immune defense of the patient.
A side-strand gangrene is usually without major complications. However, it should not be considered a harmless infection that can be ignored, even if the patient suffers from a mild condition. Thus threatening unpleasant consequences, if the disease is insufficiently or not treated at all.
Complications threaten in the first place with a strongly marked Seitenstrangangina, in whose course the bacteria multiply rapidly. Whether it comes to sequelae, then depends on the general health of the patient. For example, if there are pre-existing conditions or weaknesses of the immune system, the risk of subsequent complications increases. These are mainly intense pain and an abrupt onset of fever.
Sometimes the side hungrina also occurs repeatedly. Other side effects include otitis media (otitis media) or a pelvic effusion. There is also the risk of abscessing (accumulation of pus) in the region of the throat or palate.
Other conceivable complications of the Seitenstrangangina are secondary diseases such as inflammation of the kidneys, rheumatic fever, pericarditis (pericarditis), inflammation of the inner lining (endocarditis) or myocarditis (myocarditis).
In rare cases, the triggering germs penetrate into the bloodstream, which in turn creates a dangerous blood poisoning (sepsis). The treatment of the patient must then take place in a hospital.
When should you go to the doctor?
As a side-hungary ganglia usually does not heal itself, this disease must always be treated by a doctor. Only a proper medical treatment prevents and restricts further complications. The sooner the doctor is visited, the better the progression of the lateral transept.
A doctor should be consulted if the patient suffers from severe pain in the throat. These occur permanently and do not disappear again by themselves. Also swallowing symptoms indicate this disease. A doctor should be consulted in the side-stream gangrene, even if the person suffering from severe pain in the ears or a lethargy and fever. It also causes a swelling of the lymph nodes and the ears are very sensitive to noise.
The side atrial gangrene can usually be treated by a family doctor or an ENT specialist. Complications usually do not occur and the condition can be treated well.
Treatment & Therapy
A side transeptina does not require antibiotic treatment if it passes easily. The patient should take care and keep bed rest as much as possible. Nasal drops and regular gargling then usually suffice as a therapy. Even a warm neck wrap can help to relieve.
A cloth moistened with warm water is tied around the neck and covered with a dry scarf. The wrap should be worn for at least one hour. If no improvement occurs within three to six days and the fever does not drop, an antibiotic must be taken.
The use of a painkiller, which also has an antipyretic effect, can also help against sore throats. It is important for the patient to drink a lot. However, milk and dairy products should be avoided as they increase the mucus formation and thus the difficulty swallowing.
Prevention of a side-hungary gangrene is extremely difficult, especially for patients without palatine tonsils, as possible pathogens can penetrate unhindered into the pharynx. In case of a sore throat, it is important to drink a lot and to spare as much as possible to allow the body's own immune system to fight the pathogens.
A well-balanced diet and sufficient exercise generally help strengthen the immune system. In addition, it is important to always wash your hands thoroughly in order to counteract an additional spread of pathogenic germs and thus possibly to avoid a side-hungrina.
A side-hungary ganglia usually does not heal satisfactorily without medical treatment. For this reason, a follow-up with a side-hungary walk through the family doctor is important to monitor the healing process. In particular, the administration of antibiotics, a control is advisable, since this treatment method may only be applied over a limited period of up to two weeks.
Otherwise, the effectiveness would decrease and the healing process would be delayed. If the medication prescribed does not work as expected and the healing process is prolonged, the patient will be given adequate medication to relieve the symptoms during follow-up. In this way a chronic angina is prevented and the healing accelerated. The possibilities of follow-up with a side-hungary gangrene are very limited. The primary goal is to alleviate and eventually eliminate the symptoms.
If the condition of the patient worsens unexpectedly, if there is an additional high fever in the side strands of the inflammatory process or if the symptoms recur after a completed treatment, a specialist is also consulted. In this case, the previous treatment procedure is resumed or together with the person concerned therapeutic alternatives are discussed. A chronic urinary tract gangrene can heal perfectly at a regular medical check-up.
You can do that yourself
The Seitenstrangangina can often be significantly alleviated even with means of self-help. The scratching in the throat is often well controlled by hydration. This starts with a sufficient amount of drink, which also stabilizes the circulation of weakened patients. Recommended in this context are still water and herbal teas, hot lemon or milk with honey. Sage is particularly helpful because of its anti-inflammatory effect and can be gargled as a solution, drunk as a tea or sucked as a candy. Also, inhalations, for example, with freshly brewed chamomile flowers from pharmacy or health food store are a valuable support for recovery. Gentleness helps the immune system to fight the infection efficiently.
The classic neck wrap can also be used very well in the sidestream ganglia as part of self-help. A special form is the potato wrap: For this potatoes are cooked until they are soft and then crushed with a fork. Put in a soft kitchen towel they are placed around the neck of the patient. About it is again wrapped a dry towel. The potatoes can stay on the neck until their heat subsides.
A damp cloth in the room can make breathing much easier for the person affected. The same effect has a bowl of water in the bedroom of the person concerned, which is simply placed on a radiator.