The treatment for acute tonsillitis may be divided into local and general. The local treatment consists of the use of cleansing gargles, sprays and paints. Gargles of potassium chlorate and other antiseptics will have a soothing effect and help to keep the mouth clean, although it is doubtful whether the gargle reaches the tonsils themselves. Paints such as argyrol applied to the tonsils are traditionally prescribed: here again it is doubtful how far the medicament can penetrate into the parenchyma of the tonsil, although the gentle massaging of the tonsillar crypts during its application may be beneficial. Aspirin in suspension used as a gargle is said to relieve pain, and hot solutions of sodium bicarbonate will help to dissolve sticky mucus. Like other gargles, these solutions may be used as a spray when severe trismus is present. Where the cervical glands are swollen and tender, poultices or warm woolen or electrically heated pads may be applied to the neck. [click to continue…]
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