The doctor does this either by withdrawing the pus with a needle called aspiration or making a small cut in the abscess with a scalpel so the pus can drain out. If this doesn't work, a patient's tonsils might have to be removed in a procedure called a tonsillectomy. This is especially true for people who have had tonsillitis a lot or who have had a peritonsillar abscess in the past.
If it's hard to eat or drink, patients may need IV intravenous, given into a vein fluids for hydration. A doctor also will prescribe painkillers and antibiotics.
Whenever you take antibiotics, always finish the full course of the medicine as prescribed, even if you feel better after a few days. Otherwise, the infection could come back. People who have a tonsillectomy may need a brief stay in the hospital. That way, doctors can keep an eye on them to make sure everything went as planned. You can take a few precautions to lower your risk of getting an abscess in your tonsils — like not smoking and making sure you keep your teeth and mouth clean.
This is usually only the case if you have severe tonsillitis that keeps coming back. Tonsillitis is usually caused by a virus, such as a cold, but it can also be due to a bacterial infection such as strep throat. Sometimes you can get a pocket filled with pus abscess between your tonsils and the wall of your throat.
This is called quinsy. Page last reviewed: 10 February Next review due: 10 February The antibiotics will usually be given directly into a vein intravenously. This method is more effective than taking antibiotics tablets. Several different antibiotics are available. The choice will depend on the type of bacteria causing your infection and what medicines suit you best. For example, some types of medication may not be suitable if you have another medical condition, such as liver or kidney problems.
Some types of antibiotics may interact with some types of contraception, such as the combined contraceptive pill. If this affects you, the healthcare professionals treating you will advise about which other contraception is suitable to use during this time. Corticosteroids are medicines that contain steroids, a type of hormone. They help reduce swelling and may be used to treat quinsy. If you have a severe sore throat or severe difficulty swallowing, corticosteroids may be considered.
If you have quinsy, you may be prescribed painkillers to help ease any pain you have. The most commonly prescribed painkillers are paracetamol and ibuprofen. In most cases of quinsy, antibiotics alone are not an effective treatment, and a surgical procedure is also required. Procedures that may be used include:. Needle aspiration may be used to drain the build-up of fluid from the abscess. The procedure involves using a long, fine needle to draw out the pus.
If you have needle aspiration, you will usually be given medication called a sedative to help you relax, or a local anaesthetic may be used to numb the area so you do not feel any pain. After the procedure, fluid removed from the abscess will be sent to a laboratory to identify the bacteria that caused the infection.
In some cases, a cut will be made in the affected area to drain the fluid from the abscess. This is called incision and drainage. Incision and drainage is performed either under sedation to relax you, local anaesthetic to numb the area, or general anaesthetic to put you to sleep. A tonsillectomy is an operation to remove your tonsils. These are the two small glands found at the back of your throat, behind your tongue. A tonsillectomy may be recommended in severe cases of quinsy or if you have recurring bouts of sore throats.
Read about how tonsillitis is treated for more information about tonsillectomies. Depending on how severe your infection is, you may need to spend two to four days being treated for quinsy in hospital. Swelling and redness on one tonsil may suggest an abscess.
They may prod the swollen area to determine if there is pus inside. A healthcare provider may, in some cases, request X-ray images or ultrasounds of the mouth or neck to rule out other conditions, such as peritonsillar cellulitis , epiglottitis , or other upper airway infections. The long-term outlook for a peritonsillar abscess is good when a person has appropriate treatment, such as antibiotics or a procedure to drain the pus. Without treatment, a peritonsillar abscess may develop into a more serious issue, such as sepsis or blockage of the airway.
A peritonsillar abscess is a painful, pus-filled pocket of tissue that forms in the back of the throat, near a tonsil.
It is usually a complication of strep throat or tonsillitis. The best treatment for a peritonsillar abscess depends on how severe the abscess is and how well it responds to antibiotics.
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