Acute Tonsillitis/Acute Gingivitis

Features

• Severe pain in throat
• Pyrexia, difficulty in swallowing, difficulty in opening mouth
• Muffled thick voice
• 0/E: Bulging of soft palate deviation of uvula

Management

Inj- Augmentin/Calamox Amoxicillin + Clavulanic Acid) 1.2gm IV x TDS 'OR'

Inj- 2sum Q-Bact 1 Sulzone (Cefoperazone + Sulbactum) 2gm IV x BD for 5 days

In less severe cases and patients who are able to tolerate oral intake:

• Tab- Augmentin/Calamox (Amoxicillin + Clavulanic Acid) 625mg TDS or lgm BD 'OR'

Cap-Dalacin-C (clindamycin) 300mg PO x QID for 7-10 days

• Benzycol (Chlorhexidine) mouth wash 2-3 times a day for a week
• Tab/Syp-Panadol (Paracetamol) 2 tab/TSF PO x SOS
• Plenty of fluids
• Warm saline gargle
• Co for incision and drainage if not responding to antibiotics.
• If still not responding / recurrent episodes, refer to ENT surgeon.