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Chronic Recurrent Tonsillitis

Adenoid Hypertrophy
Sneha AnilGender: FemaleAge: 14 years (Pediatric) Chronicity: 4 years

Presenting Complaints & History

  • Frequent throat infections (every 2 months)
  • Severe throat pain radiating to ears
  • White cheesy debris in tonsil crypts (tonsil stones)
  • Low-grade fever and lethargy

Clinical Assessment

A 14-year-old girl from Thrissur presenting with chronic recurrent tonsillitis and tonsil stones. The tonsillar crypts collected food debris, causing bad breath and localized inflammation. Previously treated with saline gargles and periodic courses of macrolide antibiotics.

Diagnostic Investigations: Elevated white blood cell count (WBC: 12,500/mcL) during acute phase; high ASLO titers (280 IU/ml).

Homeopathic Therapeutics & Management

Hepar Sulphur was selected to resolve acute peritonsillar congestion, followed by Silicea to clean the tonsil crypts and prevent the formation of tonsil stones.

Selected Constitutional Remedies: Hepar Sulphur and Silicea

Lifestyle & Nutritional Support

Use a water flosser on low pressure to clear tonsil debris; gargle warm water after every meal; avoid cold dry weather exposure.

Clinical Outcome

Follow-up Period: 1 year
  • Throat pain resolved and tonsil stones cleared within 4 weeks
  • No tonsil stones recurred over the next 6 months
  • ASLO titer returned to normal (150 IU/ml) at Month 8
  • Tonsil health restored completely; asymptomatic at 12-month follow-up
Medically reviewed by Dr. Navaneeth K. Unni
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