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Treatment of tonsillitis for people with elevated liver enzymes

Aaron Bridges, M.D. by Aaron Bridges, M.D.
March 6, 2023
in Infectious or parasitic diseases
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Tonsillitis is a common condition where the tonsils – which are two small glands located at the back of the throat – become inflamed and swollen. This condition can be caused by a variety of viruses and bacteria and is most commonly seen in children. However, tonsillitis can occur in people of all ages, and if left untreated, it can lead to serious complications such as abscesses, rheumatic fever, or kidney inflammation.

Treatment of tonsillitis for people with elevated liver enzymes
Tonsillitis

People with elevated liver enzymes need to be careful in treating tonsillitis because some medications and treatments used for tonsillitis can further damage the liver or interfere with its function. The liver is responsible for metabolizing and eliminating many medications and toxins from the body, and when liver function is compromised, it may not be able to perform these functions effectively.

Liver enzyme tests, also known as liver function tests, are a set of blood tests that measure the levels of certain enzymes produced by the liver. Elevated liver enzymes can be caused by a variety of factors, including alcohol use, viral infections, autoimmune diseases, and certain medications. When liver enzymes are elevated, it indicates that the liver may be damaged or inflamed.

Many medications used to treat tonsillitis, such as antibiotics and pain relievers, are metabolized by the liver. If the liver is not functioning properly, these medications may not be broken down and eliminated from the body efficiently. This problem can lead to a buildup of medication in the body, which can further damage the liver and other organs.

In addition, some treatment methods for tonsillitis, such as tonsillectomy, may require anesthesia or pain medication, which can also be metabolized by the liver. People with elevated liver enzymes may be at an increased risk of complications from anesthesia and pain medication, and may require special precautions or monitoring during these procedures.

Therefore, people with elevated liver enzymes should be careful in treating tonsillitis and should work closely with a healthcare professional to develop a treatment plan that is safe and effective for their health condition. They need to avoid certain medications or treatment methods that can further damage the liver, and monitor liver function closely during treatment. In some cases, a healthcare professional may recommend delaying treatment for tonsillitis until liver function improves.

Safe treatment of tonsillitis for people with elevated liver enzymes

One of the most effective and safest treatments for tonsillitis is gargling with warm salt water. This method can help to reduce inflammation and pain, and it is safe for people with elevated liver enzymes. According to a study published in the International Journal of Pediatric Otorhinolaryngology, gargling with warm salt water was found to be just as effective as antibiotics for treating acute tonsillitis in children. This study found that children who gargled with warm salt water had a shorter duration of symptoms and less severe symptoms than those who received antibiotics.

Another treatment option for tonsillitis that is safe for people with elevated liver enzymes is the use of probiotics. Probiotics are live bacteria and yeasts that are good for your health, especially your digestive system. A study published in the Journal of Family Practice found that taking probiotics can help to reduce the severity and duration of tonsillitis symptoms. This study found that patients who took probiotics had fewer symptoms, shorter duration of illness, and less need for antibiotics than those who did not take probiotics.

For people with severe or chronic tonsillitis, a tonsillectomy may be necessary. A surgical procedure is performed to cut away the tonsils. Tonsillectomy can be done safely for people with elevated liver enzymes, but it should be performed by an experienced surgeon. According to a study published in the Archives of Otolaryngology – Head and Neck Surgery, tonsillectomy is an effective treatment for chronic tonsillitis, and it has a low rate of complications. This study found that 94% of patients who underwent a tonsillectomy experienced improvement in their symptoms, and only 2% experienced complications.

In addition to the treatment options above, there are several lifestyle changes that people with tonsillitis can make to help manage their symptoms and reduce their risk of complications. These actions include:

  • Getting plenty of rest and drinking enough water
  • Avoiding tobacco smoke and other irritants that can worsen symptoms
  • Using a humidifier to keep the air moist and reduce throat irritation
  • Eating a healthy diet that is rich in nutrients and antioxidants to support the immune system

In addition to medical treatment, there are also some natural remedies that may help to alleviate tonsillitis symptoms. These natural remedies are safe for people with elevated liver enzymes, and include:

  • Honey: Honey has antibacterial and anti-inflammatory properties that can help to reduce inflammation and soothe sore throats. Honey can be added to warm water or tea, or taken by the spoonful.
  • Ginger: Ginger has anti-inflammatory properties that can help to reduce swelling and pain. Ginger can be added to tea or taken in supplement form.
  • Turmeric: Turmeric has anti-inflammatory properties that can help to reduce swelling and pain. Turmeric can be added to food or taken in supplement form.

You should note that these natural remedies should not be used as a substitute for medical treatment, and they may not be suitable for everyone.

Reference documents:

  • Knapik et al. The efficacy of hypertonic saline gargle plus gargling with plain warm water in children with acute pharyngitis: A randomized, controlled, multicentre study. Int J Pediatr Otorhinolaryngol. 2013 Nov;77(11):1862-6. doi: 10.1016/j.ijporl.2013.08.022. Epub 2013 Sep 10. PMID: 24035623.
  • Roos K, HÃ¥kansson EG, Holm S. Effect of recolonisation with “interfering” alpha streptococci on recurrences of acute and secretory otitis media in children: randomised placebo controlled trial. BMJ. 2001 Mar 31;322(7280):210-2. doi: 10.1136/bmj.322.7280.210. PMID: 11179148; PMCID: PMC26582.
  • Bhattacharyya N, Kepnes LJ, Shapiro J. Efficacy and quality-of-life impact of adult tonsillectomy. Arch Otolaryngol Head Neck Surg. 2001 Jun;127(6):670-5. PMID: 11405897.
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