PSYCHOSOCIAL IMPACT OF ACNE (PIMPLES) – SUPPORTIVE INTERVENTION WITH HOMOEOPATHY

  

Abstract 

 

Acne is one of the most common skin conditions of all age group individuals especially among the teenagers. The clinical presentation of acne can range from a mild comedonal form to severe inflammatory cystic acne of the face, chest, and back. Acne can occurs during a time of low self-esteem and high concern about appearance. This article review about causes, risk factors, different type, clinical presentation general management including some home remedies management and homoeopathic way of treatment of acne. Homoeopathy treats the person as a whole. It means that homoeopathic treatment focuses on the patient as a person, as well as his pathological condition.

 

Introduction

 

Acne, medically known as Acne Vulgaris, is a skin disease that involves the oil glands at the base of hair follicles. Acne, or the presence of pimples or blackheads, can be a problem on the face, chest, and back. Although it is most common during adolescence, acne can occur at other times in life. Acne is the common cause of spots. Boys are more commonly affected than girls.

The severity can range from mild to severe. About 9 in 10 teenagers develop some degree of acne. Often it is mild. However, it is estimated that about 3 in 10 teenagers have acne bad enough to need treatment to prevent scarring. Untreated acne usually lasts about 4-5 years before settling. However, it can last for many years in some cases. Good hygiene and diet play an important role in resolving this complaint. The acne vulgaris is perhaps one of the most dreaded problems many people face. The main cause behind the fear is obviously the degree of “loss of confidence” this problem causes in the population than the actual lesion.

 

Causes and Risk Factors of acne

Acne is a skin condition that occurs when hair follicles become plugged with oil and dead skin cells.

· Androgen level - Nobody is completely sure what causes acne. Experts believe the primary cause is a rise in androgen levels - androgen is a type of hormone. Androgen levels rise when a human becomes an adolescent. Rising androgen levels make the oil glands under your skin grow; the enlarged gland produces more oil. Excessive sebum can break down cellular walls in your pores, causing bacteria to grow.

· Genetic factor - Some studies indicate that a susceptibility to acne could also be genetic. Medications - Some medications that contain androgen and lithium may cause acne. Greasy cosmetics may cause acne in some susceptible people.

· Pregnancy - Hormone changes during pregnancy may cause acne either to develop for the first time, or to recur.

· Recent research narrates that everyone has acne-causing bacteria living on their skin, but researchers at the Washington University School of Medicine have identified that there are "good" and "bad" strains of the bacteria, which determine the frequency and severity of developing pimples.

· High GI-diet and dairy intake linked to acne - A diet high in glycemic index foods and dairy products is now linked to acne, according to a new study published in the Journal of the Academy of Nutrition and Dietetics.

 

Other condition which worse acne includes

 

· The progestogen-only contraceptive pill may make acne worse. In women, the hormonal changes around the monthly period may cause a flare-up of spots.

· Picking and squeezing the spots may cause further inflammation and scarring.

· Sweating heavily or humid conditions may make acne worse. For example, doing regular hot work in kitchens. The extra sweat possibly contributes to blocking pores.

· Spots may develop under tight clothes. For example, under headbands, tight bra straps, tight collars, etc. This may be due to increased sweating and friction under tight clothing.

 

Classification and Clinical Manifestations

 

Whiteheads - remain under the skin and are very small

Blackheads - clearly visible, they are black and appear on the surface of the skin. (Remember that a blackhead is not caused by dirt. Scrubbing your face vigorously when you see blackheads will not help)

Papules - visible on the surface of the skin. They are small bumps, usually pink

Pustules - clearly visible on the surface of the skin. They are red at their base and have pus at the top

Nobules - clearly visible on the surface of the skin. They are large, solid pimples. They are painful and are embedded deep in the skin

Cysts - clearly visible on the surface of the skin. They are painful, and are filled with pus. Cysts can easily cause scars.

 

General Management

 

· Wash your face about twice each day. Do not wash it more often. Use a mild soap and lukewarm water. (Very hot or cold water may worsen acne.) Do not scrub hard when washing acne-affected skin. Do not use abrasive soaps, cleansing granules, astringents, or exfoliating agents. Use a soft washcloth and fingers instead. Excess washing and scrubbing may cause more inflammation, and possibly make acne worse.

· Don't try to burst the pimples. It may push the infection further down, causing more blocking and worse swelling and redness. Popping pimples makes scarring more likely.

· Keep your hands clean, wash them regularly

· Always wash your hands before touching your face.This includes before applying lotions, creams or makeup

· Glasses should regularly be cleaned. They will collect sebum and skin residue

· You skin needs to breathe. If your acne is on your back, shoulders or chest try wearing loose clothing. Tight garments, such as headbands, caps and scarves should be avoided - if you have to wear them make sure they are cleaned regularly

· Hair collects sebum and skin residue. Keep your hair clean and away from your face

· Too much sun can cause your skin to produce more sebum.

Home Remedies:

1. Ice can be used to quickly reduce the redness, swelling and inflammation of pimples. It helps in improving blood circulation to the affected area, and in tightening the skin pores and removing dirt and oil accumulated on the skin. You can use ice cubes or crushed ice, whichever is convenient. Wrap the ice in a piece of cloth and hold it on the affected skin area for a few seconds. Wait a few minutes and repeat the process.

2. Another quick way to get rid of pimples is the use of lemon juice, which is rich in vitamin C. Lemon juice helps pimples dry up faster. Be sure to use fresh lemon juice and not bottled juice, which has preservatives. There are a couple of ways to apply this remedy. Dip a clean cotton swab in fresh lemon juice and apply it to the pimples before going to bed. You can also mix one tablespoon of lemon juice with one teaspoon of cinnamon powder and put it on the pimples overnight. In the morning, wash the skin well with lukewarm water. However, this particular remedy is not suitable for those with sensitive skin.

3. The toothpaste that you use every morning to clean your teeth also can be used to treat pimples quickly. It is most effective when used following the ice remedy. You must use white toothpaste; avoid using gel toothpaste. The toothpaste that you use every morning to clean your teeth also can be used to treat pimples quickly. It is most effective when used following the ice remedy. You must use white toothpaste; avoid using gel toothpaste. Apply some white toothpaste over the affected skin area before going to bed. In the morning, wash your face with water and you will see a significant improvement in the swelling.

4. Garlic is an antiviral, antifungal, antiseptic and antioxidant agent that can help in the fast treatment of pimples. The sulfur in garlic also promotes quick healing of pimples. Cut a fresh garlic clove into two pieces. Rub the garlic on the pimples and leave it for five minutes before washing the skin with lukewarm water. Repeat the treatment several times a day. Eating one raw garlic clove daily can also help purify your blood. But do not to eat too much raw garlic as it can upset the stomach.

 

HOMOEOPATHIC MANAGEMENT

 

The homeopathic medicines are selected after a full individualizing examination and case analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. The medicines given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathic treatment of acne. The symptoms listed against each medicine may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy.

Some Homoeopathic remedies for Acne are Sulphur, Sanguinaria, Kali bromatum, Antimonium crudum, Asterias Rubens, Belladonna, Hepar Sulphur, Calcarea Silicata, Nux vomica, Arsenicum iodatum, Causticum, Chelidonium majus, Graphites, Psorinum, Sabina, Calcarea phosphoricum, Ledum palustre, Nitricum acidum, Bovista, Tuberculinum

 

Indicated Remedies	Indications
Antimonium crudum	Small red pimples on the face, acne in drunkards with gastric derangements, thirst and white coated tongue. Face with sad expression Fat, fretful, cross and peevish; cries if looked at, touched or washed. Ecstatic, dreamy, sentimental. Pustules.
Asterias rubens	is considered as one of the chief drugs for treating acne, Itchy acne, Skin that seems less elastic, Acne eruptions with fetid pus, Acne rosacea, Acne affecting the back, shoulders, sides of the nose, chin, Flabby patient with the lymphatic constitution, Sycotic diathesis, Sexual excitement in both sexes, Fear of bad news in adolescent girls, Worse coffee, left side
Belladonna	Red, hot facial skin,  Scarlet rash like acne, Suddenly spreading acne lesions, Alternate redness and dullness of skin, Pustular eruptions on the skin, Skin feels smoothly red but burns, Acne leading to swelling of glands of the neck, chin, Bluish, red acne lesions, Shiny red eruptions
Berberis aquifolium	Face - Acne. Blotches and pimples. Clears the complexion. Skin - Pimply, dry, rough, scaly. Eruption on scalp extending to face and neck. Tumour of breast, with pain. Psoriasis. Acne. Dry eczema. Pruritus. Glandular induration.
Bovista	Acne in sensitive girls, Crusty eruptions around mouth and nostrils Acne from overuse of cosmetics, Swollen look of cheeks, Sensitive skin with a tendency to leave a deep impression with blunt instruments Itchy eruptions, May have had an attack of urticaria or tendency to recurrent urticaria, Pimples covering the entire body, Acne always worse in summer
Calcarea Silicata	Pimples, comedones. A deep, long-acting medicine for complaints which come on slowly and reach their final development after long periods. Hydrogenoid constitution. Skin Itching, burning, cold and blue, very sensitive. very sensitive to cold. The patient is weak, emaciated, cold and chilly, but worse from being overheated; and sensitive generally.
Eugenia jambos	Acne, simple and indurated. The pimples are painful for some distance around. Acne rosacea. Comedones
Hepar Sulphur	Papules are prone to suppurate and extend. Acne in youth. Suppurate with prickly pain. Easily bleed. Unhealthy skin; and every little injury suppurates. Cannot bear to be uncovered; wants to be wrapped up warmly. Sticking or pricking in afflicted parts. Great sensitiveness to the slightest touch.
Hydrocotyle asiatica	Dry eruptions. Great thickening of epidermoid layer and exfoliation of scales. Psoriasis gyrates, on the trunk and extremities, palms and soles. Pustules on the chest. Circular spots, with scaly edges. Intolerable itching, especially of soles. Profuse sweat. Syphilitic affections. Acne. Leprosy. Elephantiasis (Ars). Lupus non-exedens.
Kali bromatum	Acne on the face, neck and shoulders. We frequently find acne in Epileptics who have been maltreated by bromides. This remedy is especially adapted to acne simplex and the acne indurata, especially in hyperaesthetic, nervous females. Face flushed. Acne of face, pustules. This remedy may be given if Asterias Rubens fails. Dr. J.H.Clarke says, “I know of no remedy of such universal usefulness in cases of simple acne as Kali bromatum 30,” and the late Dr.A.M. Cushing recommended Arsenicum bromatum 4x as very efficacious. Thuja is one of our best remedies for acne facialis. Calcarea picrata is also a useful remedy for acne; clinically it has been found one of the good remedies. Calcarea sulphurica is indicated where the pimples suppurate.
Lappa arctium	is Very important in skin therapeutics. Eruptions on the head, face, and neck; pimples; acne. Styes and ulcerations on the edge of the eyelids. Profuse and frequent urination. Crops of boils and styes (Anthracin).
Merc sol	Syphilitic acne, Earthy, puffy, dirty looking face, Pustular acne, Constantly perspiring skin, A big pimple surrounded by many small pimples, Itchy eruptions worse from the warmth of bed, Eruptions in private parts, buttocks.
Natrum muriaticum	It acts especially on the sebaceous glands and is a very helpful remedy for acne. In this affection attention must be directed especially to the patient’s type, temperament and tendencies and the general symptoms are far more important than the local ones.
Radium brom	Acne rosacea with red pimply rashes, Small eruptions with itching, burning, swelling, and redness, Excessive itching with the burning of skin as if on fire, Painful pimples, Acne with scars that take a long time to heal, May be associated with itchy dermatitis of the skin and/or trophic changes in fingernails, Acne seems worse after getting up in the morning, Better, in the open air and hot bath
Sulphur	Is perhaps the remedy most often indicated in this affection, especially if chronic. The skin is rough and hard and the acne is associated with comedones and constipation; great aggravation from water is the characteristic leading to Sulphur in skin affections. The face is pale, sickly colour. Heat and spotted redness of the face. Black pores. Itching intensely in the evening and from warmth. The acne punctata is the variety corresponding most nearly to Sulphur. Simple forms yield to Belladonna or Pulsatilla. Acne rosacea yields Arsenicum iodatum or Sulphur iodide.

 

Conclusion

The main outcome of Homoeopathic approach is to regains the body's natural healing and immune the body cells to treat the conditions that affect the body, prevent it and restore the good level of health and well-being. Along with Homoeopathic medicines, the lifestyle, personal habits & food habits modification may be useful for treatment of patients with acne. 

CONQUER TONSILLITIS WITHOUT SURGERY – GENERAL AND HOMOEOPATHIC MEASURES

 ABSTRACT 

Tonsillitis is common, especially in children. Tonsillitis is inflammation of the tonsils most commonly caused by viral or bacterial infection. The most common problems affecting the tonsils are recurrent infections (throat or ear) and significant enlargement or obstruction that causes breathing and swallowing problems.  The condition can occur occasionally or recur frequently. This article provides an overview of the aetiology, diagnosis, and appropriate general & homoeopathic management of this disorder.

INTRODUCTION

Tonsils are the two masses seen in the back of the throat, one on either side at the back of the mouth. Tonsils can normally see by opening mouth wide and looking in a mirror. They are the two fleshy lumps that can see at the sides and back of the mouth. Tonsils are made of soft glandular tissue and are part of the immune system. A main function of tonsils is to trap bacteria and viruses (germs) which may breathe in. Antibodies and immune cells in the tonsils help to kill germs and help to prevent throat and lung infections. But sometimes the tonsils themselves become infected. Overwhelmed by bacteria or viruses, they swell and become inflamed, a condition known as tonsillitis.

AETIOLOGY

Most cases of tonsillitis are caused by infection with a common virus, but bacterial infections also may cause tonsillitis. The tonsils actually serve as a filter for bacteria, sometimes certain bacteria, such as group A Streptoccocci, can infiltrate the tonsils and cause tonsillitis. However, viruses such as the Epstein Barr virus typically cause tonsillitis.  Being a child and having close contacts with viral or bacterial-laden persons increase the risk for developing tonsillitis.

A common cause is Streptococcus bacteria. Other common causes include: Adenoviruses, Influenza virus, Epstein-Barr virus, Parainfluenza viruses, Enteroviruses, Herpes simplex virus

CLINICAL MANIFESTATIONS

Being a child and having close contacts with viral or bacterial-laden persons increase the risk for developing tonsillitis.

It is also important to understand that symptoms will be experienced differently for each person. Cases that are caused by bacteria are often followed by skin rash and a flushed face. Tonsillitis that is caused by a virus will develop symptoms that are flu-like such as runny nose or aches and pains throughout the body.

Acute tonsillitis is caused by both bacteria and viruses and will be accompanied by symptoms of ear pain when swallowing, bad breath, and drooling along with sore throat and fever.

Fever, Enlarged, tender glands (lymph nodes) in the neck, A scratchy, muffled or throaty voice, Bad breath, Stomachache, particularly in younger children, Stiff neck, Headache.

In young children who are unable to describe how they feel, signs of tonsillitis may include: Drooling due to difficult or painful swallowing, Refusal to eat, Unusual fussiness.

Viral tonsillitis typically requires no special treatment. Rather, gargling with salt water, drinking warm liquids such as broth or tea is enough.

Inflammation or swelling of the tonsils from frequent or ongoing (chronic) tonsillitis can cause complications such as: Difficulty breathing, Disrupted breathing during sleep (obstructive sleep apnea), Infection that spreads deep into surrounding tissue (tonsillar cellulitis), Infection that results in a collection of pus behind a tonsil (tonsillar abscess)

If tonsillitis caused by group A streptococcus or another strain of streptococcal bacteria isn't treated, or if antibiotic treatment is incomplete, child has an increased risk of rare disorders such as: Rheumatic fever, an inflammatory disorder that affects the heart, joints and other tissues. Post-streptococcal glomerulonephritis, an inflammatory disorder of the kidneys that results in inadequate removal of waste and excess fluids from blood.

Chronic tonsillitis is a persistent infection in the tonsils. Since this infection is repetitive, crypts or pockets can form in the tonsils where bacteria can store. Frequently, small, foul smelling stones (tonsilloliths) are found within these crypts that are made of high quantities of sulfur. These stones cause a symptom of a full throat or a throat that has something caught in the back. A foul breath that is characterized by the smell of rotten eggs (because of the sulfur) is also a symptom of this condition. Other symptoms that can be caused by tonsillitis that are not normally associated with it include snoring and disturbed sleep patterns. These conditions develop as the tonsils enlarge and begin to obstruct other areas of the throat. A person's voice is generally affected by this type of illness and changes in the tone of voice a person normally has.

 

 

MANAGEMENT:

Self-Care Tips

- Turmeric and ginger are powerful anti-inflammatory spices and can easily be integrated into diet or taken in raw form.

- Try gargling with a saline solution of half a teaspoon of salt to one cup of tepid water to remove mucous and reduce swelling. Suck zinc lozenges as zinc helps the immune system.

- Garlic is useful in treating any kind of throat infection, including tonsillitis. An onion and garlic soup are excellent foods to eat during a bout of tonsillitis.

- Cut out all processed and refined foods as well as fast foods. Try to find time to cook wholesome meals, focusing on whole grains, vegetables and proteins such as fish and legumes.

- Take an echinacea and goldenseal tincture. Echinacea boosts the immune system, while goldenseal has antibiotic, anti-catarrhal, anti-infective, anti-inflammatory properties.

- Drink fresh vegetable juice—made from carrots, cucumbers, beets and celery—with a little fresh ginger, which will alkalize our body and is an excellent tonic for tonsillitis.

- Try to omit sugar from regular diet. sugar consumption has also been shown to reduce the body's ability to fight viruses and infection. If you need your sweet fix, take a spoonful of manuka honey, as it is said to have many health benefits, including antiviral, antibacterial and anti-inflammatory properties

- Do not share utensils, drinking glasses, toothbrushes, etc., with anyone who has  tonsillitis or a sore throat.

- Wash your (and your child's) hands frequently.

- Cover your mouth when you cough or sneeze, and teach your children to do the same

Tonsillectomy

A tonsillectomy is a surgical procedure in which the tonsils are removed from either side of the throat. The procedure is performed in response to cases of repeated occurrence of acute tonsillitis or adenoiditis, obstructive sleep apnea, nasal airway obstruction, snoring, or peritonsillar abscess. Sometimes the adenoids are removed at the same time, a procedure called adenoidectomy. Tonsillectomy remains one of the most common surgical procedures in children.

 

HOMOEOPATHIC MANAGEMENT

There is no cure for this tonsillitis in modern medicine expect symptomatic relief. With our homoeopathic remedies we can prevent the tendencies of further attacks in future by developing your own immunity, increase the resistance power, to prevent further complication and getting rid of the complaint permanently without side effects.Homoeopathy treats the person as a whole. It means that homoeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homoeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc.

A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. The medicines given below indicate the therapeutic affinity but this is not a complete and definite guide to the treatment of this condition.

Indicated Remedies	Indications
Apis mell	Stinging-burning pain when swallowing; dryness in mouth and throat; red and highly inflamed tonsils; deep ulcers on tonsils and palate, with erysipelatous or Oedematous appearance around ulcers; Oedema glottidis, tenacious mucus in throat; Aggravation heat or hot drinks, Amelioration from cold or cool drinks.
Baryta carb	Liability to quinsy after every cold or suppressed sweat of feet; tonsils tend to suppurate, especially the right; throat feels worse from empty swallowing; pricking sensation when swallowing;
Belladonna	Tonsillitis, worse right side, parts bright-red; worse swallowing liquids; during deglutition sensation as if throat were too narrow and as if nothing would pass properly;.
Ferrum phos	Tonsils swollen and raw, great pain in swallowing; high fever.
Hepar sulph	Chronic tonsillitis, especially when accompanied by hardness of hearing, with sensation like splinter or fishbone in throat when swallowing; sharp, lancinating pains, throbbing, rigors and chills, with stitches in throat, extending to ears, worse when swallowing; cannot bear cold air.
Kali bichrom	Tonsillitis herpetica with membranous exudations, inflammation of uvula and pharynx, foul, yellow tongue, fauces covered with ropy mucus (often mistaken for true diphtheria); Eustachian tubes blocked up; pain shoots from ear down throat.
Kali Mur	Acute and chronic swelling of the tonsils, which are covered with a whitish coating; hawking up cheesy lumps having a disgusting odor and taste.
Lac caninum	Tonsils inflamed, shining and very sore, swollen so as almost to close the throat; suppuration from left to right, or changing from side to side, or both tonsils equally affected; whole posterior portion and throat Oedematous; tonsils enlarged; pricking; cutting pains from empty swallowing; great dryness of tonsils at night; throat sensitive to touch externally; ashy-gray exudation.
Lachesis	Throat purplish, patient very nervous, least touch unbearable; tonsils swollen, left Aggravation with tendency to right; inability to swallow, threatening, suffocation; liquids escape by the nose when swallowing is attempted and are more difficult to swallow than solids;
Lycopodium	Tonsils enlarged, indurated and studded with many small ulcers; swelling and suppuration of tonsils, going from right to left; chronic enlargement of tonsils; Aggravation from cold drinks, and smarting in throat from hot drinks.
Mercurius	Parenchymatous tonsillitis (after Bell.); throbbing pain, tonsils and fauces yellowish-red, often covered with a thin false membrane; tongue pale, flabby and indented by the teeth; pain on deglutition and speaking; pain on empty swallowing;
Mercurius iod. Flav	Hypertrophy of tonsils with enlargement of cervical and salivary glands and inflammation of the mucous membrane of mouth and pharynx, which is succulent and freely secreting; ptyalism; foetor oris; swallowing difficult.
Mercurius iod. Rub	Scalded feeling in throat, dark-red fauces, left tonsil most affected; Extensive implication of submaxillary glands.
Phytolacca	Chills alternating with fever; great weakness; tonsils large, bluish, ulcerated; intense dryness of throat; rough, burning, smarting fauces; pain in throat extends to ears when swallowing; aching in back, neck, head and limbs; ulceration on tonsils and fauces; with grayish-white, sloughs and little or no foetor; cannot hot fluids; great prostration.
Silicea	Deep ulcers, even gangrene; tonsils; swollen, each effort to swallow distorts face; tonsillitis, when the suppurating gland will not head; pricking in throat, as from a pin, causing cough; left side.
Echinacea Angustifolia	Irritation of larynx. Voice husky. Constant clearing of mucus from throat. Sore throat. Frothy mucus, hawks from throat. Tonsils purple or black, gray exudation extending to posterior sinuses and air-passages. Ulcerated sore throat. Mucus in throat with raw sensation. Soreness of throat, worse on left side.
Baptisia Tinctoria	Aphonia. Larynx sore to touch, painful swallowing or speaking. Fauces dark-red, dark, putrid ulcers. Tonsils and soft palate dark red and swollen. Painless sore throat and offensive discharge. Numb inside but sensitive outside. Can swallow liquids only, least solid food gags. Ragged ulcers in the throat. Spasms of gullet. Constriction at cardiac orifice of esophagus. Constrictive feeling in throat causing frequent efforts at swallowing.
Streptococcinum	Adenopathy of the neck. Big, infected, purulent tonsils. Red angina.Persistent pain and redness of the throat. Acute and chronic laryngitis. It is most suitedfor Tonsillectomy recurrence infection.
Tuberculinum	Chronic recurring Tonsillitis and Adenoids <change of weather from damp to cold. Vibrionic preparations like Throat 30, Infection 200 and War 1M also found veryeffective in the treatment of Tonsillitis
Agraphis Nutans	Enlarged tonsils. Throat and ear complaints with tendency to free discharge from mucus membrane. Adenoids enlarged, throat deafness.
Polyporus Pinicola	Throat dry, sore, frequent inclination to swallow. Tonsils much congested and enlarged, frequent efforts to swallow, quite painful
Raphanus	Heat and burning in throat, at times, chiefly in tonsils, with lancinations. Swelling, redness and pain in tonsils, as if raw.
Elaps Coralum	Tonsils swollen so that no passage is visible, deglutition impossible, throat sensitive to Touch
Mancinella	Great swelling and suppuration of tonsils, with danger of suffocation; whistling breathing; Yellowish-white ulcers on tonsils, with violent burning pain; great elongation of uvula; offensive breath.
Teplitz	Pain in throat without redness, on swallowing. Swelling of uvula and tonsils with difficulty in swallowing. Swelling of cervical glands.
Ustilago	Frequent attack of tonsillitis. Tonsils are congested and enlarged. The left tonsils is esp. affected. It looks large and dusky. There is intense pain on swallowing, lancinating pain extents from the tonsils to ear. The throat is dry and there is feeling of lump, behind the larynx which make the swallow constantly.

 

CONCLUSION

In a significant number of children, homoeopathic treatment can help to prevent recurrence of frequent tonsillitis, thus helping children avoid tonsillectomy. The treatment of enlarged tonsils with homoeopathy has two stages in cases of long standing. Acute inflammation needs to be treated with a different set of medicines and its recurrence to be treated once the acute stage is over. Deep-acting medicines are required to treat the constitution and bring about lasting relief. It is true that this method takes a longer time, but it is also the best one because not only the tonsils are cured but also the patient.