Homoeopathic Management of Recurrent Tonsillitis and Its Impact on Reducing Surgical Interventions

Abstract

Recurrent tonsillitis is a common paediatric and young-adult disorder thatfrequently culminates in referral for tonsillectomy when episodes meetestablished frequency criteria. Surgery, although effective, carries operativerisk, cost and recovery burden, prompting interest in conservative alternatives. This paper reports a prospective, observational cohort study evaluating individualised homoeopathic management of recurrent tonsillitis and its influence on the need for surgical intervention. Ninety-six patients meeting inclusion criteria were treated with constitutionally and locally indicated homoeopathic remedies alongside standard supportive care and were followed for twelve months. Outcomes included the annual frequency of acute episodes, antibiotic courses, a composite symptom-burden score and the proportion of surgically eligible patients who ultimately avoided referral. The mean number of acute episodes fell from 6.4 in the preceding year to 1.6 during the second half of follow-up, antibiotic courses declined correspondingly, and the symptom-burden score decreased below the predefined surgical-referral threshold in most participants. Of seventy-one patients who met tonsillectomy criteria at baseline, sixty-three avoided surgical referral during the study period. The findings suggest that individualised homoeopathy may reduce episode frequency and surgical demand in selected patients, though the absence of a control group and reliance on observational data warrant cautious interpretation and confirmation through randomised trials.  KEYWORDS: Recurrent Tonsillitis, Homoeopathy, Individualised Treatment,Tonsillectomy, Surgical Avoidance, Paradise Criteria, Upper RespiratoryTract Infection, Materia Medica