Why do people get sore throat in the summer? Why does angina choose summer? Here are steps you can take to help you heal.
Summer time is considered a healthy period. You’re not supposed to get sick, and there’s no need to; it’s better to go to the sea than to spend time with a fever under the blanket and a cutting pain in your throat. Previously, traditional sore throats and colds were considered ailments of the cool season, but now, more and more often, experts say that sore throats have a summer tint. What is the reason for this and how can you avoid the disease?
Why does sore throat happen in summer?
Doctors believe that sore throat in the summer becomes a price to pay for the innovations of technological progress and comfort. Man is prone to excess. When the room is hot, we rush to turn on the air conditioner and set it to 19 degrees. If you want to cool down, you are ready to consume two or three packs of ice cream at once. When we are thirsty, we sip on an ice-cold drink. Because of such excess and irrepressibility, sore throat comes - acute tonsillitis, pharyngitis, laryngitis, ARVI, acute respiratory infections. These diseases can be transmitted by airborne droplets. So several people can get sick at once, and that’s a few steps away from a real epidemic.
Summer sore throat: prevention measures
In order not to overshadow your vacation with illness:
- Do not eat ice cream quickly; it is better to eat it slightly melted;
- Do not drink very chilled water in extreme heat;
- drink cold soda without a straw - thanks to this, the moisture will first warm up in your mouth and then get into your throat;
- don’t sit under the air conditioner, it’s like sitting by a window with a draft coming from it;
- Avoid drafts, especially if you are sweating.
Sore throat appears out of nowhere
In some cases, the cause of sore throat is associated with the characteristics of a person’s own flora - microflora on the mucous membrane of the respiratory tract - staphylococci and streptococci. In the event of unfavorable conditions for humans (overwork, stress, hypothermia), which is accompanied by a decrease in immunity, harmless microorganisms go on the attack. Based on this, we can conclude: try to take care of yourself, and whenever possible, strengthen your immune system. Eat well. Seasonal vitamin therapy is indicated. Take walks in the fresh air.
If you have to travel in a car, do not turn on the air conditioner at full power, make sure that the air vents are not directed towards your chest or face. It’s better - up, down or to the sides. When traveling to the sea, beware of throwing yourself into cool water after warming up in the sun.
Got a sore throat in the summer? Don't despair - it's not that difficult to cure. Some tips on how to properly treat a sore throat.
Angina– inflammation of the tonsils, an acute infectious disease that affects both children and adults.
Summer is a time of sun, relaxation, sea and heat. How nice it is to lie in cool water on a hot day, feel the cold breeze of the air conditioner, drink a glass of ice-cold lemonade, cool off with a bottle of cold water, eat ice cream...
While enjoying ourselves, we think little about the inviolable rule that the throat hates sudden changes in temperature. As a result, some of us get sick. But not all. Why?
The answer is simple - your immune system is weakened and poorly defended against pathogenic bacteria. Many factors influence the resistance of the immune system: overload, various stresses, infections. There are many causative agents of sore throat, and the most common of them are various bacteria, for example, streptococci, pneumococci, staphylococci and others. Not so often, the culprits of the disease are chlamydia, mycoplasma, and adenoviruses that remain in the body after ARVI.
How can you tell if you have a sore throat?
There are six main symptoms of this disease:
1. Acute pain in the throat, most severe when swallowing.
2. The tonsils become enlarged and red.
3. The temperature rises sharply to approximately 38-40 degrees.
4. The body feels chills and aches.
5. You feel general weakness.
6. You suffer from headaches.
Of course, due to all these painful symptoms, there is a desire to get well as quickly as possible, especially if you got sick on vacation. But take your time! Need bed rest. It will not last long: while there is a high temperature and after that for a couple of days. It is better to be patient than to suffer from intoxication later.
Moreover, if bed rest is not observed, angina can develop into a much more severe form, for example, lacunar or purulent. And then she may have complications in the heart, joints, and kidneys.
Be sure to call a doctor. As a rule, when treating a sore throat, penicillin antibiotics are prescribed. Under no circumstances should you choose your medications yourself. They must be prescribed by a specialist. Here's why you shouldn't self-medicate:
Firstly, bacteria may be resistant to a number of antibacterial agents. Secondly, in one of the cases, antibiotics are not needed at all - if the sore throat is of fungal and not bacterial origin.
Here are the steps you can take to heal:
Sometimes, when treating a sore throat, it is possible to do without antibiotics, using only antibacterial sprays. They disinfect, protect against inflammation and relieve pain.
If you are unable to do without antibiotics, do not interrupt their course, even if you feel well.
For unbearable sore throat, you can use anti-inflammatory solutions, and if the pain is not very severe, only a soda or saline solution will be enough for you. You can use dissolving tablets only after rinsing.
If you are struck by a sore throat in the summer, do not do warming procedures.
Include as many fresh fruits and vegetables in pureed form as possible in your diet. During illness, avoid spicy foods.
Drink more as this helps flush out toxins. But drink only warm drinks, as hot ones will only worsen your sore throat.
And then what, you ask. What will be the result of following all the advice?
Well, with the right treatment, you will be healthy in 7-10 days. But if you are on vacation, be careful: do not stay in the sun for a long time, swim only a week after the temperature drops. And what is very important, do not do long and difficult swims for about two weeks until your cardiovascular system is restored.
If possible, get your urine and blood tested and do an ECG. If you can't, you're on vacation, do a quick health check when you return.
Have a good rest and try not to hurt your throat! But if you do get sick, never be discouraged, because the most active ally of illness is the despondency of the patient.
A paradoxical fact: traditionally a winter disease - sore throat - is easiest to catch... in the summer!
It’s enough to drink an ice-cold soda in 30-degree heat or go directly into an air-conditioned room from under the scorching sun - and the throat becomes sensitive to viruses and pathogenic bacteria. By evening, the body temperature rises to 38 degrees and higher, the head splits, the throat cuts, and it is very painful to swallow. A whitish coating on the tonsils is also characteristic of tonsillitis, which is easy to see by going to the mirror and saying the traditional “ah-ah”. True, at the very beginning of the disease it may not be there. At first, the throat only becomes very red, but after a few hours a plaque appears. A runny nose and cough with sore throat are usually absent. What should I do to get back to normal as quickly as possible?
Call the doctor
You are mistaken if you think that sore throat is not a dangerous disease. This is an acute infectious disease caused by bacteria and is fraught with complications. Only a doctor should diagnose the disease and prescribe treatment (alas, usually antibiotics). Therefore, if you have a severe sore throat and a sudden fever, call a therapist immediately. Before he arrives, to ease the suffering, you can suck on emollient and antibacterial lozenges, such as Strepsils or Septolete, and take an antipyretic.
But don’t even think about taking antibiotics yourself—drugs in this group have strict dosages. Each antibiotic acts on a specific group of bacteria, and only an experienced doctor can find out which of them attacked your throat after a special analysis (culture from the nasopharynx and throat). The only thing you can drink before the doctor arrives is a tablet of suprastin, tavegil or fencarol, that is, an antihistamine. Doctors prescribe it along with antibiotics to relieve swelling of the throat.
Gargle when needed
While you are waiting for the doctor, try to drink as much warm (not hot!) liquid as possible: tea, compote, still water. If the temperature is high and the throat hurts badly, then there is no need to rinse it and lubricate it with Lugol's solution. In the first hours of the disease, against the background of the active development of microflora, this will only intensify the pain. It’s another matter if the throat just starts to hurt: then gargling and all kinds of medicinal lozenges will help. The earlier the better. In addition to the traditional iodine-salt solution (1 teaspoon of salt per glass of water and 2 - 3 drops of Lugol or iodine), use chamomile or sage infusion for this purpose (pour 1 tablespoon of the herb with a glass of boiling water and leave for 30 minutes), and also an antiseptic agent, rotokan - liquid extract of chamomile, yarrow and calendula (dilute 1 teaspoon in a glass of warm water). Gargle 5-10 times a day,
Caution: diphtheria!
Fortunately, this disease is now quite rare. But it is indeed possible to confuse a sore throat with diphtheria (although the latter is accompanied by more pronounced swelling of the upper respiratory tract). That is why, if this insidious disease is suspected, the doctor must take a swab from the throat for Loeffler’s bacillus, which is the causative agent of diphtheria.
Don't allow complications
Having caught a sore throat, be patient: for the next 10-12 days your regime will be bed rest and regardless of the weather outside! A sore throat needs to be “rested”: most dangerous complications (tonsillitis, pharyngitis, pyelonephritis, sinusitis, rheumatism, etc.) develop during the recovery period. Before being discharged to work, be sure to take urine, blood and throat swab tests. And one more thing: for 2 weeks after illness, avoid strong physical exertion and hypothermia.
It is well known that sore throat most often visits us in spring and autumn. But recently, doctors have begun to characterize it as a seasonal summer disease. The head of the department of pathology of the upper respiratory tract of the Moscow Research Institute of Ear, Throat, Nose, Candidate of Medical Sciences Maxim Nikolaevich SHUBIN will help us understand in more detail the features of this disease.
THE INCREASE in the incidence of sore throat in the summer is a kind of payment for comfort. How could we, 15 years ago, on a hot summer day, get an absolutely ice-cold, frost-covered carbonated drink on any corner? Or powerful air conditioners that blast us with deadly cold as soon as we enter a store or office? But if, after 30-degree heat, you find yourself in conditions of +18°C, then, without having good health, you can probably get sick.
Is it a sore throat?
HOWEVER, if you have a sore throat or a runny nose, do not rush to the conclusion that it is a sore throat. With classic sore throat, there is no runny nose or cough. But definitely - a pronounced sore throat, fever, body aches, and possibly a headache. If, in addition, white or dirty gray deposits are found in the throat, there is almost no doubt.
Sore throat should not be confused with diseases such as tonsillitis, pharyngitis or laryngitis. This is an independent acute infectious disease that affects the palatine, nasopharyngeal and lingual tonsils and is caused by opportunistic bacteria. These bacteria can be present in the human body all the time and attack it when it is weakened - for example, after hypothermia or physical overexertion. Unlike tonsillitis, pharyngitis and laryngitis are more often caused by viruses.
Acute tonsillitis (inflammation of the tonsils) can be either a manifestation of a sore throat or an acute respiratory viral infection (ARVI). By the way, there is a misconception that sore throat occurs more often in those who suffer from chronic tonsillitis or pharyngitis. In fact, people with absolutely healthy throats are equally affected by it.
The question is, why is it so important to distinguish one disease from another? The answer is simple - if you do not recognize a sore throat and limit yourself solely to gargling, then in other cases you can start the disease. If, on the contrary, a common acute respiratory infection is mistaken for a sore throat and antibiotics are unreasonably prescribed, this will lead to a decrease in immunity, the destruction of the beneficial microflora of the nasopharynx, and the emergence of resistant strains of bacteria, that is, resistant to this medicine.
In addition, you should not endure a sore throat on your legs like a common cold - it is fraught with serious complications.
Is it easy to get infected?
THERE IS a common misconception that in order to become infected with a sore throat, you need to come into fairly close contact with the sick person - for example, kiss him on the lips. In fact, it is much easier to get a sore throat because it is transmitted mainly by airborne droplets. This means that the infection can spread even when talking at close range. You should not share utensils, towels, pillowcases, or handkerchiefs with the patient.
Therefore, if someone in your house is sick, try to isolate him from others if possible - place him in a separate room (or at least fence him off with a screen), provide him with personal dishes, towels, when caring for the sick person, do not be too lazy to put on a mask or at least gauze bandage.
Treating a sore throat is a serious matter.
Anyone who thinks that the main thing in treating a sore throat is to relieve a sore throat is MISTAKEN. No one argues that pain when swallowing and body aches are not pleasant sensations, so from the very first minutes you feel these symptoms, you can take some measures yourself. For example, use drugs based on paracetamol - Nurofen, Strepsils, Coldrex, which simultaneously relieve a sore throat and lower the temperature. To remove toxins, you need to drink more - sweet tea with lemon, cranberry juice, warm fruit juice or compote. Your next step should be to call a doctor.
This needs to be done for several reasons. Firstly, such a formidable disease as diphtheria is well disguised as the symptoms of a sore throat. It should be detected as early as possible - after all, today almost none of the diphtheria patients die from suffocation, which can be neutralized with the help of modern means. Death is almost always associated with severe intoxication, which immediately begins to affect the heart and kidneys. There are many indirect clinical signs to detect diphtheria, but only a special throat smear - for Lefler's bacillus - gives one hundred percent certainty.
Secondly, the doctor must prescribe serious treatment - in addition to sprays and lozenges. The causative agents of sore throat today are most often Staphylococcus aureus, Staphylococcus epidermidis, less common are hemolytic streptococcus and fungal infections. This type of bacterial infection usually requires the use of antibiotics.
It is very important to choose the right drug. A big problem all over the world and in our country is antibiotic resistance, that is, the emergence in the human body of bacterial strains that are resistant to a number of antibiotics. The reason for this is the uncontrolled use of drugs. A person may decide to “take” antibiotics, which in fact have no effect on the bacteria that caused the disease, or, having started treatment, stop taking the drugs after 1-2 days, although in fact the treatment should last, as a rule, at least 5 days. 7 days.
Ideally, before a doctor prescribes a medicine, you need to take a throat swab to find out exactly what type of bacteria is causing the disease and what medications can neutralize their effect. In fact, this is almost impossible to do, since there are no express tests with quick results in our clinics, and antibiotics must be prescribed in the very first hours of the disease. Therefore, various regimens of rational antibiotic therapy have now been developed that make it possible to influence the main groups of bacteria that cause sore throat. The doctor needs 2-3 days to check the effectiveness of a particular drug; if there is no result, another drug should be immediately prescribed.
It is also not recommended to be left alone with a sore throat because you need to be examined - a urine and blood test, a cardiogram will show whether your “simple” disease has been complicated by such unpleasant ailments as infectious myocarditis, endocarditis, pyelonephritis, nephritis.
A sore throat has insidious consequences - suffice it to say that the main suppliers of rheumatism are patients with recurrent sore throats. Sometimes a sore throat causes sinusitis, bronchitis, and other respiratory diseases. An untreated infection results in recurrences of the disease, which can subsequently provoke chronic tonsillitis. Finally, the most dangerous are local complications, inflammation of the tissues around the tonsils - paratonsillitis and parapharyngitis, the first sign of which is a sharp increase in pain on one side of the larynx, limited mobility of the masticatory muscles, and difficulty turning the head from side to side. The development of this dangerous complication occurs within a day, and sometimes in a matter of hours, and requires prompt hospitalization and emergency measures, sometimes surgical.
Any infectious disease has a certain development - sore throat is no exception. If you feel better the next day after taking an antibiotic, this does not mean that a week on sick leave is enough for you. It must be remembered that most complications develop during the recovery period. The minimum treatment period is 10-12 days, and then hypothermia and physical exertion should not be allowed for another two weeks. The desire to save a day or two for work will then be paid for by years of serious illness.
Independently and as prescribed by a doctor
ALREADY in the first hours of illness you can use tableted antiseptics. You must choose what will help you, and the list of such drugs is large. For example, antibacterial, antifungal antiseptic agents with local anesthetic action - strepsils, sebidin, stopangin, drill, faringosept, antifungal and antiviral drug laripront, a local antibiotic that has an effect on staphylococci and streptococci - gramicidin C, etc.
To this you can add rinses using medications such as furacillin (dissolve 1 tablet in a glass of water), alcohol solution of chlorophyllipt (teaspoon per glass of water), rotokan (same dosage), iodinol, throat lubricants - Lugol's solution with glycerin, propolis with honey, oil solution of chlorophyllipt, etc. Local preparations can be combined - for example, dissolve one tablet 10 minutes after rinsing.
As already mentioned, the choice of antibiotics is the exclusive responsibility of the doctor. He can prescribe drugs from the penicillin group, such as oxacillin, ampicillin, smallpox, augmentin, flemoxin solutab, etc. In more complex cases, macrolide antibiotics are prescribed - such as macropen, sumamed. Finally, the antibiotics of the last group of choice are cephalosporins - cefosin, etc.
The doctor may also recommend one of the aerosol preparations, which are also local antiseptic and anti-inflammatory agents - iox, ingalipt, etc., the antimicrobial drug hexoral, the local antibiotic bioparox.
Another modern method of influencing pathogenic bacteria is drugs that create additional immunity. Once on the mucous membrane, they begin to produce antibodies to the pathogens of the disease, these are ribomunil, staphylococcal bacteriophage, IRS-19.
There are different types of sore throats - they are all equally dangerous
THERE ARE several main types of sore throats, which are essentially different degrees of the same process. The mildest form is catarrhal tonsillitis. It mainly affects the superficial area of the tonsils. A sore throat may not be accompanied by a high temperature, although a general malaise is felt - poor appetite, chills, headache, and a feeling of weakness.
In contrast, lacunar tonsillitis immediately begins with a rise in temperature to significant values: 39 and even 40°. The submandibular lymph nodes become enlarged, salivation appears, and when examined, the tonsils are not only reddened and enlarged, but also coated.
With follicular angina, the parenchyma of the tonsils is damaged; on the swollen tonsils, yellow formations the size of a pinhead, like a “starry sky,” are visible.
The throat, as we found out, is no different from other parts of the body, and in this sense, massage will also be useful for it. You can do this massage daily and especially before going out into the cold or after eating cold food. The main techniques are stroking and kneading.
1. Grab your neck with your entire palm, so that it is between your thumb and index finger. Without changing the position of your hand, perform circular kneading movements with one hand, then the other.
2. Using circular movements, knead with four fingers of each hand, moving from the earlobe down the anterolateral part of the neck to the chest.
3. Massage the posterolateral surface of the neck from the earlobe to the shoulder - with the right hand on the left, and with the left hand on the right.
Finally, you should try a remedy such as massage of the reflexogenic zones on the palms and soles of the feet. On the right and left feet, the area responsible for the neck area is located the same - at the base of the main phalanx of the big toe. You need to massage it with circular movements of your thumb. In the palm, the area we need is located on the pad of the thumb of both hands. How to find the required point? One option is this: divide the upper phalanx of the thumb into three parts (you can draw it directly on the finger with a ballpoint pen). At the border of the first third there will be the eyes and eyebrows of a conventional human face, and at the border of the second third there will be a mouth; this is the desired point, which is responsible for the normal functioning of the tonsils. You can influence this point using any acupressure techniques. One option is to stick a grain of buckwheat or black pepper to your finger with a band-aid and periodically press on this area with the pad of your index finger.
Needless to say, the effect on reflexogenic points should be quite long (5-10 minutes) and this should be done every day and preferably several times a day.
Power of nature
IN ADDITION to drug treatment, you can use the advice of traditional medicine, which has many recipes to help cope with the symptoms of this disease.
So, you can prepare decoctions for gargling from the following herbs:
Siberian elderberry (pour 3-4 tablespoons of flowers with a glass of boiling water and simmer over low heat).
Blueberries (100 g of dried fruits, pour 0.5 liters of water, boil until half of the water has evaporated).
Calendula (pour 1 tablespoon with a glass of boiling water, boil for 10 minutes).
Chamomile (same preparation method).
Gargle with infusions:
Garlic (100 g of crushed cloves, pour 100 ml of warm water, leave for 4 hours).
Plantain (4 crushed dry or fresh leaves, pour a glass of boiling water, leave for half an hour).
You can take herbal infusions internally:
Common anise (pour a teaspoon of fruit with a glass of boiling water, leave for 20 minutes).
Salvia officinalis (brew 4 teaspoons of crushed leaves with 2 cups of boiling water, leave for 30 minutes).
Plant juice will also come in handy:
Onion - for oral administration (1 teaspoon 3-4 times a day).
Beetroot - for gargling.
Before use, decoctions and infusions must, of course, be strained. After gargling, inhaling the vapors of onion and garlic, it is better not to eat anything for an hour to allow the active substances to act on the mucous membrane. You need to be treated with traditional medicine regularly throughout the day, otherwise there will be no effect. For example, you need to gargle every 2-3 hours, inhale the vapors of crushed garlic or cut onion - 5-6 times a day. Chew lemon peels or pieces of propolis the same number of times (1 g per dose), after 3-4 hours, dissolve a teaspoon of honey in your mouth, etc. There is another time-tested remedy for sore throat - kombucha. It should be drunk a glass twice a day, starting from the acute period, and then for 4-6 weeks as a preventive measure.
Often underestimated is such a simple thing as the formation of heat in the neck area - for this purpose, you can wrap an ordinary woolen scarf around the throat. As a home remedy, you can use homemade warming compresses. The simplest is alcohol (using vodka or half-diluted alcohol), in addition, you can make a combined compress, for example, from 2 parts honey, 1 part aloe juice and 3 parts vodka. Regular vegetable oil (can be mixed with honey) is also suitable for a compress. The preparation technique is as follows: moisten or lubricate linen or cotton fabric with one of the indicated products and wrap it around the neck, capturing the area of the submandibular lymph nodes. Wrap the top with polyethylene, then with a layer of cotton wool or just a woolen scarf and secure firmly with a pin. Do not leave a compress, especially an alcohol compress, for more than an hour and a half. During the day, the procedure can be repeated again.
I don't want to get sick!
Even a single episode of sore throat can have a serious negative impact on certain organs. What can we say about those cases when sore throats follow one after another - it happens that a person suffers from several sore throats over the course of a year. Even if this disease bothers you once a year, the question of its serious prevention arises.
On the ONE hand, protecting yourself from a sore throat is not so difficult - there is no need to organize competitions on the speed of absorption of ice cream, it is better to eat it a little melted. You should not drink, especially in hot weather, very chilled carbonated water, you should not sit directly under an air conditioner operating “in the cold”, and finally, after sweating, you should avoid drafts. Of course, it is worth taking care of the general strengthening of the body, which includes hardening (including local - throat), good nutrition, seasonal vitamin therapy, regular walks in the fresh air. But it happens that all these remedies are not enough - moreover, any attempt to harden the body leads to illness. In this case, we are talking about a noticeable decrease in immunity, which, at the first order of pathogenic bacteria, surrenders its boundaries.
In this situation, it is worthwhile to undertake decisive reorganization of the main “suppliers” of pathogenic flora. You need to visit the dentist and eliminate all pockets of caries and other possible diseases of the oral cavity (gingivitis, periodontitis). Seriously deal with the tonsils in order not only to reduce the amount of pathogenic flora, but also, if possible, to regenerate the tissue of the tonsils and restore their normal functioning. To do this, you need, of course, to consult a doctor, an ENT specialist, who will tell you a program of action. He can take a swab from the larynx to find out whether the number of bacteria settling on your mucous membrane is higher than normal. If necessary, he will prescribe a course of antibiotics or phages that will deliver a targeted blow to those types of bacteria that, quite possibly, most often attack your body. Next, you may need a local effect on the mucous membrane using rinses with antibiotics, alcohol solutions, iodine-containing preparations, and biologically active substances. In some cases, a course of energy effects using electrophoresis, UHF, microwave, laser therapy, etc. will be suitable. If necessary, it will be necessary to eliminate problems of the upper respiratory tract that can provoke the disease (adenoiditis, chronic rhinitis, sinusitis, deviated nasal septum). Some people benefit from preventive treatment with the already mentioned immunomodulator drugs.
In addition to this treatment, whether you like it or not, you need to introduce elements of hardening. Even if these are not icy douches, but just daily wiping of the torso or just the neck area with warm and then slightly cool water, over time you can add to this procedure dousing your feet with water of the same temperature.
If, in an effort to strengthen our arms, we perform exercises to develop the upper limbs, then special exercises will also help in strengthening the throat. Firstly, any load on the neck muscles is good. There are observations that in people suffering from frequent tonsillitis, the mobility of the cranial-cervical joint is difficult. Physical exercise will not only improve blood circulation throughout the entire area of the larynx, but also restore mobility of the cervical spine. Secondly, we need “physical exercise” for the larynx, which would help the regeneration processes of the mucous membrane.
Here is an approximate set of exercises for this case
Circular movements of the head in one direction and the other.
Tilts the head from side to side.
Place your elbow on the table, clench your hand into a fist and rest your chin on it. Press your chin onto your fist while feeling the tension in the muscles of your larynx.
Exercises performed with the tongue
Keeping your mouth closed, press the entire surface of your tongue into the roof of your mouth - 1 movement per second. Do this for a minute. Rest and repeat the exercise if desired.
The mouth is closed, the tip of the tongue is on the alveoli of the upper palate (tubercles behind the teeth). Pull the root of your tongue towards the tonsils, feeling the touch on them. The pace is the same as in the previous exercise, or slightly lower.
The famous "lion pose" is an exercise borrowed from yoga. Sit on your heels, keeping your back straight. Place your palms on your knees, fingers together. Exhale through your nose, at the same time open your mouth as wide as possible, stick out your tongue and try to reach your chin with its tip. In this case, you need to lean forward a little and spread your fingers - like a lion with its claws out. Stay in this position as long as you can hold your breath, then return to the starting position and breathe calmly. In yoga, this exercise is done a huge number of repetitions, but for us to prevent throat diseases, 5-6 times in one go will be enough. However, during the day you will need to make several such visits - as they say, the more, the better.