What Are the Best Treatments for Tonsillitis in Children?

Purulent tonsillitis in children is a common disease in children, which belongs to the upper respiratory tract disease caused by bacterial infection. Among children with respiratory infections, pyogenic tonsillitis accounts for about 10% to 15%. Pediatric purulent tonsillitis also has some difficulties in treatment, the sooner it is found that the treatment will be better.

Pyogenic tonsillitis in children

Purulent tonsillitis in children has acute onset, high fever, obvious sore throat, adenoid hypertrophy, tonsil swelling, especially when swallowing, which can cause children to refuse food. Examination shows congestion of the pharynx, yellow and white pus on the enlarged tonsils Spots or pus coats, neck lymphadenopathy. The main treatment principle of acute suppurative tonsillitis is anti-infection, which can include antibacterial laryngeal tablets, and pay attention to rest, drink plenty of water, and eat a juice diet.

Brief introduction of purulent tonsillitis in children

Overview of pyogenic tonsillitis in children

Symptoms of purulent tonsillitis in children

Acute recurrence of acute tonsillitis can develop into chronic tonsillitis, the cause of which is related to the low immunity of children. Chronic tonsillitis has tonsils stored in the tonsils. Toxins secreted by the bacteria not only enter the blood and inflammatory secretions are swallowed to stimulate the gastrointestinal tract, which can cause long-term hypothermia, indigestion, and loss of appetite in children. When the body's immunity declines, it can have an acute attack. At the same time, bacteria and toxins can cause allergic reactions in the body, causing rheumatic fever (rheumatoid arthritis and rheumatic heart disease), nephritis and other diseases.

Causes of pyogenic tonsillitis in children

Due to bacterial and viral infections, bacteria are more common. The pathogens are mostly hemolytic streptococcus, staphylococcus, and pneumococcus. These bacteria usually exist in the human throat and tonsil crypts. Under normal circumstances, due to the intact epithelium of the tonsil glands and the continuous secretion of mucus glands, bacteria can be excreted from the crypt mouth with exfoliated bacteria, so the body is maintained. Health. When the body's resistance is reduced due to excessive fatigue, cold, or local physical or chemical factors, the blood flow of the tonsils is reduced, the glandular secretion function is reduced, and the epithelial defense ability is reduced. Inflammation of almonds.

Diagnosis and differentiation of suppurative tonsillitis in children

1, systemic symptoms: acute onset, chills, high fever can reach 39-40 ° C, especially children can convulsions, vomiting or lethargy, loss of appetite, constipation and general soreness due to high fever.

2, local symptoms: obvious sore throat, especially when swallowing, severe cases can be radiated to the ears, children often cry because they cannot swallow. If children are affected by tonsil hypertrophy, they may not disturb their sleep and often wake up at night.

3. Examination: Acute patients, red cheeks, stinky mouth, thick moss on the tongue, neck lymph nodes, especially those in the corners of the jaw, are often swollen and tender. Leukocytes increased significantly.

Harm of pyogenic tonsillitis in children

1. Acute tonsillitis usually causes greater pain and torture to patients and damages their health.

2. Acute tonsillitis can easily turn into chronic tonsillitis if it is not treated in time or incompletely.

3. Although chronic tonsillitis is not as dangerous as acute inflammation, it will have long-term effects on patients' work and life.

4. Under the stimulation of long-term inflammation, the tonsils may lose their normal functions and become harmful "lesions" to the human body, which can cause otitis media, sinusitis, glomerulonephritis, myocarditis, rheumatic heart disease, rheumatoid arthritis And many other complications.

Treatment of pyogenic tonsillitis in children

The traditional way of treating acute tonsillitis with traditional medicine is generally to use antibacterial anti-inflammatory drugs. The disadvantage of this local treatment is that it only eliminates, but cannot clear the bacteria in the tonsil pits. Once the body's resistance is reduced, it is easy to recur and it will form over time Chronic lesions.

Surgical treatment of suppurative tonsillitis in children

If tonsillitis is very severe and often occurs, affecting the child's general health, or preventing the child from going to school, hearing or breathing, the doctor will recommend surgical removal of the tonsils (tonsillectomy).

(The child must be hospitalized for this operation, and a general anesthesia is required during the operation. The risk of the operation is very small. This operation can solve the problem of tonsillitis once and for all.)

Patients should be considered for excision if:

1. Symptoms of purulent tonsillitis recurred. She had suffered from abscesses around the tonsils, and the inflammation spread to nearby organs. Otitis media and cervical lymphadenitis often occurred. Caseinous secretions on the tonsils were common, and children had bad breath.

2. The weight of almonds is enlarged, which prevents breathing, swallowing and pronunciation, falling asleep, snoring, and disturbed sleep;

3. Chronic tonsillitis causes rheumatic fever, nephritis and other diseases;

4. Chronic tonsillitis causes long-term low fever, loss of appetite, and affects the growth and development of children.

Pulmonary tonsillitis in children considering resection of tonsils

1. Children with chronic tonsillitis have repeated episodes of acute suppurative tonsillitis. There are many small "pits" in the tonsils with bacteria hidden in the nests. Small pus spots or purulent exudates can often be seen. . When the body's resistance decreases, the bacteria multiply, making the tonsils a "lesion" that must be completely eradicated. Because tonsillitis is mostly caused by type B hemolytic streptococci, this bacteria can cause allergic reactions, secondary rheumatic heart disease, glomerulonephritis, allergic purpura and so on. These diseases can endanger the health of a lifetime. At this time, an experienced doctor should be asked to determine whether to remove the tonsils.

2. Excessive hypertrophy and hyperplasia of tonsils, blocking the respiratory tract and causing poor breathing. After falling asleep, due to muscle relaxation, breathing is more blocked, showing poor sleep, snoring, easy to wake up, listlessness, and loss of energy during the day. If there is another episode of acute inflammation and the obstruction suddenly worsens, it can cause severe breathing difficulties and even suffocation, which may be life-threatening. In this case, resection should be considered after inflammation control. Multiple choices for unilateral resection, retaining a relatively normal tonsil.

Nursing care of pyogenic tonsillitis in children

rest

Sick children should rest in bed, the indoor temperature should not be too high, it is advisable not to feel cold, the basin should be placed on the stove, sprinkle some water on the ground to maintain a certain humidity in the air to keep the nasopharynx moist. In the case of keeping warm, open the windows and doors regularly for ventilation, but prevent cold wind from blowing directly on the sick child's body. It is strictly forbidden to smoke indoors to keep the indoor air fresh and reduce throat irritation.

diet

In the acute phase, the sick child should be given a light, digestible and nutritious liquid or semi-fluid food. Can be changed to eat normal meals during the recovery period. In the acute phase, children should drink plenty of water, or a variety of fruit juice and sugar water to supplement the body's water.

Oral care

Before and after meals, the sick child should be rinsed with warm saline 1: 1, and 2% baking soda or 3% boric acid can be used to gargle 4 to 5 times a day.

Fever care

When the body temperature is too high, you can use physical cooling, such as cold forehead: warm water rubbing bath, alcohol rubbing bath and so on. You can also take antipyretic medication for sick children according to your doctor's advice.

painkiller

Parents should follow the doctor's instructions during treatment and give the sick children medicine and injections on time. While receiving penicillin and sulfa drugs, pay attention to observe the sick children to prevent allergic reactions. During the medication, if the sick child has a rash, a sudden rise in body temperature, abdominal pain, or early symptoms of shock, he should stop the medicine immediately and go to the hospital for rescue as soon as possible.

Pay attention to the condition

If there is oliguria and ophthalmic oedema within 2 to 3 weeks after the child is well, it may be associated with nephritis; if fever, joint pain, palpitation, and rapid pulse increase may be combined with rheumatic fever.

Preventive measures for purulent tonsillitis in children

1. Pay attention to keeping your child hot and cold. It is best not to wear too much clothes, and sweat too much if you wear too much, so it is easy to catch a cold.

2. After the child is sweating, take off his wet clothes in time. After the person sweats, his pores will expand and the cold will enter the human body more easily.

3, children must be cured in one go, otherwise high fever is likely to cause infections, resulting in children with pyogenic tonsillitis in children.

4. Balanced diet and strengthen nutrition. Your child's diet must be nutritionally balanced and reasonable. In particular, it is necessary to quit the bad habits of children who like to eat snacks. Most of the snacks are not nutritious. They also make children eat poorly and cause nutritional disorders.

5, exercise children's good habits. Make sure your child can take good care of herself, know when to change clothes, and eat well. In this way, the chance of catching a cold can be reduced as much as possible, and the nutrition can be balanced.

6. In daily life, taking tea as a drink, in addition to preventing and improving the treatment of tonsillitis, it can also adjust the body's mechanism balance, clearing heat and detoxifying, anti-inflammatory and antibacterial, enhancing human resistance, and greatly reducing the discomfort caused by tonsillitis. This type of Chinese herbal tea is mainly fat sea, wild chrysanthemum and so on.

Tonsillitis is more difficult to heal, and you should go to a regular professional hospital for treatment in time.

Precautions for purulent tonsillitis in children

The difference between tonsillitis and tonsillitis in children with purulent tonsillitis

Many parents think of tonsillitis when their doctors say that their tonsils are swollen. In fact, tonsil enlargement and tonsillitis are essentially different. The tonsils located in the pharynx are important immune organs of the human body. Before the age of 1, the tonsils are not fully developed, the tonsils do not swell, and there are not many opportunities for tonsillitis. 1 It gradually increases after the age, reaches a peak at the age of 4 to 10, and gradually degenerates at the age of 14 to 15. Therefore, tonsillitis is more common in school-age children. School-age children with simple tonsil enlargement (should be referred to as physiological hypertrophy), no fever and sore throat, check that the tonsils have no congestion and no purulent secretions. This is normal and does not require treatment. At the same time, children with tonsillitis Size does not indicate the severity of its inflammation.

Pediatric purulent tonsillitis Don't do tonsillectomy easily

Tonsil is an important immune organ of the human body. It has the functions of cellular immunity and humoral immunity. The antibodies produced by IgA have strong immunity and can inhibit the adhesion, growth and spread of bacteria in the respiratory mucosa. It has a neutralizing and inhibiting spreading effect on the virus. Immunity is most active in children (3 to 5 years). Removal of the tonsils will eliminate the local immune response and reduce respiratory resistance.

Pediatric purulent tonsillitis purulent tonsillitis is a bacterial infection

Bacteria will produce some metabolites during the growth and reproduction process, causing the body's body temperature regulation center to change and generate fever. In the treatment of purulent tonsillitis, after the use of antimicrobial drugs, the bacteria are killed in a large amount in a short period of time. Disintegration and release of a large number of poisonous surgery, but led to higher body temperature after antibiotic use, which is a normal treatment response, do not worry, high body temperature can only be treated symptomatically.