Symptoms of angina in children 5 years old. Complications with angina

The defining symptom of angina is inflammation of the tonsils and related phenomena of intoxication. Another important symptom characterizing this pathology is pain in the throat. Due to the fact that, due to their age, not all children can state their complaints, it is important to study the whole complex of symptoms.

However, a number of other pathological conditions are also accompanied by the development of these signs. At the same time, the course of diseases, prognosis, and therapeutic measures can differ significantly, depending on the specific pathological process. Therefore, it is very important for the appointment of correct treatment is to clarify the diagnosis of angina.

General signs of the disease

Given the morphological changes occurring in the tonsils, the clinical signs of angina may be somewhat different. Depending on the nature of the inflammatory process, there are several forms of the disease. Common symptoms are as follows:

acute development of the disease;
an increase in body temperature up to 39 degrees;
having a sore throat;
an increase in the size of the tonsils;
hyperemia of the tonsils;
the presence of various raids on the tonsils, due to the nature of the inflammatory process and the depth of the lesion;
enlargement of regional lymph nodes, their pain on palpation;
disease duration within 7 days.

The first signs of tonsillitis in children are more often observed against the background of acute respiratory viral infections, when the condition worsens, there is a sharp malaise, chills, and hyperthermia develops. Younger children refuse to eat, older children note a lack of appetite. However, in older children, angina can also be an independent pathology that develops when a child comes into contact with an infected patient. In this case, the phenomena of intoxication are accompanied by a sore throat, aggravated by swallowing and radiating to the ear or neck.

Permanent symptoms of angina in children - an increase in regional lymph nodes. On palpation, their compaction and soreness are noted.

An objective examination of the symptoms of a sore throat in a child is characterized by flushing of the face and lips, dry skin, and seizures may be noted in the corners of the mouth.

Depending on the involvement of this or that tissue of the tonsils in the process, a child has tonsillitis

catarrhal;
Purulent;
Necrotic.

For each form of angina, a certain nature of pathological changes occurring in the tonsils is typical. You can detect these changes using pharyngoscopy, that is, a visual examination of the pharynx with a spatula and artificial lighting.

Signs of catarrhal angina

Catarrhal angina has the most favorable course. At the same time, the phenomena of intoxication are less pronounced than in other forms. In adults, the disease can occur even at subfebrile temperature. For children, its increase to 38 degrees is typical.

Pharyngoscopy allows you to detect hyperemia, swelling of the mucous membranes of the tonsils, the absence of raids. At the same time, the posterior wall of the pharynx and the soft palate are not changed. There is a slight increase and pain when feeling the lymph nodes along the anterior surface of the neck, in the region of the lower jaw or its angle.

In the general blood test, an increase in ESR to 15-18 mm / h is noted. The duration of this form of the disease does not exceed 5 days. With incorrect and untimely treatment, catarrhal angina can transform into a purulent form.

Characteristics of purulent tonsillitis

Depending on the morphological changes, purulent tonsillitis is divided into follicular and lacunar. Common symptoms are as follows:

pronounced phenomena of intoxication;
involvement in the process not only of the mucous membrane of the tonsils, but also of the follicular tissue;
the presence of severe pain and an increase in the size of regional lymph nodes.

For children with such a course of the disease, the phenomena of intoxication come to the fore. The child is lethargic and weak. There is a headache, there may be pain in the lower back. High hyperthermia in children is often accompanied by nausea, vomiting. ESR reaches 30 mm/h. The duration of the disease in this case is about a week.

Objective ones depend on the involvement of various structures of the tonsils in the process. When examining the pharynx, follicular tonsillitis is characterized by enlarged and edematous hyperemic tonsils, in the follicles of which single whitish plaques 2-3 mm in size are visible through the mucous membrane. Their scraping with a spatula does not work, because they are covered with a mucous membrane. These festering follicles open on their own for 2-3 days, leaving behind a rapidly scarring erosive surface.

Lacunar angina can be characterized even more heavy flow. Inspection of the pharynx reveals a dirty white or yellowish coating covering the gaps. When scraping it with a spatula, it can be easily removed. Fibrinous plaque can cover almost the entire tonsil without protruding beyond it. The same patient may have a combined form of the disease, characterized by signs of lacunar lesions on the one hand and follicular lesions on the other.

Necrotic angina is characterized by a grayish coating. An attempt to scrape it with a spatula is unsuccessful: it is in close contact with the mucous tissue. Attempts to remove it lead to the development of bleeding. In this case, the necrotic process can capture not only the tonsils, but also the back wall of the pharynx, arches, tongue.

Diagnosis of the disease

How to recognize angina? To do this, you need to use the following factors:

data of an objective examination (enlarged hyperemic tonsils, the presence of a characteristic plaque);
patient complaints of sore throat;
the presence of intoxication phenomena;
results of laboratory diagnostics.

To determine this disease using examinations, it is necessary to carry out a flush from the pharyngeal cavity. Bacteriological examination of this material can detect beta-hemolytic streptococcus, in more rare cases - staphylococcus aureus. The diagnosis is also confirmed by serological diagnostics, which makes it possible to detect an increase in antibody titers to streptococcal or staphylococcal antigens.

An important role in the diagnosis of the disease is played by a carefully collected anamnesis and the presence of additional symptoms.

Angina in a child must be differentiated from diseases such as

You can get a sore throat only through contact with a sick or infected patient, due to the effects of streptococcus or staphylococcus aureus.

The development of a sore throat in a child becomes possible when this pathogen enters the body through airborne droplets or through infected foods and common items.

At the same time, for exacerbation of chronic tonsillitis, a simple hypothermia and activation of various bacterial or viral agents are sufficient. The result of such exposure will be the development of a clinical picture resembling the course of catarrhal angina. However, the effects of intoxication will be less pronounced. In doubtful cases, laboratory diagnostics can be of great help, which makes it possible to reliably clarify the pathogen, and, therefore, contribute to the appointment of the correct treatment.

Diphtheria is characterized by the presence of additional signs, which makes it quite easy to differentiate this disease with tonsillitis. Among them:

high intoxication (body temperature reaches 40 degrees);
the presence of a characteristic diphtheria film on the tonsils;
epidemiological history confirming cases of the disease among this category of people;
detection of diphtheria bacillus in a throat scraping;
serological diagnostics, which makes it possible to detect an increase in the titer of antibodies to a diphtheria pathogen.

Despite the absence of characteristic changes in the pharynx, infectious mononucleosis is also characterized by the presence of additional signs that allow clarifying the diagnosis and differential diagnosis of this disease with tonsillitis. It is characterized by such accompanying symptoms:

Features of the course in infants

The most typical infection of the tonsils for children over the age of five. Angina in infants caused by streptococcus or staphylococcus aureus is a rare occurrence. The development of this disease for newborns is atypical, since the child retains maternal immunity. Children in the first year of life are more susceptible to viral exposure. The most characteristic for children of this age is the herpetic form of lesions of the tonsils.

The disease is characterized by an increase in body temperature up to 39 degrees, a sharp malaise. The child becomes lethargic, whiny, refuses to eat. There may be vomiting, diarrhea, the appearance of meningeal signs. An inflammatory process with lesions of the tonsils can be suspected by the presence of an unpleasant odor from the child's mouth. When examining the pharynx, reddish vesicles attract attention, after opening which erosions form, drying with crusts. Severe lymphadenopathy is noted.

The peculiarity of the course of angina in infants lies in the severity of the disease and longer periods. Despite ongoing treatment, clinical signs of tonsillitis in children can persist for two weeks. Hyperemia and enlargement of the tonsils are observed even longer. Experts believe that such terms are due to the ongoing formation of lymphoid tissue in newborns. These children have a tendency to develop complications of the disease.

Due to the severity of the disease, the treatment of children under one year old with this pathology should be carried out in a hospital in the infectious diseases department.

In older children, when angina was a complication of acute respiratory viral infections, the regression of the pathological process in the tonsils occurs at the appropriate time, that is, within 7 days. At the same time, the phenomena of intoxication decrease, the general condition of the patient improves, the pain in the throat becomes less noticeable. Tonsils are cleared of raids. Over time, their swelling regresses, and the mucous membranes acquire their usual color. However, for some time there may be a runny nose, dry cough, which are a manifestation of SARS.

Signs of a sore throat in a child require a mandatory consultation of a pediatrician or ENT doctor. Self-medication in this case is very dangerous. Various pathologies, accompanied by the involvement of the tonsils in the process, can differ significantly in treatment tactics. Antibiotics of the penicillin series, prescribed for the treatment of streptococcal or staphylococcal tonsillitis, are absolutely ineffective in infectious mononucleosis caused by a viral pathogen. Treatment of diphtheria requires the use of an appropriate serum.

Therefore, parents should be able to recognize in a child. The development of such serious diseases as rheumatism and glomerulonephritis is due to the transferred angina, its incorrect treatment. Carrying out timely therapeutic measures allows avoiding early complications of this disease, such as tonsil abscess, purulent lymphadenitis, requiring surgical intervention.

For the first time, the disease of angina was described in the writings of Hippocrates, dated to the 4th century BC. e. Seven centuries later, Avicenna described how intubation is performed for asphyxia caused by this disease. Unlike adults, in children, angina is more acute, since the weaker children's immunity controls the presence of pathogenic microorganisms worse.

Reasons why children get angina

Angina is an infectious disease, also known as acute tonsillitis. With angina, the palatine tonsils become inflamed. Angina is a rather serious disease of the whole organism, and if the parents of a sick child underestimate it and, out of inexperience, treat it as a non-dangerous catarrhal disease, which is why they try to treat the baby themselves without calling a doctor, they risk very much harm the baby. Angina in a child is dangerous with serious complications from the kidneys, joints, and heart. One sore throat not treated in childhood can undermine health for many, many years.

The causative agent of this disease in most cases is streptococcus. Another reason why children get sore throat is exposure to staphylococcus or other pathogens, but such cases occur less frequently.

First, the infection enters the oral cavity. This happens, for example, when breathing through the mouth. For some reason (acute rhinitis, enlarged adenoids, etc.), the child cannot breathe through the nose and breathes through the mouth. With the inhaled air, dust enters the oral cavity, and with it pathogenic microorganisms. Microbes settle on the surface of the tonsils and begin their activity.

The infection can enter the oral cavity with poor-quality food. Also, the causes of tonsillitis in children can be carious teeth, inflamed nasopharyngeal tonsil (adenoiditis), inflamed paranasal sinuses.

See what angina looks like in children in the photo below:

The development of a sore throat in a child is facilitated by such factors as poor living conditions, frequent hypothermia, irregular and malnutrition, fatigue, weakening of the body's defenses due to frequent colds, weakness of the body due to some serious illness, etc. For preventive purposes, a child is recommended from an early age.

Types of angina in children, signs of the disease and complications

There are three main types of tonsillitis in children: catarrhal, lacunar, follicular. The most harmless is catarrhal: with it, only the mucous membrane covering the tonsil becomes inflamed. With the lacunar form, the inflammatory process spreads deeper and covers the lacunae (special depressions in the tonsils). Acute follicular tonsillitis is the most severe, since with it inflammatory changes also affect the parenchyma of the tonsils.

The main symptom of a sore throat in a child is a sore throat of one or another severity. When swallowing, the pain intensifies. In a sick child, a picture of general intoxication of the body quickly grows: general weakness, weakness, lethargy, capriciousness appear; the baby complains of a headache; there may be nausea and vomiting. Body temperature rises to 38-39 °C and even up to 40 °C.

As can be seen in the photo, the symptoms of angina in children are significantly enlarged, reddened, loose palatine tonsils:

Plaques are found on the surface of the tonsils and in the lacunae. If you try to remove these plaques - with a wooden spatula or a cotton swab - they are quite easily removed, while there is no bleeding of the mucous membrane that has opened from under the plaques. Nearby (regional) lymph nodes (submandibular, cervical, supraclavicular, etc.) react to inflammation of the tonsils. They increase, and when palpated, the soreness of these groups of lymph nodes is noted. Due to the enlargement of the tonsils and swelling of nearby tissues, the patient's voice changes somewhat - it becomes a kind of anginal.

Another sign of angina in children can be detected in a laboratory study of blood and urine: they show sharp deviations from the norm.

Very dangerous are such possible complications of angina in children as paratonsillar abscess (also called phlegmonous angina), purulent lymphadenitis, rheumatism, rheumatic myocarditis. An infection that spreads through the body with blood flow, hitting the kidneys, can cause the development of nephritis.

How and how to treat a sore throat in a child at home

Acute tonsillitis is a very dangerous disease, and you should not try to carry out therapy on your own and exclusively with home remedies. Suspecting the first symptoms of angina in children, treatment should be started immediately. Moreover, at the slightest suspicion that the baby has tonsillitis (as soon as he complained of a sore throat), you need to call the district children's doctor at home. After examining the child, the doctor prescribes a comprehensive treatment. The child must comply with bed rest. When treating sore throats in children at home, the room in which the child is located must be regularly ventilated.

A sick baby should be provided with a vitamin-rich diet. Especially important are vitamins A, C, E, which are antioxidants, i.e. are capable of suppressing the infection. The child's diet is sparing. This means that he is given only liquid and semi-liquid dishes, without fail - in a warm form. Everything spicy, hot, cold, dry, hard for a child suffering from acute tonsillitis is contraindicated.

In the process of how to treat a sore throat at home, the child is recommended to drink plenty of warm water. On the one hand, a warm liquid warms the tonsils, and on the other hand, diuresis increases from heavy drinking, while more toxins are excreted from the body with urine. It is not necessary to independently determine how to treat a sore throat in a child: the pediatrician should prescribe the necessary medicines.

Remember that acute tonsillitis is a contagious disease. Therefore, a baby with a sore throat should not be in contact with other children. Items used by a sick child should not be used by other family members. It is very important that a child suffering from this disease has separate utensils. Dishes used by the patient require thorough washing in running water with a brush and detergent and subsequent boiling.

Local treatment of angina in children: gargles and tablets for a child

Local treatment of angina in children consists of inhalations and gargles. Good inhalations with soda steam, potato steam (boil potatoes, mash them and breathe in steam, mouth wide open) and others.

For gargling with sore throat in children, remedies such as baking soda solution (dissolve 1 teaspoon of soda in a glass of warm water), sea salt solution (dissolve 1 or 2 teaspoons of dry sea salt in a glass of warm water), furacilin solution ( 1:5000). Also, for gargling with sore throat in a child, a solution of potassium permanganate (light pink), a solution of atony (0.1%), a solution of hydrogen peroxide (per glass of warm water - 1 tablespoon of peroxide), a solution of boric acid (per glass warm water - 1 teaspoon of boric acid), etc.

In the process of how to treat a sore throat in a child, it is important to observe the following rule: it is not enough to gargle 2-3 times a day for acute tonsillitis, gargles should be performed up to 15 or even 20 times a day - only then can you count on the desired effect. It also requires compliance with another rule: you need to alternate rinsing with different means - this increases the effectiveness of rinsing many times over. Periodic irrigation of the tonsils with a 0.05% solution of Levamisole, as well as Interferon, will help to cope with the disease faster.

As tablets for angina for children, prescribed for resorption, Faringosept and Falimint are the most effective. The condition of the nose does not go unnoticed. Angina is more difficult to treat if the nose is not breathing and the child is forced to breathe through the mouth. With nasal congestion, certain vasoconstrictors are prescribed; the doctor should also prescribe medicinal drops and ointments for the nose.

Treatment of angina in children: is it possible to compress a child's throat?

When treating a sore throat in children, many parents wonder if it is possible to put warm compresses on the child's throat in case of acute tonsillitis?

Most doctors believe that compresses for sore throats are prohibited for children, and explain their position as follows: warming compresses are nothing more than “deep heat”. If the tissues surrounding the inflamed and infected tonsils are heated with a compress, this causes a rush of blood and lymph to the area of the tonsils and further spread of the infection throughout the body, which is highly undesirable, because. threatens to develop serious complications.

It is better for a child with a sore throat to put compresses not on the throat, but on the neck - on the area of projections of enlarged, painful cervical lymph nodes - warming compresses can and should be done. Usually make oil, vodka or semi-alcohol compresses.

Now let's deal with "shallow" heat - i.e. with warm drinks and frequent gargling with warm solutions. Exposure to such heat for angina is strongly recommended: there is no significant rush of blood and lymph to the focus of inflammation (and infection), but the inflamed tonsils themselves warm up to the full depth, and pathogenic microbes die from heat in large numbers.

At the same time, the so-called symptomatic treatment is carried out: if the child complains of a severe sore throat, they give painkillers; if the temperature rises, they give antipyretics, etc. The doctor may additionally prescribe vitamins and B vitamins.

Traditional medicine in the treatment of angina in children

The use of traditional medicine methods for angina in children helps to significantly speed up the healing process and avoid formidable complications. Pediatricians once again remind: the use of folk remedies for sore throats in children is possible only as an additional treatment for doctor's prescriptions (after consulting with him).

As a folk treatment for angina in children, it is recommended:

breathe exclusively through the nose; talk as little as possible;
3-4 times a day drink warm tea with raspberries and blackberries, with lemon; raspberries and blackberries contain a lot of a substance called "natural aspirin"; it is good for any inflammation; in lemons, as in other citrus fruits, there is a lot of ascorbic acid (vitamin C); this vitamin is able to actively suppress the infection (not only bacteria, but also viruses);
gargle with an infusion of chamomile flowers: pour 1 teaspoon of dry raw materials with a glass of boiling water and insist in a sealed container for 15-20 minutes, strain; use for warm rinses; alternate with other means for rinsing;
use an alcohol solution of propolis; preparation of the solution: a small piece of solid propolis (about the size of a thimble) is finely chopped with a knife, placed in a container of suitable size and pour 40-50 g of ethyl alcohol, leave for at least a day with occasional shaking; propolis is extracted into alcohol, and the wax will settle to the bottom; in a day (and possibly later), drain the alcohol solution of propolis from the sediment; can be stored in a cool place indefinitely; use of the solution: add 5-6 drops of an alcohol solution of propolis to half a glass of warm water (the water will become cloudy - it will look like milk highly diluted with water); with this water-alcohol solution of propolis, you need to gargle several times a day; alternate with other means.
gargle with honey water; preparation of the remedy: 1 teaspoon of honey is enough for half a glass of warm water, stir; rinse several times a day without swallowing;

How to treat angina in children with folk remedies

Here are a few more folk remedies on how to treat a sore throat in children, after consulting with a pediatrician:

gargle with infusion of sage leaves officinalis; preparation of infusion: place 1 tablespoon of dry, crushed leaves in a preheated thermos, pour a glass of boiling water and leave for about an hour, cool, strain; use warm; gargle 4-5 times a day, alternating with other means; if you rinse only with infusion of sage leaves, then more often;
gargle with fresh beetroot juice; juicing: a sufficient amount of fresh beets must be grated, then squeezed out the juice; use warm; for an older child, you can add 1 teaspoon of table vinegar to a glass of beetroot juice (not essences!); a small child can add 1 teaspoon of honey to the juice for rinsing; do not swallow the juice when rinsing; alternate with other means;
In the process of how to treat a sore throat in children, it is good to gargle with an infusion of large plantain leaves; preparation of infusion: pour 1 tablespoon of dry, crushed raw materials with a glass of boiling water and insist, wrapping well for at least half an hour, strain; use warm; an infusion of fresh plantain leaves is prepared in the same way;
gargle with a decoction of onion peel; preparation of a decoction: pour 1 teaspoon of chopped onion peel with a glass of water and boil over low heat for 5-6 minutes, then insist, wrapped for several hours, strain; gargle several times a day;
gargle with Kalanchoe juice; preparation of the remedy: pass a sufficient amount of leaves through a meat grinder, squeeze out the juice, mix it in half with warm water; gargle several times a day;
use the following collection: take the leaves of a large plantain, calendula officinalis flowers, wormwood herbs in equal amounts; preparation of a decoction: pour 1 tablespoon of a dry, chopped mixture with a glass of water and boil over low heat for about 15 minutes, cool, strain; gargle 5-6 times a day, alternating with other remedies.

Effective folk methods for the treatment of angina in children

And a few more effective folk methods for treating sore throats in children at home:

take syrup from the leaves of aloe arborescens; syrup preparation: half-fill a suitable container with finely chopped aloe leaves (previously thoroughly washed with cold water) and pour sugar to the top, tie the neck of the dish with gauze and insist in a cool place for 3 days, strain (what remains - squeeze out); take syrup for a child 1 teaspoon 3 times a day before meals; duration of treatment - until complete recovery;
drink an infusion of peppermint leaves; preparation of infusion: pour 2-3 dry mint leaves with a glass of boiling water and insist under the lid for 15-20 minutes, strain; drink warm immediately after preparation;
drink an infusion of cinnamon rose hips; preparation of infusion: pour 1 tablespoon of dry, chopped fruits with a glass of boiling water and insist under the lid for about an hour, strain; drink warm, 0.5-1 glass 2-3 times a day; this infusion contains a lot of vitamin C, which, being a powerful antioxidant, actively destroys the infection in the body;
take fresh onion juice; juicing: rub a sufficient amount of onions into gruel, squeeze the juice with gauze; for an older child, drink 0.5-1 teaspoon of fresh juice 3-4 times a day;
drink an infusion of pine buds; preparation of infusion: pour 1 tablespoon of raw materials with a glass of boiling water and, wrapping it well, leave for up to half an hour, strain; take half a glass 2-3 times a day; alternate with other means;
several times a day drink slightly warmed marsh cranberry juice;
several times a day, inhale through the nose and mouth vapors from freshly prepared gruel of onions or garlic;
take gruel from grated apples, grated onions and honey; preparation of the remedy: take all the ingredients in equal quantities, mix; take warm, 1-2 teaspoons 2-3 times a day; alternate with other means.

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Angina refers to acute infectious diseases and is characterized by an inflammatory process localized mainly on the palatine tonsils, therefore it is also called acute tonsillitis in another way. The causative agents can be bacteria, viruses and fungi, but in the vast majority of cases it turns out to be β-hemolytic streptococcus. Infection of children is carried out by airborne droplets and less commonly by household contact with sick children or adults. The most susceptible to the onset of the disease are children aged 3 to 6 years who attend children's groups.

Catarrhal. It is characterized by a relatively mild course, superficial lesions of the tonsils, their redness and swelling, from above they are covered with transparent mucus.
Lacunar. It manifests itself in the form of formation in the lacunae of the tonsils and on their surface a yellowish-white purulent plaque.
Follicular. It is accompanied by an increase in palatine tonsils in size, the formation of yellow or white purulent plugs up to 3 mm in diameter on their surface.
fibrinous. It is characterized by the appearance of a whitish-yellow fibrinous coating over the entire surface of the tonsils and sometimes outside them in the form of a film, most often it is a consequence of lacunar or follicular tonsillitis.
Ulcerative membranous. Accompanied by loosening of the tonsils and the formation of a grayish-yellow plaque on them, leaving superficial ulcers with a gray bottom, it develops with severe exhaustion of the body, immunodeficiency, lack of vitamins B and C.

The first three forms are the most common, and lacunar and follicular angina are often a continuation of catarrhal.

Angina in children can occur as an independent disease (primary) or be a consequence or complication of other diseases: diphtheria, scarlet fever, mononucleosis, leukemia, agranulocytosis (secondary). Depending on the pathogen, angina is divided into bacterial, viral, fungal.

The most common bacterial pathogens of angina in children are streptococcus and staphylococcus aureus. At the same time, the share of diseases caused by streptococcus accounts for about 80% of all clinical cases.

The causative agents of viral sore throat can be Coxsackie and ECHO viruses, as well as viruses of the herpes family (cytomegalovirus, herpes simplex virus, Epstein-Barr virus), adenoviruses and others. The disease is accompanied by the appearance of rashes on the tonsils, outwardly resembling vesicles with herpes simplex, and therefore this sore throat is called herpetic.

With fungal angina, there is a combination of damage to the tonsils by fungi of the genus Candida or Leptotryx with streptococci or staphylococci.

Causes

Infection with angina in children occurs after contact with a sick child or adult by airborne droplets, through food, drinks and household items (dishes, towels, toys). A sick person is contagious to others from the first days of the disease until complete recovery. The following factors contribute to the development and reproduction of pathogenic microflora on the tonsils when it enters the child's body:

hypothermia;
consumption of cold drinks and foods;
decreased immunity against the background of existing or recent diseases;
chronic fatigue;
disease of the nasopharynx, accompanied by a violation of nasal breathing;
bad nutrition.

In babies under 6 months, this disease does not occur, in children from 6 to 12 months, the appearance of a sore throat is possible, but this happens extremely rarely. This is due to the fact that the development of the palatine tonsils and the differentiation of their follicles begins only from the age of six months. Accordingly, if there are no tonsils, then there can be no inflammation of them.

In some children, the tonsils are hypertrophied, often inflamed, and present a source of chronic infection. This disease is called chronic tonsillitis. Moreover, any additional infection, colds, hypothermia, stress cause its exacerbation, the symptoms of which are similar to the symptoms of a sore throat, but as such, this disease is not a sore throat, since no infection occurs. Just under the influence of favorable factors for the development of pathogenic microflora constantly present on the tonsils in small quantities, it begins to actively multiply and causes inflammation.

Symptoms

With angina in children, the following symptoms suddenly appear:

an increase in temperature to 38-40 ° C, which is very difficult to control with traditional children's antipyretic drugs;
an increase in size and soreness on palpation of nearby lymph nodes;
severe sharp pain in the throat, painful difficulty swallowing;
feeling of dryness, perspiration and tightness in the throat;
hoarse voice;
general weakness, nausea, loss of appetite, refusal to eat;
pain in the joints, muscles and in the region of the heart;
headache;
capriciousness, anxiety, tearfulness (in very young children).

Their intensity depends on the specific form and severity of the course of the disease.

The main differences between angina and ordinary ARVI, in which sore throat and other symptoms of angina in children can also be noted, are the absence of cough, runny nose, high fever with chills, sudden onset of the disease, the presence of pathological changes in the tonsils, swollen lymph nodes.

Diagnostics

If you suspect a sore throat, the child must be shown to the doctor. Self-diagnosis and self-treatment in this situation can result in serious complications. The doctor must take an anamnesis, listen to the parents' complaints, examine the pharynx and pharynx, assess the condition of the tonsils, and prescribe additional examinations.

To identify the cause of the disease, the child is given a general analysis of blood, urine and bacteriological culture of the throat (from the tonsils and the back of the pharynx) with the determination of the sensitivity of the detected bacteria to antibiotics. With bacterial angina in the general blood test, it is noted:

increased content of leukocytes;
an increase in the number of stab neutrophils;
increase in the content of immature forms of neutrophils (metamyelocytes and myelocytes);
decrease in the percentage of lymphocytes;
high rates of ESR (up to 40-50 mm/hour).

In the urine, traces of protein and single erythrocytes are found.

If the disease is caused by a viral infection, then the following deviations from the norm are observed in the general blood test:

increased content of lymphocytes;
a slight increase in the concentration of monocytes;
decrease in the number of neutrophils;
increase in ESR.

With angina, it is important to conduct a differential diagnosis, since typical symptoms for it are also observed in diphtheria and infectious mononucleosis. Unlike tonsillitis, diphtheria additionally affects the heart, kidneys, nervous system, and with infectious mononucleosis, an increase in all lymph nodes, damage to the liver and spleen is observed.

Video: Angina in children and adults. How to treat

Treatment of angina in children

If you suspect a sore throat in a child, parents should first of all call a doctor at home or go to a children's clinic. Treatment of this disease can take place both in a hospital and at home, depending on the severity of the patient's condition. Children under one year of age are usually hospitalized immediately.

The disease of viral etiology usually passes faster and easier than that caused by streptococcus or other bacteria. The basis of therapy for bacterial angina are antibiotics in oral or injectable form. With herpetic sore throat, treatment is symptomatic, but sometimes additional antiviral and immunomodulatory drugs are prescribed.

Treatment of angina is carried out in a complex and includes the following medications:

drugs directly aimed at combating the pathogen (antibiotics, antiviral or antifungal agents);
antipyretic drugs;
antihistamines;
local antiseptics.

In addition to the medicines prescribed by the doctor, it is necessary to give the child a plentiful warm drink (weak tea, compote, plain or mineral water without gas) to reduce intoxication, replenish fluid losses at elevated temperatures and prevent dehydration. In the room where the patient is located, it is necessary to carry out wet cleaning daily and often ventilate it.

In severe condition in the first days of the disease, children should observe bed rest. A sick child should be given separate dishes, hygiene items and isolated from other children in order to avoid the spread of infection. It is better to feed a child with warm, crushed food of a liquid or semi-liquid consistency (mashed potatoes, soups, cereals, broths), so as not to further injure the inflamed tonsil mucosa. From the same point of view, you should not offer your child spicy, sour, salty foods, carbonated drinks, hot tea.

Usually, 3-4 days after the start of treatment for angina, the child's condition improves significantly, the sore throat becomes less intense, the temperature does not rise to high values. Full recovery in the absence of complications occurs within 7-10 days.

Antibacterial drugs

Antibiotics are the main element in the treatment of bacterial sore throat. Moreover, it was found that it is more effective to start taking them on the second or third day from the onset of the onset of the characteristic symptoms of a sore throat in a child, as this will allow the body to form a certain immunity against the pathogen for the future. However, if the child's condition is severe, then treatment should begin immediately.

With angina caused by streptococcus, antibiotics are used, which are available in the form of tablets, suspensions or powders for the preparation of injection solutions. The choice of a specific drug and the method of its use is solely the task of the doctor. Children with angina can be prescribed the following antibiotics:

amoxicillin from the penicillin group (flemoxin, ampicillin) or amoxicillin in combination with clavulanic acid (amoxiclav, augmentin, ecoclave);
azithromycin (sumamed, azithromycin, azitrox, hemomycin) and midecamycin (macropen) from the macrolide group;
cefuroxime (cefurus, zinnat, axetin), cefixime (suprax, pancef) and other antibiotics from the cephalosporin group.

It is very important not to stop taking antibiotics after the child's condition improves, but to complete the full course of treatment, which for most drugs is 7-10 days. Otherwise, the likelihood of a child developing further serious complications after a sore throat increases, since the causative agent of the disease is not completely destroyed and acquires resistance to the therapy.

The absence of a therapeutic effect after 3 days after taking the prescribed antibiotic is an indication for its replacement.

To prevent dysbacteriosis, probiotics are given to the child in parallel with antibiotics and for some time after the end of their intake. These drugs include linex, bifidumbacterin, bifiform, lactobacterin.

Local treatment

Local treatment of children with angina has an antiseptic effect, makes swallowing easier, reduces inflammation and sore throat, but does not affect the recovery time. The doctor should select drugs for him, taking into account the age of the child and contraindications. Treatment may include gargling, sucking on tablets or lozenges, and spraying the throat. It should be carried out after meals 3-5 times a day. For at least 30 minutes after the local treatment of the throat, you should not eat or drink.

For rinsing, you can use:

furatsilina solution (2 tablets per glass of water);
0.01% Miramistin solution;
iodinol solution (1 tablespoon per glass of water);
stomatidine;
solutions prepared according to the instructions from herbal preparations (ingafitol, eucarom) and extracts (rotokan, chlorophyllipt).

Sprays are used for children over 3 years old, since at an earlier age, children are not yet able to hold their breath while injecting the drug, which is fraught with reflex contraction of the muscles of the larynx. When treating the throat with a spray for the prevention of laryngospasm, it is better to direct the jet of the drug not directly into the throat, but onto the cheek. Of the drugs in this group for angina, children are most often prescribed inhalipt, hexoral spray, lugol spray, tantum verde, orasept.

Of the tablets for resorption with angina, pharyngosept, hexoral tabs, lysobact, grammidin, strepsils, stopangin are used.

For very young children who are not able to gargle and dissolve tablets, topical treatment may consist of removing purulent plaque from the tonsils with swabs soaked in the rinse solutions listed above. To perform this procedure, the mother must wrap cotton wool around her index finger, moisten it with medicine and wipe the throat mucosa with it. It is better to consult a doctor about how to perform this procedure correctly and whether it is worth doing it at all.

Antipyretics

To reduce the temperature, antipyretics approved for use in children are prescribed in the form of syrups based on paracetamol (efferalgan, panadol, kalpol) or ibuprofen (nurofen, ibufen). Considering that the high temperature characteristic of angina may be accompanied by vomiting, it is preferable to use them in the form of rectal suppositories (cefekon, efferalgan, nurofen).

Antihistamines

To prevent allergic reactions while taking antibiotics, many doctors prescribe antihistamines to children as part of complex therapy. Most often they are used in the form of syrups (cetrin, erius, zodak, peritol) or drops (fenistil, zirtek).

Treatment with folk remedies

From folk remedies in the treatment of angina, gargling with infusions of medicinal herbs that have antiseptic and anti-inflammatory effects is used. These include chamomile, calendula, sage, eucalyptus, St. John's wort. Also for rinsing, you can use a solution prepared from ½ tsp. salt and soda, 200 ml of water and a few drops of iodine.

An effective folk remedy for many diseases of the upper respiratory tract is warm milk with the addition of honey and butter. This drink softens the mucous membrane of the throat and relieves pain.

The use of alternative methods of treating angina for a child must be agreed with the doctor, since some procedures for this disease are strictly contraindicated. First of all, this applies to steam inhalations and warming compresses.

Video: Pediatrician Komarovsky E. O. about the symptoms and treatment of angina

Complications

In the absence of timely correct therapy, angina can end in sad consequences for the child. This is due to the fact that streptococcus, which in the vast majority of cases is the causative agent of the disease, affects the heart, kidneys and joints. As a result, after a few months or years, the child may develop the following severe chronic diseases:

rheumatoid arthritis;
glomerulonephritis;
rheumatic endocarditis and myocarditis;
meningitis;
sepsis;
necrotizing fasciitis;
rheumatic chorea.

Currently, due to the use of antibiotics effective against streptococcus, such complications are extremely rare. For their timely detection after suffering a sore throat, it is necessary to observe a doctor for a month and conduct examinations (ECG, complete blood count and urine).

With angina, there is a risk of occurrence and local complications that appear immediately during the disease. These include:

laryngitis;
purulent lymphadenitis;
pneumonia;
paratonsillar abscess.

Video: Complications of angina

Prevention

The most reliable method of preventing angina is to exclude the child's contact with infected children or adults, careful observance of the rules of personal hygiene. In addition, parents should take measures in advance to strengthen the child's immune system, which include a balanced diet, hardening, adherence to the daily routine, good sleep, sports, frequent walks in the fresh air.

Angina (acute tonsillitis) is an infectious disease that is manifested by inflammation of the palatine tonsils and the formation of pustules on their surface. Depending on the shape and location of the abscesses, as well as on the source of the pathogen, tonsillitis can be follicular, lacunar, catarrhal, herpetic, etc. Angina can be contracted through a sick person after close contact - this is primary angina. Secondary angina is the appearance of inflamed areas on the tonsils due to the underlying disease - scarlet fever, diphtheria, mononucleosis, etc. If there was no contact with a sick person, but the disease nevertheless developed, it means that the focus of inflammation was inside the body. This happens with chronic tonsillitis, caries - when the causative agent of the infection is in the oral cavity. The causative agents of angina can be bacteria, viruses, fungi. Therefore, it is very important to consult a doctor for a correct diagnosis, so that the treatment is targeted. Today we will try to understand the symptoms and causes of angina, and also learn how to treat the disease with medication and folk remedies.

How does angina manifest itself?

Here are some of the symptoms that are characteristic of the course of this disease in children.

One of the first signs of a sore throat is a sore throat. Moreover, if with simple redness, a slight perspiration is felt, then with purulent sore throat, the child feels unbearable pain, it is difficult for him to swallow, eat, drink and speak. Any contact of diseased tonsils with other parts of the oral cavity brings serious discomfort.
Often, angina is accompanied by an increase in body temperature. Moreover, this increase is significant - purulent tonsillitis is characterized by a temperature above 39 degrees.
The general condition of the child worsens, his joints ache, he is naughty, cries, malaise does not allow him to sleep. Because of a sore throat, the child refuses to eat and constantly asks for water (in order to at least somehow relieve the sore throat).
On examination, angina is easily diagnosed, because white pustules are visible on the tonsils, the mucous membrane is covered with plaque. The palatine arches and uvula are usually bright red in color due to inflammation.
Against the background of inflammation in the throat of a child, salivation may increase, this is especially noticeable in children of the first year of life.

Usually, angina lasts about a week (acute period). Often, a sore throat is similar to a cold, except for a sharp sore throat that is difficult to relieve, and a very high fever. Moreover, it is very difficult to bring down such a temperature, and if this happens, the effect is not durable - it rises again after a couple of hours. Therefore, it is very important to treat angina after consulting a doctor. In general, inpatient treatment of angina is indicated for young children under three years of age. However, with proper care and sufficient medical care, a sore throat can be cured at home. But where does this disease come from?

Causes of angina

As noted, angina can be bacterial, viral and herpetic. In the first case, the causative agent of angina is a bacterium that can be picked up from a sick person. The incubation period in this case depends on the immunity of the person and lasts from 8 hours to several days. Bacterial tonsillitis is treated only with antibiotics - topically or orally. Viral tonsillitis is rarely purulent - most often it is a strong redness on the tonsils and palatine arches. Antibiotics against such a sore throat are powerless - the virus is treated with a large amount of fluid and anti-inflammatory drugs. Viral tonsillitis can also be infected only through a sick person. But herpetic sore throat occurs against the background of a decrease in immunity, after taking antibiotics, etc. In this case, only antifungal drugs will help. To accurately determine the nature of the disease, you need to take a swab from the throat for bacteriological culture.

Since angina is most often caused by streptococci, it is possible to become infected with the disease through common household items - dishes, towels, personal hygiene products. It is very easy to get infected by airborne droplets from a sick person - when he sneezes, the smallest particles fall on the mucous membrane of the mouth and nose of a healthy person. In rooms with dry and hot air, the risk of infection increases several times. Therefore, to prevent such diseases, the air in the room should be ventilated as often as possible, especially if it is a group of children in a kindergarten. A sick person must be isolated - give him a separate set of dishes, a towel, etc.

Internal sources of angina are chronic tonsillitis, chronic sinusitis and other inflammations of the sinuses. In addition, if there is untreated caries, it can be a source of streptococcal infection. It may not develop for some time, but become more active with a decrease in immunity.

Angina is not a simple ARVI that can be cured on its own without medical education. Especially when the patient is a child. Angina should be treated by a doctor - self-medication is fraught with a long and painful course of the disease in a child. Here are the main directions in which there is a medical treatment of angina.

Antibacterial therapy. Antibiotics are the first thing you need for angina. Amoxicillin, Augmentin, Ceftriaxone, Cefuroxime, Sumamed, Amoxiclav - the doctor will help you choose the right antibiotic, depending on the individual characteristics of your child. Only an antibiotic is able to suppress purulent inflammation. In case of serious courses of the disease, not only internal treatment with antibiotics is carried out, but also external treatment of the throat at the ENT. Antibiotics are also used in these procedures.
Along with antibiotics, it is very important to take probiotics, which will help you restore the intestinal microflora suppressed by antibiotics. These are Narine, Lacto- and Bifidobacteria, Hilak Forte, Bifiform, Linex, etc.
If angina is caused by a fungus, antifungal drugs are needed - Futsis, Nystatin, etc.
Be sure to irrigate the throat with local antiseptics, especially if the baby is small and does not know how to gargle. Among them are Tantum Verde, Chlorophyllipt, Hexoral, Ingallipt. They not only disinfect and treat the mucous membrane, but also give an analgesic effect - the child can at least eat normally.
If the child is more than two years old, and he can dissolve the tablets, you can give him medicinal lozenges - Dr. Mom, Strepsils, Septolete, Grammitdin. It is important that the medicines are appropriate for the age of the baby.
As a rule, a child with angina has a fever. Therefore, it is imperative to give the baby antipyretics - Ibufen, Paracetamol, Nurofen, Ibuklin, etc. The antibiotic does not begin to act immediately, but only 1-3 days after the start of the medication. All these days you need to bring down the temperature and wait for the disease to begin to recede.
Along with this, the patient needs to take antihistamines, which will relieve swelling from the throat and make it easier to swallow. Zirtek, Fenistil, Zodak should be taken in an acceptable dosage.

Along with this, often the child is prescribed ascorbic acid. Vitamin C will help the body fight disease on its own. However, the vitamin can be obtained not only from the pill, but also from fruits and berries. Most vitamin C is found in kiwi, lemon, sea buckthorn, red and black currants.

Together with the drug complex, it is very important to provide the child with bed rest. If the baby is active, you need to entertain him with cartoons, drawing or picking up puzzles. It is necessary to give up outdoor games for a while. With viral sore throat, you need to drink a lot - more than a liter of fluid per day. Treatment of angina is a complex measure and one of the main conditions for recovery is gargling.

One of the most effective remedies for the rapid treatment of a sore throat in a child is rinsing. It is not for nothing that the phrase “Angina needs to be rinsed out” among the people. This means that the local effect of drugs instantly relieves pain, removes pathogenic bacteria from the mucosa, and suppresses the development of the disease. For rinsing, you can use antibacterial compounds - Miramistin, Chlorophyllipt, etc. If you have a sore throat here and now, then you can rinse it with sea water - dissolve salt, soda and iodine in a glass of warm water. It is very effective to gargle with decoctions of medicinal herbs. Chamomile soothes the mucosa, calendula disinfects the surface, St. John's wort relieves swelling and redness, mint anesthetizes. For rinsing to be effective, they must be carried out at least once every three hours. If you gargle every hour, then the very next day you can notice significant improvements in well-being.

If the child is small and cannot gargle, you need to irrigate the mucous membrane. To do this, take a syringe without a needle and fill it with a medicinal solution that can be used to gargle. Pour the tonsils with a strong stream. Make sure the child is spitting out the solution, not swallowing it. The procedure should not be carried out after eating, otherwise the composition on the back wall of the tongue may provoke vomiting. After the procedure, you can not eat for half an hour. If the baby sucks on the nipple, you can take advantage of this - you need to drop the drug on the nipple.

It happens that the temperature with angina does not drop even after taking antipyretics. In this case, you need to gently scrape off the purulent plaques and treat the mucosa with disinfectants. Wrap a piece of sterile bandage around your finger or a clean stick (you can use a pencil). You can soak it in salted water. Gently scrape purulent plaques from the tonsils. After that, change the bandage to a clean one and moisten it with Lugol. Treat the mucous membrane of the tonsils. This will help to avoid the re-formation of pustules. After this procedure, the temperature will immediately drop. But try not to let the pustules get into the esophagus - the baby should spit them out.

Don't force your child to eat if he doesn't want to. All the forces of the body at the moment are aimed at fighting the disease, and the digestion of food requires considerable energy consumption. But do not forget to give water to the child - with a high temperature, he loses a lot of fluid from the body. If the child does not want to eat, offer him at least soup - liquid food will provide nutrition, but will not cause pain in the throat.

Angina is a rather serious disease that can result in unpleasant consequences. If angina is not treated or done incorrectly, it can have complications such as otitis media, lymphadenitis, meningitis, sepsis, rheumatism, arthritis, heart disease, encephalitis, and pyelonephritis. And the last complications can appear in months and even years. In such a situation, few people think that these diseases are a consequence of a simple, at first glance, tonsillitis.

To prevent the development of angina, the following measures must be observed. Avoid contact with people who are sick, especially during flu and cold season. If this cannot be avoided (someone from the household is sick), the patient must wear a mask so as not to infect healthy family members. Eliminate foci of infection in the mouth - cure chronic sinusitis and tonsillitis, get rid of caries. It is very important to follow the rules of hygiene - wash your hands after meals and public transport, have your own towel and dishes. You also need to remember about immunity - after all, the disease attacks only if the body cannot fight back. Provide the child with proper and balanced nutrition, harden, dress according to the weather, spend more time in the fresh air, do exercises and walk in nature. Drink more drinks with vitamin C - rosehip broth, tea with lemon, raspberries and honey. And then no sore throat is terrible for your baby!

Video: how to treat angina in children

Diseases of the throat and upper respiratory tract in children are the most common reason for hospital admission. A disease such as tonsillitis poses a danger to the body with possible complications, so it is extremely important to recognize the disease in time and start treatment.

How to quickly cure a sore throat in a child, is it necessary to go to the hospital and what effective methods of therapy exist - we will talk about all this in detail in this article.

Angina is an infectious, highly contagious disease that affects the tonsils and is most often caused by streptococci.

In addition to bacteria, viruses and fungi can provoke the inflammatory process of the pharynx and tonsils, so angina happens:

bacterial;
herpetic (viral)- Caused by the herpes simplex virus
- most often caused by yeast-like fungi of the genus Candida and the inflammatory process extends to the entire oral cavity.

Regardless of the cause of angina in children, you should never self-medicate, since this disease, with the wrong tactics of therapy or untimely measures, contributes to the development of severe complications in the heart and kidneys.

Attention! If you suspect a sore throat, do not give your child any medications, and especially antibiotics, before being examined by a doctor. Drug therapy can blur the clinical picture, making it difficult to make a timely and correct diagnosis.

In order for the treatment of angina to be effective, it is important to choose the right therapy, the drugs for sore throat are presented in more detail in the table.

How to cure a sore throat in a child quickly: a group of drugs:

A group of drugs for angina for children	What drugs belong to this group
Antibiotics	For the treatment of angina, a child is prescribed antibacterial drugs from the group of cephalosporins (Ceftriaxone, Cefepime, Cefazolin, Cefatoxime), macrolides (Azithromycin,), amoxicillins (Amoxiclav, Flemoxin solutab, Amoxil)
Local antiseptics for rinsing	Furacilin, Chlorophyllipt, Rotokan, Miramistin, Chlorhexidine, Hydrogen Peroxide
Local antiseptics for resorption and treatment of the pharynx (lozenges and aerosols)	Grammidin, Faringosept, Lizobakt - lozenges Lugol-spray, Oracept, Proposol, Geksoral, Tantum Verde - aerosols
Antihistamines	Fenistil, Erius, Suprastin, Loratadin
Antivirals	Gerpevir, Acyclovir

Attention! Self-medication can be dangerous and ineffective, since bacterial tonsillitis clinically differs little from viral, and the treatment in these cases is completely different.

Most often, tonsillitis is caused by bacteria, so you can not do without the appointment of antibiotics. How to quickly cure a sore throat in a child so that there are no complications?

The doctor selects an individual dose of medication for the baby, depending on body weight, age and tolerance. Before prescribing an antibiotic, a specialist necessarily conducts a culture of a throat swab on a nutrient medium - such a study allows not only to accurately determine the pathogen, but also to find out which antibiotic this microorganism is most sensitive to.

If, as a result of the study, it turns out that angina is caused by the herpes virus, then the appointment of an antibiotic is pointless and even dangerous. treated with drugs based on Acyclovir, the dose of the drug and the duration of the course of therapy is determined individually for each individual child.

Auxiliary drugs for the treatment of angina in children are:

antipyretic- for children under 5 years old, it is best to choose drugs based on Paracetamol, for example, suspensions of Kalpol, Panadol, Efferalgan;
vitamin complexes- during the period of the disease, the body is very weakened, so it is important that the child receives a daily intake of vitamins to maintain it - complexes that include vitamin C (Ascorutin, Revit, Undevit, Alfavit) are excellent.

Angina in a child 1-3 years old: how to treat at home?

Treatment of angina in children of younger preschool age must necessarily be carried out under the supervision of a doctor and preferably in a hospital, especially if the disease is accompanied by high fever. The clinical picture of angina in children can progress rapidly - even in the morning, at first glance, a frisky baby becomes lethargic in the evening and reacts poorly to what is happening around. That is why it is always necessary to call a doctor.

For the treatment of children 1-3 years old, antibiotics are almost always used. The drug is selected in the form of a powder for the preparation of a suspension (the instructions for the drug describe in detail how to dilute the powder to obtain a suspension), so that the baby willingly takes the medicine.

Many mothers react negatively when the doctor recommends antibiotic therapy, however, it is the drugs of this group that can completely destroy the pathogenic microflora and prevent the infection from progressing and causing complications.

Drinking regime

How to cure a sore throat in a child quickly and how to cope with intoxication of the body? Treatment of angina in young children must be combined with plenty of fluids. Drinking plenty of warm, alkaline fluids helps flush out toxins from the body faster and speeds up the healing process.

For a child over 1 year old, the following drinks are great:

dried fruits compote;
decoction of raisins;
Tea with lemon;
raspberry tea;
cranberry juice;
tea with red viburnum.

Be careful when adding honey to a child's drink - it is a product of beekeeping and often causes a severe allergic reaction in young patients.

Important! It is not necessary to give the child citrus juices or juices from acidic fruits - the acidic environment will irritate the inflamed throat, and cause even more pain when swallowing. All drinks must be served to the baby in a warm form - not hot! Hot tea or compote, when it comes into contact with inflamed foci of the pharynx, can provoke the progression of the pathological process, since pathogenic bacteria readily multiply in warm conditions.

A little about diet

Angina in a child, regardless of the causative agent of the pathological process, is always accompanied by a sore throat. Eating increases the discomfort when swallowing in a baby, so often children refuse to eat.

In order for the food not to cause discomfort, offer the child food in a slightly warm form, in the form of mashed potatoes or well ground. Thus, there is no mechanical irritation of the inflamed mucous membranes, and the pain does not increase when swallowing food.

The basis of the diet for angina in children are chicken breast, mashed potatoes, stewed vegetables, vegetable and meat broths.

Gargling with angina in children

How to cure a sore throat quickly for a child? At home, you can use, which are easy to cook with your own hands.

For these purposes, great:

Chamomile decoction- This plant has long been known for its anti-inflammatory and decongestant properties. Rinse the sore throat with a decoction of chamomile at least 3-4 times a day, a new portion of the medicine should be brewed daily.
Oak bark- tannins contained in the bark relieve swelling of the tonsils, have a wound healing and powerful anti-inflammatory effect. For 1 liter of hot water, add 1 tablespoon of oak bark, brew, cool, filter and gargle with the resulting solution 2 times a day.
soda solution- is the most affordable and very effective rinse that is easy to prepare at home. The price of such a remedy is cheap, but despite this, the soda solution quickly flushes out the accumulated pathological mucus from the lacunae of the tonsils, purulent plugs, relieves swelling of the tissues and relieves inflammation. To enhance the effect, table salt and 1-2 drops of iodine can be added to the soda solution.
Potassium permanganate solution- a weak pink solution of potassium permanganate (potassium permanganate) helps to disinfect the inflamed mucous membranes of the throat and wash the purulent plugs from the recesses in the tonsils. This method has a number of disadvantages - the throat with such a solution can be rinsed for no longer than 2 days, and with insufficient dissolution of potassium permanganate crystals, a child may experience severe burns of the mucous membranes.

Among the pharmaceutical gargles that can be used in pediatric practice, the most effective are:

Furacilin;
Chlorhexidine;
Miramistin;
Hydrogen peroxide;
Chlorophyllipt.

Important! Gargling with sore throat is suitable only for those children who already understand that the solution cannot be swallowed and know how the procedure is carried out. The child should gargle only under the supervision of an adult, if the baby still does not know how to do this, then other effective methods of treatment should be selected.

Compresses for angina

Since the time of our grandmothers, with angina, the first thing they did was apply a warming compress to the affected area, in this case, to the throat. The patient was put to bed under a warm blanket so that he would sweat until the morning, it was believed that the disease would quickly recede from such actions. With the development of medicine, such methods are a little outdated, although some parents still prefer to treat their baby with compresses.

How to quickly cure a sore throat in a child with compresses? First of all, you should be aware that warming compresses can be applied to the throat only at the very first symptoms of the development of the disease, that is, as soon as the throat begins to tickle slightly and there is discomfort when swallowing.

An acute inflammatory process cannot be warmed up with compresses, as this can provoke even greater tissue edema, the spread of pathology to the upper and lower parts of the respiratory tract, and the development of complications.

Honey compress

How to quickly cure a sore throat in a child with honey? You can use this useful product to prepare a warm healing compress.

To do this, a thin layer of honey is smeared on a gauze strip, applied to the child's neck, a piece of cellophane is placed on top and a woolen scarf is tied around the throat. The duration of the procedure is usually 4-6 hours, so it is best to leave the compress overnight.

Attention! It is better not to carry out this procedure for small children who are under 5 years old, as a severe allergic reaction may occur. It is also not recommended to put honey compresses on those children who have ever had allergic reactions to any beekeeping products, to wasp and bee stings.

Alcohol compress

How to quickly cure a sore throat for a child with a vodka or alcohol compress?

In fact, any pediatrician will confirm that the use of a warming vodka or alcohol compress for a child is highly undesirable and even contraindicated. When inhaling alcohol vapors and absorbing alcohol into the child's blood during the procedure, we not only do not cure angina, but also add ethyl intoxication to the underlying disease.

Inhalations for angina in a child

Inhalation treatment of angina at any stage of its course is only welcome, but there are certain rules and restrictions:

it is impossible to carry out warm inhalations with angina;
it is not recommended to breathe steam with essential oils;
you can not breathe hot steam from boiled potatoes.

Important! Inhalations over a saucepan with boiled potatoes are not only not effective, but can also provoke swelling of the larynx or sudden bronchospasm in a child. During exposure to heat in the form of steam on the inflamed mucous membranes of the throat, blood flow to the throat increases dramatically, which can lead to complications and negative consequences.

How quickly can a child cure a sore throat with inhalations? The most optimal, effective and safe for young children is the use of a special device - a nebulizer.

Sterile medicinal solutions are poured into the device, plugged into the network and the nebulizer sprays the agent into small droplets like a mist. Miramistin solution can be used for inhalation to a child even in the first year of life.

This drug is effective against viruses, fungi and bacteria, so Miramistin can be used for any type of sore throat. The video clearly shows how the nebulizer works and how the medicine is delivered to the child.

Unlike warm inhalation, procedures through a nebulizer can be performed on a child even if there are purulent plugs in the lacunae of the tonsils, but you should definitely consult a doctor before starting therapy.

Medications for oral administration

As already mentioned, a sore throat cannot be cured with compresses, inhalations and rinses alone. These methods can only be an addition to the treatment prescribed by the doctor.

Oral preparations - antibiotics, antivirals, antihistamines and antiseptics can be given to a child only after examination and confirmation of the diagnosis. Most parents who do not know how to cure a sore throat quickly in a child begin to give the baby an antibiotic or those medicines that they once took for sore throats without a doctor.

If you are thinking about how to cure a sore throat quickly for a child, then, first of all, immediately seek medical help, without waiting until the disease makes itself felt with purulent plugs in the tonsils and signs of intoxication of the body. The sooner measures are taken, the faster the baby will recover and the lower the likelihood of complications.