Chronic tonsillitis symptoms and treatment in children. Chronic tonsillitis is an infectious-allergic inflammation of the palatine tonsils (tonsils) in a child.

According to the concepts of modern medicine, chronic tonsillitis is an infectious-allergic disease with manifestations in the form of damage to the lymphoid tissue of the tonsils (often the palate, less often the tongue or pharynx) and the resulting persistent inflammatory reaction. The role of the tonsils is to serve as the first protective barrier that prevents the penetration of viruses and bacteria into the respiratory tract. But if the tonsils themselves become the object of damage by harmful microorganisms, then they, in turn, can cause infection of other organs and systems.

The problem of chronic tonsillitis in children is one of the most urgent in clinical medicine. First of all, this is due to its significant prevalence. Recent statistical studies have revealed this disease in 3% of children under 3 years old and 13-15% - up to 12 years old. More than half of children who are prone to frequent and prolonged colds suffer from chronic tonsillitis, and this trend continues to grow.

Causes of chronic tonsillitis

As a rule, the appearance of chronic tonsillitis is preceded by frequent sore throats(and in some cases - only one sore throat, if it could not be cured to the end). Activation of the harmful flora in the tonsils occurs under the influence of hypothermia and viral infections, when the pathogens begin to actively penetrate into the lymphatic and blood vessels, the parenchyma of the tonsils, producing endo- and exotoxins and provoking the development of allergic reactions. At this moment, an exacerbation of tonsillitis occurs in children, accompanied by hyperplasia, scarring, and sometimes atrophy of the tonsils.

In rare cases, chronic tonsillitis can develop even in babies who have never had a sore throat - the so-called. "anginless form". The cause may be diseases in which the palatine tonsils are involved in the inflammatory process:

  • adenoiditis;
  • sinusitis;
  • stomatitis;
  • periodontal disease;
  • dental caries.

According to long-term observations, children with aggravated concomitant pathologies are more likely to have chronic tonsillitis: rickets, food allergies, nasal breathing disorders, intestinal infections, beriberi, or other factors that reduce immunity.

What are the symptoms of chronic tonsillitis in children?

Characteristic symptoms of the disease

It all starts with a feeling of discomfort in the throat - it hurts the child to swallow, bad breath appears. Read about what such a symptom as the smell of acetone from the mouth says. As many parents note, in the same period, at the first signs of tonsillitis in children, disorders of the nervous system occur: babies become irritable, capricious, often cry, sleep poorly and get tired quickly.

New symptoms follow:

  • temperature rise to 37-37.5 ° C;
  • headache;
  • dizziness;
  • often - concomitant diseases: otitis media, sinusitis (in school-age children);
  • sometimes - pain in the heart or in the joints, various disorders of the genitourinary, cardiovascular or nervous system.

When examining a child, the doctor reveals inflamed cervical and jaw lymph nodes and loose, enlarged tonsils with pus.

What is dangerous disease in childhood

Chronic tonsillitis is a constant focus of infection in the child's body, which depresses and depletes the immune system, and with a high degree of probability can lead to serious complications in case of untimely seeking medical help.

Here are just a few of the possible consequences:

  • pneumonia;
  • inflammation of the middle ear, accompanied by hearing loss;
  • purulent inflammation of the tissues of the nasopharynx;
  • kidney disease;
  • exacerbation of allergic reactions;
  • rheumatism is a disease that affects the joints, blood vessels, heart.

It is imperative to treat chronic tonsillitis in a child, not hoping that the disease will go away by itself.

Conservative treatment of chronic tonsillitis in children

How can chronic tonsillitis be treated in a child? Treatment should be prescribed by a doctor, taking into account the severity of the disease. According to the results of laboratory studies (bakposeva), in the treatment of tonsillitis in children, an indication is possible antibiotics or bacteriophages. Since this disease is an infectious process, it is impossible to do without antiseptics during treatment. Antibiotics for tonsillitis in children are prescribed after examining a swab taken from the tonsils and identifying the causative agent of the disease.

During periods of exacerbation of the disease, irrigation of the tonsils with disinfectants(solutions, aerosols), application lozenges with antiseptic and antimicrobial properties, as well as immune system stimulants.

It is advisable to prescribe physiotherapy procedures:

  • irradiation of the tonsils with ultraviolet;
  • ultrasound;

Surgery to remove tonsils

In the issue of therapy for chronic tonsillitis, much depends on the severity of the disease. Doctors to the last try to use traditional methods and not resort to surgical intervention, because the function that the tonsils perform is very important for the child's body.

But conservative treatment can be effective when there are external signs of chronic tonsillitis, but the tonsils still contain the infection, preventing its further spread (compensation stage). At the onset of the stage of decompensation, when the tonsils completely cease to cope with the protective function, and its restoration is impossible, in chronic tonsillitis, a decision can be made to remove the tonsils. Such a way out is the only correct one, since infected tonsils begin to do more harm to the child than good.

Indications for the operation:

  • purulent inflammation of the oropharynx;
  • tonsillogenic sepsis;
  • unilateral position of the tonsils of malignant origin;
  • prolonged intoxication, characterized by damage to organs and systems, the cause of which was chronic tonsillitis.

Until recently, such operations were carried out by the traditional method, very painful and fraught with a large loss of blood - surgery with a scalpel. Now everything has changed. New technologies make it possible to perform surgery using precise laser technology, which is much less traumatic and painful. Currently, laser surgery, compared with other methods of surgical treatment of chronic tonsillitis, is considered the most gentle.

Benefits of laser surgery (tonsillotomy):

  • quality and accuracy;
  • less chance of postoperative complications;
  • short recovery period;
  • the ability to remove that part of the tonsils that no longer performs its function, and save healthy tissues;
  • minimal risk of disease recurrence;
  • vascular coagulation (laser cauterization), performed directly during the operation, makes it possible to completely stop the bleeding;
  • minimal tissue trauma.

There are other modern ways to remove tonsils - using ultrasound and liquid nitrogen. The choice of the operation method depends on the density of scar tissues and the degree of their fusion with the tissues of the throat.

How is the operation carried out?
Recently, laser operations have increasingly been performed under general anesthesia in order to prevent a stressful situation for the child and to make the surgeon work more calmly and accurately. For anesthesia, a laryngeal mask or incubation tube is used (selected individually). The anesthesiologist puts on a mask, and after a while the child falls asleep. The duration of the operation is 30-45 minutes.

When the baby wakes up, he is turned on his side and an ice compress is made on the neck area. Pain that occurs after anesthesia is removed with painkillers, and antibiotics are prescribed to prevent infection. For several days after the operation, the child is fed only liquid food, ice cream.

Treatment of chronic tonsillitis in a child with folk remedies

In chronic tonsillitis, it is necessary to teach the child to rinse his mouth with decoctions of medicinal herbs and plants after each meal. These can be infusions from oak bark, marshmallow roots, rose hips or chamomile.

Herbal preparations can also be taken orally. Such compositions should simultaneously have antiseptic, anti-inflammatory and immuno-strengthening effects, and their components should complement and enhance each other's action, mitigating or completely neutralizing side effects.

Other treatments for the disease

Regardless of the chosen method of treatment - medical, surgical or traditional medicine, children suffering from chronic tonsillitis need restorative and tempering procedures, therapeutic exercises.

It is necessary to adjust the lifestyle of the child, taking into account his disease. These measures should include:

  • a clear daily routine;
  • sparing intensity of training sessions;
  • correct mode and quality of nutrition;
  • full sleep;
  • daily walks in the fresh air;
  • minimal contact with household chemicals.

When hardening, it is necessary to take into account concomitant diseases, conducting it systematically and increasing the load gradually.

Prevention of chronic tonsillitis in children

The main rule for the prevention of tonsillitis - compliance with hygiene rules. It is necessary to constantly monitor the cleanliness of the mouth and nose of the child, the health of the gums and teeth, and prevent the spread of infection. The air in the apartment must be clean and humid, then your baby's nasopharynx will work correctly.

The advice of the famous doctor Komarovsky on the treatment of chronic tonsillitis in children in the next video.

At the first signs of the disease, contact your doctor immediately. Timely registration of children with a diagnosis of "chronic tonsillitis", constant monitoring and scrupulous implementation of the doctor's instructions is the key to a speedy recovery of your child.

Tonsillitis is an infectious-allergic inflammation of the pharyngeal tonsils in children, caused by bacteria, viruses, fungi or mixed flora. The pathological process can proceed in chronic or in.

According to statistics, the incidence of tonsillitis in the pediatric population reaches 7%. Due to its wide prevalence, this pathology is the subject of increased attention of pediatric otolaryngology and pediatrics.

Tonsillitis in children is much more severe than in adults, and is accompanied by severe intoxication, a sharp increase in temperature, and the development of complications. Depending on the symptomatic manifestations, the following types of acute inflammation of the tonsils are distinguished:

The main symptom of chronic tonsillitis is frequent. The child may complain of discomfort when swallowing, dryness and tingling in the throat. When pharyngoscopy reveals hyperemia, hyperplasia or infiltration of the palatine arches, their swelling, the presence of liquid or dense purulent contents in the gaps.

The tonsils of a child, like an adult, are one of the first barriers and the main "shields" of the body. Like a net, they intercept any bacteria, microbes and other microorganisms, preventing them from getting into the respiratory tract. But such protection can bring not only benefits. If the lymphoid tissue is not able to cope with the microbes that have got to it, then the tonsils become infected, inflamed, and soon they themselves turn into a real focus of infection.

This infectious-allergic phenomenon is called chronic tonsillitis. It is characterized by the fact that the inflammation of the throat takes a stable form, affecting mainly the palatine tonsils.

Causes of tonsillitis in children

Like any other disease, inflammation of the tonsils does not appear out of nowhere especially chronic. It is always preceded by an acute form of tonsillitis, more commonly called angina, when severe sore throat is accompanied by high fever, inability to swallow, and purulent discharge on the palatine tonsils. It is during the course of this disease that the probability of its transition from an acute form to a chronic one is very high. It is enough to slightly start the disease or treat its treatment with disdain ... and now enlarged lymph nodes and nasal congestion are added to the above symptoms.

Both pathogenic bacteria and various viruses, fungi, chlamydia, mycoplasma and others can provoke inflammation. Wherein The most common pathogens are:

Influencing the nasopharynx, they disrupt the biological process of self-purification of the tonsil lacunae, which subsequently leads to excessive reproduction of aggressive microflora. She then just becomes the cause of tonsillitis in children.

What other factors can affect the development of the pathogenic environment of the tonsils? As in the case of angina, can cause chronic inflammation normal hypothermia, a general decrease in immunity, stress, the presence of frequent respiratory diseases of the ENT organs or their chronic forms, such as sinusitis, rhinitis, etc. Tendency to food allergies, rickets, beriberi, diathesis and other causes that somehow affect the state of immunity also increase the likelihood of developing tonsillitis.

But in children who have never had a sore throat, the risk of a chronic form of inflammation without angina is extremely small. In this case, diseases that can involve the tonsils in the inflammatory process act as provoking factors. These include:

  • periodontal disease;
  • caries;
  • sinusitis;
  • stomatitis, etc.

Tonsillitis in children - symptoms and treatment

A distinctive feature of the chronic form of inflammation is in the most rapid development of infection. Such a sharp reaction of the lymphoid tissue of the tonsils is due to the fact that, under normal conditions, it should react with lightning speed to pathogens - the symptoms of infection become apparent already on the second, or even the first day after the conditional "onset" of the disease:

If a child has all or part of the above symptoms, the likelihood of chronic tonsillitis is high. And at least, this is a serious reason for an urgent appointment with a pediatrician, who will be able to conduct a professional examination and unambiguously make or refute the diagnosis.

Treatment of tonsillitis in children - traditional medicine

To eliminate inflammation, there are two main types of treatment: conservative and operational. The latter, as you might guess, is used in particularly difficult cases. The first one includes:

  • topical application of antibacterial and analgesic sprays - the choice is individual and depends on the results of the bacteriological smear study;
  • treatment with bacteriophages - most often used when the causative agent of the disease is not sensitive to antibiotics;
  • the use of disinfectants for gargling - it can be either furatsilin diluted with water or a regular soda solution;
  • the use of antimicrobial drugs in tablets, for example, Decatylene;
  • to prevent relapse or during exacerbation, the doctor may also prescribe homeopathic medicines;
  • treatment with ultrasound, UHF, etc.;

But sometimes even complex complex treatment may not be enough - in this case, you have to resort to surgery, which consists in removing the inflamed tonsils. But this method is an extreme measure and can be used only in the case when a pediatrician diagnoses decompensation of chronic tonsillitis in children: complete damage and loss of protective functions of the tonsils. The harm from them becomes many times greater than the good, so that the operation becomes a necessary precaution.

Symptoms of decompensation include:

  • the spread of the pathogenic effects of tonsillitis on other organs;
  • tonsillogenic sepsis;
  • severe purulent inflammation.

Effective and rational surgical intervention will be considered even in the case when conservative drug treatment does not lead to the expected result. If a child has been ill with streptococcal tonsillitis more than three times in a year, then this is also a clear indication for the removal of the tonsils.

Previously, this operation was performed exclusively with a scalpel, but now more and more often. laser removal practice which has many advantages:

The operation to remove the main focus of inflammation of tonsillitis in children is performed under general anesthesia and takes no more than an hour. After waking up, the patient must apply an ice pack to the neck. In the first two weeks, everything hot should be excluded from his diet, leaving liquid dishes and ice cream.

In addition to the laser, the removal of the tonsils can be done with liquid nitrogen or ultrasound, but it is worth noting that they are not so gentle. Nevertheless, the methods of treatment and the choice of the method of tonsillectomy are completely dependent on the decision of the attending physician and are based on individual indicators of the disease. Moreover, there are cases when surgery may be contraindicated:

  • the course of inflammatory processes;
  • the presence of blood diseases, poor clotting;
  • diabetes;
  • menstruation (girls);
  • active tuberculosis;
  • the presence of vascular anomalies;
  • aneurysm.

Treatment of tonsillitis in children - folk remedies

A very useful habit for both prevention and treatment of tonsillitis symptoms is mouthwash after eating. Suitable as a solution of soda with water, and decoctions of various medicinal herbs: chamomile, calamus, oak bark and others. They can be brewed separately or in the form of special fees, which can be easily found in any pharmacy. If you collect them yourself, then it is important to take into account the general orientation and interaction of herbs with each other. They are:

The following mixture is good for prevention:

5 st. l. beetroot juice mixed with 3 tbsp. l. rosehip syrup and 1 tbsp. l. lemon juice. The resulting mixture should be infused for at least a day in the refrigerator; it can be taken 1 teaspoon after meals as a tonic.

To reduce the symptoms of sore throat and relieve inflammation of the throat, traditional medicine can offer the following recipes for rinsing:

  • 1 tsp dilute table or sea salt in a glass of warm water, add 3-5 drops of iodine to the solution and rinse your mouth every three hours;
  • Crush or chop two cloves of garlic under pressure and squeeze the juice out of the resulting pulp; mix with a glass of preheated milk; after the liquid has cooled, start rinsing at intervals - twice a day.

Inhalation is a useful tool in the fight against chronic tonsillitis in children. As a "working raw material" for them, you can use alcohol tinctures of St. John's wort, eucalyptus, or a decoction of sage infused with water. Moreover, for this it is not at all necessary to have special equipment - home inhalations consist in inhaling steam over a container.

Prevention of chronic tonsillitis in children

If the child still had to deal with a disease such as tonsillitis, a mandatory event for him should be preventive courses which are carried out in order to avoid relapses, at least twice a year. The duration of each, in turn, takes about a month, during which the ENT doctor not only prescribes treatment, but also monitors its effectiveness and the general condition of the young patient.

Preventive measures include the mandatory use of antiseptic solutions for gargling. Along with medicinal formulations, infusions of medicinal herbs are used. Antibiotics may be taken to avoid complications of the disease.

Not without physiotherapy- for example, several sessions of quartz irradiation can increase immunity and improve lymph circulation.

If lacunar tonsillitis is present, then washing problem areas with diluted furatsilin or saline, often with the addition of penicillin, will be an excellent prevention. But in the case of a follicular variety of the disease, such a procedure will hardly make sense.

Do not neglect the observance of standard rules:

A favorable effect on the general condition of the throat and immunity of the child can have a long stay on the seashore - although salt water does not have magical properties, it definitely contributes to a speedy recovery. So, perhaps it makes sense to take a vacation and go to rest closer to the sea.

Tonsils can and even need to be massaged before going out or eating cold dishes. To do this, it is necessary to “knead” them with neat stroking and circular movements, moving from the lower jaw to the collarbones.

Tonsils are collections of lymphoid tissue found in the throat and nasopharynx. They produce lymphocytes (cells of the immune system). The tonsils are the first and most easily accessible "station" of airway protection. That is, when an infection enters the body, the tonsils take the hit. This causes them to become inflamed. Such a disease is called.

The function of the lymphoid tissue of the throat reaches its peak at the age of 3 to 6 years. During this period, most cases of tonsillitis are observed. After 6 years, the tonsils involute, and by the age of 12 they practically lose their role in maintaining immunity.

How is angina in children? Children, of course, are more difficult to endure the disease. Enlarged tonsils can cause problems with breathing and swallowing. In most cases, swelling does not last long and disappears as soon as the infection is eliminated. However, children who often get acute tonsillitis may develop more serious problems.

Classification of angina

  1. "" (from 1 month);
  2. "Lance" (from 2 years old).

If your child has a strong immune system, then the disease will pass without the use of these drugs. But you can take note of them, as these drugs are suitable for the prevention of influenza, colds and other related diseases.

How long does angina last in children? The viral form of the disease lasts 3-5 days, and the bacterial form lasts about 7 days. With a high severity of symptoms or the presence of concomitant ailments, a longer course is possible.

What antibiotics are used for angina in children 4, 5 and 6 years old?

Penicillin shows the greatest benefit with minimal side effects, so it is prescribed most often (exceptions are children with an allergy to this substance). On the basis of penicillin, drugs such as "" and "" are made. They are taken orally, the course of treatment is 7-10 days.

Important! If you do not drink the antibiotic to the end, then the risk of recurrence of angina increases.

With recurrent tonsillitis, as well as in the absence of a positive effect on penicillin, it is recommended to use cephalosporins, since they have a wider spectrum of action.

It is worth noting that short-term therapy with the latest generation of antibiotics (Azithromycin, Clarithromycin or Cephalosporin) for 3-5 days is comparable to long-term therapy with penicillin. There is no difference in the course of treatment between short-term therapy and the standard ten-day therapy.

Surgical treatment, removal of tonsils in children

With recurrent acute tonsillitis in a child, surgical treatment is indicated. Surgery to remove the tonsils is associated with certain risks, but it is justified if there have been 7 or more documented and adequately treated episodes of sore throat in the previous year.

There are several options for the surgical treatment of angina in a small child:

  • extracapsular tonsillectomy (the entire tonsil with its capsule is removed);
  • tonsillotomy (removal of part of the tonsils);
  • electrocoagulation, laser coagulation, ultrasound therapy, photodynamic therapy - all these methods involve cauterization of lymphoid tissue;
  • cryocoagulation (freezing with liquid nitrogen).

Interesting fact! Tonsillectomy is one of the most common operations performed under anesthesia in childhood.

Wound healing after tonsillectomy occurs within 2-3 weeks. At this time, the child may experience pain and discomfort in the throat. Sometimes bleeding occurs. They may be minor, but there is a danger of large blood loss, so parents need to be careful and consult a doctor to eliminate them.

Alternative treatment and nutrition for angina in children

Includes well-known, home procedures: gargles, inhalations and compresses.

  • rinses

Rinses can be carried out with a ready-made solution, which is sold in a pharmacy. You can also prepare a solution yourself from Furacilin tablets, from Chlorophyllipt alcohol tincture, propolis, calendula. The simplest tool at hand is salt and soda. Just mix 1 tsp. soda with 1 tsp. salt in a glass of warm water and gargle with this solution up to 5 times a day. All these remedies are antiseptics, they kill the infection and at the same time wash out purulent deposits from the tonsils. Gargles are said to be much more effective than throat sprays.

Inhalations should be done if the child is worried about coughing and runny nose. Type in any convenient container of warm water (not boiling water!) And let the child tilt his head over it, cover himself with a towel and inhale the steam through his mouth and nose. The duration of the procedure is 10 minutes. The number of repetitions per day is 2-3 times. It is recommended to add the same decoctions of herbs, soda, salt to the water. To improve breathing, use 4-5 drops of essential oil of fir, eucalyptus, mint.

  • Compress

Warm compresses can be done when the child's temperature returns to normal. They are good for pain and inflammation. For the procedure, you need 76% alcohol or vodka. They are mixed with water 1: 1, soaked in this agent with a gauze napkin and applied to the throat. From above, you need to wrap your neck with cellophane, and then with a warm bandage. The compress is left for 2 hours. It is recommended to carry out the procedure 1-2 times a day.

Important! in children should consist of non-irritating, mild foods. Give preference to chicken broth, mashed vegetables and fruits.
Why is children's tonsillitis dangerous: complications and consequences of tonsillitis in childhood?

The “easiest” thing that happens with angina in a small child is the spread of infection into the nasopharynx, and along it into the Eustachian tube and middle ear. As a result of this, an average disease develops - an unpleasant disease that has its own dangerous complications.

Rare but serious consequences of tonsillitis in childhood include glomerulonephritis and rheumatic fever, which cause cardiomyopathy and rheumatic joint pain.

A more frequent terrible complication of angina is paratonsillar abscess. Unlike rheumatic fever, even properly administered antibiotic treatment cannot prevent it. Since a peritonsillar abscess is potentially life-threatening and can quickly spread to the soft tissues of the neck, it should be urgently treated with surgery.

Prevention of angina in preschoolers

Prevention of angina in children includes several points:

  • it is necessary to protect the baby from hypothermia, dress according to the weather and make sure that he does not drink too cold water;
  • avoid contact with sick people. When visiting the hospital, you need to wear a face mask, and when you get home, rinse your nose with saline and rinse your mouth with an antiseptic solution. If someone in the family falls ill, then you need to be especially careful: do not use the same dishes and, moreover, do not hug or kiss the child;
  • teach your child to wash their hands regularly, as a lot of bacteria spreads through them;
  • take care of your child's immunity. To do this, feed him healthy food, periodically buy vitamins, and in the cold season you can drink antiviral drugs.

If you suspect that your child has a sore throat, we recommend that you contact a specialist!

Tonsillitis is an acute or chronic inflammatory process that occurs in the tonsils or tonsils (the so-called seals of lymphoid tissue in the nasopharynx and oral cavity). Often diagnosed in children. Symptoms and treatment of this disease must be known to parents in order to protect their child in time from possible consequences and complications.

In 80% of cases, acute tonsillitis in children is caused by a viral infection. In this case, infection occurs through the respiratory tract (nose, mouth). In the remaining 20% ​​of cases, bacteria of a different kind can become the causes of the disease. Germs are spread through coughing, touching, food. Most often, infection with tonsillitis among children occurs in schools and kindergartens. The most common causes of inflammation in the tonsils:

  • frequent, untreated tonsillitis;
  • violation of nasal breathing due to the curvature of the nasal septum or the growth of adenoids;
  • inflammatory and infectious processes in the nasopharynx;
  • caries, stomatitis, paradontosis;
  • adenoiditis;
  • (inflammation of the paranasal sinuses in the nose);
  • weakened, reduced immunity;
  • unbalanced diet;
  • hypothermia;
  • allergies, diathesis, hypersensitivity to certain foods or drugs;
  • hypovitaminosis, rickets;
  • pathology of the pharynx: deep and narrow tonsils, a large number of slit-like passages, adhesions;
  • various kinds of viruses: influenza, herpes, Epstein-Barr, adeno- and enteroviruses.

As soon as harmful microorganisms enter the tonsils, processes begin to occur in the soft tissues of the nasopharynx, which manifest themselves in different ways. Here it is very important to notice the first signs and symptoms of tonsillitis in a child in time in order to consult a doctor in time and prevent the transition of an acute disease into a chronic stage.

Symptoms and signs

Tonsils react very quickly to microbes that have fallen on them, the inflammatory process in the soft tissues of the nasopharynx spreads very quickly. Therefore, in the acute course of the disease, the symptoms of tonsillitis in children appear after infection within 1-2 days. Typical signs of inflammation of the tonsils include:

  • moderate sore throat;
  • tingling, burning in the tonsils;
  • difficulty swallowing;
  • an unpleasant odor is felt from the mouth;
  • profuse salivation in babies;
  • loss of appetite;
  • fever for several days, chills;
  • headache;
  • hoarseness of voice;
  • dry, obsessive cough;
  • general malaise: fatigue, weakness;
  • dryness, sensation in the throat of a foreign body;
  • abdominal pain, vomiting, nausea;
  • convulsions;
  • ear pain;
  • a white or yellow coating on the tonsils.

Already at a medical examination, the doctor will notice swelling and severe redness of the tonsils. Often (when infected with pathogenic bacteria) tonsillitis in children is accompanied by pustules on the tonsils. Palpation revealed enlarged, dense and painful lymph nodes. If you do not notice the symptoms of acute tonsillitis in time, then the disease will turn into a chronic form, the exacerbation of which is much more difficult, and the treatment is a rather lengthy process.

Types: acute and chronic

There are two main forms of tonsillitis - acute and chronic. They are interdependent, and one of them serves as the starting point for the second.

  • Spicy

When inflammation of the tonsils occurs for the first time, a sore throat is diagnosed - this is acute tonsillitis in a child, which is characterized by the sudden onset of the main symptoms of the disease. The temperature rises, the baby begins to complain of a sore throat. These signs should be immediately paid attention to and undergo a full course of treatment. After recovery, the prevention of tonsillitis is very important, because with repeated tonsillitis, the risk of earning a chronic form of the disease increases.

  • Chronic

If acute tonsillitis remains untreated or the parents fail to protect the baby from repeated tonsillitis, a chronic form of the disease develops. Symptoms appear with regularity, especially in the cold season, when the child's body is weakened. Moreover, the symptoms are as pronounced as in the acute form of the disease. If left untreated, chronic tonsillitis in children gives rise to a lot of complications that affect the future health of the crumbs.

Inflammation of the tonsils gives the baby a lot of suffering, so parents need to seriously think about how and with what to treat tonsillitis in a child before complications begin to develop.

Medical treatment

Parents should understand that the treatment of tonsillitis in children must be carried out under the strict supervision of a physician. Self-medication is excluded here, as it can lead to side effects, complications and undertreatment, as a result of which the acute form becomes chronic. The specialist prescribes the following drugs:

  • antibiotics for tonsillitis are by far the most effective remedy: amoxiclav, flemoklav, cephalosporins, macrolides;
  • local effect on the tonsils with the help of antiseptic aerosols: hexoral, tantum verde, miramistin, stopangin and others.

Unlike acute, the treatment of chronic tonsillitis in children is a long and complex process, often ending with surgery. At the same time, the removal of both tonsils is undesirable, since they perform the protective functions of the body. The operation is performed in the event that long-term conservative treatment was ineffective. It assumes:

  • constant washing of the nasopharynx with antiseptics;
  • complex immunomodulatory therapy to improve the health and defenses of the child's body;
  • physiotherapy procedures.

Courses of treatment of chronic tonsillitis in children are carried out twice a year. If the disease does not subside at the same time, this creates a risk of complications up to myocarditis. Then a decision is made on the bilateral removal of the affected tonsils. With the permission of the doctor, you can maintain the main course of therapy with folk remedies, but do not get too carried away with them.

Treatment with folk remedies

At home, you can treat tonsillitis with folk remedies only with the permission of a doctor. It can be:

  • herbal teas from St. John's wort, calamus, calendula, coltsfoot, peony, wormwood, chamomile, blackcurrant, dill, thyme, sage, eucalyptus;
  • gargling with the same herbs;
  • propolis with honey for internal use.

Folk remedies, when used correctly, will accelerate the desired recovery.

Prevention

In order not to bring the disease to a chronic form, prevention is needed, which consists in the following activities:

  • timely treatment of angina;
  • prophylactic course of sanitation of the tonsils with antiseptic solutions (iodine, gramicidin or tannin with glycerin) 2 weeks after the acute form of the disease;
  • vitamin therapy;
  • hardening: air baths, dousing with water, wiping, gargling. Read more about hardening methods.

Prevention of tonsillitis in children is an important measure to reduce the risk of the chronic form of the disease, further complications, and the need for surgical removal of the tonsils.

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