Tonsils do not shrink after a sore throat

What is tonsil hypertrophy?

Four types of tonsils (palatine, tubal, pharyngeal and lingual) make up the pharyngeal ring, which prevents pathogens from entering the nasopharynx, respiratory tract, bronchi and lungs.

Their increase in size is a reaction of the immune system to the negative influence of external factors. This is why hypertrophy in adults is less common than in children - their protective system is already formed and less vulnerable.

Causes of hypertrophy of the palatine tonsils in children

According to doctors, the most typical cause of the development of pathology is regularly recurring infectious diseases. The child’s body does not yet have time to fully rehabilitate itself when it is again attacked by infections and viruses.

Other causes of hypertrophy of the tonsils include the following:

• past infectious diseases such as measles, rubella, diphtheria;
• presence of caries teeth;
• allergic diseases;
• endocrine pathologies of the adrenal glands;
• living in an area with unfavorable environmental conditions;
• malnutrition, vitamin deficiency;
• hereditary deficiency of the lymphoid system.

If the disease is not neglected, hypertrophy can be treated without surgery.

Symptoms and signs

Often in the first stages of pathology development it can go unnoticed. The child’s parents or adult patients consult a doctor when the signs become pronounced. The most common symptoms of the disease include:

• difficulty breathing, snoring during sleep;
• nasal voice;
• hearing loss, speech defects;
• increased body temperature;
• decreased memory and concentration, worse sleep, headaches;
• difficulty swallowing, habit of keeping the mouth open.

Hypertrophy is often accompanied by a dry cough, which cannot be eliminated with conventional medications. Patients may complain of a feeling of a lump in the throat, which makes it difficult to breathe and swallow food. Source: nasmorkam.net An adult may experience frequent relapses of chronic rhinitis, sinusitis, and sinusitis. The risk group includes patients suffering from asthma and other diseases of the respiratory system. In women, enlarged tonsils caused by chronic diseases can cause difficulty conceiving a child.

Loose tonsils in a child. Treatment

Since at home it is not always possible to determine that the problem is constantly associated with the tonsils, you should consult a doctor. He determines how to treat this pathology for children.

1. With bacterial sore throat, signs of malaise appear, severe pain in the throat. Headache occurs due to intoxication of the body. It is necessary to do a swab from the throat and nose for microflora and determine sensitivity to antibacterial drugs. Next, the specialist prescribes symptomatic treatment (to relieve pain and symptoms of malaise) and antibiotics, since it is impossible to cope with this situation without them. The course of treatment is at least 5 days. This is done to ensure that there is no possibility of relapse. Experts often recommend a penicillin series containing clavulanic acid, as it destroys the protective coating of bacteria. It is necessary to use drugs that restore and maintain the normal composition of microflora. If the child cannot or does not want to take the tablets, they must be crushed and added to the drink.

2. For diseases of a viral nature, antiviral agents are indicated in combination with symptomatic treatment. Such diseases cannot be treated with antibiotics. They not only do not help, but also gradually develop resistance in microorganisms to them.

3. Symptomatic treatment includes local anesthesia of the throat in the form of sprays and lozenges; rinses (soda, chamomile,); drinking plenty of water. You can only lower the temperature if it is above 38 degrees. Antiseptics are used in the form of ointments, sprays and rinses.

4.Physiotherapy

• For example, the sun device, which operates on the basis of ultraviolet rays that destroy pathogens.
• promotes saturation of mucous membranes with salts, which reduces the inflammatory process and the number of infections entering the respiratory tract.
• Vacuuming. Using a vacuum, purulent plugs from the tonsils are sucked out. Next, treatment is carried out with an antiseptic or antibiotic to remove any remaining infection.
• Laser therapy.

5.Operational method. Removal of adenoids. It does not always give a 100% effect, since these formations may appear again.

Degrees of tonsil hypertrophy

Depending on the scale of organ enlargement, three degrees of enlargement are distinguished. To determine the level of pathology, mentally draw a line from the uvula to the edges of the tonsils. A healthy organ should occupy no more than a quarter of this space.

1st degree

The level of expansion of lymphoid tissue is insignificant and does not exceed more than a third of the entire space. The structure and color of the tonsils remain virtually unchanged. The person has no problems with nasal breathing or complaints of feeling unwell. No specific treatment is required, but medical supervision and compliance with his recommendations are necessary.

Hypertrophy 2nd degree

The size of the tonsils is significantly increased, they occupy most of the space. The patient may complain of difficulty breathing, a feeling of a foreign body in the throat, and difficulty swallowing food.

The child may experience speech impediments, coughing without expectoration, and snoring during sleep. Moderate hypertrophy in children requires immediate treatment.

Hypertrophy of the palatine tonsils in children, grade 3

The palatine tonsils, greatly increasing in size, begin to come into contact with each other. Children have a pronounced nasal voice and slurred speech. Patients may complain of difficulty swallowing and eating.

Impaired breathing function can lead to oxygen starvation of the entire body and resulting mental disorders.

What are tonsils and why do they enlarge?

The tonsils may simply enlarge, or they may also become inflamed. In the first case, they talk about hypertrophied tonsils, and in the second, about tonsillitis.

If the palatine tonsils are clearly visible to the naked eye, then the pharyngeal tonsil can only be examined during an examination by a doctor who will use special instruments, since it is located near the back wall of the nasopharynx. It can also become enlarged and inflamed.

The tonsils can become enlarged and inflamed for a variety of reasons. Most often this happens during tonsillitis or chronic tonsillitis. The fact is that the mouth is the entrance hole, and the tonsils act as border guards. If a virus or bacteria enters, the tonsils immediately react to this with enlargement, and sometimes even inflammation, if the causative agent of the disease is present in large quantities.

The pharyngeal tonsil enlarges and begins to become inflamed for the same reason. But it’s not possible to see it without the special mirror that doctors use. With adenoiditis, the pharyngeal tonsil does not shrink after enlarging for the duration of the illness; it remains enlarged and blocks all or part of nasal breathing.

If the doctor says that the child has loose tonsils, this also indicates contact with a virus, fungus or bacteria.

ICD 10 code

This is how the catalog of diseases is designated in the International Classifier. The code indicates diseases associated with respiratory dysfunction. The list includes hypertrophy of the adenoids, enlarged tonsils with hypertrophy of the adenoids, chronic diseases of these organs.

Hypertrophied tonsils: photo

At stages 2 and 3 of the disease, the adenoids increase in size, their color changes from light pink to a purplish bluish tint. The surface becomes covered with tubercles and thickenings, and purulent foci may form. Stage 3 of the disease is difficult to treat and requires surgical intervention.

Special cases include unilateral enlargement of the tonsils. This may be a sign of the presence of a tumor, pulmonary tuberculosis, lymphoma, or syphilis. If the tonsils are enlarged on one side, the patient should definitely visit an oncologist and venereologist.

At the same time, hypertrophy can be an individual feature of the body or be the result of a recent respiratory disease.

Which doctor should I go to? Diagnostic methods

How to treat the disease is determined by an otolaryngologist. To begin with, he conducts a general examination of the patient to determine the degree of enlargement of the tonsils and listens to his complaints.

For a more accurate diagnosis, it is possible to use rhinoscopy, pharyngoscopy, x-ray of the nasopharynx, and the results of urine and blood tests. Sometimes diagnosis is more difficult in adults than in children.

The well-known pediatrician Komarovsky notes that the causes of enlarged tonsils in a 3-year-old child are infectious diseases with insufficient or incomplete treatment.

Therapy is prescribed after all diagnostic measures have been completed. During therapy, Komarovsky advises observing the following rules:

• prevent the child from becoming hypothermic;
• ensure optimal temperature and humidity in the room;
• exclude from the menu solid foods that injure the throat;
• Give your child plenty of warm liquids to drink;
• provide bed rest and rest.

How and with what to cure tonsillitis in a child using the Komarovsky method

E.O. Komarovsky is skeptical about the use of medications in the treatment of colds and respiratory pathologies in the first days of symptoms. This also applies to tonsillitis. Many parents fell in love with the recommendations and methods of the famous pediatrician, because he taught how to treat the disease without pharmaceuticals, which often affect the future health of the baby. But are all forms of tonsillitis worth treating without medication?

Acute tonsillitis

The acute form of tonsillitis is tonsillitis. It always occurs severely, the baby develops a severe sore throat, swelling in the tonsils, a white coating on the roof of the mouth, and a significant increase in body temperature.

The acute period is considered until the body temperature decreases to optimal. It is worth taking antipyretics only after 38 degrees in infants and 38.5 in children for more than a year. Parents should allow the body to try to fight viruses on its own. It will help to follow simple recommendations regarding ventilation and maintaining air humidity in the room.

Komarovsky recommends not giving the baby antibiotics in the first 2-3 days. Frequent gargling every hour can help cope with a sore throat. It is better to use a decoction of herbs (chamomile, sage), folk recipes (beet juice, etc.) for the procedure. The child needs plenty of fluids; tea made from raspberry and linden leaves will help relieve inflammation and lower the temperature naturally. You should also consume compotes, mineral waters, and non-acidic fruit drinks. Food should only be grated or in a liquid state.

This set of measures allows you to improve the baby’s condition in 1-3 days, lower the temperature, and alleviate the sore throat. Traditional treatment methods allow you to remove accumulated pus on the tonsils without resorting to medications.

A proven recipe for gargling for catarrhal (purulent) sore throat. Warm freshly squeezed beet juice is prepared, 1 tbsp is added to it. spoon 6% table vinegar. Carry out the procedure 5-7 times a day. For children under 14 years of age, it is better to replace vinegar with lemon juice.

If after 2-3 days the symptoms of the disease in the form of severe sore throat, purulent lesions of the tonsils, and elevated body temperature do not go away, you can turn to antibiotics. Their intake should not exceed a week. You should not buy expensive medicines. Ampicillin, erythromycin, and penicillin will help relieve the symptoms of sore throat.

Only the treating pediatrician should prescribe medications. Redness of the throat and a white coating can result not only from the development of a sore throat, but also from other serious pathologies. Komarovsky recommends showing any sore throat to a doctor, but not forgetting about tips to help improve the child’s condition at the initial stage of the disease.

Chronic tonsillitis

Chronic tonsillitis is the cause of a protracted inflammatory process in the pharynx. It does not have a pronounced manifestation, like tonsillitis, but occurs with similar symptoms.

Treat the chronic form of the disease E.O. Komarovsky advises as follows.

1. Follow all recommendations in the first days of illness regarding temperature and humidity. Ventilate the rooms at least 3 times a day for half an hour, until the temperature reaches 18 degrees. Humidity should be between 70-75%.
2. Give your baby more warm drinks. Tea based on linden blossom, raspberry leaves, and rosehip decoction will help well.
3. Gargle using proven folk methods. For the treatment of children over 7 years old, a recipe based on chamomile and a collection of anti-cold herbs is suitable. Babies can soak the pacifier in chamomile decoction every hour.
4. Aromatherapy gives positive results. Any pharmacy sells aroma lamps; you can dissolve oils in them: eucalyptus, fir, pine, mint, tea tree, lavender. This will help ease breathing and dry cough.
5. You can use rubbing if there is no elevated body temperature. Rub the area around the baby's shoulders and neck with turpentine or camphor using massaging movements.

Dr. Komarovsky talks about the effectiveness of such a remedy as Lugol. It is practically safe for children, gives a positive result when the throat is red. Today you can buy the medicine in the form of a spray.

The patient should remain in bed for the first 2-3 days until the main symptoms go away. Afterwards, you should visit the street for a short time. You should take antibiotics for chronic tonsillitis only according to a doctor’s indications and when complications occur or the disease becomes acute.

Treatment of hypertrophy of the palatine tonsils

The decision on how to treat the pathology is made depending on the extent of the disease. At stages 1 and 2, drug therapy and physical therapy are possible. In advanced cases, these methods will not be enough; surgery is indicated.

Drugs

A tannin solution is prescribed for gargling. The substance has an astringent taste and has an antiseptic and anti-inflammatory effect. It can be used for runny nose, laryngitis, inflammation of the larynx and gums.

A 2-5% solution of silver nitrate is used as an antiseptic to lubricate the throat. The antiseptic Antiformin is also effective. To cauterize the palatine tonsils, use a 2-5% solution. The product also has a disinfecting effect on the oral cavity.

For internal use, drugs such as Tonsilogon, Umkalor, Tonsilotren are used.

Tonsilgon is a plant-based drug, its release forms are tablets and drops for oral administration. The composition of the drug includes oak bark, marshmallow root, chamomile flowers, dandelion and yarrow extracts, walnut leaves. Taking the product provides:

• relieving the inflammatory process;
• destruction of pathogenic bacteria;
• reduction of swelling of mucous membranes;
• increasing the body's defenses.

It is recommended to take the drops in pure form, but if the child refuses to do this, it can be diluted with regular still water in a 1:1 ratio. The drug is taken regardless of food intake. The duration of the appointment is determined by the doctor.

Physiotherapy

Physiotherapeutic procedures are mandatory at the stage when surgery can be avoided. These include UHF therapy, the use of ultrasound, ultraviolet light, and laser therapy.

The goal of physiotherapeutic procedures is to reduce swelling, restore normal size, and ensure normal blood supply to the palatine tonsils.

Remember

The use of physiotherapy must necessarily be accompanied by the use of drug therapy. The course of treatment is usually from 10 to 12 procedures, they must be repeated twice a year to prevent relapse of the disease.

To cure the patient without surgery, the use of mud, ozone therapy, electrophoresis, quartz tube, and regular visits to sea or mountain resorts are indicated.

Surgery

If drug and physiotherapeutic treatment methods are ineffective, surgery is indicated to excise the part of the tonsils protruding beyond the palatine arches. In some cases, they are completely removed.

Indications for which surgery is recommended include severe adenoiditis, hearing impairment or speech disorders, and changes in the patient’s facial skeleton.

The operation can be performed at any age, but it is usually not prescribed for children under three years of age, given the increased risk of postoperative complications that is typical for this age group.

For several days after the operation, the patient needs to follow a special diet that includes only liquid food.

Antibiotics are prescribed to prevent postoperative complications. You should not gargle for 2-3 weeks, as this procedure can cause bleeding.

Surgery to remove hypertrophied tonsils is contraindicated for diabetes mellitus, heart pathologies, renal and liver failure, active tuberculosis and during exacerbation of chronic diseases.

Treatment with medications

Hypertrophy of the tonsils in children causes a number of disorders in the body. A constant lack of oxygen (hypoxia), caused by the blocking of the airways by hypertrophied tonsils, leads to children being retarded in physical development. Approximately 25% of patients with enlarged tonsils experience enuresis and associated mental disorders.

How to treat enlarged tonsils in a child? Komarovsky claims that it is possible to eliminate hypertrophy of lymphadenoid tissues without surgical intervention only if you undergo complex therapy. As a rule, the treatment plan for ENT diseases in children is as follows:

• cleansing the lacunae and follicles of the tonsils from pathological mucus and infectious agents with solution antiseptics;
• elimination of allergic manifestations and swelling with the help of antihistamines;
• increasing general and local immunity with vitamin-mineral complexes and immunostimulants;
• destruction of pathogens with etiotropic drugs - antibiotics, antifungal and antiviral agents;
• accelerating tissue healing processes using physiotherapeutic procedures.

Physiotherapeutic methods of treatment are used only at the stage of resolution of inflammatory processes in lymphadenoid tissues.

In some cases, especially if you have neglected home self-help techniques, doctors decide to remove the patient's tonsils.

Indications for surgery are as follows:

• if you suffer from tonsillitis very often: at least four times a year;
• if the acute process is accompanied by a general deterioration of the condition, in which there are enlarged tonsils (photo below), inflammation of the lymph nodes, intense heat, the formation of yellowish spots outside of relapse, in the presence of purulent contents on the tonsils;

  Inflamed tonsils

• During the pathological process, the heart, joints and other organs began to ache.

Modern medicine offers not only the surgical method, but also freezing and laser exposure.

Enlarged tonsils in a child can be reduced using lymphotropic agents. Their distinctive feature is the ability to concentrate only on the focus of the inflammatory process.

Imudon

Lozenges can be used for children over 3 years of age. The product has an immunostimulating effect. Use is contraindicated in the presence of an allergic reaction to elements of the drug. Per day, 6 tablets are prescribed to be dissolved at regular intervals. The course of therapy is 10-20 days, prescribed by the treating specialist.

Lysobacter

Tablets are approved for use by children over 3 years of age. Has an antiseptic immunostimulating effect. Tablets are prohibited for use if you are lactose intolerant. Consumption may cause an allergic reaction. For treatment, 1 tablet is prescribed 3-4 times a day for 8 days.

To reduce the size of the tonsils, you can use folk recipes, but their use must be discussed with the treating specialist. The danger of use lies in the presence of an allergic reaction.

Rinse

For gargling, infusions and decoctions of herbs with antiseptic, anti-inflammatory and immunostimulating effects are used.

List of herbs:

• chamomile flowers and grass;
• sage leaves and stem;
• calendula flowers;
• flowers, stem and leaves of yarrow;
• St. John's wort flowers;
• Oak bark.

All herbs can be purchased at the pharmacy. To prepare, you need 20 g of dry grass/bark and 200 ml of boiling water. After cooling, you need to gargle with the infusion. It is recommended to use a fresh infusion each time. Frequency 3 times a day. The course is to be confirmed with a specialist.

Herbal tea

Herbal tea is recommended for children to strengthen the immune system and relieve inflammation.

To prepare the drink, it is recommended to use the flowers of the following plants:

• linden;
• chamomile;
• calendula;
• coltsfoot;
• St. John's wort;
• thyme.

Use the listed herbs instead of tea leaves and drink tea up to 3 times a day. To enhance the effect of tea, you can add honey and lemon juice to the cup.

If a child has inflammation of the tonsils, treatment is carried out at home, as early as possible, using all methods of therapy. During the period of illness, bed rest is indicated. The choice of drugs depends on what pathogen is causing the infection.

Viral disease of the tonsils is treated with symptomatic means. Antibiotics are used only for sore throat of bacterial origin. Regardless of the pathogen, general measures of influence on the body are used. Local treatment is carried out in various ways.

Rinsing

Rinsing with soda or saline solution has a positive effect on the tonsils. At home, the solution can be easily prepared from chilled boiled water in a proportion of 1 tsp. main substance per glass of water.

A noticeable improvement in sore throat occurs after using the pharmaceutical products Aquamaris and Tantum Verde. An auxiliary treatment is provided by potassium permanganate, diluted to a faint pink color.

Rinsing for a sore throat washes out bacteria, viruses and affected epithelium from the surface of the tonsils. The procedure prevents not only the proliferation of microorganisms, but also the complication of infection in neighboring organs - ears, paranasal sinuses.

Antimicrobial pharmaceutical agents Miramistin, Chlorhexidine, Chlorophyllipt, Iodinol are used for irrigation. Rinsing with Furacilin solution, which destroys viruses, fungi and bacteria, has a good anti-inflammatory effect. To obtain the desired result, you need to repeat the procedure every 2 hours up to 10 times a day.

An alcohol solution of propolis copes well with inflammation. A few drops of pharmaceutical tincture are added to 100 ml of warm water. A ready-made solution of Rotokan containing anti-inflammatory marigold is used. In order not to heat up the rinse products every time, you can store them in a thermos.

Homemade infusions of calendula, chamomile, and eucalyptus are used for rinsing. It is better to alternate solutions so that microbes do not have time to adapt to antiseptics.

Taking liquids

The liquid removes toxic products of bacteria and viruses. Fruit juice, tea with lemon, linden, and raspberries are recommended. Traditionally, warm milk with butter, soda and honey is used. Mineral water from Essentuki and Narzan has a rapid antitoxic effect.

Fruit juices, preferably freshly squeezed, replenish the body with a set of vitamins to strengthen the body's defenses. When suffering from a sore throat, the body needs ascorbic acid, which is also contained in rosehip infusion and oranges.

When the tonsils are inflamed in children, the lymph nodes may become inflamed, which can and should be treated with warm compresses. Lymph nodes can be felt on the sides of the neck. A bandage moistened with camphor oil or vodka is applied to them.

At elevated temperatures, children are given antipyretic tablets and suppositories based on paracetamol (Panadol). The non-steroidal drug Ibuprofen is used in syrup form.

Due to the toxic-allergic nature of sore throat, doctors prescribe antihistamines - Diazolin, Claritin, Fenkarol.

For catarrhal tonsillitis, the local antibiotic Bioparox is used as an antibacterial agent. The drug is available in a spray dosage form that is easy to use.

Antibiotics

In severe cases, the child is hospitalized in the infectious diseases department, where antibiotics are administered parenterally.

Treatment is carried out within a week. It cannot be interrupted while improving. Untreated sore throat develops into chronic tonsillitis. It may be complicated by an abscess, which will require surgery to eliminate. There are dangerous long-term consequences - rheumatic heart disease, glomerulonephritis, biliary tract diseases.

It is not always possible for a person to immediately consult a doctor at the first symptoms of illness. Although self-medication at home is not encouraged, sometimes it can be really effective.

Gargling

Calendula flowers have healing properties and are an excellent therapeutic antiseptic.

Homemade rinses will help relieve swelling of the tonsils and reduce sore throat. For this you can use:

• saline solution (1 teaspoon per 250 ml of water);
• soda solution (1 teaspoon per glass of water);
• Furacilin (1 tablet grind into powder and dissolve in 200 ml of water);
• decoctions of chamomile, calendula, sage or oak bark.

To prepare a decoction, you need to pour 2 large spoons of the plant with 2 glasses of water and cook over low heat for 15-20 minutes. Then the resulting solution is cooled, mixed half and half with water and used for rinsing.

In case of swelling of the tonsils after injury, you can use the same solutions - they prevent infection of the wound. If there is a large tumor on the tonsils, home treatment is prohibited; you must urgently visit a doctor.

Inhalations

A rather controversial method of home treatment is inhalation. They are carried out using steam from boiled potatoes, essential oils, and the Zvezdochka inhaler. The effectiveness of inhalations for tonsillitis is very doubtful. Vaporization of essential oils does not reduce pain and swelling, but only facilitates nasal breathing. Thus, it is advisable to use inhalations for colds and sinusitis, but tonsillitis and swelling of the tonsils require highly targeted treatment.

What you should not do if your tonsils are swollen is to apply heat to the tonsils. In the case of an acute bacterial infection, warm compresses or heating can intensify the inflammatory process. In the case of an abscess, exposure to heat can lead to its rupture, followed by infection of the entire body and the development of sepsis.

Drink plenty of fluids

Increasing your fluid intake will not help reduce swelling of the tonsils and larynx, but will improve your overall health. It is especially important to drink a lot at high temperatures and intoxication. Preference should be given to clean water at room temperature, decoctions of medicinal herbs, and sour fruit drinks and compotes. Drinks should not be too hot or cold.

How to treat with folk remedies? Is it effective?

Homeopathic remedies can give effective results in the treatment of tonsil hyperplasia with the correct selection of remedies and calculation of the optimal dosage.

This therapy helps to avoid further spread of the inflammatory process, increase the size of the lesion and prevent surgical intervention. [ads-pc-1][ads-mob-1] Well-known remedies include Tonsilotren, Angin-Hel, Fitolacca, Lachesis, Apis Gommacord.

It is possible to prescribe two homeopathic medicines at the same time.

The medication is taken half an hour before meals. During treatment, it is necessary to limit the consumption of coffee, highly carbonated drinks, and alcohol.

For enlarged tonsils, it is recommended to regularly drink decoctions of chamomile or linden, ginger root and burdock, and white willow bark.

Bee bread

This so-called bee bread has proven itself very well in the treatment of enlarged tonsils. The product contains all known vitamins, amino acids, enzymes, and phytohormones.

Bee bread has long been known as an effective medicine for relieving symptoms of bronchitis, laryngitis, and pneumonia.

In order for the product to work effectively, you must follow the rules for its use. It is recommended to dissolve a certain dosage of bee bread daily.

It is not advisable to dissolve the product for use in boiling water or tea, or swallow it as a regular medicine. The dosage is determined by the doctor taking into account the age and severity of the disease.

Bee bread has no contraindications. The exception is the presence of individual intolerance to the product by the body. In this case, the patient may experience heaviness in the abdomen, nausea or belching.

Hydrogen peroxide

Gargle with hydrogen peroxide. This type of therapy is indicated only for adults, since children are prone to swallowing the rinse, which is undesirable in this case. To treat children, it is possible to treat the tonsils with cotton swabs soaked in this solution.

For rinsing, prepare a solution consisting of a tablespoon of peroxide and a glass of warm water. To remove any remaining product, perform an additional rinse with plain water or herbal decoctions.

Treatment program

The treatment methods used for loose tonsils directly depend on the age and severity of the pathology.

At the initial examination, the doctor prescribes a laboratory test of the scraping to determine the sensitivity of the flora.

Only after the type of pathogenic pathogen has been established is the necessary therapy prescribed.

If the growth in the tonsils passes without signs of acute inflammation, preventive measures are recommended:

1. Frequent ventilation is required.
2. Rinse and moisturize the nasal and oral cavities.
3. Hardening.
4. Active physical education in the fresh air, outdoor games
5. Vitamin therapy.

For inflamed tonsils, a course of physiotherapy is prescribed (10 days - 2 weeks). This can be ultrasound, herbal medicine, oil and alkaline inhalations, laser treatment. After active exposure, when the inflammation has passed, the tonsils return to their normal size and are smoothed out.

At home, rinsing with furatsilin, chamomile, sage, calendula, and saline solutions is recommended for a month. Hardening the throat is useful. It begins with rinsing with cool water, with a gradual decrease in temperature. To acclimate the tonsils to the cold, it is recommended to suck on small ice cubes.

In unusual cases that are difficult to treat conservatively, cauterization with silver nitrate is prescribed.

Removal

When tonsil hypertrophy reaches a large size, it means that there is a mechanical barrier to breathing, swallowing and speech production. In this case, partial excision of two growths is indicated - tonsillotomy.

But this is a last resort. To remove means to open the way for pathogenic microorganisms. In addition, after the procedure, the mucous membrane will tend to dry out, which, in turn, will lead to frequent pharyngitis and discomfort in the throat. Without a protective barrier, pathogens will freely penetrate the bronchi and lungs.

Removal of tonsils is indicated only if the damage to health exceeds their benefit, and the growths become a breeding ground for infection. Surgery is prescribed when inflammation is severe and requires antibacterial treatment more than 4 times a year.

When they talk about enlarged, inflamed or loose tonsils, they mean specific nasopharyngeal or palatine tonsils that are located in the area. They are small (about 2 cm) accumulations of lymphoid tissue. The functions and purpose of the tonsils have not yet been fully studied. It is known that their main function is protective.

Tonsils represent a barrier to various pathogenic microorganisms that enter the body through airborne droplets. The palatine tonsils are called tonsils; they prevent infection from the nose from getting further into the respiratory tract. Inflammation of these tonsils is called tonsillitis.

Loose tonsils in a child, or loose throat, are also often referred to as or associated with these two diseases, calling loose throat a symptom of tonsillitis.

There is no such disease as “loose tonsils” in medicine. Doctors use this term as an indicator of inflammation. Lymphoid tissue makes the tonsils loose. When it grows and becomes covered with follicles, upon examination you will notice that the throat has become more loose, like a sponge.

The tonsils themselves also consist of lymphoid tissue. As is known, they have a direct role in creating immunity.

Lymphoid tissue reacts to infection, becomes inflamed and grows, which creates a feeling of looseness in the throat.

In fact, this is only an indicator that the body’s defense mechanism has been launched and the fight against pathogenic microorganisms is underway. If the tonsils become inflamed and loose, then an infection has entered the body. In this case, the tonsils cease to perform a protective function and themselves become a source of inflammation. This makes the child's body even more vulnerable.

Due to its important protective function, doctors are not always in a hurry to remove tonsils, since this is the first barrier that the infection encounters on its way when entering the body. It is necessary to remove tonsils only if the harm from their inflammation is guaranteed to outweigh the benefits of their presence.

Symptoms

A loose throat is just a visual picture that an otolaryngologist sees during an examination.

Signs of the same can be very different:

1. Bad breath. The tonsils can become enlarged and uneven, causing food particles to become trapped there. The process of their decomposition begins, which causes a very unpleasant odor from the mouth. In this case, it is necessary to constantly remove these food debris, otherwise an inflammatory process in the area will begin.
2. . The inflammatory process caused by infection causes a sore throat. It hurts the child to swallow.
3. Fever. The temperature may rise or remain normal, only occasionally exceeding the norm. A high temperature may be a sign.
4. Headache. Headache can be caused by swelling, difficulty breathing and general weakness of the body.
5. Weakness, lethargy. The infection weakens the body. If nasal breathing is difficult, the child cannot eat or sleep. He gets tired quickly, becomes lethargic, apathetic, and moody.
6. Enlarged lymph nodes. Lymphoid tissue, when inflamed, causes enlargement of nearby lymph nodes. They become larger and more sensitive to palpation.
7. External picture. This is what a mother or doctor can see during an examination. In a healthy state, the surface of the tonsils is smooth, even, and pinkish. If inflammation occurs, the throat is red, the surface of the larynx is uneven. The tonsils are lumpy and have small pink or yellowish bumps on them that can fester. A white-yellow coating forms on the tonsils.

The symptoms of loose tonsils may appear all at once or only some. If you suspect inflammation of the tonsils, increased inflammation, or the presence of purulent plaque, you should immediately seek help from a pediatrician. Treatment must be immediate.

Causes

Loose tonsils do not pose a danger to the child’s life; parents should not panic about this. This is a sign of inflammation. If there are no other serious symptoms, then the throat is treated with medications and gargles.

The main reason for loose tonsils is their mechanism of action. Lymphoid tissue is a collection of follicles. Young children have not yet encountered many viruses, fungi, and bacteria, so their immune system may react differently. As soon as the tonsils recognize the infection, the production of lymphocytes begins, which signal the body that there is a danger of infection. This process of active production of lymphocytes causes inflammation, redness, and looseness of the palate and throat.

The prerequisite may be reduced immunity, hypothermia. The throat still remains loose for some time after treatment. If there is no purulent plaque and it does not hurt, no treatment is required.

Inflamed tonsils caused by the following diseases require special attention and careful treatment:

• . Sore throat often begins with a high. The child may have fever and chills. On the second day, a sore throat appears. The formation of purulent accumulations on the tonsils is also called purulent tonsillitis. The child refuses to eat because it hurts to swallow. Tonsillitis (or streptococcal tonsillitis) is also accompanied by severe.
• . With pharyngitis, the pharyngeal mucosa becomes inflamed, as well as the lymphoid tissue. It can be an independent disease or a consequence of another disease. The child begins to have a sore throat and is constantly tormented by pain. When examining the throat, redness, suppuration or ulcers on the mucous membrane are observed.
• ARVI. A common and common infection for many. The sore throat may not be too severe. However, it can lead to it if not properly treated.

What complications can there be?

In the absence of treatment for hyperemic tonsils in the first and second stages of the disease, various negative consequences can occur.

These primarily include the operation itself to remove the tonsils, which can cause increased bleeding, fever, abscess of the pharyngeal wall, and allergic reactions to anesthetics.

Complications that are caused directly by hypertrophy include:

• disruption of oxygen supply, which causes developmental delays, bedwetting, and slow growth;
• complications on the kidneys, liver and heart muscle;
• chronic debilitating cough;
• frequent relapses of infectious diseases.