How to cure chronic tonsillitis in a Komarovsky child?

Sore throat or tonsillitis: why are the tonsils swollen?

Most often, inflammation of the tonsils is caused by tonsillitis or tonsillitis.
How to understand what exactly happened? In fact, these are not different diseases, but one, just sore throat is an acute form, and tonsillitis is chronic. The disease is provoked by: • bacteria – staphylococci, pneumococci, meningococci, etc.;

• viruses - adenoviruses, herpes viruses;

• various fungi.

Without a medical examination, you will not be able to determine the exact cause (causative agent), and this is very important for the correct selection of drug treatment. So what should we do then? How to treat?

At home, you can use only the means and methods described in the article on your own, and let the pediatrician select the medications for treatment. And remember, no conspiracies will save your child from chronic tonsillitis, so don’t be foolish, it’s better to immediately start treating normally.

Acute form

Treatment of acute tonsillitis (depending on the pathogen that caused it) is carried out with drugs that are active against a specific microorganism.

That is why a sore throat should never be treated independently at home. Such “treatment” in 90% of cases leads to tonsillitis becoming a persistent chronic form.

For bacterial sore throat, your doctor may prescribe antibiotics. It is best if the medicine is as effective as possible against a specific microbe. But in small towns and villages, where medical institutions often do not have bacteriological laboratories at all, it is sometimes very difficult to determine whether staphylococcus or streptococcus is to blame for the disease. The doctor determines bacterial infection literally “by eye” - and in this case prescribes broad-spectrum antibiotics.

As a rule, treatment begins with the penicillin group of antibacterial drugs. Amoxicillin and Amosin have proven themselves well. For young children, it is acceptable to take medications in the form of syrups.

In parallel with this, the child is prescribed local therapy - washing the tonsils with a special device "Tonsilor", rinsing with a solution of furatsilin, and treating with antiseptics.

For this purpose, Miramistin spray and Tonzilgon herbal antiseptic are most often prescribed.

In case of viral infection of the tonsils, antibiotics are completely and categorically contraindicated. Taking them in this case cannot reduce the risk of complications. Moreover, these risks increase by 6-8 times.

Sometimes doctors recommend taking antiviral drugs. It is up to the parents to decide whether to buy them or not, since the clinical effectiveness of most of these products has not been officially proven. "Anaferon" or "Ergoferon" in no way affect the speed of the child's recovery.

More hope for local treatment. Affected tonsils are treated with the use of Vinilin balm, gargling with a solution of furatsilin, and treatment with antiseptics are prescribed.

Fungal sore throats are considered one of the most difficult to treat. They are prescribed a course of antifungal therapy, which includes both taking appropriate medications orally and local treatment with antifungal sprays and ointments. The course is quite long - from 14 days, after a short break it is repeated.

To reduce fever in acute tonsillitis, antipyretic drugs are allowed - Paracetamol, Cefekon (suppositories for children), and the anti-inflammatory non-steroidal drug Ibuprofen. They not only relieve fever, but also moderately relieve pain.

You should not treat your throat with a sore throat with Lugol's solution. This drug contains a large amount of iodine, which is perfectly absorbed and absorbed by the child's body. The more extensively the lymphoid tissue of the tonsils is affected, the faster and more aggressively the iodine acts. This is fraught with serious overdose and iodine poisoning.

At the recovery stage, the child is prescribed physiotherapeutic treatment - warming, ultrasound treatment of the tonsils, light therapy.

Possible reasons

The main cause of inflammation is acute tonsillitis, also called tonsillitis. Its causative agents can be microbes that affect the upper respiratory organs - streptococci and staphylococci.

The chronic type of the disease most often appears after tonsillitis, measles, scarlet fever and other anomalies.

The main factors that provoke the appearance of the inflammatory process include the following:

• contacts with infected people or household objects;
• inflammation in the nose and oral cavity, as well as the sinuses - this leads to caries, purulent sinusitis and other anomalies;
• hypothermia;
• harmful domestic and professional conditions.

There are certain factors that significantly increase the risk of tonsil inflammation:

• insufficient body resistance, weakened immune system, more often this becomes the cause of illness in a child;
• untimely and unbalanced nutrition;
• genetic predisposition;
• unfavorable environmental conditions;
• traumatic injuries;
• sharp fluctuations in temperature.

Surgery to remove tonsils in children

Tonsillotomy is prescribed if:

1. frequent relapses occur with a sharp increase in temperature;
2. there are complications in other organs and systems of the body;
3. paratonsillitis appears.

Children are not prescribed tonsillotomy options with a long recovery period or particularly traumatic (laser, cold plasma tonsillotomy), as well as in the presence of high and even elevated temperature. Often, this is a classic variation of tonsillotomy, which is performed under general anesthesia using scissors or a scalpel.

After the operation, pain at the intervention site may last for a week, so to make the recovery period comfortable, you can take painkillers. To allow the immune system to get used to it and the remaining tonsils to take over the functions of the removed ones, it is advised to quarantine for 2-3 weeks.

During the recovery period, after tonsillotomy, children are advised to drink more liquid, but not sour and, especially, not carbonated drinks, and also follow a gentle, pureed diet.

Parents of the operated patient are strongly recommended to provide their child with frequent oral hygiene procedures in the form of rinsing and applying local medications.

Doctor Komarovsky about sore throat

Sore throat is an infectious disease with a syndrome of intoxication of the whole body. Suppuration of the tonsils and mucous membrane of the pharynx occurs. Quite often the disease is observed in preschool children. This is due to the slight reactivity of the body.

Komarovsky says about sore throat: do not confuse sore throat with other diseases, since the disease must be treated correctly. Otherwise, undesirable consequences and complications may occur.

Dr. Komarovsky had the opportunity to film many programs about angina, so it’s worth listening to all the recommendations.

Treatment using the Komarovsky method

Unfortunately, infants are also susceptible to this disease. According to Dr. Komarovsky, its treatment has its own specifics and is divided into 3 steps.

In the first case, the pathogen is controlled with antibiotics:

• in suspensions in the form of Amoxicillin, Flemoxin, Amoxlav;
• in sprays and inhalers in the form of Ampicillin, Trihisan, etc.

In the second case, the temperature is normalized with the help of Paracetamol, Ibuprofen, Nurofen and bed rest is provided.

With the third, proper and balanced nutrition is provided , in which the consumption of solid food is limited. It is recommended to drink plenty of warm drinks and rub the throat with Lugol and chamomile infusion.

Healthy tonsils - what they should be like

In most people, the tonsils have some kind of changes caused by past or chronic diseases or improper treatment. It is very rare to find completely healthy tonsils. In the next photo, the tonsils are healthy. With proper examination, you will easily notice the existing pathology by comparing the healthy tonsils in the photo with your own.

How to understand that your throat is healthy:

The glands are small in size and do not extend beyond the boundaries of the arches. It can be considered normal if large tonsils are not the result of a disease, but a feature of the anatomical structure. There should be no red areas in the throat and tonsils, their color is even, the same everywhere - pale pinkish. Tonsils naturally have an uneven surface, but the lumpiness should not be excessively pronounced.

You can only consider the listed parameters together, and not separately, in order to understand what healthy tonsils look like. The tonsil glands in children are not much different from those in adults. But throat diseases often manifest themselves in different ways.

Cure the disease

According to Komarovsky, sore throat is dangerous for others, so it is necessary to listen to all the doctor’s recommendations. It is impossible to determine the root cause of the disease at home, so examination by a specialist is important. Sore throat in children should only be determined by a specialist.

Each symptom of an illness can also manifest itself in other diseases, so only a doctor can quickly make the correct diagnosis. This will save the child from a number of complications. Timely treatment of the disease is required.

It is almost impossible to cure a sore throat without antibiotics, while tonsillitis only needs a boost in immunity. To treat a sore throat, Komarovsky first of all advises following a diet.

A well-known doctor gives several recommendations on how to alleviate the condition of children aged three years. Treatment Komarovsky offers the following:

• Be sure to visit your doctor for a diagnosis.
• Physical activity is prohibited, so if you are ill, it is very important to maintain bed rest.
• There is no need to look for special expensive drugs to cure the disease. Regular ampicillin, penicillin or erythromycin will come to the rescue.
• Take all antibiotics and antiviral drugs in strictly prescribed dosages. When the condition improves, you should not stop taking medications. An incompletely cured disease can lead to undesirable consequences.
• In children, treatment is possible using local methods: decoctions of chamomile, sage or soda solution. But it is worth remembering that these methods need to be included in the complex treatment of the disease. In this case, results can be expected much faster.
• Is it possible to cure a disease with rinsing alone? No. Rinsing procedures help eliminate plaque that occurs. Thanks to this, all pain disappears. The frequency of procedures is prescribed by the doctor on an individual basis. It all depends on the overall clinical picture. If you feel excessively dry, gargle after each meal.
• If the body temperature rises very strongly, then taking antipyretic drugs is effective. In case of severe sore throat, you can take painkillers.
• To moisturize your throat, you can take lozenges. It is impossible to cure the disease in this way, but medicinal lozenges will help eliminate the discomfort that arises.
• Constantly ventilate the room in which the patient is located. Carry out wet cleaning daily. Everyone should have individual dishes, as the disease is contagious.

We suggest you read What to do if your tooth hurts after installing a filling, how to quickly relieve the pain
If you follow all the recommendations, you can significantly speed up the patient’s recovery process.

Features of the course and treatment of herpetic sore throat in children

Herpetic childhood sore throat is an acute infectious process that can affect infants and older patients. The disease is characterized by damage to the lymphoid tissue of the pharynx and tonsils. If treatment for herpetic sore throat is not started in time, then there is the possibility of severe complications, which manifest themselves in the form of a rise in temperature and the occurrence of ulcers in the mouth.

How to rinse with a purulent sore throat can be found in this article.

Medical care scheme

Therapy for sore throat in children should be carried out only by an experienced specialist and include constant monitoring of pain and fever. To do this, antipyretic drugs must be involved in the process. To eliminate a sore throat, you should use oral antiseptics.

In the photo - herpetic sore throat:

To achieve the maximum effect, the child must be kept in bed, his room must be filled with fresh air. As for nutrition, you should exclude rough foods.

How angina is treated and prevented is indicated in this article.

Treatment of herpetic sore throat in young children should be strictly under the supervision of a pediatrician. When drawing up a treatment regimen, it is very important to understand that all actions should be aimed at both eliminating the symptoms and the cause of the disease.

Antibacterial drugs are not used to treat herpetic sore throat in a child, and no vaccine has been developed. For prevention, it is necessary to follow hygiene rules and limit contact with infected people.

Which pathogen of purulent sore throat is the most terrible is indicated in the article.

The video talks about the treatment of herpetic sore throat in children:

How to use Stopangin spray during pregnancy can be found in the article.

Drug therapy

Therapy for this type of disease is based on eliminating symptoms and has its own distinctive features. When a doctor prescribes medications to his young patients, he must take into account the following factors:

1. The presence or absence of allergies to certain medications.
2. State of immunity.
3. Patient's age.
4. Weight.

The following drugs are in great demand for the treatment of herpetic sore throat in a child:

• Suprastin;
• Peritol;
• Claritin;
• Diazolin.

They are taken in combination with antipyretics, since most often this type of sore throat is accompanied by a rise in temperature. Talpol, Tylenol and Efferalgan are used here.

You can learn how to rinse with Chlorophyllipt for a sore throat from this article.

As for external preparations, they should be used for no more than 9 days. If you use ointments for a long time, the mucous membrane of the throat experiences severe irritation. It is for this reason that most doctors refuse such drugs, replacing them with tablets.

Local treatment is based on the use of solutions for irrigating the throat. But they cannot always be used. Such treatment is prohibited if the baby has bronchial asthma. In addition to special solutions, the process may involve aerosol antiseptics, antiviral medications, and painkillers.

How to make an iodine mesh for a sore throat can be found in this article.

Amoxiclav for sore throat in children

The following drugs are relevant in this regard:

• Tantum Verde;
• Inhalipt;
• Hexoral.

All the medicines presented cover the area affected by the disease and prevent the viruses from spreading further.

On the positive side, liquid antiviral agents, or rather leukocyte interferon, have proven themselves. It is actively absorbed in the stomach, causing damage to all infectious agents in the body. But liquid medications should be taken in combination with aerosols and tablets. Only in this way will the doctor be able to significantly speed up the healing process.

Can it be treated with acyclovir?

Doctors prescribe acyclovir for the treatment of sore throat in both adults and young patients. It is advisable to use it in cases where inflammation of the tonsils occurs due to the herpes virus. The dosage and duration of therapy depends on the development of sore throat, the patient’s age and body weight.

You can find out how to quickly treat a sore throat at home by reading the article.

If a child experiences side effects during treatment, you should immediately notify your doctor . The active components of the drug are introduced into the cells in which the herpes virus is concentrated and break the DNA chain.

The drug is excreted by the kidneys in an almost unchanged form. The intestines are affected only by 1/3 of the applied dose. This drug has an effective effect on the Herpes simplex and Varicella zoster viruses. But, like all medications, Acyclovir has its side effects. They may occur due to non-compliance with the dosage or during long-term therapy. They appear as follows:

• skin rash;
• feeling of nausea, diarrhea, occasional colic in the abdominal area;
• drowsiness, dizziness, attention disorder.

Komarovsky's point of view

According to Komarovsky, herpetic tonsillitis is very similar in its symptoms to catarrhal or purulent tonsillitis. It can only be discovered through a thorough inspection. It is characterized by blistering rashes on the surface of the glands of the affected tonsils. An experienced doctor will send the patient for diagnostics, during which it is necessary to confirm or refute the data on bacterial rods in the mucus of the nasopharynx, as well as determine the number of enteroviruses in the lymph.

Whether a sore throat can occur without fever is indicated in the article.

In the video, Dr. Komarovsky talks about the treatment of herpetic sore throat in children:

What are the symptoms of a sore throat without fever is indicated in the article.

Therapy for young patients should only take place under the supervision of a physician. Only he, after comparing the diagnostic results and the severity of the disease, will be able to prescribe effective treatment measures. They can be performed both in a hospital setting and at home.

During treatment, the following methods are used:

1. Taking antiviral medications.
2. The use of drugs with analgesic and antipyretic effects.
3. The use of medications whose action is aimed at increasing immunity.
4. Rinsing the tonsils with antiseptic and antiherpes solutions.
5. Maintain a proper diet and drink plenty of alkaline drinks.
6. The use of physical procedures that use the influence of UV rays.

You can find out what the incubation period for sore throat is by reading this article.

If all the doctor’s instructions were followed accurately and correctly, then all the symptoms of herpetic sore throat will disappear in the child after 1-2 weeks.

How does tonsillitis occur in children?

The catarrhal form of tonsillitis develops more often as an independent disease. But sometimes a child’s tonsils are inflamed due to pharyngitis, ARVI, or adenoiditis. The palatine tonsils are involved in the process of childhood infections.

Treatment of chronic tonsillitis corresponds to the stage of the disease. If relapses occur 1–2 times a year, conservative therapy is carried out. At the same time, the palatine tonsils are able to perform a protective function against microbes. No changes are observed in the target organs (heart, kidneys).

In more rare cases, relapses of sore throat during exacerbation of chronic tonsillitis occur 3-4 times a year. In this case, the infection spreads throughout the body, settling in the heart and kidneys. Rheumatism or tonsillocardial syndrome often develops. In such patients, the tonsils must be surgically removed.

What is chronic tonsillitis

Chronic tonsillitis is defined as an infectious inflammation of the palatine tonsils, characterized by enlargement, swelling, and redness of the lymphoid tissue.
Often purulent contents are observed in the lacunae of the tonsils. Tonsillitis is considered chronic when tonsillitis (acute tonsillitis) occurs in a child more often than 2 times a year. The palatine tonsils are organs of the immune system that belong to the lymphoid pharyngeal ring. They are the first to encounter an infection that has entered the oropharynx. Immediately after contact with an infectious agent, the tonsils begin to produce immune cells and destroy viruses or bacteria. At the same time, a signal is transmitted to all other organs of the immune system about an infectious attack of the body, and all organs and tissues go into a state of “combat readiness.”

After two cases of sore throat in a year, tonsillitis can become chronic.

Forms of the disease

https://www.youtube.com/watch?v=3gdaJfcxnGg

There are three forms of chronic tonsillitis depending on the severity:

1. Compensated chronic tonsillitis. With this form of the disease, local symptoms (enlargement, redness of the tonsils) prevail over the general ones (fever, weakness). The general condition of the child is disturbed only during exacerbation of the disease.
2. Subcompensated form of chronic tonsillitis. Local symptoms (loose, swollen tonsils, purulent contents in the lacunae) are very pronounced. And general symptoms (fever, joint pain, changes in blood pressure, general weakness) are moderate.
3. Decompensated chronic tonsillitis. Against the background of pronounced local symptoms, a disturbance in the general condition of the body is observed. Diseases associated with chronic tonsillitis (rheumatic fever, glomerulonephritis, arthritis, vasculitis) or serious complications (peritonsillar abscess, chronic lymphadenitis) occur.

At-risk groups

1. Carriers of pathogenic microflora. These are those children on whose mucous membranes pathogenic microorganisms live. Under favorable conditions (hypothermia, decreased immunity), they cause an exacerbation of the disease. The presence or absence of pathogenic bacteria can be determined using bacteriological examination - culture of the oral mucosa for microflora. One of the most common pathogens that causes sore throats is group A beta-hemolytic streptococcus.
2. Children with low body weight, accustomed to an unbalanced diet. Insufficient consumption of protein foods and vitamins will lead to a decrease in the body's defenses (immunity).
3. Children with congenital or acquired immunodeficiency conditions. A lack of immune cells leads to frequent sore throats.
4. Children exposed to frequent hypothermia. Low temperatures are stressful for the body; in such conditions, the immune system begins to work in a perverted mode (a small amount of bacteria or viruses can cause the development of the disease).
5. Carriers of chronic infection. Untreated caries, stomatitis, sinusitis (sinusitis, frontal sinusitis) create a chronic infectious focus, which at any time can lead to tonsillitis (tonsillitis).
6. Children with allergic reactions.

How to reduce tonsils in a child without surgery?

For chronic diseases, physiotherapy is indicated. As part of this, patients are often prescribed ultrasound treatment. This method is considered highly effective and can often reduce the severity of hyperemia and avoid surgical intervention.

Ultrasound treatment of tonsils in a child allows:

• cleanse them of accumulations of pus;
• reduce the intensity of the inflammatory process;
• accelerate tissue regeneration.

Magnetic therapy is also indicated. The essence of the method is the influence of a magnetic field, which achieves:

• anesthetic;
• anti-inflammatory;
• bacteriostatic;
• sedative effect.

When is surgery needed?

Previously, tonsillectomy (tonsillectomy) was often performed, but now Dr. Komarovsky and many other doctors recommend refraining from surgery unless there are complications and a threat to the child’s life.

The tonsils and adenoids are part of the immune system; they prevent the penetration of dangerous microorganisms into the lower respiratory tract, which significantly reduces the likelihood of developing bronchitis and pneumonia.

Indications for surgery:

• severe disturbances in nasal breathing, the child breathes exclusively through his mouth in his sleep, it is difficult for him to swallow even liquid food;
• severe snoring, apnea;
• deformation of the bones of the facial part of the skull;
• frequent relapses of otitis media, sinusitis;
• bronchial asthma, obstruction and pathology of the bronchi and lungs;
• Infectious mononucleosis;
• development of rheumatic diseases, kidney pathologies;
• the child gets a sore throat more than 3 times a year.

Contraindications – acute infectious diseases, chronic pathologies in the acute stage, decompensation of cardiac and pulmonary diseases, diabetes mellitus, poor blood clotting, the presence of malignant neoplasms.

The operation is performed under local or general anesthesia; the tonsils are removed in the classical way using a scalpel and forceps. But parents can also choose more modern methods - cryodestruction, excision with a radio knife or laser, after such interventions it reduces the addition of secondary infections, the recovery process is accelerated, the child is discharged home the next day in the absence of complications.

Nowadays, gentle methods are used; complete removal of tonsils is carried out only in the presence of chronic abscesses; in other cases, the overgrown part is only trimmed. After such an operation, the integrity of the lymphoid ring is not compromised, the glands continue to perform protective functions, but the likelihood of relapse of the disease increases.

Important!

Children under 5 years of age do not undergo surgery to remove tonsils; the use of a laser is permissible if the child is over 10 years old.

The disease itself can be simple or complicated.

If a child often simply has a sore or sore throat, or has difficulty swallowing, then we are talking about a simple form. If, in addition to a sore throat when swallowing, there is a regular concomitant enlargement of the lymph nodes in the neck and under the jaw, fever, and pathologies of some internal organs, for example, the heart, ear, sinuses, then we can talk about a complicated form - toxic-allergic.

Various pathogens can cause the disease:

• bacteria (pneumococci, moraxella, streptococci, staphylococci, hemophilus influenzae);
• viruses (adenoviruses, Coxsackie virus, Epstein-Barr virus, herpes virus);
• fungi, chlamydia, mycoplasma.

The likelihood of developing the disease increases if the child has a constant source of infection in the body, such as: long-standing inflammation in the oral cavity, caries, inflammation in the sinuses, frequent difficulty breathing. Chronic tonsillitis often develops in children who are exposed to intoxication and inhale strong allergens and chemicals. Breathing dusty and polluted air also increases the likelihood of illness.

The state of the immune system also plays a role - if it is strong enough, then the likelihood of developing chronic tonsillitis is lower. If a child often suffers from viral respiratory diseases, the disease becomes more likely. Also, if a child sits on cold surfaces and becomes hypothermic, then he again falls into the risk group.

Exacerbations of chronic tonsillitis, according to Evgeniy Komarovsky, occur when local immunity is weakened, when a child becomes ill with a viral infection and the protective properties of the mucous membranes are impaired. If there is not enough saliva, or it has a thick consistency, then its protective functions are disrupted, which means that pathogenic microbes and viruses can calmly do their “dirty deed”.

Parents and doctors can suspect chronic tonsillitis in a child not only by the frequency of complaints of a sore throat, but also by characteristic signs. Usually, 2-3 symptoms from the list below are enough for such a diagnosis to be included in the baby’s medical record:

• the palatal arches increase in size and thicken. In this state, they can be not only in the acute stage, when the throat really hurts, but also in a state of remission;
• adhesions appear between the tonsils and palatine arches. This can be easily noticed by any pediatrician who looks down the child’s throat;
• The tonsils themselves may have a loose appearance. The second option is scars on the tonsils;
• in the area of ​​the tonsils, caseous purulent plugs may form, which look like white or yellowish-gray round spots, often filled with liquid pus;
• the lymph nodes under the jaw and on the neck, which are responsible for draining lymph from the source of inflammation, are enlarged and painful when pressed slightly.

Medicine knows more than a hundred different diseases, which “owe” their appearance to chronic tonsillitis. These concomitant ailments have their own specific signs and symptoms. “Gifts” from existing tonsillitis include nephritis, hyperthyroidism, psoriasis, eczema, scleroderma, systemic lupus erythematosus, and rheumatism.

Cure chronic tonsillitis is difficult, but possible. The main rule is that therapy must be systematic, consistent and persistent.

Most often, conservative treatment is indicated for the child. This includes various rinses and irrigation of the tonsils. If the culprit of tonsillitis is a bacteria, your child may be prescribed antibiotics.

True, this should happen strictly after tests for bacterial culture from a sore throat are ready.

Only by knowing which microbe is “to blame” for the disease will the doctor be able to select an antibacterial drug that will act on this particular pathogen.

Courses of treatment for the baby are prescribed twice a year, most often in spring and autumn. If he has complicated chronic tonsillitis, then up to 4 courses of therapy can be carried out per year.

Among antiseptics, doctors quite often recommend Lugol's solution.

Evgeny Komarovsky urges parents to stop using this drug, since it is ineffective, like most other antiseptics for chronic tonsillitis.

In addition, Lugol's solution can be extremely dangerous for a child's body, since iodine, which it contains in large quantities, can cause disturbances in the function of the thyroid gland.

Evgeniy Komarovsky claims that all the antiseptics that may be recommended for treating the tonsils do not have any significant effect on the healing process. If the source of inflammation is found and it is bacterial, then it must be treated with antibiotics. If viruses are to blame, then specific treatment with medications is not required.

In any case, parents should devote every effort to strengthening local immunity, because there is no better medicine for a child with chronic tonsillitis than their own saliva. To prevent saliva from drying out, Komarovsky recommends:

• sanitize the oral cavity by visiting a dentist;
• monitor the drinking regime - a child with such an illness should drink warm drinks a lot and often;
• tidy up the microclimate in the apartment. Local immunity will work as it should, and saliva will not dry out if the baby does not breathe dry air and sleeps in a room with three heaters and a tightly closed window. The best conditions are air temperature - 18-20 degrees, relative air humidity - 50-70%;
• walk in the fresh air more often, remove from the house all things that can accumulate dust and pollute the air - soft toys, carpets, books that are not stored behind tightly closed cabinet doors;
• Do not use household chemicals containing chlorine.

Sometimes, fortunately, quite rarely, surgical treatment is indicated for a child. In case of severe overgrowth of the palatine tonsils, they can be removed promptly. This procedure is called tonsillotomy or tonsillectomy. During the operation, the surgeon completely or partially removes the affected tonsils, which are the source of infection.

Indications for surgery are few: serious complications from internal organs, complete cessation of the protective functions of the tonsils. The operation is not classified as complex; the recovery period goes quite quickly. The prognosis after it is most often favorable.

Dr. Komarovsky will tell you more about the removal of tonsils in children with tonsillitis and about the disease itself in the next video.

Evgeny Komarovsky advises parents of children not to forbid their child to eat cold food or drink water from the refrigerator, since ice cream is a tasty and healthy medicine for increasing the local immunity of the larynx and tonsils. They can not only pamper the child, but also harden the throat. In children who drink warm drinks and eat pureed foods all the time, chronic tonsillitis is much more common.

During a period of mass incidence of viral respiratory infections, it is worth protecting the child from visiting places where large numbers of people gather, especially if the meetings take place indoors. You should not take your child to large shopping centers at this time, or take them on public transport unless absolutely necessary, but walking in the park, away from the crowds, is welcome.

Viral infections, once a child has become infected with them, cannot be treated with antibiotics - this increases the likelihood of developing chronic tonsillitis, and if the baby has a sore throat, it needs to be treated with a doctor, correctly, and not on the Internet according to the recipes of traditional healers.

The best prevention of chronic tonsillitis, which is easier to prevent than to cure, is to harden the child from a very early age, to follow the rules of a balanced and proper diet, rich in vitamins and microelements. Runny noses, even the most minor ones, need to be treated quickly and correctly, and caries, stomatitis and any other inflammatory processes in the mouth should be eliminated as soon as possible.

Tonsils in adults and adolescents

• You can treat your throat with a mixture of: juice from the onion and golden mustache (0.5 tsp each), adding honey (1 tsp). Take 4 times/day.
• Treatment with bittersweet liqueur will bring long-awaited relief: place golden mustache and agave leaves (1:1) in a jar (0.5 l), filling half of the top with sugar. The neck should be tied with gauze in 2 layers. Let it stand for 3 days and pour vodka to the top, cover with gauze and leave again for 3 days. Next, separate the grounds and squeeze. You need to treat your throat with liquor until complete recovery.
• To relieve intoxication and lower the temperature, treatment is carried out with a mixture: brew fresh green tea (1 tbsp) and add cognac (1 tsp). Grind raspberries and sea buckthorn (1 tsp each) with sugar (2 tbsp). Add lemon juice (5 tbsp) and linden honey (1 tsp). Mix everything with tea leaves and take 1 tbsp. 3 times a day.
• Effective treatment of inflamed tonsils by rinsing: in a thermos, steam a mixture of herbs (4 tablespoons) with boiling water (1 l): golden mustache and comfrey (roots) - 15 g each, wild mallow, tea rose, mullein (flowers) - 10 g each , oak bark, sage (leaf), valerian (root) - 5 g each. Let stand overnight and rinse warm 6-7 times a day.
• St. John's wort tincture: pour alcohol (200 ml) into the herb (2 tablespoons) and leave for 2 weeks in a dark place. Strain and treat inflamed tonsils with repeated rinses at the rate of 20 drops of tincture per 1 tbsp. water.
• Inhalations of garlic with water (1:50 - for children, 1:10 - for adults) or decoctions of medicinal herbs: chamomile flowers, eucalyptus leaves and walnuts (1 tablespoon each) can be performed before bed and additionally gargle with the same composition.

We invite you to familiarize yourself with Chronic tonsillitis: causes, signs, treatment | Food and Health

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It is no secret that young children often get sick, especially with colds and infectious diseases. Inflammation of the tonsils in a child or tonsillitis is a fairly common ailment, but when faced with it for the first time, many parents do not know how to treat it. If a child complains of a sore throat, the best thing to do is to immediately seek help from a doctor and begin treating the inflamed tonsils.

Symptoms of the disease

Treatment of sore throat according to Komarovsky: how to treat tonsillitis, video

Sore throat is a serious infectious disease of a bacterial nature.

As the disease progresses, inflammation of the tonsils occurs, resulting in severe pain in the throat.

As a rule, the appearance of tonsillitis is promoted by streptococci, and sometimes staphylococci.

The disease is transmitted as follows:

1. upon contact with a person suffering from a sore throat;
2. upon contact with a carrier of the virus;
3. by airborne droplets.

Often, symptoms of tonsillitis appear in younger patients. Dr. Komarovsky talks about the specifics of the course of this disease and methods of its treatment, who claims that people who do not have a medical education often mistake an ordinary sore throat for a sore throat. Below you can see a video with this information.

However, painful sensations in the throat do not always indicate the presence of tonsillitis. Quite often, redness and pain in the throat are not related to a sore throat, but indicate the presence of a simple viral infection. But how does tonsillitis differ from viral diseases?

The difference between a sore throat and ARVI

Dr. Komarovsky emphasizes that the causative agent of sore throat in most cases is considered to be a streptococcal infection. After entering the nasopharynx, the virus provokes an acute inflammatory process in the tonsils. This disease is characterized by the following manifestations:

• difficulty swallowing and breathing;
• redness and sore throat;
• general deterioration of condition (drowsiness, lethargy);
• plaque, swelling and ulcers on the tonsils;
• headache;
• temperature increase to 40 degrees;
• lack of appetite;
• enlarged lymph nodes.

If the patient is bothered by all of the above symptoms, then he urgently needs to be shown to a doctor who can distinguish a viral disease from a sore throat and prescribe adequate treatment.
In addition, Dr. Komarovsky notes that purulent tonsillitis is a very dangerous disease. Therefore, it is impossible to diagnose, much less treat, such tonsillitis on your own, since its symptoms may be similar to the manifestations of other equally serious diseases.

For example, symptoms similar to a sore throat may appear with diphtheria or mononucleosis, the treatment of which is significantly different from the therapy for sore throat.

In addition, Komarovsky notes that cases where a sore throat is confused with a sore throat is a fairly common occurrence. But in such a situation, the doctor advises to monitor other symptoms of the disease.

So, if the patient’s tonsils are not swollen and clean, there is a cough and a runny nose, then most likely it is not tonsillitis, but a simple ARVI. But of course, only a doctor can make an accurate diagnosis, who can subsequently provide competent treatment. Dr. Komarovsky will tell you how to diagnose tonsillitis.

Specifics of the course of sore throats of various types

Dr. Komarovsky points out that streptococcal tonsillitis can take several forms:

1. lacunar;
2. phlegmonous;
3. follicular.

With follicular tonsillitis, purulent islands form in the follicles of the tonsils, which are visible through the epithelial tissue. It is worth noting that purulent tonsillitis is difficult. This form of the disease is very dangerous, because if its treatment is incorrect, various complications may develop.

Lacunar tonsillitis is characterized by the appearance of an abscess in the canals of the lacunae. This type of disease is even more complex than the follicular one, so chronic tonsillitis can become a complication.

Phlegmonous tonsillitis is characterized by purulent spreading of one of the lacunae, because of this the patient’s condition sharply worsens. With this form of the disease, the patient must be hospitalized as quickly as possible.

But tonsillitis does not always occur due to streptococcal infection of the throat. Occasionally, it develops as a disease accompanying ARVI.

We can talk about the presence of a viral sore throat if the patient, along with an increase in body temperature and suppuration of the tonsils, develops symptoms such as:

• stomatitis;
• cough;
• conjunctivitis;
• hoarseness of voice;
• rhinitis.

Often, viral tonsillitis develops as a result of adenovirus, influenza, coronavirus, rhinovirus and parainfluenza.
If the treatment of viral tonsillitis is inadequate, then the disease will develop into a protracted form, which will contribute to the further progression of bacterial tonsillitis. A special type of viral sore throat is herpangina, the causative agent of which is the Coxsackie virus. It is an enterovirus that multiplies in the gastrointestinal tract.

With herpangina, small red blisters form on the palatine arches, soft palate, back of the throat and tonsils. But after several days from the onset of the disease, they burst on their own.

Herpangina develops very quickly. It occurs with pain in the muscles and throat and high fever. In addition, there is indigestion, vomiting and abdominal pain.

Dr. Komarovsky notes that in some patients, the tonsils are constantly inflamed and swollen. In this case, we can say that this is chronic tonsillitis.

It is worth noting that any infectious diseases (flu, acute respiratory infections, acute respiratory viral infections) cause inflammation of the tonsils, which may be accompanied by symptoms characteristic of a sore throat.

But inflammation and redness of the tonsils, when chronic tonsillitis is diagnosed, is not considered a sore throat. This condition is called exacerbation of chronic tonsillitis.

Diagnosis, treatment methods, complications

If the doctor doubts which pathogen caused the disease, he will refer the patient for examination.
A routine clinical blood test makes it possible to determine whether streptococcus or a viral infection caused the sore throat. And treatment will be prescribed only after receiving test results.

Treatment methods for bacterial and viral tonsillitis differ. So, if a purulent form of the disease has been diagnosed, then it must be treated with antibacterial agents.

If the origin of the disease is viral, then taking antibiotics is pointless. Therefore, antiviral drugs are used to eliminate the symptoms of the disease, and antibacterial drugs can be prescribed only to prevent complications. To learn more about this you can watch the video.

Dr. Komarovsky insists that sore throat must be treated responsibly and only under medical supervision. After all, purulent streptococcal tonsillitis, if not treated in a timely manner, can lead to disruption of the kidneys, heart and joints. As a result, dangerous diseases such as:

1. glomerulonephritis;
2. rheumatism;
3. pyelonephritis;
4. rheumatic heart disease;
5. rheumatoid arthritis.

It is worth noting that almost all of the above diseases are a consequence of the fact that the treatment of sore throat was incorrect or untimely.

Basic principles of treating sore throat

In his video, Dr. Komarovsky talks about methods of treating inflamed tonsils. So, if you need to get rid of purulent streptococcal sore throat, then it cannot be treated without taking antibiotics. In this case, the most effective means are penicillins.

The required dose of the drug is determined by the doctor, taking into account the individual characteristics of the patient (age, course of the disease, allergies, etc.). It is worth noting that it is very important to complete the treatment, since bacterial tonsillitis must be treated for at least seven days.

In addition to antibiotics for purulent sore throat, Dr. Komarovsky recommends the following:

• compliance with bed rest;
• consumption of liquid food, as it is painful for the patient to swallow;
• taking antipyretics that help normalize body temperature (Ibuprofen, Paracetamol);
• taking medications that have a local effect (solutions, tablets).

In addition, Dr. Komarovsky advises paying special attention to such a procedure as gargling. This treatment can be carried out using any means that can be used to gargle:

1. salt;
2. herbal decoctions;
3. soda;
4. aqueous solutions, etc.

These folk remedies have a similar effect as when taking medications.
But gargling will not speed up the healing process, however, this procedure will clear the sore throat of mucus and eliminate pain. The same applies to tablets. With their help, it is impossible to completely cure chronic tonsillitis or purulent tonsillitis, but they will significantly alleviate the general condition of the patient.

Treatment of the viral form of the disease differs from the treatment of purulent tonsillitis. After all, antibacterial agents cannot destroy viruses, so in this case antiviral drugs are prescribed.

And it is advisable to treat the disease with antibiotics only when the patient’s condition improves. However, in this case, the decision to take certain antibiotics should be made by the doctor.

Chronic tonsillitis is usually treated with conservative methods, which include the following measures:

• general strengthening (hardening, immunotherapy, sports, balanced nutrition);
• physiotherapeutic (ultrasound, ultraviolet radiation, UHF);
• treatment with bacteriophages or antibacterial agents.

Moreover, chronic tonsillitis must be treated with irrigation and gargling with antiseptic solutions, which will wash away pathogenic microorganisms from it. And if it is necessary to remove purulent plugs from the surface, this is done in the ENT office using a syringe with a special tip.

Traditional methods of treating chronic sore throat involve daily gargling with the following compositions:

1. apple cider vinegar (1 tbsp per 1 tbsp boiled water);
2. herbal tincture (Elekasol or Rotokan);
3. celandine decoction (1 tbsp per 250 ml of boiling water);
4. water tincture of propolis.

It is worth noting that if chronic tonsillitis has caused damage to other body systems, then the inflamed tonsils must be removed. Dr. Komarovsky will tell you in detail about sore throat and its complications, forms and types in the video in this article.

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Enlarged tonsils in a child - causes and treatment

A pediatrician or a specialist who specializes in the treatment of ENT pathologies will tell you how to treat enlarged tonsils.

The course of treatment for the patient should be structured according to the following plan:

• Cleansing the tonsils from mucus and infectious agents using antiseptic solutions.
• Eliminate allergies and swelling by taking antihistamines.
• Strengthening the immune system by introducing complexes of vitamins and minerals into the course of treatment.
• Fight pathogens with antibiotics, antiviral or antifungal drugs.
• Restoration of affected tissues using physiotherapeutic treatment.

As for the course of physiotherapy, it is recommended for patients who have managed to cope with the acute course of the inflammatory process in the throat.

Tonsillitis causes of development

In his programs, Evgeny Komarovsky focuses on the causes of tonsillitis. Parents turn to the pediatrician when their child complains of a sore throat. If, upon examination, the baby has obvious signs of enlarged tonsils, this does not yet allow the pediatrician to make a diagnosis of tonsillitis.

Enlarged tonsils may be a sign of an acute respiratory disease. But the reasons for the development of the disease are completely different.

ARVI is a viral disease. Therefore, the cause is infection of the respiratory tract with a viral infection. The inflammation passes without suppuration and is accompanied by a runny nose, headache, and body aches.

In addition, tonsillitis can act as a complication after improper treatment or if ARVI is not treated. An organism weakened after illness is easily susceptible to harmful microorganisms and adverse environmental factors.

The cause of acute tonsillitis is a bacterial infection. Harmful microorganisms, entering the respiratory tract, settle on the palatine tonsils. There they begin to actively multiply and cause an inflammatory process. As a result, it is painful for the baby to swallow, speak, and a purulent plaque forms on the tonsils.

The purulent process causes intoxication of the entire body. The immune system actively fights infection. The child's temperature rises sharply.

The main causative agents of acute tonsillitis:

• beta-hemolytic streptococcus is the main pathogen in ninety cases of the disease;
• Staphylococcus aureus can also cause tonsillitis;
• Pneumococci, corynebacteria and Haemophilus influenzae may occur very rarely.

Sore throat is a contagious disease. But not everyone becomes infected when interacting with infected people. It all depends on the immune system. People who have recently had or are still suffering from ARVI have a much higher risk of becoming infected. A healthy body is able to resist infection.

One of the causes of tonsillitis is ARVI.

Necrotic form

This form of the disease is accompanied by a very unpleasant odor from the mouth. With sore throat in children, a smell occurs due to the death of tonsil tissue. The affected areas become quite dense, and after they are eliminated, bleeding wounds remain.

After the dead areas are rejected, defects are formed. A whitish coating, ulcers, and a coating on the tongue appears. Suppuration appears not only on the tonsils, but also on the palatine arches. The duration of the disease can be more than a month.

When examining the child's blood, a significant increase in leukocytes is detected.

Symptoms

The most prominent symptom of tonsillitis and adenoid infection is a sore throat. Symptoms of acute tonsillitis occur suddenly or gradually increase with a sore throat that is usually accompanied by fever. Most often the patient feels:

• A feeling of pain that prevents swallowing movements. The pain has a different nature: from a slight soreness to a feeling of physical obstruction in the throat;
• Sudden chills or fever, sudden increase in temperature (sometimes up to 41 C). Pain and fever occur already on the second day after infection;
• General malaise. Feelings of fatigue, pain and discomfort throughout the body accompany the patient throughout the illness, but they are most pronounced at the very beginning, therefore it is better for the baby to wait out this period while lying in bed;
• Cough in most forms of tonsillitis is not observed or does not appear on the first day after the onset of the disease. If these signs are present, the patient should consult a doctor, since a sore throat is dangerous not so much during the course of the disease, but as a result of subsequent complications.

Other signs and symptoms of a sore throat include:

• Red and swollen tonsils with spots of pus (white spots);
• Bad breath;
• Congestion and runny nose;
• Loss of voice or muffled voice;
• Difficulty swallowing;
• Abdominal pain;
• Coughing up blood;
• Swollen lymph glands in the front of the neck;
• An accumulation of pus behind the tonsils is a peritonsillar abscess.

The surface of the tonsils is bright red and has a grayish-white coating (exudate).

Sore throat and adenoid infections are diagnosed through medical history and physical examination. A test for streptococcus and a laryngeal smear may be needed in cases where acute tonsillitis is suspected to be bacterial.

Swollen tonsils accompany a number of different upper respiratory tract infections. It is possible to have large tonsils without associated symptoms or problems. A sore throat infection is most often associated with viruses or bacteria, and more than one episode of tonsillitis infection occurs throughout life.

Sore throat is often accompanied by:

• sneezing;
• enlarged lymph nodes;
• fever and chills;
• hoarseness;
• muscle pain and fatigue.

Enlarged tonsils and adenoids interfere with breathing, which cause snoring and sleep disturbances, and if the adenoids are enlarged, breathing through the nose is difficult. Symptoms of such disorders include:

• Breathing through the mouth, especially in children;
• Noisy breathing during the day;
• Nocturnal snoring is observed;
• Nasal and guttural voice.

Note: Symptoms of a sore throat very often resemble similar symptoms of a cold: runny nose, sneezing and cough, the cause is most likely a virus.

A sore throat with a sudden mild fever, without symptoms of an upper respiratory tract infection, indicates a bacterial infection. If these symptoms are present, you should see a doctor for diagnosis due to the risk of streptococcal infection.

Although streptococcus usually goes away even without treatment, an untreated infection leads to complications and thus can include rheumatic fever, which permanently damages a person's heart.

Useful tips

If the patient has a chronic form of tonsillitis, treatment must be carried out in such a way that local immunity is increased. A positive result can be obtained thanks to:

• cool air with moderate humidity levels;
• eliminating any contact with dust;
• preventing interaction with carriers of infection;
• daily long walks in the fresh air.

Dr. Komarovsky points out cases in which it is impossible to do without removing the tonsil. This manipulation is indicated for patients if other treatment methods do not give a positive result. Among them are:

1. The appearance of complications after tonsillitis.
2. The child has difficulty breathing.
3. The appearance of pauses in breathing during sleep.
4. The incidence of tonsillitis exceeds 4 times per year, which requires the use of antibiotics.

The need to remove tonsils is determined by the fact that they act not only as a filter for pathogenic microorganisms, but also as a provocateur of their formation if treatment is carried out incorrectly.

For a speedy recovery of children, it is very important to maintain the body’s protective function at the proper level. It is necessary for the baby to walk a lot in the fresh air, play sports, and eat right. At the same time, a daily balanced diet should be provided. The food consumed should contain a lot of vitamins and essential microelements.

What is a sore throat in a child?

This is the popular name for acute tonsillitis or an infectious disease that affects the pharynx and tonsils. Acute tonsillitis is caused by purulent bacteria: staphylococcus and streptococcus, and all of these pathogens cause various forms of the disease that require the use of antibiotics.

Most often, tonsillitis occurs in children and the likelihood of developing acute tonsillitis increases in winter. The most acute infections of the tonsils involve viruses or bacteria and are usually transmitted by direct contact with people.

The tonsils are two round clumps of lymphoid tissue that are located on the back of the throat, and the tonsils are part of the lymphatic system that helps fight infections. They perform an important protective function and thereby help the body build immunity.

Note: The tonsil is made up of tissue similar to lymph nodes, covered with a pink mucous membrane.

Why do tonsils get infected?

The tonsils are the immune system's first line of defense in fighting bacteria and viruses that enter the mouth, making them especially vulnerable to infection and inflammation.

However, the immune role of the tonsils declines after puberty, which explains the rare cases of tonsillitis in adults. If your child has acute tonsillitis, there is a risk that they will pass the infection on to others, and respiratory infections are spread through tiny droplets that an infected person produces when they talk, cough or sneeze.

Komarovsky believes that the cause of a child’s sore throat is acute respiratory infections (ARVI), the symptoms of which are cough, headache and malaise. But in this case, acute tonsillitis will be the main symptom, and not the disease itself.

Risk factors for sore throat include:

Young age. Tonsillitis most often occurs in children at least two years of age. Bacterial tonsillitis affects children from 5 to 15 years of age, and viral acute tonsillitis occurs in young children.

Frequent exposure to microbes. School-age children are in close contact with peers and are often exposed to viruses or bacteria that cause inflammation.

Inflammation or swelling of the tonsils from frequent or persistent (chronic) tonsillitis causes complications, including:

• Labored breathing.
• Disturbed breathing during sleep (obstructive sleep apnea).
• An infection that goes deep into the surrounding tissue.
• The infection causes a collection of pus behind the tonsil (peritonsillar abscess).

If a sore throat is caused by group A streptococcus or another strain of streptococcal bacteria, the child has an increased risk of developing rare diseases such as:

• Rheumatic fever is an inflammatory disease that affects the heart, joints and other tissues;
• Post-streptococcal glomerulonephritis is an inflammatory kidney disorder that results in impaired removal of waste and excess fluids from the blood.

Sore throat goes away without any special medical intervention. If you get good rest and drink plenty of fluids, your body will fight off the infection within about a week. Nine out of 10 people with tonsillitis recover within a week. For four in 10, symptoms last only three days.

Gargling: a mandatory medical procedure

A child's inflamed tonsils must be rinsed with antiseptic solutions, and if purulent plugs appear in them, then they will also have to be rinsed. How to rinse at home? I recommend you try:

We suggest that you familiarize yourself with Rinse for tonsillitis plugs

• decoctions of chamomile, sage, calendula;

• solutions of chlorophyllipt and furatsilin (furacilin for children is diluted in the proportion of 1 tablet per 300 ml of water);

• a solution of soda and salt (a teaspoon of both per 0.5 liters of water, if for children).

Rinsing is a safe procedure that should be taught to a child from childhood. The procedure can be carried out both for the youngest (for example, 2 years old) and for older children.

If the child is very small and cannot gargle on his own, then treat the tonsils with antiseptics as follows:

• wrap a bandage around your finger;

• dip into the solution;

• Wipe your mouth and throat with a gentle circular motion.

Causes of tonsillitis

To know how to quickly cure a sore throat or chronic tonsillitis, you need to understand the causes. They include.

1. Previous colds or flu.
2. Untreated sore throat.
3. Impaired nasal breathing due to a deviated septum or the presence of adenoids.
4. Infectious diseases in the nasal or oral cavity.
5. The presence of carious formations on the teeth.
6. Manifestation of stomatitis, gingivitis or periodontitis.
7. Sinus or sinusitis.
8. Poor quality food.
9. Weakened immune function.
10. Lack of vitamins and minerals.
11. Hypothermia or overheating.
12. Presence of allergic reactions.
13. An abnormal shape of the tonsils in the form of the formation of adhesions, large or small in size, the presence of slit-like passages.
14. Penetration of bacteria into the tonsils in the form of staphylococcus, streptococcus, E. coli or pneumococcus.
15. Disturbance of microflora in the oral cavity.

Any reason can lead to inflammation of the tonsils. But it is very important to prevent its development in time. To do this, when the first signs appear, you need to start treatment at home.

What does Dr. Komarovsky say about the treatment of tonsillitis in children?

The pediatrician is sure that the main tactics of parents in the treatment of any form of pathology is to organize optimal conditions for recovery for the child. Some parents are attentive only to medications. “The easiest way is to stuff a baby with a mountain of pills than to maintain favorable conditions in the house,” says Komarovsky. Any inflammatory process will be more easily tolerated if:

• constantly humidify the air in the room where the sick child is (this will help relieve the symptoms of a dry cough);
• monitor the temperature, it should not exceed 20 degrees (in a warm, stuffy environment it is easier for bacteria to multiply);
• give the child more fluids (this is one of the basic rules for treating any respiratory infection);
• It is advisable to limit food intake on the first day (it should only be in pureed or liquid form);
• it is necessary to bathe the child (water helps to wash away all toxins, cleanse pores, and helps the skin breathe).

It is worth considering each point of the recommendations in more detail; sometimes parents do not know how to apply them in practice:

1. Special devices - air humidifiers - help to achieve optimal air humidity in the apartment. They come in a variety of prices and features. If it is not possible to purchase a device, grandma’s old proven method will help. It involves hanging wet rags on the batteries. It is incorrect to say that you can’t dry clothes in a child’s room. On the contrary, it helps create the necessary humidity, making it easier for the child to breathe. Note! Even without humidifiers, you should monitor the relative humidity in the room, do not allow excess . The optimal level is considered to be at least 60% for a healthy baby and at least 70% for a sick one. Do not exceed 80% relative humidity.
2. Air temperature is extremely important for rapid recovery. Viruses and bacteria tend to settle on surrounding objects and remain in the air, so it is necessary to ventilate the room at least 3 times a day. Please note that we are talking not only about the nursery, but about all the rooms in the house. The optimal temperature is 18-20 degrees. While airing, you can take the child outside; fresh air is useful in small quantities. It is especially important to ventilate the children's room before bedtime.
3. Drinking large amounts of liquid. Ideally, it should be not only simple boiled water, but also home-brewed compotes, fruit drinks, and herbal teas. Chamomile decoction helps relieve inflammation and remove all the bad things from the body. It can be given to the baby every hour in the amount of a teaspoon (up to 7 years) and a tablespoon (after 7 years). A large amount of fluid helps the body quickly defeat viruses and bacteria.
4. Eating with a sore throat or chronic tonsillitis sometimes interferes with recovery. If you ignore this point and eat rough food, the mucous membrane will not be able to recover quickly, it will be injured every time. To make eating easier, you should offer your child soups during therapy. If your baby refuses to eat, you should not force him to eat. A short hunger strike for a sore throat is beneficial.
5. There is an opinion that you should not bathe your baby when he is sick. Komarovsky talks about the effectiveness of water procedures. A small patient changes body temperature throughout the day, sweats, everything negative comes out along with sweating and settles on the patient’s skin. This should be washed off before bed so that the skin can breathe freely in a well-ventilated and humidified room and the body can recover.

Evgeniy Olegovich notes that these tips are part of the main tactics in the treatment of tonsillitis. Sometimes following natural rules helps cure pathology without the use of expensive drugs and antibiotics.

Symptoms of the disease

Komarovsky pays special attention to the symptoms of tonsillitis, since it is important not to confuse the symptoms with other diseases. In children, symptoms appear very quickly and aggressively. For this reason, sore throat is often confused with the flu. It is worth listening to Komarovsky about sore throat in children in order to learn to recognize the signs. The manifestation of such signs will help parents:

• increase in body temperature up to 39 degrees;
• the appearance of severe pain in the throat;
• inflammation of the lymph nodes and their significant enlargement;
• tonsils become bright red;
• after infection, white plaque may appear on the tonsils;
• in severe cases of the disease, the amount of lymphoid tissue in the tonsil area increases.

If the symptoms of the disease are detected in a timely manner, antibiotics will not be needed. It is important to promptly contact your doctor to receive qualified assistance.

Antipyretic drugs

What to do if the non-drug measures taken did not bring improvement, and the child still has a fever of over 38 degrees? In this case, the use of antipyretics is necessary. Among drugs that have this effect, the choice is not only effective, but also safe drugs. Having analyzed all the antipyretic drugs on the pharmacy market, WHO experts recommend lowering the temperature in children with paracetamol or ibuprofen.

In addition to the antipyretic effect, these drugs have a pronounced analgesic property. This is very important, since a sore throat is accompanied by a sore throat, which intensifies when swallowing, radiates to the neck and ear, aggravating the course of the disease. As for other popular drugs with similar effects, analgin and aspirin, their use in children is limited due to the possibility of developing serious side effects.

The antipyretic can be used in the form of suppositories, syrup, tablets, injections. Which form should be preferred must be decided individually, depending on the age of the child, the presence of additional signs (vomiting, diarrhea, etc.), and the severity of the condition. Syrups have become very popular lately, allowing them to be used in very young children. In addition, they are characterized by rapid development of the effect.

This method of reducing body temperature, both with the use of drugs and with non-drug measures, can be used not only for sore throat. Scarlet fever, diphtheria, chronic tonsillitis are also accompanied not only by the inflammatory process of the tonsils, but also by an increase in body temperature. The general principles of measures aimed at reducing body temperature remain the same for these diseases.

Enlarged tonsil on one side

Sometimes one of the two tonsils is enlarged: the left or the right.

This is also accompanied by the appearance of a sore throat and redness of the tissues, but if it is enlarged on one side in a child, but the throat does not hurt, this in the vast majority of cases is a clear sign of a chronic infection.

Thus, an enlarged tonsil on one side may indicate the same diseases as listed above, but tonsils of different sizes may also indicate that an injury has been sustained or is forming:

• pharyngeal abscess;
• phlegmon.

Only after a thorough examination is the doctor able to say what it means when the tonsil is enlarged on one side and prescribe treatment appropriate to the situation.

If one tonsil is larger than the other, this more than ever requires examination by a specialist, because the patient may need urgent surgical intervention.

Otherwise, the abscess may rupture and its contents will spill out either into the oral cavity and pharynx, or into the thickness of the tissues. The latter option poses the greatest danger, since this is always fraught with the development of complications, one of which is sepsis.

Prevention measures

In order not to treat chronic tonsillitis in a child several times a year, it is important to ensure proper prevention. The main goal is to increase immunity and reduce the number of factors that can cause inflammation. Prevention measures:

1. Eliminating food from the diet that irritates the mucous membranes. These are spicy, highly salty and sour foods, soda, strong tea and coffee. Hard, scratchy foods are also dangerous: chips, crackers, nuts.
2. Timely treatment of respiratory diseases. At the first sign of a runny nose and sore throat, you should consult a doctor or use previously prescribed medications.
3. Proper oral hygiene. In addition to brushing your teeth and tongue twice a day, it is recommended to rinse your mouth and throat with disinfectants after each meal.
4. Fighting caries. Carious teeth are a source of constant infection that is dangerous for the tonsils. If there is no caries, you should visit the dentist every 6 months for a preventive examination. If caries is present, it should be eliminated immediately.
5. Taking vitamins and immune boosters.
6. Proper diet, work and sleep. Physical, mental and emotional overload should be excluded.

If your child develops symptoms of tonsillitis, you should consult a doctor immediately. At best, with a chronic form, the child will get sick more often. At worst, complications will develop due to the disease, and after removal of the tonsils, immunity will decrease.

Today, one of the most common childhood illnesses is chronic tonsillitis. Proof of this fact is statistical data stating that this disease is present in 3% of children under 3 years of age and in 15% of those under 12 years of age.

Follicular form

Follicular tonsillitis in children is accompanied by a significant increase in body temperature, severe pain in the throat, and chills. A yellowish or greenish coating begins to appear on the tonsils.

Therefore, this form is also called purulent. When swallowing, the child experiences severe pain. In parallel with these symptoms, joint pain occurs. Lymph nodes enlarge significantly as the process of suppuration begins.

Recovery most often occurs on day 7.

Tips for fighting sore throat

Have a rest

Komarovsky believes that when a child’s body is under the influence of tonsillitis, his fatigue increases several times. Prioritize getting good sleep (at least nine hours). Give your child a break from sports and training for three days and do your best to reduce stress, as any unwanted tension reduces the body's limited abilities.

Treat Painful Throat Symptoms Naturally

Relieve pain with home remedies before using painkillers. Give your child warm water to relieve a sore throat. Some people suck on ice or drink very cold liquids to calm the swelling.

Since your baby will have trouble swallowing, try giving him soft foods. Vegetable juices, fruit smoothies, baked apples or mashed potatoes, soup and yoghurts are suitable for this role. It is important to drink plenty of fluids to flush your body. Be careful with anything that irritates the mucous membranes. Very hot liquids, sweet or sour drinks, or carbonated drinks are bad for the healing of the larynx. It is recommended to suck on soothing lozenges - containing natural ingredients such as fennel or licorice.

Try using humidifiers

Humidifiers help make dry air comfortable, which will relieve pain in the mouth caused by constantly breathing indoor air. The cleaner the air a child breathes, the faster he will recover.

Help your immune system become stronger

All about traditional methods of treating sore throat in children can be read in the article.

First, you need to follow a nutritious diet that helps strengthen the immune system. Diet helps maintain metabolism, allowing the immune system to respond effectively to threats. Focus on eating a dense diet. Fewer toxins will put pressure on the baby's lymphatic system.

Second, in 2020, Komarovsky advises taking licorice root, burdock root, sage and echinacea. These are all natural herbs used to increase wound healing, reduce inflammation, and relieve coughs and sore throats. Slippery elm and marshmallow root, when mixed with water, form a gel that coats the throat, which will reduce pain.