Credit Madam Akeju
TONSILLITIS
Tonsillitis is inflammation (swelling) of the tonsils.
Alternative Names
Sore throat - tonsillitis
Causes
The tonsils are lymph nodes in the back of the mouth and top of the throat. They help to filter out bacteria and other germs to prevent infection in the body.
A bacterial or viral infection can cause tonsillitis. Strep throat is a common cause.
Strep throat
The infection may also be seen in other parts of the throat. One such infection is called pharyngitis.
Tonsillitis is very common in children.
■ COMMON SYMPTOMS MAY BE:
Difficulty swallowing
Ear pain
Fever and chills
Headache
Sore throat, which lasts longer than 48 hours and may be severe
Tenderness of the jaw and throat
Other problems or symptoms that may occur are:
Problems breathing, if the tonsils are very large
Problems eating or drinking.
● Exams and Tests
Your health care provider will look in the mouth and throat.
The tonsils may be red and may have white spots on them.
The lymph nodes in the jaw and neck may be swollen and tender to the touch.
A rapid strep test can be done in most providers' offices. However, this test may be normal, and you can still have strep. Your provider may send the throat swab to a laboratory for a strep culture. Test results can take a few days.
●TREATMENT
Swollen tonsils that are not painful or do not cause other problems do not need to be treated. Your provider may not give you antibiotics. You may be asked to come back for a checkup later.
If tests show you do have strep, your provider will give you antibiotics. It is important to finish all of your antibiotics as directed, even if you feel better. If you do not take them all, the infection can return.
●The following tips may help your throat feel better:
Drink cold liquids or suck on fruit-flavored frozen bars.
Drink fluids, and mostly warm (not hot), bland fluids.
Gargle with warm salt water.
Suck on lozenges (containing benzocaine or similar ingredients) to reduce pain (these should not be used in young children because of the choking risk).
Take over-the-counter (OTC) medicines, such as acetaminophen (Tylenol) or ibuprofen to reduce pain and fever. DO NOT give a child aspirin.
Some people who have repeated infections may need surgery to remove the tonsils (tonsillectomy).
Outlook (Prognosis)
Tonsillitis symptoms due to strep will often get better within 2 or 3 days after you start the antibiotics.
Children with strep throat should be kept home from school or day care until they have been on antibiotics for 24 hours. This helps reduce the spread of illness.
●Possible Complications
Complications from strep throat may be severe. They may include:
Abscess in the area around the tonsils
Kidney disease caused by strep
Rheumatic fever and other heart problems.
●When to Contact a Medical Professional
Call your provider if there is:
Excess drooling in a young child
Fever, particularly 101°F (38.3°C) or higher
Pus in the back of the throat
Red rash that feels rough, and increased redness in the skin folds
Severe problems swallowing or breathing
Tender or swollen lymph glands in the neck
●MEDICATION
If your tests find bacteria, you’ll get antibiotics. Your doctor might give you these drugs in a one-time injection or in pills that you’ll swallow for several days. You’ll start to feel better within 2 or 3 days, but it’s important to take all of your medication.
●Home remedies
If you have a virus, antibiotics won't help, and your body will fight the infection on its own. In the meantime, you can try some home remedies:
Get lots of rest
Drink warm or very cold fluids to help with throat pain
Eat smooth foods, such as flavored gelatins, ice cream, and applesauce
Use a cool-mist vaporizer or humidifier in your room
Gargle with warm salt water
Suck on lozenges with benzocaine or other medications to numb your throat
Credit Madam Akeju
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