Angina in a child of 2-3 years: symptoms, treatment
- Why do children suffer from sore throat?
- What types of angina in children are found in medical practice?
- Mechanism of development and course of the disease
- Diagnosis of angina in children
- Principles of treatment
- Inadmissible actions of parents
- Possible complications of angina in children
- Prophylaxis of tonsillitis in children
Small children at the age of 2-3 years are often ill with colds. Communicating with sick children in kindergarten, a low level of immunity and the inability to knowingly take care of one's own health contribute to the fact that children easily "catch" respiratory illnesses in winter, spring and autumn.
A simple cold, in fact, presents more danger than it may seem at first glance. The lack of proper treatment and the refusal of bed rest are fraught with complications. The most common type of complication of respiratory diseases is angina , or - in the medical language - tonsillitis .
Why do children suffer from sore throat?
Tonsillitis (from the word tonsilla - tonsil) or angina is an infectious and inflammatory disease of the tonsils. As a rule, the respiratory infection begins to act when it feels a weakening of the defenses of the body.
Reduced immunity can be the result of a child's contact with other children. At an early age, they still do not understand that you can not gnaw a dirty toy, or that you should not drink from one glass with an already ill comrade. Such parting words are given by parents and they are forced to follow them too.
While in the kindergarten or on the playground, where the child leaves the zone of total control, there is an exchange of infections between the contacting children.
Flu light form or simply stuffy nose can not alert parents. The hope that the pathological condition will pass independently and the popular opinion of some that it is necessary to give the body its own fight against an infectious agent, cause complications such as angina.
In some cases, it is possible that the virus infection begins to act after a severe hypothermia, or during a period of chronic fatigue.
Such situations contribute to a sharp decrease in the level of immunity, and there is an inflammatory process in the tonsils.
The question arises, where, in that case, is the infectious agent taken? It can be in the body for a long time, suppressed by protective forces. In the presence of favorable conditions, the virus passes into the active stage and the child has the corresponding symptoms.
What types of angina in children are found in medical practice?
Angina in children 2-3 years old occurs in several forms:
Similarly, the disease can occur in the primary , or in secondary forms.
- Primary angina appears as an independent process, causing intoxication and signs of lesions of the tissues of the pharyngeal mucosa.
- Secondary angina accompanies some types of acute infectious diseases (diphtheria, scarlet fever or mononucleosis).
Features of catarrhal sinus in children
Symptoms appear suddenly and strongly pronounced.
Gradual increase in symptoms:
- Dry mouth and sore throat
- Slight soreness in the throat when swallowing food
- Increase in body temperature from low-grade to 39 degrees
- Throughout the entire period of illness the child feels a general weakness of the body, pain in the muscles and joints.
Objective examination allows you to see tonsils enlarged in size, redness and swelling of the palatine arch.
A feature of the catarrhal form of angina is the fact that the symptoms of inflammation are limited to the area of the tonsils and the mucous membrane of the oropharynx.
Catarrhal angina sometimes occurs at normal body temperature, but this does not make the disease less dangerous.
Features of follicular sore throat in children
- Body temperature above 38 degrees Celsius
- To dryness in the oral cavity cough is attached
- Increased feeling of weakness, the presence of symptoms of intoxication
- Diarrhea, vomiting, lack of appetite
- There may be an increase in heart rate at rest
- Increased regional lymph nodes
- The formation of follicles in tonsils with the size of a millet seed, which rise above the surface of the mucosa and have a gray-yellow color.
There is an opinion that follicular tonsillitis can be diagnosed easily, being guided by pronounced symptoms. But caution should be exercised in establishing a definitive diagnosis. Symptoms of follicular angina are similar to those of mononucleosis, which can serve as the reason for the unconscious error of a specialist.
Features of lacunar angina in children
- Expressed pain that accompanies the act of swallowing
- Increase, soreness and consolidation of regional lymph nodes
- Headaches, chills, fever
- High body temperature (about 38-39 degrees)
- In blood tests, a high level of leukocytosis and ESR is found.
The lacunar type of angina is characterized by the filling of crypt with pus. Gradually the purulent contents comes out on the surface of the tonsils and seizes vast areas.
When examining the oral cavity clearly visible islets of pus on edematous, hyperemic tonsils.
For a child's body, it is difficult to fight the infection that caused symptoms of angina. If the necessary treatment is delayed, a small patient may have pain when swallowing, which is given to the ear area, headaches and abdominal discomfort, weakness, nausea and vomiting, convulsions and even conjunctivitis .
In some cases, lacunar angina causes the appearance of signs of a false croup:
- Cyanosis of the skin
- Lack of air right up to the point that the baby starts to choke, as swollen tonsils block the airways.
The presence of such signs of malaise indicates the need for urgent hospitalization in an infectious hospital. The above symptoms may be dangerous for the child's life.
Features of herpes sore throat in children
Herpes sore throat is caused by the herpes virus. This type of disease is often found in young children and it begins with a sudden increase in temperature.
On the mucous surface of the tonsils appear small red papules (vesicles). After a while, the papules are opened and transformed into ulcers.
Regional lymph nodes on palpation are painful and enlarged. When swallowing a child may feel discomfort from the pain.
Sometimes signs of a digestive disorder join the bouquet of symptoms. A baby can suffer from loss of appetite, nausea, vomiting and diarrhea attacks.
Mechanism of development and course of the disease
The introduction of pathogens of angina into the body of the child occurs through the mucous membrane. It is more vulnerable to external influences and the infectious agent is injected through its surface layer directly into the tonsils.
Angina has a sudden onset, followed by a rapid increase in symptoms. After a few days, the severity of clinical signs becomes weaker, the disease, as it were, recedes.
In case of a favorable combination of circumstances and timely diagnosis and treatment, the baby recovers within a week.
Unfortunately, the disease can take a severe form and have a protracted character.
Diagnosis of angina in children
The diagnosis is made on the basis of a survey, examination, objective examination and in accordance with the results of laboratory studies.
Principles of treatment
A small child at the age of 2-3 years is completely dependent on the parents. He still can not really explain what and how he hurts, but he will often cry and be capricious due to poor health.
It is not necessary to write off the state of the baby for a spoiled character or unreasonable whims. Carry out a thorough examination of the mouth of a small one yourself, or ask your local pediatrician for help.
Self-medication, in this case, is unacceptable. Some parents prefer to follow the advice of friends and relatives, which medicines to give to the child and on what principle to treat it.
Quite a large percentage of moms and dads have unreasonable prejudices against antibiotics. They allow themselves to arbitrarily adjust the appointment of a specialist, removing from it medicines that can "harm" the baby. In fact, this approach to the problem can be if not useless, then dangerous for your child's health.
The sooner you seek help from a doctor and begin to implement all of his recommendations, the better the treatment and rehabilitation process will go.
More information about medicamentous treatment
Drugs with antiviral effect and broad-spectrum antibiotics can be prescribed in the form of tablets or sprays.
Sprays and tablets have individual advantages, so do not use only one of them. Tablets act against the background of the general state of the body, eliminating viruses and bacteria from the bloodstream and other body tissues.
Sprays have a local effect, as when sprayed the medicine gets directly to the focus of inflammation. After treatment of the tonsils, it is recommended not to eat or drink during the after-treatment.
The treatment plan must necessarily include a course of multivitamins, but, on the recommendation of the doctor, a separate intake of vitamin C, A, P and B vitamins is possible.
It is strongly recommended to undergo a course of restoration of immunity. But a suitable immunostimulant should be appointed by a specialist.
Local treatment of angina is not limited to the use of sprays. Rinsing herbal medicinal herbs or special solutions also facilitates the child's condition and accelerates the process of eliminating the inflammatory phenomenon.
Adherence to bed rest is a prerequisite for the speedy recovery and prevention of complications.
Perhaps a 2-3-year-old does not want to lie in bed all day, especially if he feels better. It is important to explain to him that this is necessary.
If the child is allowed to carry the disease on his legs, the process of recovery can be significantly delayed. In addition, deterioration of the condition and attachment of signs of complication may occur.
The duration of the disease and the treatment process depends on the type of angina. The catarrhal form is completely cured within ten days. Follicular and lacunar sore throats require at least three weeks to restore health.
Inadmissible actions of parents
In no event is it possible:
- Make warming compresses in the neck. Cold compresses are also not recommended, but warm ones are especially dangerous. Edema in the tonsil area from heat exposure can increase and cause the closure of the airways.
- Force to feed the child. Perhaps he experiences acute pain when swallowing or has no appetite. You can try to interest him with the original design of children's dishes or softly persuade, but it is not worth making.
- Lubricate the tonsils with various antibacterial solutions (for example, Lugol's solution). Not so long ago, such actions were actively practiced, but, at this time, experts came to the conclusion that the mechanical effect damages the mucous membrane and bacteria more easily penetrate into the tissues.
Possible complications of angina in children
Complications, most often, arise for several reasons :
- Lack of proper treatment
- Treatment started after symptoms of angina worsened
- Non-compliance with doctor's recommendations
- Unauthorized treatment plan correction
The list of reasons can be quite long, but the listed options are more often encountered in practice.
Types of complications
- Chronization of the process. Chronic tonsillitis is the result of a lack of treatment or systematic interruption of treatment until the child's complete recovery. After the transition to the chronic stage, angina will often recur.
Treatment of a chronic type of disease requires much more time and effort, so you should undergo a full course of treatment during an acute condition.
- Rheumatic arthritis occurs against a background of chronic tonsillitis. The defeat of joints in childhood can result in disability, so you should carefully treat the disease and eliminate it as early as possible.
- Suppuration of the tonsils is possible when the immune system is in a depressed state, or if there is a history of HIV infection. A similar situation signals that it is necessary to conduct additional examination of organs and systems of organs.
- Phlegmon and abscesses can form in the case of breakthrough purulent contents of lacunae in the thickness of the tonsils. Abscessing or transformation of tonsillitis into phlegmon requires urgent hospitalization in the department of maxillofacial surgery. The condition of the child can deteriorate noticeably, but, when providing the necessary assistance in a short time, there should be no threat to life.
Complications carry a potential danger to the health and life of the child, but do not panic. You should seek help from professional doctors and strictly follow their recommendations and fulfill the necessary requirements, so that your kid's health is restored as soon as possible.
Prophylaxis of tonsillitis in children
Preventive measures are quite simple:
- The exclusion of physical contact with sick children and the ban on the use of their toys.
- Support immunity with a healthy lifestyle, exercise and passing courses of vitamin therapy in the spring and autumn.
- Compliance with the menu, which includes healthy food prepared at home and including in the diet as much vegetables and fruits as possible.
- Is it possible to do inhalations with a nebulizer with a purulent sore throat?
- Than to gargle with a sore throat in house conditions
- Can I use lugol in angina?
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