Sore throat in a child of 2-3 years: symptoms, treatment
- Why do children suffer from angina?
- What types of sore throats in children are found in medical practice?
- The mechanism of development and course of the disease
- Diagnosis of angina in children
- Principles of treatment
- Unacceptable Parenting
- Possible complications of angina in children
- Prevention of tonsillitis in children
Young children aged 2-3 years often suffer from colds. Communicating with sick children in kindergarten, low immunity and inability to consciously take care of their health contribute to the fact that children easily “catch” respiratory diseases in winter, spring and autumn.
A simple cold, in fact, is more dangerous than it might seem at first glance. Lack of proper treatment and refusal from bed rest are fraught with the occurrence of complications. The most commonly reported type of complication of respiratory disease is sore throat , or - in medical terms, tonsillitis .
Why do children suffer from angina?
Tonsillitis (from tonsilla - tonsil) or tonsillitis is an infectious and inflammatory disease of the tonsils. As a rule, the respiratory infection begins to act when it feels the weakening of the body's defenses.
Reduced immunity may result from contact of a child with other children. At an early age, they still do not understand that you can not nibble a dirty toy, or that you should not drink from one glass with an already ill friend. Such parting instructions are given by parents and make them follow them too.
While in a kindergarten or on the playground, where the child leaves the zone of total control, infections are exchanged between contacting children.
Flu mild or simply nasal congestion may not alert the parents. The hope that the pathological condition will pass on its own, and the popular opinion of some that it is necessary to give the body its own to fight an infectious agent, become the cause of such complications as angina.
In some cases, it is possible that the viral infection begins to be active after severe hypothermia, or during a period of chronic overwork.
Such situations contribute to a sharp decrease in the level of immunity, and an inflammatory process appears in the tonsils.
The question arises, where, in this 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 enters the active stage and the child develops the corresponding symptoms.
What types of sore throats in children are found in medical practice?
Angina in children 2–3 years old occurs in several forms:
The same disease can manifest itself in the primary , or in the secondary forms.
- Primary angina occurs as an independent process, causing intoxication and signs of damage to the tissues of the mucous membrane of the pharyngeal ring.
- Secondary angina accompanies certain types of acute infectious diseases (diphtheria, scarlet fever or mononucleosis).
Features of catarrhal angina in children
Symptoms appear suddenly and pronounced.
Phased increase in symptoms:
- Dry mouth and sore throat
- Sore throat when swallowing food
- Increased body temperature from subfebrile values to 39 degrees
- Throughout the entire period of the disease, the child feels a general weakness of the body, pain in the muscle tissues and joints.
Objective examination allows you to see the tonsils, enlarged, redness and swelling of the palatine arches.
A feature of the catarrhal type of angina can be considered the fact that the symptoms of inflammation are limited to the region of the tonsils and the mucous membrane of the oropharynx.
Catarrhal sore throat sometimes occurs at normal body temperature, but this does not make the disease less dangerous.
Features of follicular angina in children
- Body temperature above 38 degrees Celsius
- Cough joins dry mouth
- Strengthening the 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 the tonsils with the size of millet grain, which rise above the surface of the mucous membrane and have a gray-yellow color.
There is an opinion that it is easy to diagnose follicular sore throat, focusing on pronounced symptoms. But care should be taken when making the final diagnosis. Symptoms of follicular sore throat are similar to signs of mononucleosis, which can cause a specialist's unconscious error.
Features of lacunar tonsillitis in children
- Severe pains that accompany the act of swallowing
- Enlarged, sore and thickened regional lymph nodes
- Headaches, chills, fever
- High body temperature (about 38-39 degrees)
- Blood tests show a high level of leukocytosis and ESR.
For a lacunar type of sore throat, crypt filling with pus is characteristic. Gradually, purulent contents come to the surface of the tonsils and capture large areas.
On examination of the oral cavity, islands of pus are clearly visible on the edematous, hyperemic tonsils.
For a child's body, it is hard enough to fight the infection that caused the symptoms of angina. When the necessary treatment is delayed, a small patient may experience pain when swallowing, which is given to the ear, headaches and discomfort in the abdomen, weakness, nausea and vomiting, seizures and even conjunctivitis .
In some cases, lacunar tonsillitis causes signs of false croup:
- Cyanotic skin
- The lack of air to the point that the child begins to choke, as the edematous tonsils block the airways.
The presence of such signs of indisposition indicates the need for urgent hospitalization in an infectious hospital. The above symptoms can be dangerous for the life of the child.
Features of herpes sore throat in children
Herpes sore throat is caused by the herpes virus. This type of disease is quite common in young children and it begins with a sharp increase in temperature.
Small red papules (blisters) appear on the mucous membrane of the tonsils. After a while, the papules open up and transform into ulcers.
Regional lymph nodes with palpation are painful and enlarged. When swallowing a child may experience discomfort from pain.
Sometimes signs of indigestion join the bouquet of symptoms. A baby may suffer from loss of appetite, nausea, vomiting and diarrhea attacks.
The mechanism of development and course of the disease
The introduction of pathogens of angina into the body of a child occurs through the mucous membrane. It is more vulnerable to external influences and the infectious agent is introduced through its surface layer directly into the tonsils.
A sore throat 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 the event of a favorable set of circumstances and timely diagnosis and treatment, the baby recovers within a week.
Unfortunately, the disease can be severe and protracted.
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 young child aged 2-3 years depends entirely on the parents. He still can not really explain what and how he hurts, but will often cry and act up because of feeling unwell.
You should not write off the state of the baby on a spoiled character or unreasonable whims. Conduct a thorough inspection of the mouth of a small one yourself, or contact your local pediatrician for help.
Self-medication, in this case, is unacceptable. Some parents prefer to follow the advice of friends and relatives, what kind of medicine to give the child and on what basis to treat it.
A rather large percentage of moms and dads have unfounded prejudices against antibiotics. They allow themselves to arbitrarily adjust the appointment of a specialist, removing from him medicines that can "harm" the baby. In fact, such an approach to the problem may be, if not useless, then dangerous to the health of your child.
The sooner you seek help from a doctor and begin to follow all his recommendations, the more successful the treatment and rehabilitation process will be.
More about drug treatment.
Antiviral drugs and broad-spectrum antibiotics can be prescribed in the form of tablets or sprays.
Sprays and tablets have individual advantages, so you should not use only one of them. Tablets act on the background of the general condition of the body, eliminating viruses and bacteria from the bloodstream and other tissues of the body.
Sprays have a local effect, because when spraying, the medicine goes directly to the inflammatory focus. After treatment with a spray of tonsils, it is recommended not to eat or drink during the procedure after the procedure.
The treatment plan must necessarily include a course of multivitamins, but, on the recommendation of a doctor, a separate intake of vitamin C, A, P and vitamins of group B is possible.
It is strongly recommended to undergo a course of recovery of immunity. But a suitable immunostimulator should be prescribed by a specialist.
Topical treatment of angina is not limited to the use of sprays. Rinsing with herbal teas or special solutions also alleviates the condition of the child and accelerates the process of eliminating the inflammatory phenomenon.
A prerequisite for a speedy recovery and prevention of complications is bed rest.
Perhaps a 2-3-year-old child will not want to lie in bed all day, especially if he feels an improvement in his state of health. It is important to explain to him that this is necessary.
If you allow your baby to carry the disease on his feet, the healing process can be significantly delayed. In addition, there may be a deterioration of the condition and the addition of signs of complications.
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 tonsillitis require at least three weeks to restore health.
In no case can not:
- Make warming compresses in the neck. Cold compresses are also not recommended, but warm ones are especially dangerous. Swelling in the tonsils from heat exposure may increase and cause the airway to close.
- Force feed the child. He may have acute pain when swallowing or has no appetite. You can try to interest him in the original design of children's dishes or gently persuade, but you should not force.
- Lubricate the tonsils with various antibacterial solutions (for example, Lugol solution). Not so long ago, such actions were actively practiced, but, at this time, experts have concluded that the mechanical action damages the mucous membrane and bacteria easier to penetrate into the tissue.
Possible complications of angina in children
Complications often occur for several reasons :
- Lack of proper treatment
- Treatment started after angina symptoms worsened.
- Non-compliance with doctor's recommendations
- Unauthorized correction of treatment plan
The list of reasons may be quite long, but these options are more common in practice.
Types of complications
- Chronization process. Chronic tonsillitis is the result of the lack of treatment or the systematic interruption of treatment until the child is fully cured. After transition to a chronic stage, a sore throat will often recur.
Treatment of a chronic form of the disease requires much more time and effort, so you should complete a full course of treatment during an acute condition.
- Rheumatic arthritis occurs on the background of a chronic course of tonsillitis. Damage to the joints in childhood can result in disability, so care should be taken to treat the disease and eliminate it as soon as possible.
- Tonsil suppuration is possible when the immune system is in a depressed state, or if there is a history of HIV infection in the history. This situation signals that it is necessary to conduct an additional examination of organs and organ systems.
- Phlegmon and abscesses may form if the purulent contents of the lacunae break into the thickness of the tonsils. Abscessing or converting tonsillitis to phlegmon requires urgent hospitalization in the Department of Maxillofacial Surgery. The child’s condition may deteriorate markedly, 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 fall into a panic state. You should seek help from professional doctors and strictly follow their recommendations and fulfill the necessary requirements so that your baby’s health is restored as soon as possible.
Prevention of tonsillitis in children
Preventive measures are quite simple:
- Eliminating physical contact with sick children and prohibiting the use of their toys.
- Support immunity with a healthy lifestyle, sports and vitamin therapy in the spring and autumn.
- Compliance with the menu, which includes healthy food, cooked at home and the inclusion in the diet as much as possible vegetables and fruits.
- Is it possible to make inhalations with a nebulizer in case of purulent tonsillitis?
- Than gargling with sore throat at home
- Is it possible to use lugol in quinsy?
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