Non-pharmacological treatment of angina and acute pharyngitis in children
The patient is shown bed rest in the acute period of the disease on average 5-7 days. Diet is normal. Rinsing of the throat with 1-2% Lugol solution is shown. 1-2% solution of hexathedia (hexoral), etc., a warm drink (milk with Borjomi, milk with soda – 1/2 teaspoon of soda for 1 glass of milk, milk with cooked figs, etc.).
Drug treatment of angina and acute pharyngitis in children
Acute viral tonsillitis (tonsillitis) / tonsillopharyngitis is treated according to the same principles as acute rhinopharyngitis (see “Acute Rhinopharyngitis”). The main directions are anti-inflammatory and antiviral therapy. According to the indications are antipyretic and antitussive therapy. When choosing antipyretic therapy, preference should be given to ibuprofen, which, along with antipyretic, also has an analgesic and anti-inflammatory effect.
Systemic antibacterial therapy for viral tonsillitis / tonsillitis is not indicated. However, it is often recommended that children who are ill over the age of 2.5 years be prescribed a plant-specific antibiotic agent fusafungin (bioparox, which is prescribed in an aerosol for 4 injections in the mouth for 7 days, a non-steroidal anti-inflammatory drug benzidamine (Tantum Verde) or local antiseptics containing hexiethidine (hexoral). Ambazone (pharyngosept) or a mixture of bacterial lysates (imudon) .Tantum Verde, a dosed spray, is administered at 4 doses every 1.5-3 hours, children under 6 years of age – 1 dose for every 4 kg of body weight. Ethidine is prescribed in the aerosol for 1 injection in the mouth 3-4 times a day Ambazone and a mixture of lysates prescribed 1 tablet 3 times a day Assign also adaptogens that are phytopreparations,
In the complex therapy of acute viral tonsillitis (tonsillitis) / tonsillopharyngitis children are recommended to prescribe medicinal herbal preparations such as Tonzilgon H, which includes the althaea root, chamomile flowers, horsetail herb, walnut leaves, oak bark, yarrow herb, herb dandelion grass . Tonsilgon H has a complex anti-inflammatory, anti-edematous, local enveloping and analgesic effects. Active components of chamomile, althea and horsetail contribute to the increase of nonspecific protective factors of the body, which allows to appoint Tonsilgon H often and long-term sick children from infancy. Tonsilgon H is available as a drop in a 100 ml bottle for ingestion, as well as as a dragee for children from 6 years of age.
Treatment of acute streptococcal tonsillitis (tonsillitis) / tonsillopharyngitis and pharyngitis, on the contrary, includes mandatory antibiotic therapy with systemic antibiotics to avoid the development of such severe complications as glomerulonephritis and rheumatic fever. Thus, the indication for the administration of systemic antibiotics in acute tonsillitis (tonsillitis) and tonsillopharyngitis is streptococcal etiology, which is indicated by purulent exudation, the appearance of purulent yellowish deposits on the tonsils and the posterior wall of the pharynx and streptococcus out of the pharynx.
- The drug of choice – phenoxymethylpenicillin inside at 50-100 mg / kg per day in 3 doses for 10 days.
- Often ill children are recommended amoxicillin inside 25-50 mg / kg per day in 2 doses or Amoxicillin + clavulanic cot inside by 0.625 g 3 times a day or 1 g 2 times a day for 7-10 days.
- If penicillins are intolerant, one of the following drugs is prescribed: macrolides; cephalexin inside children under 12 years 25-50 mg / kg per day in 3-4 injections; children over 12 years of age, 1 g in 2-3 doses; cefadroxil inside at 30 mg / kg 2 times a day for children under 12 years, children over 12 years for 1 g in 2 doses for 7-10 days.
- With intolerance of beta-lactams and macrolides, lincosamines (lincomycin) are prescribed. Lincomycin is administered orally at 60 mg / kg in 3 injections.
Of the registered amoxicillin preparations, the most optimal pharmacokinetic characteristics are Flemoxin Solutab. Absorption of the drug with oral intake is 93% and significantly exceeds that with amoxicillin in capsules (= 70%).
The drug is available in the form of dispersible tablets Solutab. Innovative technology Solutab allows you to conclude the active substance in microspheres, from which a tablet is formed. Each microsphere consists of an acid-fast filler, which protects its contents from the action of gastric juice. The release of active components begins with an alkaline pH value in the upper intestine, i.e. In the zone of maximum absorption.
Tablets Flemoxin Solutab can be taken in many ways: take whole, divide into parts, prepare a syrup or suspension with a pleasant fruit taste. A variety of dosages (tablets contain 125, 250. 500 and 1000 mg of active ingredient) allow the use of Flemoxin Solutabu in children of different ages, starting from 1 month. The form of release of 1000 mg allows to reduce reception of amoxicillin up to 2 times a day at the same level with standard mode (500 mg 3 times a day) of efficiency and safety.
With mycoplasmal and chlamydial etiology of tonsillitis and pharyngitis, systemic antibiotic therapy is also shown, but the drugs of choice are macrolides.
Surgical treatment of angina and acute pharyngitis in children
It is not shown, with the exception of complications – paratonzillitis and zaglugal abscess. In this case, the child is hospitalized in the otolaryngology department, where he is uncovered with abscesses, with recurrence of paratonsillar abscesses, tonsillectomy is indicated.
This disease like angina is diagnosed more often in children than in adults.This is not surprising, because the child’s body is most susceptible of infection.One has only to supercooled or just take a subject, which was used by the sick person, as a kid immediately falls ill.Often illness overtakes children in autumn and winter, when the immune system is weakened, and the air temperature is constantly changing.What if the baby is ill with angina, and what parents need to remember?
Treatment of tonsillitis in children
How to treat a sore throat in children?
Provide your child complete rest.
Regularly ventilate the room where the sick child.
Follow the diet and include in the diet of foods that are high in protein and vitamin C.
Monitor the level of fluid intake – let the children plenty of water, tea, fruit drinks, juices, jellies, broth.
People’s treatment of sore throats in children
To cure such diseases as angina, prepare the child tea with honey, lemon and rasp
berry.Also, you can give your baby fruit drinks and fruit drinks.When the temperature of the absence of milk can be added to a piece of butter.
for the treatment of angina in equal proportions, mix chamomile, sage, St. John’s wort, and then take 4 teaspoons of the mixture obtained, their bay 2 cups boiling water.Let the tool configure themselves for about 30 minutes, after which it must drain and give your child for rinsing.
to gargle can also use 1-2 drops of iodine, dissolved in a glass of water with 1 teaspoon of baking soda and salt.If you start gargling right at the beginning of the disease, it can facilitate it over.
are useful for sore throat and foot baths.For them, you just need to dial a basin of hot water and dissolve it in 1-2 tablespoons dry mustard.A child should hold his feet in this water for about 10-15 minutes.Then wipe dry with a baby feet, wear warm socks and sent to bed.This treatment procedure is best done at night.
angina 1 tablespoon chopped herbs meadow cornflower pour 0.5 liters of boiling water and leave vehicle in a dark place and in a sealed container.After 2 strain chasa solution.You can add honey or sugar to taste.Received take medication when symptoms of angina, 3 times a day before meals for 1 glass.
To treat a sore throat in children 2 teaspoons of grass bell pour 1 cup boiling water, to insist 2 hours, filter.The resulting extract can gargle.
For the treatment of angina child take 1 part of chamomile flowers, mallow flowers leechnoy, marshmallow root, grass clover and 3 parts flax seed.1 tablespoon of the resulting mixture, pour 2 cups of water and leave for 20 minutes.Strain through a sieve and use for rinsing.
To prepare a treatment, mix equal parts of sage leaf, oak bark and flowers of mallow forest.Now, 1 tablespoon of the mixture brew 1 cup of boiling water and leave for 15-20 minutes.Then strain the broth through cheesecloth and use for gargling.
to treat the symptoms of a disease, such as angina, mix 3 parts of sage leaf, oak bark, rhizomes cinquefoil, marsh mallow roots and fruits of fennel, and then take 1 spoon of mixture and fill it with 1 cup of cold water.The tool you need to insist 5:00, strain and use to gargle in children.
Remember that the treatment of angina folk remedies necessary to use in combination with drug therapy.The only way they will get excellent results.
symptoms of sore throat in children
main symptoms of sore throats in children are shown as follows:
- lack of appetite;
- sore throat;
- nausea and vomiting;
- enlargement and tenderness of the lymph nodes;
- appearance of plaque, bubbles or ulcers on the tonsils.
If you have marked at least one of these symptoms, immediately show the child to the doctor.The fact that a sore throat in children often provoke a variety of complications.Diagnosis of the disease is carried out based on clinical symptoms, bacteriological, serological and microscopy studies, pharyngoscope, blood test results.
Causes of sore throat in children
Pathogens sore throat in children can be a variety of viruses and micro-organisms: fungi, spirochetes, streptococci, staphylococci, bacillus.They penetrated into the mucosa of the tonsils droplets or alimentary route.
Generally, tonsillitis in children is the result of:
- infection from a sick person;
- episodic infections;
- deteriorating environmental conditions and hypothermia;
- exacerbation of chronic tonsillitis.
Types of tonsillitis in children
This disease is angina may be present in several forms:
- in mixed form.
Each kind of sore throats in children accompanied by certain symptoms and proceeds differently.It is important to remember that sore throat can be primary and secondary in the event of acute infectious diseases: syphilis, diphtheria, scarlet fever, infectious mononucleosis, etc.
Different studies show different figures, but on average not less than half of all people are carriers of fungus.
In this there is nothing to worry about, and it is not necessary that the fungus cause any problems. In most cases, the human immune system successfully copes with it, as well as with another pathogenic microflora.
What are the causes of fungal angina? Typically this is:
- weakening of immunity;
- long-term treatment with drugs that suppress the immune system;
- various chronic diseases, as well as HIV or diabetes;
- bad habits – smoking, alcohol;
- malnutrition or malnutrition.
If you add to this supercooling, the inhalation of cold air, you can get a fungal attack of the tonsils – pharyngicosis or, more simply, fungal angina.
Unlike normal angina, the fungus does not show the same strong symptoms. As a rule, the patient does not have a high temperature and there are no strong pains in the throat. The only bright sign is white, possibly a curdled rag on the tonsils.
If you look at the photos of fungal angina, you can see that it is characterized by the appearance on the palate and glands of milk and possibly purulent formations.
After rinsing or removing the white coating by hand with a cotton swab, signs of inflammation are noticeable and well expressed – redness and swelling on the mucosa. After a while, white formations return.
Attention! Content can be unpleasant for viewing – ‘photos of fungal angina’
Symptoms of fungal angina are not only a white coating in the oral cavity. Lymph nodes on the neck increase, but not very much, as a rule, their change can only be detected by a medical professional. Touching the lymph nodes can cause pain.
Often, white plaque is not limited to tonsils, and extends to the entire oral cavity, supplementing quinsy candidiasis stomatitis .
How can this disease be prevented?
The best prevention of fungal sore throat is considered to be a good care for the baby. Children constantly pull everything into their mouth, thereby exposing their health to danger.
Vitamins and proper nutrition can contribute to an increase in immunity, which in turn will interfere with the development of severe stages of sore throat.
As for nutrition, the rules are the same as always. You need to eat less fried, smoked, food additives and flavor enhancers so as not to poison the body with toxins. And include in the diet vegetables, fish, meat, dairy products, to provide the young organism with the necessary substances.
By the way, if you think that the consumption of products of animal origin is not human, official medicine will not be able to help you :). But this is a topic for a separate article.
Carbohydrates are best obtained from cereals and various cereals, not to abuse sweet.
Fungal tonsillitis is a dangerous disease. Consult a physician before prescribing any medications to your child.
If the disease can not be avoided, it is necessary to undergo comprehensive treatment and follow general recommendations.
In the case of taking corticosteroids or antibiotics – cancel them, unless of course this is possible.
Treatment of fungal angina in children occurs in the same way as in adults, only in a lightened version. First of all, you need to eliminate the source of infection – the fungus.
Nystatin is the ideal remedy for this. it is not contraindicated for children.
From 1 to 3 years: 250 000 ED 3-4 times per day;
From 3 to 13 years: 250,000 – 400,000 ED 3-4 times a day; From 13 years: 250 000 – 500 000 ED 3-4 times a day.
More details in the instructions .
In addition to the tablets, it is necessary to rinse the throat and the entire oral cavity. For a child, Miramistin is ideal – it almost has no taste and smell, safe and effective.
Instead of miramistin, you can use any antiseptic spray, for example, Geksoral (you need a good antiseptic, not just a spray with some oils).
Well and last, but not less important part of treatment – общеукрепляющие preparations. Necessarily need multivitamins in case the child experiences their deficiency. And strongly recommended any immunomodulator, for example echinacea. It can be purchased in the form of tablets, drops, trousers for resorption under different brands.
Often the intestinal microflora suffers, undermining immunity. Therefore, after the course of treatment it is worth to drink a course of probiotics – you buy any bifidobacteria in the pharmacy, in capsules for example and give them to your child according to the instructions.
The average course of treatment lasts no more than 2 weeks. It is strongly recommended that you see a doctor to monitor convalescence, monitor symptoms, determine the duration of the course, and so on.
Any sore throat is alarming, and when it becomes compulsive, interferes with the active life, we have to think: is not this a sore throat? A complex disease with multiple varieties familiar to many. Catarrhal angina, the symptoms and treatment of which it is important to recognize, is a definite reason for going to the doctor. Only the doctor will assess the patient’s condition, based on how the throat looks with the flu, and then give the appropriate destination, will help get rid of unpleasant sensations in the throat, to avoid complications.
The catarrhal angina symptoms
This disease has several distinct characteristics, so no complicated diagnostic measures for its detection is not carried out. Disease-causing microbes are always present in the mouth, but do not harm, being depressed, and hypothermia and cold food leads to activation of these microorganisms. The doctor will determine, or bacterial nature of tonsillitis, ulcerative membranous angina, or catarrhal, depending on this prescribe treatment.
Tonsillitis in adults, the symptoms and treatment of which are determined by the physician upon personal examination, has a number of characteristics. The first signs of angina characterized by fever (of 37.8 to 39 degrees), pain when swallowing and a sensation of a foreign body and heat in the throat. You need to consider that in the case of adults the temperature is not a mandatory symptom. Furthermore, it is often in this disease there is weakness, General deterioration, drowsiness, redness of the mucous membrane of the tonsils without the formation of abscesses.
Signs of sore throat in children are characterized in that the disease in young patients is rarely complete without temperature. She may be small, but is present in most cases. Because of pain when swallowing in young children is excessive salivation. Note that this is true, if there is a catarrhal angina, the symptoms and further treatment of purulent-film types other.
In addition to the pain, feeling of a lump in the throat when the disease is observed in children General weakness and discomfort, in rare cases, seizures. Even if the state of young patients satisfactory, you cannot let the disease take its course. Sore throat without fever, the symptoms and treatment which is very important, often leads to complications, bacterial diseases and tonsillopharyngitis.
How to treat a sore throat in a child
If the disease is diagnosed in a child, symptoms and treatment cannot be ignored, and the best solution to the question of how to treat sore throats in children, the pediatrician. Patients under 1 year is recommended to be placed in a hospital for continuous observation of professionals. Older children and adolescents are treated at home with the help of medication and folk remedies. To know what is catarrhal tonsillitis in children, symptoms and treatment of this disease is important, because it leads to local and systemic complications.
Antibiotics for sore throat for children to appoint a doctor. The doctor will choose the most suitable and sparing the drug depending on the age of the child and the severity of the disease. To be treated like a medicine under the scheme prescribed by your doctor, and do not quit taking them at the first improvement. Popular drugs:
- «Amoxiclav» – refers to the group of penicillins, which effectively fights with streptococcal infections, including tonsillitis.
- «Sumamed» – refers to antibiotics-macrolides. A positive feature of this drug is that it accumulates in the body and does not require long-term therapy.
To achieve the best results, combine with folk medicines proven methodology: plenty of warm drinks and gargling decoction of herbs – chamomile, sage, eucalyptus. These plants have local anti-inflammatory effect, reduces irritation, relieves swelling of the tonsils. To prepare a decoction, you need to take plant-based ingredients and boil them in water for 15 minutes, then strain and cool.
In addition, there are ready-made medications plant-based, for example, «Rotokan». To provide a therapeutic composition means a few drops of this diluted in a glass of water. Less pleasant, but more effective rinsing «Furatsilinom», because this medicine successfully fights with pathogens. The solution includes 1 tablet to 1 Cup of water. Gargle it is necessary not less often than 1 time in 3 hours.
Treatment of angina in adults
The disease in most cases is bacterial in nature and, as in the case of children, frequently requires the use of antibiotics. Viral sore throat in adults happen as a complication of influenza or SARS. To assign adequate treatment to adult patients also need to consult with your doctor, who will assess the condition of the pharynx and tonsils, and will choose the best therapy.
Angina is often a companion not bacterial, and viral infections. In such cases, the regimen differs from the usual therapy. To cure a sore throat, wearing viral in nature, it is not difficult, but it will take a whole complex of drugs aimed at the destruction of the virus, and antibiotics are used only in extreme cases. Therapy involves:
- antiviral drugs;
How to treat sore throat with antibiotics
Antibiotic treatment plays an important role in fighting infection of the pharynx and tonsils, as it can spread to other organs and cause otitis media, sinusitis and other diseases. When choosing a drug should not be based on your previous experience and on the advice of friends drugs on different people act differently and sometimes cause allergies, goiter and other side effects.
For the treatment of this disease in adults is also assigned a «Amoxiclav», because it is a gentle antibiotic of new generation. In addition, popular among the physicians using drugs «Erythromycin» and «Cephalexin». This is also the preparations of a wide spectrum of action, but differ in the fact that agents angina have not developed immunity to these antibiotics.
Treatment of quinsy without antibiotics is used if the drugs are poorly tolerated by the body, thus you need to carefully monitor the patient because this disease often leads to complications. However, in such cases too, one should strictly follow doctor’s prescription. Therapy includes the following activities:
- strict bed rest;
- plenty of warm drinks;
- vitamins and antipyretic drugs;
- the use of antiseptic means;
- rinsing and processing of the laryngeal anti-inflammatory and anti-microbial medication: decoction of herbs and medicines.
Video: Komorowski on the question of treatment of tonsillitis in children
In considering what constitutes catarrhal angina, its symptoms and treatment, it is necessary to listen to opinion of the expert in the field of infectious diseases. After seeing this video, you will hear unobtrusive lecture on diseases of the pharynx and tonsils in children. This is useful not only for young parents but also for people who don’t have children.