How to treat follicular sore throat? This is a common question parents ask. Let's look into it in more detail.
One of the most dangerous sore throats for a child's he alth is the definition of follicular. Such a disease is an acute purulent inflammation. It occurs in the follicles of the tonsils. This infectious pathology begins immediately after the initial contact with a certain pathogen, for example, with hemolytic streptococcus. Adenovirus, pneumococcus, or staphylococcus aureus may also be the cause. Follicular tonsillitis is often diagnosed in children, and it is much more difficult than in adult patients. Infection occurs under the influence of external, and, in addition, internal factors.
Reasons
The causative agent of such a sore throat, as a rule, enters the young body by airborne droplets when the child communicates with an already infected person or uses his things, such as toys, dishes, personal hygiene items, and so on. This usually happens in kindergarten, but, apart fromwhether at school or simply on public transport. Also, infection is facilitated by a number of certain factors, which are external and internal. Follicular tonsillitis is a rather unpleasant disease.
External factors
The following reasons should be mentioned as external factors:
- The result of local hypothermia of the body. This factor is most common when a child eats, for example, too much ice cream or drinks ice water.
- General hypothermia, in which the feet get wet, or when the child outdid, walked in the cold in light clothes or without a hat, or simply stayed in the cold for a long time.
- Frequent stress along with nervous tension.
- Unsuccessful surgical intervention, in which the cause of suppuration was an unprofessional tooth extraction with infection.
- Bad diet along with overwork.
- Lack of vitamins in the body.
Treatment of follicular tonsillitis in children will be discussed below.
Internal factors
The following reasons should be mentioned as internal factors:
- Decrease in body immunity.
- Having certain medical conditions such as tooth decay along with sinus infections and ear problems.
- Injuries of the pharynx in the form of scratches, wounds, abrasions and so on.
- Presence of various infections, diphtheria, scarlet fever, influenza.
- The appearance of allergies, tuberculosis, malfunction of the nervous system,lupus erythematosus, circulation problems.
All of these factors can put a child's he alth at serious risk, contributing to infection with harmful microorganisms. Therefore, it is necessary to reduce their impact, especially during the epidemic, which, as a rule, begins in the cold season. Different from other forms of childhood sore throat, follicular (pictured) is formed extremely rapidly. The incubation period is two days, and sometimes it takes only a few hours. In this regard, it is necessary to act as quickly as possible. The first task of parents is to recognize the disease by the symptoms.
Symptomatics in children
In children, the symptoms of follicular angina appear very quickly, and the clinical picture, in turn, emerges sharply and clearly. Acceleration from simple weakness, with which the disease begins, to the appearance of febrile convulsions can take only an hour. In this regard, you need to carefully monitor the condition of your child as much as possible so as not to miss the moment when you need to call an ambulance. The first symptoms of follicular angina are as follows:
- Appearance of dry mouth.
- Appearance of itching, coughing and sore throat radiating to the ear.
- There is an increase in heart rate.
The subsequent development of the disease, as a rule, is as follows:
- If it is a baby, he will scream loudly, and a small three-year-old child may simply cry, complaining of severe pain in the throat.
- The baby will refuse food because it will hurt to swallow.
- Presence of profuse salivation.
- Increasing the temperature to 40 °C. It is worth noting that with follicular angina, it is extremely difficult for children to go astray.
- Appearance of convulsions and fever followed by chills.
- Swollen lymph nodes.
- Development of conjunctivitis, runny nose and skin rashes.
Symptoms of intoxication
The main symptoms of follicular angina, which speak of intoxication of the body, are:
- Presence of excessive sweating.
- Appearance of weakness and headache along with respiratory failure.
- Appearance of a feeling of ache in the joints and in the lumbar region.
- Difficulty sleeping along with confusion.
- Appearance of diarrhea and vomiting.
Follicular angina in adults is less common, but still happens.
Examination of the throat
If you ask a person to open their mouth, even the naked eye will be able to see an unpleasant picture:
- Suppurated follicles will look like yellowish white dots.
- Presence of redness and enlargement of the tonsils.
Code of follicular angina according to ICD-10 - J03. In a chronic form, it may not proceed so brightly. The symptoms will be smoothed out. The first consultation can be given by a doctor who will come to the house, or a pediatrician, to whom you can make an appointment. But it is best to bring a sick child to an otolaryngologist immediately if there is a suspicion of such a diagnosis.
Diagnosis
Laboratory studies for suspected follicular tonsillitis (in ICD-10 - J03) make it possible to confirm or refute the alleged diagnosis. A similar disease must be differentiated from other similar ones. This is very important, because depending on the diagnosis, certain drugs for therapy will be prescribed. For example, the treatment of this type of angina is not complete without the use of antibiotics. At the same time, they are absolutely contraindicated in mononucleosis. So, the measures for diagnosing follicular tonsillitis in children and adults are as follows:
- Clinical data collection.
- Pharingoscopy.
- Carrying out bacteriological studies that make it possible to detect pathogens in crops of pharyngeal mucus.
- Performing a serological test.
- Submission of the general analysis.
Correct diagnosis makes it possible to prescribe a course of appropriate treatment, however, it will not be possible to quickly cure follicular sore throat. Even with a successful course of the disease without any complications, recovery can occur only on the tenth day. It directly depends on the drugs and the characteristics of the child's body.
Let's consider the treatment of follicular angina in children and adults in more detail.
Treatment
Basically, the treatment of this form of angina is aimed at the destruction of pathogens. And that requires antibiotics. Despite all their proven harm, parents should understand that complications from untreatedangina will be even more serious. The following medications are used within the framework of medications:
- First of all, penicillins are used: Flemoxin, Augmentin, as well as macrolides: Hemomycin, Azitrox, Sumamed, and cephalosporins - Ceftriaxone, Cephalexin.
- The use of anti-inflammatory drugs to eliminate pain, lymphadenitis and various edema, such as Ibuklin and Ibuprofen.
- Antipyretics for follicular angina (photo of symptoms is presented): "Nurofen", "Panadol", "Efferalgan". Considering that it is extremely difficult to bring down the temperature with this form of angina, a course of a lytic mixture from Analgin with Diphenhydramine is prescribed.
- Antiallergic medicines: Clarisens, Diphenhydramine, Cetrin, Diazolin and Zodak.
- Performing detoxification therapy.
- Gargle up to ten times a day with "Iodinol", "Lugol" and "Furacilin".
- Irrigation of the throat with aerosols "Tantum Verde", "Bioparox" and "Miramistin".
- Reception of absorbable tablets with lozenges Faringosept, Geksoral tabs and Septolete.
- The use of probiotic preparations that prevent the development of dysbacteriosis: Bifidumbacterin, Acipol.
- The use of immunomodulators: "Lizobakt", "Amiksin" and "Immunal", as well as vitamins.
Treatment of follicular tonsillitis in adults is no different. Only the dosage of the drugs differs.
It is important to note that the procedure for lubricating the throat with Lugol and other antiseptics is strictly prohibited. First of all, it may breakmucosal membrane, and also contribute to the spread of infection.
Operation
Tonsil removal for follicular angina (ICD code - J03) has medical indications in the following cases:
- Development of decompensated form of chronic tonsillitis.
- The appearance of chronic tonsillitis with toxic-allergic symptoms.
- Presence of hypertrophied palatine tonsils.
- Presence of purulent complications of tonsillitis.
- Tonsillitis that occurs more than seven times a year.
May be prescribed hardware therapy for follicular tonsillitis. The modern Tonsilor device acts on the tonsils through ultrasound or vacuum. In the process of its application, pus is pumped out, and, in addition, the affected area is washed, which relieves swelling with inflammation.
What else can be used in the treatment of adult angina follicularis?
Folk remedies
Experiments on the background of purulent tonsillitis are inappropriate, so all methods should be agreed with the doctor. In this case, it is advisable to carry out the following treatment:
- Gargle with herbal decoctions, beetroot juice, and, in addition, lemon or honey water.
- Cooking cranberry juice.
- Drinking tea with raspberry jam.
- The exclusion of any warming procedures in the form of compresses, steam inhalations and ointments in the neck area - all this is completely unacceptable with this form of sore throat.
- Using decoctions of thyme, rose hips, raspberries and pine needles.
- Give the child to chew propolis after each meal.
Treatment with folk remedies for such a dangerous disease as follicular tonsillitis is only an addition to the course of medical therapy. All parents should understand this.
Treatment of follicular tonsillitis in a child should be comprehensive.
Caring for a sick child
As part of caring for a baby who has follicular tonsillitis, it is important to follow these recommendations:
- Bed rest required.
- It is important to drink plenty of fluids.
- No walks allowed.
- The room in which the little patient is located should be ventilated.
- Before the ambulance arrives, try to bring down the high temperature with antipyretic drugs in the form of candles or vodka wraps.
- Drinking chamomile and sage tea.
- Food temperature should always be comfortable and warm.
- Exclusion from the diet of s alty, pickled, spicy and carbonated.
- Food should be ground in a blender. Liquid cereals and soups with broths are especially welcome.
Treatment of follicular angina in a child is more successful the earlier it is started.
It is important to remember that only a doctor can tell parents exactly how to treat pathology in children in a particular situation. Each case is individual. In no case should parents make any decisions on their own, otherwise serious consequences cannot be avoided.
Consequences
A characteristic feature of follicular angina is the spread of pus, which, even if the blisters open, does not go beyond the tonsils. True, in the severe course of the disease, this still happens. For example, purulent contents can fall directly into the throat, and from there absolutely into any organ, because of this, serious complications can begin to develop that are extremely dangerous for the he alth of the child:
- Appearance of paratonsillar abscess.
- Development of sepsis.
- The appearance of Lemierre's syndrome.
- Development of streptococcal meningitis.
- Occurrence of toxic shock.
- Development of glomerulonephritis.
- Appearance of phlegmonous tonsillitis.
- The appearance of thrombosis, phlegmon, paratonsillitis, otitis and laryngitis.
Each of these diseases is not only difficult to treat, but also leaves its mark on the entire subsequent life of the child. An abscess can leave scars, meningitis can lead to disability, and sepsis is often fatal. That is how dangerous follicular tonsillitis is, so you should not reduce its value. And, of course, it is always easier to prevent a disease than to cure it. Parents should carry out regular prevention of this disease.
Now you know how to treat follicular sore throat.
Preventive measures
In order to protect their child from such a serious sore throat, parents from the very birth of the baby should take care of holdingprevention of this disease, which involves a number of the following measures:
- Reduce contact with sick people.
- Do not allow your child to eat cold foods in large quantities, and even more so to drink ice-cold liquids.
- Strengthen children's immunity, tempering it, giving vitamins and accustoming to sports with a he althy lifestyle.
- Providing balanced and quality nutrition.
- Timely treatment of any disease.
Thus, it is extremely important to understand how dangerous the appearance of follicular tonsillitis in children and what consequences a frivolous attitude towards it is fraught with.
