Patient's question:
Detailed medical condition and consultation purpose:Since November 5th, the child has been experiencing a slight cough. After a doctor's examination, it was diagnosed as pharyngitis (slightly red and swollen throat).
Duration of the illness: 5 days so far
Previous diagnoses, treatments, and outcomes: The child received two days of dexamethasone injections and three days of intravenous dexamethasone (with dexamethasone in the saline solution).
Other:
I originally thought that the child wouldn’t need another round of saline infusions tomorrow. But today, I asked the doctor, and he said the throat hasn’t improved yet, so saline infusions are still needed tomorrow. He also mentioned that if hormones are being used, the medication cannot be stopped immediately.
Doctor's answer:
Generally, the most feared complication of acute pharyngitis in children is difficulty breathing, which is related to the anatomical structure of their throat. Children's laryngeal tissues are loose and short, and inflammation can lead to edema, obstructing the airway. Acute laryngitis is a serious condition that requires immediate hospital treatment and emergency care. Antibiotics and hormones are used to combat inflammation and reduce laryngeal edema. In severe cases, intramuscular or intravenous administration of hormones, as well as ultrasonic medication inhalation, may be necessary. For children experiencing extreme difficulty breathing or suffocation, tracheostomy surgery must be performed immediately to ensure airway patency. Allow the child to rest as much as possible, preferably in a horizontal or semi-recumbent position to maintain clear airways. Keep the environment quiet and well-ventilated.