How to diagnose and treat sore throat caused by tonsillitis in children

Patient's question:

Boy, 13 years old, has entered primary school. At first, he felt a sore throat when speaking, and found that his voice was a bit hoarse. Moreover, he has had a slight fever all the time. Please ask: How should pharyngitis in children be diagnosed and treated when it is uncomfortable?

Doctor's answer:

Currently in clinical practice, the treatment of pediatric tonsillitis primarily involves antibiotics. Sensitive medications can be selected based on bacterial culture, which has shown good efficacy. Local treatments can also be used, such as tonsillar crypt irrigation or intratonsillar medication injection. If a child's sore throat is particularly severe, pain relievers may be administered based on the situation. If there is a fever, the method of cooling should be chosen according to the body temperature—physical cooling can be used for temperatures below 38.5°C, while oral antipyretics can be taken for temperatures above 38.5°C. These methods are commonly used for treating tonsillitis at present. Additionally, surgery is also a viable option, particularly for children with recurrent episodes. During treatment, it is important to ensure the child receives adequate nutrition, with a diet consisting mainly of light meals. It is also essential to encourage plenty of rest and avoid fatigue.

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