How should tonsillitis with fever be treated in children?

Patient's question:

My son, who is 7 years old, initially said that he had pain when swallowing. It was discovered that his cough seemed to be quite severe as well, and he had been running a low-grade fever for quite some time. Please advise: How should tonsillitis with fever be treated in children?

Doctor's answer:

Antibiotics and anti-inflammatory drugs are currently the main methods and medications for clinical treatment of pediatric tonsillitis. Parents can choose them based on symptoms, or use local medications such as tonsillar crypt irrigation or intratonsillar drug injection. If the child's main symptom is sore throat, it is recommended that parents can consider giving pain relievers to alleviate the discomfort. If there is a fever, the method of fever reduction should be chosen based on the temperature. Below 38.5°C, physical cooling methods can be used, while above 38.5°C, oral fever-reducing drugs can be administered. The above methods are commonly used for treating tonsillitis at present. Additionally, surgery is also a feasible option, particularly suitable for children with recurrent episodes. During treatment, it is important to ensure the child stays warm to prevent worsening of symptoms due to cold exposure.

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