How should tonsillitis be treated when it is very painful in children?

Patient's question:

Boy, 9 years old, has started primary school. At first, he said that even drinking water with his throat felt painful. He noticed that his voice was a bit hoarse when speaking, and now he has a high fever that won't go down. Please ask: How should tonsillitis that is very painful in children be treated.

Doctor's answer:

Currently, in clinical practice, the treatment of pediatric tonsillitis primarily relies on antibiotic medications. Sensitive drugs can be selected based on bacterial culture results, which have shown good efficacy. If the child's condition is severe, local treatments can be combined, including tonsillar crypt irrigation and intratonsillar medication. For severe sore throat, appropriate analgesics can be administered. If the child still has a fever, antipyretics should be used cautiously. If the temperature exceeds 40 degrees Celsius, emergency medical attention is necessary.
In addition to these pharmacological methods, if the child frequently experiences recurrent inflammation, parents may consider surgical treatment under the guidance of a doctor. During the treatment period, it is essential to ensure the child stays warm and avoid further exacerbation of symptoms due to cold exposure.

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