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

Patient's question:

My little girl is 8 years old. At first, she had a slight sore throat, and then I noticed her voice was a bit hoarse when she spoke. Additionally, it seems like she has had a low-grade fever that hasn't gone away. I'm asking: How should I treat her tonsillitis if it's very painful?

Doctor's answer:

Currently, in clinical practice, the treatment of pediatric tonsillitis primarily relies on antibiotics. Sensitive medications can be selected based on bacterial culture results, which have shown good efficacy. If the child's condition is severe, local treatments such as tonsillar crypt irrigation or intratonsillar medication can be combined. Pain relievers may also be administered to the child, especially when throat pain is intense, to alleviate discomfort. Some children may also have a fever, in which case oral antipyretics can be given. If symptoms do not improve, medical attention must be sought. For cases of repeated acute severe episodes or those with complications, tonsillectomy is recommended two weeks after the acute inflammation subsides. At the same time, it is important to arrange a balanced diet and sleep schedule for the child to help promote early recovery from the illness.

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