How to treat angina in infants children up to 3 years?
The reasons
With tonsillitis or acute tonsillitis, the tonsils become inflamed. Normally, these lymphatic elements are designed to eliminate various microbes entering the body through the upper respiratory tract. Tonsils consist of a huge number of lymphocytes. These cells fight off pathogens and secrete biologically active substances that help eliminate infections.
What most often causes sore throat in children?
The most common sore throat in children is caused by:
- Bacteria. The leader among bacterial pathogens is b-hemolytic streptococcus. It causes sore throat in about 80% of all cases. The remaining 20% are staphylococcal flora, hemophilic bacillus, and anaerobic microorganisms.
- Viruses. Most often it is: viruses herpes, Coxsackie virus, adenoviruses, as well as the causative agents of influenza or parainfluenza.
- Mushrooms In candidal infections, pronounced lesions occur on the tonsils. It is mainly caused by the fungus class Candida.
Can babies get sick?
One-year-old children have a risk of contracting angina, but it is minimal. Children under one year old cannot become ill, because their tonsils have not yet been completely formed. Usually, to complete the final development, it must take at least a year and a half after the birth of the child. During this time, the tonsils acquire a normal structure and begin to perform their basic functions.
Even in a two-year-old child, the risk of having a sore throat is quite low. This is due to the fact that during breastfeeding mother provides the baby with a sufficient amount of protective immune proteins - immunoglobulins. These substances help infants not to suffer from acute tonsillitis during the entire period of lactation.
According to statistics, cases of angina in children under three years of age are rare. In children younger than one year old, due to the insufficiently good work of the tonsils, the infection can immediately enter the lower respiratory tract, reaching the bronchi and lungs.
How does the disease in a three year old child?
Older babies can easily get sore throats from other babies who are sick and infectious. Usually children are infected in kindergarten during common games with the same toys. Infectious agents in this case remain on various objects for a long time.
Preschool kids often pull things and toys into their mouths. On such items remains saliva, which becomes a source of infection.
The course of the disease in a baby aged 3 years can be quite difficult. The most dangerous development of angina in a child with concomitant chronic diseases of the upper respiratory tract, as well as immunodeficiency. In this case, the disease often turns into a chronic form. In some infants, even with a moderately severe course of the disease, complications can develop.
Symptoms
The most specific signs of acute tonsillitis include:
- Soreness when swallowing. When any attempt to swallow food in a child there is a strong pain syndrome. Too hard foods, as well as excessively cold or hot meals can cause increased soreness.
- Redness of the throat, swelling of the mucous membranes of the oropharynx. Palatine arches become compacted, swollen, bright red. When grazing the tonsils, pain increases.
- Rash and purulent attacks. Various vesicles filled with fluid or purulent foci cover the entire surface of the tonsils. In severe cases, there are large cavities filled with pus. When the tonsils are touched, they can erupt with the outbreak of fetid contents out.
- Swollen lymph nodes. The most frequently damaged parotid, occipital and lymph nodes, located at an angle of the lower jaw. They become compacted and painful. In some cases, the lymph nodes are enlarged so much that they become visible even by visual inspection.
- Temperature increase to 38-39 degrees. It increases rapidly during the first day of the onset of adverse symptoms. The severity of temperature directly affects the manifestation of symptoms of intoxication.
- Violation of general well-being. Babies almost completely disappear appetite, they refuse breastfeeding. Children can cry, be capricious, sleep more. Some babies often ask for hands.
The incubation period for angina can be different. It depends on what the cause of the disease is. With viral tonsillitis It is usually 5-7 days. The first adverse symptoms of bacterial tonsillitis appear after 7-14 days. Fungal tonsillitis begins 5-14 days after the onset of the disease.
How many days does the fever last?
Elevated temperature usually lasts for 3-5 days from the moment the first symptoms of the disease appear and remains high throughout the day.
The effectiveness of antipyretic drugs is estimated only for 2-3 days. Usually at this time the body temperature begins to return to normal. It also makes the baby feel much better.
Treatment
To treat a sore throat in babies up to three years old can be home conditions, but under the control of the attending physician. Uncomplicated forms of the disease do not require a child in the hospital. If the baby has developed dangerous complications or the course of the disease has become threatening, then hospitalization may be required.
To treat a sore throat with adequately selected treatment can be done in 7-10 days. Usually on the third day the body temperature normalizes, and the pain in the throat almost completely disappears when swallowing.
However, this does not mean that it is necessary to completely stop using drugs. Recommended medication should be drunk completely, according to the scheme recommended by your doctor.
For the treatment of angina in three-year-olds, doctors use various antibiotics. These medicines can be administered in the form of tablets or injections.
Sucking lozenges and sprays can be used only in children over three years old.
Rinses with medical broths have been held since two years of age. Various medicinal herbs are perfect for them: chamomile, calendula, sage.
Remove purulent plugs from the surface of the tonsils on their own should be very carefully. To remove plaque will help the use of sea buckthorn oil. Cotton wool moistened in this home remedy, carried out on the surface of the tonsils. With regular processing, the plaque becomes softer and is easily removed.
Perform the procedure should be as careful as possible, so as not to cause additional injury to the tonsils in the baby.
Drug therapy
For the treatment of acute tonsillitis are used:
- Antibacterial agents. Medications with a wide spectrum of action are preferred. Most often, treatment is carried out with clavulanic acid-protected penicillins, macrolides, as well as preparations of the cephalosporins group. Amoxiclav, Tsiprolet, SumamedAugmentin - are the drugs of choice for the treatment of bacterial forms of angina. They are appointed for 7-10 days with the obligatory control of the effectiveness of their use.
- Antipyretic drugs. Apply only when the body temperature rises above 38 degrees. Not assigned to a permanent reception.Usually used in the first 2-3 days after the onset of the disease.
- Rinse. Used in children older than 2.5 years. Appointed for 7-10 days 3-4 times a day. Do not rinse the baby on its own. During the procedure, one of the parents must be near. If the child cannot hold the liquid in the mouth, without swallowing, then the rinse should be discarded.
- Multivitamin complexes. Their trace elements help the body recover faster from the disease and strengthen the immune system.
- Treatment of tonsils from raids. To do this, the kids of three years is better to use a decoction of chamomile or sage. The use of Lugol solution for this purpose is not currently used. Such treatment can only lead to additional damage to the mucous membranes on the tonsils.
When can I walk?
You can go out with the baby after the stabilization of the state and the normalization of body temperature. This usually occurs 3-4 days after the onset of the disease.
For walks in the fresh air, be sure to choose comfortable clothes that will help protect the child from hypothermia. The neck should be additionally covered with a scarf from the piercing wind.
Prevention
In order to protect your baby from possible infection with angina, the following recommendations should be kept in mind:
- Do not attend kindergarten during outbreaks of seasonal colds. Compliance with the quarantine will prevent mass cases of infection with acute tonsillitis in children of preschool age.
- Strengthen the immunity of the child from the first months after birth. Breastfeeding as long as possible will protect the body of the baby from possible infections and create an excellent passive immunity. Active walks in the fresh air and hardening will strengthen the immune system and prevent the development of infectious diseases.
- The child must have their own dishes and cutlery. During colds, they must be treated with special disinfectants that are approved for use in babies during the first days after birth.
Treatment of exacerbations of chronic diseases of the upper respiratory tract. This is true for babies with congenital defects of the structure of the upper respiratory tract. They must be regularly observed from birth by an otolaryngologist from birth.
What is angina and how to treat it properly, see the next video of Dr. Komarovsky.