Doctor Komarovsky about angina

Red throat, pain when swallowing, temperature. Parents observe these symptoms in their babies quite often. And in almost all cases, they “sin” on a sore throat. In fact, a sore throat and a sore throat are not always the same. Famous pediatrician Yevgeny Komarovsky warns: do not confuse the sore throat with other ailments. It should be learned to recognize and properly cure. The doctor and anchorman talks about this disease quite often in his articles and program releases. We have tried to summarize the maximum of this information in one article.

Sore throat is an acute infectious disease caused by germs, fungi or viruses. The most frequent "culprits" disease - streptococci. They enter the child’s body through the mouth, and may not show their presence at all for quite some time.

Angina is contagious. It is easily transmitted from person to person, through common toys, dishes, household items, through physical touch. The incubation period after exposure to streptococci averages about 12 hours.

Most often, this disease affects children aged 3 years and older. The most severe disease is transferred just three years. But this does not mean that such a diagnosis can not put a newborn. It happens that a sore throat is found in a one-year-old child. Moreover, it will be rather difficult for him - the innate immunity that mother gives during pregnancy has already been expended, and her own is not yet properly “trained”.

Angina begins aggressively and develops rapidly, which is why the flu is so often confused with angina. Distinguish from ARVI and Colds, the following signs will help her recognize her parents:

• High temperature (38.5-39.0-39.5).
• Severe squeezing pain in the throat, making it difficult to swallow and hinder normal speaking.
• Lymph nodes (submandibular and cervical) significantly increase in size. Palpation appear dull pain.
• The tonsils at the initial stage of sore throats become saturated red (almost crimson).
• A few hours after the onset of the disease, a white patina, pustules and small ulcers appear on the tonsils. Sometimes - with pus.
• A severe increase in the amount of lymphoid tissue in the tonsil region is characteristic of a severe form of the disease, the lumen of the throat can close, which causes difficulty in breathing.

Catarrhal manifested by a small lesion of the tonsils.. If you look into the child's mouth, you can see swelling in the tonsils, redness. An increase in limousines is possible, the child feels weak and overwhelmed. Such a sore throat lasts about three days. Then it either passes or is modified and then we can talk about another type of disease.

• Follicular sore throat is accompanied by high fever, chills, severe pain in the throat, when viewed on tonsils, a greenish, white or yellow purulent plaque is noticeable, therefore this ailment is called “purulent tonsillitis” or “lacunar tonsillitis” among the people.

• Necrotic form of the disease is accompanied by an extremely unpleasant smell from the mouth., as is the death of the tissues of the tonsils. On examination, you can see on them a gray-white bloom, bleeding ulcers, swelling with a touch of tongue. Inflammation and necrosis extend not only to the tonsils, but also affects the palatine arches. Such an illness can last more than a month.

• Fungal sore throat is often called pediatric, as it mostly happens in childhood., adults suffer from it extremely rarely. Inflammation of the tonsils in this case is caused by fungi. The symptoms of such a sore throat are difficult to recognize, as it resembles the catarrhal and follicular forms like two drops of water. To prescribe the correct treatment with antifungal drugs, it is necessary in vitro to investigate the flora that lives in the throat of a child. To do this, take a smear from the larynx on bacposev.

• Sometimes a sore throat is caused by enteroviruses, and then the disease will be called differently - viral herpetic (herpes) sore throat. It rarely occurs with only one sore throat, with herpangine there is a full range of viral symptoms - runny nose, diarrhea, muscle aches, etc.

Yevgeny Komarovsky claims that every second inhabitant of the planet has had a sore throat at least once in his life. When the throat is red and sore, this does not always mean that the child has a sore throat. So manifests itself tonsillitis - inflammation of the tonsils as a result of airborne viruses. The lymphoid tissue of which they are made serves to protect the body from "intruders", the results of the immune fight are felt that way - the throat reddens and aches. But beyond this usually does not go.

In tonsillitis, the tonsils are affected in a special way. Komarovsky indicates that the severity of this factor is what distinguishes tonsillitis from sore throat. Accordingly, these conditions require a different treatment approach.

Issue devoted to the topic "angina in children" by Dr. Komarovsky with comments and tips.

Angina, according to the doctor, can not be chronic and last for several months or worsen from time to time. It can only be acute. And the redness in the throat that appears with an enviable constancy often sick children, it is a manifestation of chronic tonsillitis.

All the symptoms of angina can manifest in a child with diphtheria, with infectious mononucleosis. The doctor will help you quickly establish the correct diagnosis and it will save the child from the negative effects of untreated diphtheria, and this will give a complication to the heart, kidney and nervous system. The timely introduction of anti-diphtheria serum and as soon as possible. When viral infectious mononucleosis is ignored, the lymph nodes, the spleen and the liver are affected.

therefore no traditional medicine and self treatmentsays Komarovsky. Only traditional methods and medicines and as quickly as possible. As a rule, this angina requires treatment antibioticswhereas tonsillitis can be cured by strengthening immunity and eliminating all harmful factors from the environment (dust, household chemicals, tobacco smoke). When a herpes throat infection is prescribedAcyclovirAnd similar antifungal drugs.

With proper and prompt prescription of antibiotics, Yevgeny Olegovich stresses, the sore throat retreats quite quickly and heals without a trace. However, if the parents do not want to give the child harmful, in their opinion, antimicrobial drugs, then they are at great risk of raising a disabled person. Angina, which has not been treated or healed with the help of linden decoctions, most often results in complications of the heart, kidneys and joints. Komarovsky cites examples from personal experience: up to 80% of all cases of glomerulonephritis in children aged 3 to 16 years are a consequence of once-untreated angina.

The treatment regimen, according to Komarovsky, should include antibiotics and vitamin complexes appropriate for the patient’s age. When purulent quinsy may require the use of local funds - sprays and rinses with an antiseptic. In addition, in the first days of illness, parents should provide the child with rest, bed rest. The child will be able to play and do his own daily activities after his temperature drops.

Evgeny Olegovich emphasizes that physical activity during high heat significantly increases the load on the heart. Antipyretic agents can be used to reduce the temperature. For children, optimal preparations, the main active ingredient of which is paracetamol. It is recommended to give them only when the temperature has risen from 38.5-3.0 points.

You should not buy expensive antibiotics with the “magic” properties declared by manufacturers. Enough, according to Komarovsky, the usual "Penicillin", "AmpicillinOr "Erythromycin." Penicillin group drugs (their list is extremely long) are active against staphylococcus and streptococci. It is important to remember that the minimum course of antimicrobial treatment for sore throat is 7 days, no less. If you take them four days or five, and after the onset of relief to cancel, the risk of complications increases significantly.

Local rinsing and irrigation of the throat do not affect the speed of treatment and recovery time., emphasizes Yevgeny Olegovich. However, they relieve pain and facilitate the process of swallowing. As an independent treatment for angina, such methods are not suitable; all such procedures are best performed while taking an antibiotic prescribed by a doctor.

You can gargle with chamomile broth, or you can use sage picking for making preparations. In any case, the doctor stresses, it is important to observe the temperature of the fluid. From cold rinses will not be confused, hot can hurt and strengthen inflammation. The optimal temperature of broth or extract for rinsing is 50 degrees. Komarovsky does not recommend gargling too often, as the vibrating movements in the tonsils slow down the recovery of lymphoid tissue, but the child will benefit if the procedure is carried out after each meal.

Numerous names of drugs for sucking ("Faringosept», «Septolete”And others), according to Komarovsky, as well as rinsing, have only a minor effect on pain relief, but in no case can they be considered an independent separate method of treating angina, as presented in TV and radio commercials.

Feed the baby during treatment is not necessaryif he asks to eat himself, then one should make sure that the food does not irritate the sore throat, is not too hot, cold, spicy or sour, and also too hard. Ideal, according to Komarovsky, mashed potatoes and broths, boiled porridge, stewed soft vegetables.

Drink should be warm (not hot!) and plentiful.It is best to give mineral water without gas at room temperature, tea, compote of dried fruit, ordinary drinking water, passed through the filter.

Angina is easier to prevent than to treat, says Yevgeny Komarovsky. He recommends knowing a few simple rules that will help protect against this dangerous infectious disease:

• After returning from the street, the child should always wash their hands with soap and water. You can use a special antibacterial soap, but it is quite suitable and the usual baby.
• Do not allow your chad to sit on cold benches, stones, curbs or on wet sand. This invariably leads to hypothermia, which increases the likelihood of developing angina.
• Make sure that the child is always dressed for the season, and his shoes do not let moisture. Wet legs are also a sure way to hypothermia.
• If there is someone with sore throat in the house, the child should not be in contact with him, approach at a distance of up to 2 meters, drink or eat from the same dish, play with toys alone. It is especially difficult to keep a distance when it comes to a baby, if the nursing mother has angina on the background of lowered immunity after birth. It is better if other family members temporarily help her and feed her baby with expressed milk.
• If this is not possible, mom should wear a gauze mask, wash hands thoroughly before each contact with the baby, avoid kissing.
• If you have to go outside, and it’s cold and damp there, you can make a small neck massage before a walk, this will improve blood circulation, increase blood flow to the larynx, and reduce the risk of developing angina.
• If your child has a sore throat or you have such a suspicion, you should not take him to the clinic to avoid becoming an unwitting source of infection for other children who are waiting in line in front of the doctor’s office. Remember that sore throat is contagious. Better use a pediatrician's call at home.