Tonsillitis

د.علاوي

New Member
Treating Tonsillitis

How doctors treat tonsillitis depends on whether it was caused by a virus or by group A streptococci bacteria. Doctors often can tell the difference just by looking at the tonsils, and can detect strep bacteria with a rapid strep test or a throat culture.
If your child's tonsillitis is caused by a virus, the body will fight off the infection on its own. If it's caused by strep bacteria, the doctor probably will prescribe an antibiotic. If so, make sure that your child completes the full course of treatment to prevent the development of any complications.
If your child gets frequent bouts of tonsillitis (more than 5 to 7 times during a 12-month period) or repeat infections over several years, the doctor may consider a tonsillectomy to remove the tonsils.
Caring for a Child With Tonsillitis

A child with tonsillitis needs plenty of nourishment and rest. If your child finds swallowing so painful that eating is difficult, try serving liquids and soft foods, like nutritious soups, milkshakes, smoothies, popsicles, or ice cream.
Make sure that your child drinks lots of fluids and gets plenty of rest, and take his or her temperature regularly. Use a nonprescription pain reliever, such as acetaminophen or ibuprofen, for throat pain.
All forms of tonsillitis are contagious. Tonsillitis usually spreads from person to person by contact with the throat or nasal fluids of someone who is already infected. Be sure to keep your sick child's drinking glasses and eating utensils separate, and wash them in hot, soapy water. All family members should wash their hands frequently. After a bout of tonsillitis that's caused by the strep bacteria, throw out your child's toothbrush and replace it with a new one.
Preventing Tonsillitis

To prevent tonsillitis, avoid letting your child near anyone who already has tonsillitis or a sore throat. Make sure to practice good hand-washing habits, and teach your child to do the same. If you are concerned that your child has the symptoms of tonsillitis, or has been exposed to someone who has been infected, talk with your child's doctor.


أرجو منكم الرد ولكم جزيل الشكر

الموضوع منقول من موقعhttp://www.kidshealth.org
 
thanks friend but I would try to put some other facts.
Acute tonsillopharyngitis usually is viral especially in cold weather and spring; also might be bacterial in around 10-15% of the children, mainly but not exclusively caused by group A beta-haemolytic streptococci (GABHS) as other less frequent bacteria can cause it.
It is advised to have tonsillectomy done in frequently occurrring tonsillitis but is to be cautious especially with children having asthmatic bronchitis or severe respiratory allergic manifestations who may have deterioration of his (her) actual problems; for such cases I would delay the operation and administer long acting penicillin for some time depending on the age and the general conditions of the patient. However, some severely affected cases are to be operated evev though allergic !!
 
thanks friend but I would try to put some other facts.
Acute tonsillopharyngitis usually is viral especially in cold weather and spring; also might be bacterial in around 10-15% of the children, mainly but not exclusively caused by group A beta-haemolytic streptococci (GABHS) as other less frequent bacteria can cause it.
It is advised to have tonsillectomy done in frequently occurrring tonsillitis but is to be cautious especially with children having asthmatic bronchitis or severe respiratory allergic manifestations who may have deterioration of his (her) actual problems; for such cases I would delay the operation and administer long acting penicillin for some time depending on the age and the general conditions of the patient. However, some severely affected cases are to be operated evev though allergic !!


الشكر والتقدير لأبو لميس على التعقيب والاضافة:clap:

ومانحن الا طلاب بالمستوى الثاني :)

ونرجو منك افادتنا بكل مفيد

ومنكم نستفيد
اخوك د.علاوي
 
مشكور على الرد

ونرغب في مشاركتك الفعالة معنا


وللأمام معا(hi)

أخوك د.علاوي
 
بسم الله و الصلاة و السلام على رسول الله و آله و من والاه

لقد انشغلت يا إخوتي و أبنائي لفترة ببعض المشاكل الشخصية و لم أتمكن من المتابعة. أرجوكم عذرا.

أشكر الأخ و الزميل د علاوي و أقول له نحن جميعا دائما نتعلم- في الطب - إلى اللحد!! نحن لا نزال بين الصف الأول و الثاني!

الأخ(ت)؟؟ SMANZAR يسأل الفارق بين المسببة فيروسيا و البكتيرية!!
كما أسلفنا نحن لا نزال في بداية المشوار بصرف النظر عن الخبرة!!

Viral tonsillitis as I said is the most frequently found form in children. This is clinically suspected, which may or may not be correct!! Clinically we can suspect viral tonsillitis in a case with mild URTI mild fever no exudate and associated commonly hoarseness and or conjunctivitis; actually one exception of severe viarl tons is the caused by EBV (infectious mononuclusis); otherwise, the bacterial as I said is commonly due to GABHS but other bacteria may cause it less frequently. Usually the bacterial is severe, with high fever, exudate, LN (cervical) tender.
Repeatedly, I would say these are guidelines; may fail to diagnose the type of tons.
One important note is worhty, as bacterial (streptococcal) tons may be so mild to pass unperceived!!?
Therefore, besides a clinical diagnosis is mandatory in confusible cases or those not responding to simple Penicillin V orally, a paraclinical test.

أرجو من الله أن يكون الرد شافيا

لنا لقاء قريبا بإذن الله
 
عودة
أعلى