Tonsillitis in children is a serious health hazard. Acute tonsillitis is infectious, with a latent period of about 3~4 days. The incidence rate is higher in the two seasons of spring and autumn, and more frequently in youth, followed by children, and rarely after 50 years old. The symptoms vary in severity.
In the cases caused by virus, the local and systemic symptoms were mild, with tonsil hyperemia and no exudate on the surface.
Those caused by bacteria have severe symptoms and acute onset. They may have aversion to cold and high fever. Their body temperature can reach 39-40 ℃. Young children can convulse due to high fever. Pharyngeal pain is obvious, especially when swallowing, and can even radiate to the ear. The course of disease is about 7 days. The examination showed that the tonsil was significantly enlarged, hyperemia, yellow white punctate purulent exudate in the small pit mouth, and yellow white protrusion due to follicular suppuration could be seen under the mucosa.
Punctate exudate can be connected into a piece, called pseudomembrane, but pseudomembrane expansion does not exceed the scope of the tonsil, easy to wipe, wipe after mucosal bleeding. This can be distinguished from pharyngeal diphtheria. At the same time, there were swelling and tenderness of lymph nodes in mandibular angle. The white blood cell is high, may appear the transient mild albuminuria. The doctor examined the patient's tonsils.
Chronic tonsillitis has no obvious self-conscious symptoms, sometimes has dry throat, foreign body sensation, itching, etc., and often has a history of acute attack. Excessive tonsillar hypertrophy in children can affect breathing and swallowing. If the adenoid is also large, it will cause nasal obstruction and snoring. Due to the absorption of bacteria and toxins in the crypt, it can cause headache, fatigue and low fever. The examination showed chronic hyperemia of lingual palatal arch and hypertrophy of tonsil; the tonsil was not large or even atrophied in patients with long course of disease, but caseous pyothorax was found in the small pit.
Under normal circumstances, tonsil lymphocytes and antibodies can eliminate or control the bacteria and maintain the health of the body. However, any defense force is limited. When the body's resistance decreases, such as in cold or humid environment, physical fatigue, malnutrition, lack of exercise and so on, the defense ability of the tonsil will weaken; Or when the bacteria invade many times, especially when the number of bacteria is large and the virulence is strong, the tonsils will be broken and occupied by the bacteria because they are outnumbered, causing inflammation, redness, pain and suppuration. Mild fever, cough, throat discomfort; severe fever, shortness of breath, even febrile convulsion.
If the treatment is not timely, the human body resistance is not enough to overcome pathogens, inflammation can spread to the surrounding tissues, and can spread to other organs through the blood, causing inflammation, but also cause the baby's systemic pathological reactions, such as secondary wind damp heat, rheumatic arthritis, rheumatic heart disease, acute nephritis and low fever without obvious reasons.
Of course, complications such as peritonsillar abscess, acute otitis media, and paranasal sinusitis also occur from time to time. At this time, the tonsil has become the baby sick 'culprit'.
After reading the above content, we should have some understanding of the problem that children's tonsillitis seriously endangers their health. More topics about ear, nose and throat health will be introduced in the following article. Welcome to check. Wish you a happy life!