19Feb

Angina in children, symptoms and treatment of purulent, follicular, lacunar, catarrhal angina in children

To be ill in any case is unpleasant to anyone. However, it is much more terrible for parents who have a child. Quite common among children is angina.

Angina is a common name for a number of inflammatory processes that affect the mucous membrane of the mouth and tonsils.

Expert opinion: The defeat of the oral mucosa is called stomatitis, but not angina. Angina is an inflammation of the tonsils with the formation of a plaque on them or without a touch, depending on the form of angina. Here and in the future.

Usually all angina is divided into three types:

1. Primary angina;

2. Secondary sore throats;

3. Specific sore throats.

Primary angina in children occurs almost as often as ARVI.Outbreaks of the disease are associated with seasonality and peak falls in the spring and autumn. Since children are quite susceptible to infections, and angina is able to be transmitted by airborne droplets, the disease spreads quickly enough. To promote the occurrence of angina in a child can:

  • General supercooling( long stay at low temperature);
  • Local hypothermia( for example, drinking very cold water or ice cream);
  • Large amount of dust in the room;
  • Extinguished atmosphere;
  • Insufficient air humidity;
  • Lack of vitamins( eg, spring vitamin deficiency);
  • Difficulty breathing of the nose;
  • Insufficiently strengthened immunity.

Angina to varying degrees affects the tissues of the mouth and tonsils.

Depending on this, children, as well as adults, are given catarrhal, lacunar, follicular and necrotic angina. The most easily for a child is catarrhal angina, the most severe is necrotic.

As with any infectious disease, angina has a certain incubation period. Usually in children it is about 12 hours from the moment of contact of the child with the patient until the first signs of the disease appear, but sometimes this period can last up to two days. In children, angina often begins immediately acute: the temperature rises, chills begin, the child becomes painful to breathe. All other symptoms depend on the type of angina that the specific child

1 fell ill. Catarrhal angina .The easiest form of sore throat, with proper treatment is not giving side effects. The temperature rarely rises above 38 degrees, intoxication of the organism is rather weak. Tonsils moderately edematous.

2. Lacunar angina .The temperature in this case is able to reach 40 degrees, the child complains of weakness, prefers to lie more. Tonsils swell, they appear abscesses.

3. Follicular angina .The child can complain of a severe headache, the body temperature rises to 39 degrees, the tonsils are greatly enlarged and swollen, they can see a white and yellow purulent coating.

4. Necrotizing angina .Its symptoms are more pronounced:

  • fever;
  • vomiting;
  • of confusion.

Children who have had angina may develop early or late complications:

  • is an early complication that occurs even during illness and is associated with the fact that the inflammation spreads to the organs and tissues that are near( peritonsillitis, blood infection, suppuration of the lymph nodes).
  • late complications usually develop after a lapse of 3-4 weeks( joint rheumatism, glomerulonephritis, rheumatic carditis).

Streptococcal angina is diagnosed based on a clinical picture and pharyngoscopy. Bacteriological and serological testing is also used. Treatment is usually performed on an outpatient basis, but with an aggravated flow, hospitalization is necessary. Such patients are placed in the infectious department.

Treatment of angina in children

The main treatment is antibacterial therapy aimed at destroying pathogens of the disease and preventing its spread with blood to other organs and tissues of the body. Also extremely important mode: despite the fact that the child does not really want to lie in bed constantly, bed rest, nevertheless, is a prerequisite for successful treatment. Given that the child is hard to swallow, food for him should be as homogeneous and soft as possible: broths, mashed soups, mashed potatoes.

Expert opinion: These recommendations are relevant in the first few days of the disease.when the body temperature is raised, the child feels weakness, lethargy, he is troubled by a sore throat. After relief of these symptoms, bed rest can be canceled, gradually moving to normal food.

It is also extremely important to give the baby plenty of fluids, although he may refuse to take it. In this case, you need to pick up what the child likes - sweet juices, compotes, mineral water without gas.

In addition to taking drugs inside, it is very important to carry out local treatment: gargling with disinfectant solutions, decoctions of medicinal herbs, irrigation of inflamed tonsils with antiseptic means. With strong pain in the area of ​​the lymph nodes it is recommended that the heat be applied to the neck.

Expert opinion: Resuscitators advise in simple cases of tonsillitis not to use sprays, since the possibility of developing an allergic reaction from their use is high, and allergic reactions are often in the form of anaphylactic shock, which can lead to the death of the child. Therefore, to relieve tension and saddening in the throat, irrigation should be carried out with conventional layer solutions.

It is generally known that the disease is easier to prevent than cure. However, in the case of angina, there is no specific prevention. The only thing that can be done is to strengthen the protective forces of the child's organism( for example, with the help of hardening procedures), to increase immunity( to use immunostimulating drugs, as well as special complexes of vitamins), to eliminate provoking factors( dust, smoke, excessive dryness of air, and also to worrythat the child had free, uncomplicated breathing through the nose. In case of angina, someone from a close environment, especially living in the same room with the child, it is desirable to completely isolate(boiling dishes, a separate set of laundry, wet cleaning and airing the patient's room) and remembering that the sore throat is transmitted by airborne droplets.)

Expert's opinion: It is important to remember that the hardening should begin in the period of the child's overall health

In the case of timely and correct treatment of angina, the predictions are quite favorable. In case of catarrhal tonsillitis, the risk of complications in general is almost zero, the main thing is to follow the doctor's recommendations. In cases with lacunar and follicular angina, there should be no complications, but in most cases children subsequently suffer from chronic tonsillitis. At the same time, one should not forget that even the easiest course of the disease can provoke serious complications in case of inappropriate treatment.

Expert opinion: Angina is often caused by streptococci, which can provoke the development of glomerulonephritis( severe kidney disease), acute rheumatic fever with subsequent damage to the heart valves. Thus, in the bacterial nature of angina, antibacterial drugs and a half-year prophylaxis of complications with bicillin-3 or bicillin-5 are prescribed.