Sore throat, tonsillitis and adenopathy
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Description of tonsils and polyps
There are masses of lymphoid tissue, similar to the latero-cervical, groin or upper limb lymph nodes, which, when there is an infection in the vicinity, have the role of destroying the germs that produce the disease and to build the specific resistance of the body.
In normal and healthy children, the palatal tonsils begin to increase up to 7-8 years, after which they decrease in volume. In the past, it was believed that all the enlarged tonsils are sick and should be removed.
In the case of simple chronic tonsillitis, frequent colds, otitis media, it is not necessary to remove the tonsils. Even when they are hypertrophied, but the baby is perfectly healthy (having few upper respiratory infections) it is no longer indicated.
There are no reasons to resort to surgery, as eating disorders, stuttering or nervousness may occur, and sometimes it is possible that the operation may aggravate the general condition of the child and its susceptibility to infections. There are three cases when tonsillitis is considered: chronic purulent cryptic tonsillitis, severe airway obstruction through unusually large tonsillitis hypertrophy, and tonsil or periamygdala phlegmon.
Pharyngeal amygdala Luschka
Luschka's pharyngeal tonsil is a mass of lymphoid tissue located on the ceiling of the rhinopharynx (where the back of the nostrils communicates with the pharynx). When hypertrophied, it can clog the airways, causing breathing to occur in the mouth and snoring, preventing the draining of purulent nasal secretions, resulting in aggravation of gout or sinusitis. It may block Eustachio's fallopian tube, favoring chronic otitis media. In the past, in such situations, surgical removal was resorted to. Today, antibiotic treatment is used more often to combat the infection.
There is a pathological entity called obstructive sleep apnea, in which the hypertrophy of the vegetation is so great that the airways can be obstructed when the child is asleep. Snoring is much stronger but what is more dangerous is that it can have episodes of apnea. It is a situation that requires surgery.
Surgery does not always lead to problem solving. Some children prefer at birth to breathe. In other children, the nasal obstruction is due to inflammation of the tissues in the anterior part of the nose (for example in allergies), and the operation does not have the expected effect. The frequency of otitis is not reduced at all (or is very little influenced) by the removal of "vegetation".
Adenoid vegetation causes, however, but it is always restored to some extent, which shows that the body needs lymphoid tissue and strives to restore it (not, as some people consider it wrong, the operation was not well done or should be done from new).
Infections of the tonsils
It is the name given to the disease caused by infection of the pharynx and tonsils with beta-hemolytic streptococci A. The child may have a high fever and feel ill by accusing head and stomach pains. The tonsils become erythematous and strongly inflamed. Laterocervical adenopathy may also occur. After a day or two the tonsils may have whitish spots or areas on their surface. Older children complain of very high neck pain, which prevents them from swallowing, and they may complain of stomach or headaches. Surprisingly, younger children are less disturbed by stomach pain. Usually, cough or signs of respiratory infection are rare.
Other types of tonsils
There are many varieties of tonsils, most being produced by viruses. Many people experience a swallowing embarrassment at the onset of any cold. Often at the clinical examination the doctor finds only a discrete pharyngeal red. The child may or may not experience swallowing pain (swallowing).
Many of the tonsils are resolved quickly. The child should stay home if he or she feels ill or has a fever. The doctor should consult the child regardless of the severity of the case.
Rhinitis or clogged nose, especially in the morning, may cause tonsillitis due to mucus that slips through the night into the throat and causes irritation.
The lymph nodes on the sides of the neck are often swollen as a result of pharyngeal (mild or severe) conditions. The lymph nodes are not infected every time. Usually, they react to an infection in the vicinity. The most common cause of adenopathy is tonsillitis and may occur during the disease or 1 to 2 weeks after. If they are so swollen that they become visible or there is fever above 38.5 ° C, the doctor should be consulted. Treatment may sometimes be necessary and more effective if instituted early.
The lymph nodes may remain swollen weeks or months after tonsillitis. Their increase may be due to other causes such as: dental infections, skin infections of the head, general diseases (rubella, for example). The doctor should be consulted, but if he finds the healthy baby at rest, there are no reasons to worry about the swollen lymph nodes.