Tonsillitis

What is paediatric tonsillitis?

The adenoids, also known as pharyngeal tonsils, are two clusters of tissue located at the back of the throat. Their role is to support the immune system in defending the body against infections. When these adenoids become infected by a virus or bacteria, the condition is referred to as tonsillitis, indicating the inflammation of the tonsils. Tonsillitis is a frequent ailment among children, usually affecting those between the ages of four and sixteen, who are in school.

A more serious issue that can arise from tonsillitis is the development of a peritonsillar abscess. This occurs when the infection extends beyond the tonsils. Immediate medical attention is crucial in such cases, as the inflammation of the surrounding tissues in the neck and chest could potentially obstruct your child’s ability to breathe.

What are the different types of Paediatric Tonsillitis?

The main types of tonsillitis include:

Acute

Acute symptoms happen suddenly

Chronic

Chronic symptoms of tonsillitis are constantly present, even after treatment

Recurrent

Recurrent is several episodes of acute tonsillitis in one year

What are the signs and symptoms of paediatric tonsillitis?

Tonsillitis is especially common in children.

Symptoms may include:

  • Bad breath
  • Ear pain or difficulty breathing (adenoids)
  • Enlarged lymph nodes in neck
  • Fever and/or chills
  • Headache
  • Nausea
  • Scratchy voice
  • Sensitive or sore throat that lasts longer than 48 hours
  • Snoring
  • Trouble swallowing
  • Unusual fussiness (in infants and toddlers)
  • White or yellow coating or patches on the tonsils

How is paediatric tonsillitis diagnosed?

Tonsillitis is an infection of the tonsils or adenoids, which can be caused by either a virus or bacteria. Since the symptoms of both viral and bacterial tonsillitis are similar, a physician often conducts a strep test to identify the right course of treatment.

If you think your child might have tonsillitis (or strep), you can try a simple test by placing the spoon’s handle on their tongue while they say, “aaahh,” and looking into their mouth with a light. If the tonsils, which are two fleshy lumps at the back and sides of the throat, appear bright red or swollen, or if their sore throat continues for more than 48 hours, it’s time to take your child to a healthcare professional.

If your child doesn’t cooperate or is a baby, it’s best to skip this test.

It’s also important to consult a doctor if your child has trouble eating, is unusually weak or irritable, or if they’re having difficulty breathing or are excessively drooling. Immediate medical attention should be sought if they’re struggling to breathe or are drooling excessively.

What are the causes of paediatric tonsillitis?

Infections from viruses, bacteria, allergens, or irritants like air pollution or smoke from cigarettes can lead to a sore throat. Additionally, fungal infections or ongoing postnasal drip can also cause discomfort in the throat.

Tonsillitis is caused by either a bacterial or viral infection, often stemming from strep throat. When the infection is located further up the throat, it’s referred to as pharyngitis.

Tonsillectomies are one of the most common and safe operations

It usually takes just 20 minutes