Angina in children – treatment, symptoms, signs,a photo


  • Withчины ангины у детей
  • When is a child hospitalized?
  • Types and symptoms of angina in children
  • Withнципы лечения катаральной ангины у детей
  • Treatment of follicular and lacunar tonsillitis in children
  • How to quickly cure a sore throat in a child? (rinsing methods
    throat, local therapy, antibiotic choice, antipyretic,
    antihistamines, probiotics, phytopreparations)
  • In conclusion about the possible complications

Angina is an acute infectious disease when it occurs.
inflammation of the tonsils (pharyngeal, lingual, palatal or tubal).
Commonplace microorganisms – streptococci, staphylococci, less often others
pathogenic bacteria and viruses (pneumococci, adenoviruses, spirochetes,
fungal flora) in the event of favorable conditions for
reproduction – hypothermia, viral infections, poor nutrition,
overwork, are the causative agents of angina in the child, treatment
which depends on the type of infectious agent, severity
inflammatory process, as well as the age of the child. How
to treat a child’s sore throat – this article.

Withчины ангины у детей

One of the most common diseases in children during the autumn-winter period
Season is a sore throat. If a child does not eat well or does not eat
very healthy foods, rarely in the fresh air outside
city, not keen on active physical training, for
such a child cold is a serious stress for the immune
systems and any hypothermia, frozen feet in the cold,
ice cream or cold drink – provoke reproduction
pathogenic microorganisms in the oral cavity, more precisely in the lacunae
tonsils. So, provoking factors in this case

  • weakening the local immunity of the child, that is, the tonsils are not
    coping with the barrier function – from overwork,
    poor nutrition
  • previous viral infections – ARVI, flu, parainfluenza
  • another option for the development of angina, may be the focus
    inflammation in another organ, for example, if a child has sinusitis or
    antritis, otitis media, caries or adenoids.
  • general or local hypothermia, that is, finding a child
    long time at low temperature or cold consumption
    drinks and food

Lacunar angina у ребенка лечениеAlso, with close
contact with a sick person, the child may become infected
by airborne droplets, i.e., pathogenic bacteria penetrate
externally when coughing and sneezing, through common utensils or infected
food (see the symptoms of food poisoning in a child).

Improper treatment can lead to chronic tonsillitis, and
pathogen angina – streptococcus in turn provokes
the occurrence of more than 100 other dangerous diseases such as
аллергия, ревматоидный артрит, болезни  почек, сосудов,
hearts. As soon as the child has anxious symptoms, it should
Immediately consult a doctor and do not hope for only folk
means of treating red throat.

When is a child hospitalized?

  • Concomitant diseases – renal failure, sugar
    diabetes, bleeding disorders, etc.
  • Complicated sore throats – neck phlegmon, abscesses, rheumatic heart disease.
  • Severe intoxication in a child – confusion,
    respiratory failure, not knocked down by antipyretic drugs
    fever, vomiting and nausea, convulsions.
  • With ангине детей до года многие врачи настоятельно рекомендуют
    to treat in the hospital, but uncomplicated angina is better to treat in
    home conditions (the child is at home, in a calm atmosphere,
    There is no likelihood of a hospital infection.)

Types and symptoms of angina in children

Depending on how deep the tonsils are inflamed
child in medicine there are several types of angina:

  • catarrhal sore throat (today it is not considered a sore throat, it is
    acute pharyngitis)
  • lacunar tonsillitis
  • follicular sore throat
  • ulcerative-membranous

Also classified into:

  • Primary sore throat – sore throat with general intoxication and symptoms
    damage to the tissues of the pharyngeal ring
  • Secondary angina – occurs on the background of some acute
    infectious diseases – scarlet fever, diphtheria, infectious
    mononucleosis in children, etc., as well as in blood diseases – 
    agranulocytosis, leukemia, etc.
  • Specific angina – fungal lesions, spirochete.

Depending on the pathogen of the inflammatory process
classified into:

  • bacterial (diphtheria, streptococcal)
  • fungal
  • viral (enterovirus, herpetic, adenoviral)

But во всех случаях самый основной симптом — это боль в горле при
swallowing, refusal to eat and even water, high body temperature, she
can increase from 38 to 40C, while the child is dramatically weaker,
naughty, has a headache, vomiting is possible and
diarrhea from severe intoxication. With осмотре — ярко разлитое
покраснение глотки, отек дужек, tonsils. With ряде ангин
(candida, diphtheria) after removing the plaque open
bleeding eroded surfaces.

In addition to pain, the temperature of sore throat in children increases and
the neck and submandibular lymph nodes become painful
(to warm them with compresses and other procedures in no case
it is impossible). The inflammatory process in sore throat is always reflected on
vocal cords, so the appearance of a hoarse voice in a child is also
is a symptom of a sore throat. Usually this disease does not last longer.
weeks or 10 days, successful treatment depends on the correct
diagnostics and timely initiated antibiotic therapy. therefore
the doctor first determines which child has a sore throat and only
then prescribes treatment.

Be sure to contact your pediatrician, because
it is not possible to distinguish bacterial sore throat from
diphtheria, the toxic form of which can very quickly cause
swelling of the neck, stenosis of the larynx and choking, the child may die from
intoxication as well as possible inflammation of the heart muscle with
development of heart failure.

Read also on the topic:

  • Follicular sore throat: symptoms, treatment
  • Antibiotics for angina in adults
  • Lugol with angina
  • Iodinol in sore throat
  • Than gargling with sore throat
  • Sumamed with angina
  • Lacunar angina
  • List of throat sprays

 Treatment of catarrhal angina in children

When a child has a sore throat, the temperature is usually 38-39C,
the child becomes lethargic, lethargic, feels pain during
swallowing, nausea. Inflammation, pain
lymph nodes with this type of angina are not intense and more often
just such a sore throat happens after SARS or flu.

The main condition in the treatment of catarrhal angina in children –
bed rest, plenty of warm drink, frequent rinsing or
throat treatment with various sprays in young children. With
adequate antibiotic treatment this form of acute tonsillitis
passes in 7-10 days.

Treatment of follicular and lacunar tonsillitis in children

These forms of tonsillitis in children are quite difficult because
accompanied by fever, body temperature can be above 40C.
A distinctive feature of follicular angina is that
tonsils are covered with yellow abscesses (follicles up to 3 mm) as
would create a “starry sky”, and with lacunar quinsy – white and yellow
purulent bloom in the gaps that are between the lobes

The treatment of one and the other sore throats is identical. The main thing is to choose
an antibiotic that will unmistakably help cope with the pathogen
sore throats The best option is to pass a smear on bacterial seeding,
which will determine the sensitivity of bacteria to a specific

Take a swab from the pharynx and nose on the BL, Lefler’s wand (for the first
day after treatment) for differential diagnosis with
diphtheria. But since clinics today do not have such
first-line antibiotics – penicillin
(ampicillin, flemoxin), the second row – macrolides (sumamed,
hemomycin, azithromycin). Penicillin is preferred.
because, in a 10-day course, penicillin destroys
beta hemolytic streptococcus threatened with rheumatism, and
aminoglycosides do not guarantee that streptococci will not survive and
возникнет ревматическая лихорадка после sore throats

Usually, if a sore throat in a child is 1-3 years old, treatment is recommended.
carry out in a hospital, under the supervision of a pediatrician. But
today it is not necessary – attentive, caring parents
can provide the best care for the baby at home, and the control of the doctor
determined by the financial condition of the family – you can always call on
the house of a paid pediatrician, and in case of appointment and the need for
Injections – honey.

However, in a child’s serious condition and the presence of concomitant
diseases the decision is made by the doctor and parents in favor of
hospital Older children can be treated at home.
conditions on an outpatient basis, provided that the sick child is isolated from
other children because purulent tonsillitis is contagious

How to treat sore throat in a child?

For the speedy recovery of the child should be clearly followed all
recommendations of the attending pediatrician. Treatment of angina is
abundant drinking regime, antibiotics, antipyretic,
антигистаминных средств, полоскании горла, витаминотерапии и
taking eubiotics.

Important! No warming procedures: compresses, hot
steam inhalations, warming up creams and ointments in the neck – 
with purulent tonsillitis are not allowed!

Gargling for sore throat

One of the directions in the treatment of angina in children is
gargling for older children and treatment with sprays and
aerosols of small children. However, this is only
in auxiliary ways, since the main treatment is reception
antibacterial drugs.  Details on rinsing options
throat, see the article What and how to gargle with angina.

Important! Do not use the same remedy several times.
in a row, if you recently gave Faringosept to a child during an Orvi,
use the next time Ingalipt, Lugol spray or others.

  • You can gargle with various ready-made pharmacies,
    such as sprays (use for children after 3 years) – Lugol spray,
    Hexoral Spray, Tantum Verde (weakly effective), Ingallipt,
    Hexasprey (after 6 years).
  • As well as solutions – 0.01% Miramistin solution, peroxide
    hydrogen – 2 tbsp. spoons on a glass of water, a weak solution
    potassium permanganate solution Iodinol (1 table. spoon for 1 cup of warm
    water) by dissolving 2 furatsilina tablets in a glass of water.
  • Well disinfect broths of plant herbs – sage,
    chamomile, calendula or ready-made collections of these herbs Ingafitol, Evkar,
    Rotokan, as well as a simple solution of salt and soda (0.5 tea. Spoons) and
    iodine a few drops.
  • But many pediatricians do not lubricate the tonsils with antiseptics
    Recommended because the protective layer is damaged.
    mucous, which worsens the situation with purulent tonsillitis.
  • In older children with angina, you can use absorbable
    tablets and lozenges – Faringosept, Stopangin, Strepsils (after 5
    years), Hexoral tabs, Grammidin.

Local remedies for tonsillitis for children under 3 years old – what follows
take account of?

  • Sprays are not recommended for children under 3 years old, but most
    solutions are safe for children, limiting their use caused by
    the inability of a small child to hold his breath when
    injection, which is dangerous the occurrence of laryngospasm. therefore
    babies can be sprayed with a pacifier, and children under 3 years old
    direct the jet to the cheek and not to the pharynx, the solution will still fall
    with saliva on the tonsils.
  • Withучайте ребенка полоскать горло уже с 2 лет.
  • Also, young children cannot hold their mouths for long.
    absorbable tablets, so it is better not to use them for children under 3
    years (or even 5 years, because there is a risk of asphyxiation by a foreign body and
    course of resuscitation).

What else should you know when using local remedies from
sore throats?

Ангина у ребенка лечение

  • Be sure to read the instructions for any remedy for angina,
    use drugs only according to age recommendations and
    pediatrician recommendations.
  • Some drugs (Bioparox, which will soon be removed from
    production), medicinal herbs, and any medicinal
    means may cause an allergic reaction in babies,
    Watch the baby’s reaction to each drug carefully.
  • Any local treatment should be made after a meal, and
    also the frequency of oral cavity treatment should be every 3 hours,
    after a local procedure, you can not eat or even drink for half an hour, otherwise
    There is no point in the treatment.
  • Medication irritating to mucous membrane – Lugol, Iodinol not
    should be applied to babies, and children after a year to process them
    oral cavity no more than 1 p / day.
  • Usually, 1-2 agents are selected for local therapy for sore throat
    various actions in order not to overload the body with medicinal
    drugs and adequately assess their effectiveness.


With бактериальной ангине пока не купируются гнойные налеты,
the temperature of the child is very high and is confused with antipyretic
means only for a few hours, but when taking effective
antibiotic within 2-3 days, it should be reduced. therefore прием
these funds should not be more than 3 days. Commonly used
Paracetamol in suspension, Calpol, Panadol (suspension and suppositories),
Efferalgan, as well as Ibuprofen (Ibufen, Nurofen). Teenagers can
to reduce the temperature in sore throat give Ibuklin (paracetamol +
ibuprofen in the table.)

For a detailed description of drugs with prices and dosages, see our
The article lists all antipyretic drugs for children.

When should churn the temperature?

  • With высокой температуре прием жаропонижающих средств показан
    only when the temperature is above 38 ° C because during fever
    there is a maximum production of antibodies against pathogens
    sore throats, the body itself is trying to fight disease-causing
    bacteria and if the child more or less calmly endures 38.5C, then
    It is desirable not to knock it.
  • In infants, the temperature is recommended to shoot down at 38C,
    since such a high temperature may be accompanied by vomiting,
    It is better to use rectal suppositories (Tsefekon, Efferalgan,
  • Children after a year to beat down the temperature better after 39C.
  • If a child has had convulsions earlier at high temperatures,
    shoot it down already at 37.5.

If you can not bring the temperature of drugs
you can use folk methods. Just strip the baby and
wipe with a wet towel, older children (after a year) can
wipe with vodka, diluted with water, and you should always
remember that copious drinking, especially with herbal salicylates
(black currant, cranberry, raspberry, cherry) increases perspiration and
helps to reduce the temperature by 0.5 ° C, which can significantly
alleviate the condition of the child.

Antibiotic selection

Which antibiotic is better for children with sore throat? With выборе
antibiotic for sore throat preference is always given to penicillins,
because they are most effective for streptococcal infection and
quite easily tolerated by children, and their use is not
depends on the meal. You can not give yourself
antibiotics for a child without a doctor’s recommendation.

  • First-line drugs – Amoxicillin (Flemoxin Soljutab)
  • With хроническом тонзиллите и резистентности возбудителя
    prescribe Amoxicillin with clavulanic acid – this is Amoxiclav
    (120-300 rubles. Suspension), Augmentin (suspension. 140-250 rubles), Ecoclav
    (suspension. 170-280 rubles). When flora is resistant to ordinary penicillins,
    Amoxicillin with clavuanic acid is indicated as an antibiotic 2
  • If a child is allergic to penicillin antibiotics then
    применяют макролиды, азитромицин  — Сумамед (240- 400 руб в
    double dosage), Azitrox (170 -300 rub.) Hemomitsin (suspension
    140 rubles), midecamycin – Macropen (260-320 rubles).
  • Cephalosporins are prescribed in extreme cases, since these
    drugs are considered alternative after penicillins and
    macrolides. Among them:

    • Cefalexin (suspension 60 rub)
    • Cefuroxime – Zinnat (300 rubles) Cefurus (100 rubles), Aksetin (100
    • Цефиксим — Супракс (500 rub), Панцеф (400 rub)

The course of antibiotic treatment should be 10 days.
For azithromycin (Sumamed) 5 days is enough, as it has
prolonged action, but with angina dosage sumamed
increases. The effectiveness of the antibiotic is evaluated in
for 3 days (in general condition, temperature, condition
raids). It is impossible to shorten the course of treatment when the child has become better,
the temperature has dropped, the raids are gone – streptococcus will survive and revenge
(rheumatic heart disease).

  • If the doctor prescribes for bacterial sore throat (staphylococcus,
    Streptococci, pneumococci) antimicrobials –
    sulfonamides, such as Biseptol, Bactrim (in the table and syrup),
    you should know that to date sulfonamides in
    pediatric practice does not apply to Biseptol (see Biseptol –
    antibiotic or not?) and other sulfonamides in recent years in
    50% of cases in bacteria detected resistance.

Antihistamines, vitamins, herbal remedies

  • Antihistamines

It is important to take antihistamines in children with sore throat,
Cetrin in syrup (for children over 2 years old), Suprastin, Peritol in
Syrup, Zyrtec, Zodak, Fenistil (see the full list of medicines for

  • Vitamins

Many doctors recommend taking B vitamins, vitamin C,
use vitamin complexes – Centrum, Multitabs, Pikovit,
Алфавит (БАД) и пр. But на сегодняшний день отношение к витаминным
complexes, especially for children, is not unambiguous, because their reception
increases the risk of allergic reactions, and at full
eating a baby has enough vitamins from food (see
vitamins in pills – harm or benefit).

  • Immunomodulators

As for the use of other antiviral agents and
immunostimulants, their use in children should be treated very
caution (see antiviral drugs for arms and flu),
the safest ones are Viferon, Kipferon, but they should not
be applied without a doctor’s prescription.

  • Probiotics

With терапии антибиотиками обязательно следует присоединять к
treatment of eubiotics. Maximum detail about all probiotics for
children in our article are analogs of Linex, a list of probiotics, and
why it is preferable to use not dietary supplements, and drugs, such as
Atsipol, Linex, Bifidumbacterin Forte, Lactobacterin, Biobacton,
Bifiliz, Atsilakt, Bifiform.

  • Phytopreparations

You can use phytopreparation Tonsilgon drops, for
admission is carried out to 5 drops 5 times a day, children
preschool age 10 drops. This is a combined vegetable
anti-inflammatory drug with
diseases of the upper respiratory tract. It contains tannins.
oak, essential oils, flavonoids chamomile, yarrow Althea,
therefore, it reduces swelling of the mucous membrane of the throat.

In conclusion about the possible complications

Ангина  — грозное инфекционное заболевание, которое при
inadequate or delayed treatment, weak immune response
the body of the child can be a trigger for the development
diseases of the urogenital, cardiovascular, bone, nervous
body systems.

therefore важно после выздоровления сдать общие анализы, ЭКГ, а
also refuse for a month from any vaccinations and Mantoux reactions. If
child appeared shortness of breath, swelling, pain in the joints or chest –
seek medical attention immediately. Frequent sore throats in a child is a sign
chronic tonsillitis, an appeal to the ENT doctor will help produce
proper prevention of exacerbations.

Complications that may occur during the disease:

  • laryngitis, acute otitis in a child
  • regional lymphadenitis with abscess or phlegmon
  • infection in the bloodstream with the development of meningitis or
  • involvement in the infectious process of mediastinal organs.

Complications that may occur after months or years:

  • Acute rheumatic fever (arthritis of large joints,
    fever, carditis, chorea) with outcome in chronic rheumatic
    disease, with the development of heart defects and heart
  • Encephalitis – rheumatic CNS
  • Cardiac pathology: pancarditis, myocarditis, pericarditis
  • Hemorrhagic vasculitis
  • Thrombocytopenic purpura
  • Acute pyelonephritis, glomerulonephritis

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