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Tonsillitis In Children, Ambulatory Care

Tonsillitis

is an inflammation of the tonsils. Tonsils are the lumps of tissue on both sides of the back of your child's throat. Tonsils are part of the immune system. They help fight infection. Recurrent tonsillitis is when your child has tonsillitis many times in 1 year. Chronic tonsillitis is when your child has a sore throat that lasts 3 months or longer. Tonsillitis may be caused by a bacterial or a viral infection.


Common symptoms include the following:

  • Fever and sore throat
  • Nausea, vomiting, or abdominal pain
  • Cough or hoarseness
  • Runny or stuffy nose
  • Yellow or white patches on the back of the throat
  • Bad breath
  • Rash on the body or in the mouth

Call 911 if your child has the following symptoms:

  • Sudden trouble breathing or swallowing, or drooling

Seek immediate care for the following symptoms:

  • Not able to eat or drink because of the pain
  • Voice changes, or trouble speaking
  • Increased swelling or pain in his jaw, or trouble opening his mouth
  • A stiff neck
  • No urine for 12 hours, weakness, or tiredness
  • Pauses in his breathing when he sleeps

Treatment for tonsillitis

may include any of the following:

  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
  • Antibiotics help treat a bacterial infection.
  • A tonsillectomy is surgery to remove your child's tonsils. Your child may need surgery if he has chronic or recurrent tonsillitis. Surgery may also be done if antibiotics are not working.

Care for your child:

  • Help your child rest. Have him slowly start to do more each day. Return to his daily activities as directed.
  • Encourage your child to eat and drink. He may not want to eat or drink if his throat is sore. Offer ice cream, cold liquids, or popsicles. Help your child drink enough liquid to prevent dehydration. Ask how much liquid your child needs to drink each day and which liquids are best.
  • Have your child gargle with warm salt water. If your child is old enough to gargle, this may help decrease his throat pain. Mix 1 teaspoon of salt in 8 ounces of warm water. Ask how often your child should do this.
  • Prevent the spread of germs. Wash your hands and your child's hands often. Do not let your child share food or drinks with anyone. Your child may return to school or daycare when he feels better and his fever is gone for at least 24 hours.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your child's visits.

Care Agreement

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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