Home Smell from the mouth Competent treatment of pharyngitis in children: Komarovsky gives advice to parents. Treatment of pharyngitis in children: traditional medicine and folk methods Pharyngitis in a child treatment Komarovsky

Smell from the mouth

Competent treatment of pharyngitis in children: Komarovsky gives advice to parents. Treatment of pharyngitis in children: traditional medicine and folk methods Pharyngitis in a child treatment Komarovsky

As a rule, the factors for the appearance of pharyngitis lie in the entry of a bacterial or viral infection into the nasopharynx in case of weakened immunity.

Often the disease develops due to hypothermia. For example, after drinking cold drinks or eating ice cream.

Viral pharyngitis can be contracted through airborne droplets. It spreads rapidly, in particular, it can become infected in places where there are many people.

Subsequently, a bacterial infection is often added to a viral infection. But sometimes this type of pharyngitis appears as an independent disease.

The most common causative agents of inflammation of the pharyngeal mucosa include:

coronavirus;
rhinovirus (causes acute pharyngitis in 80% of cases);
influenza and parainfluenza viruses;
adenovirus.

In addition to bacteria and viruses, the appearance of pharyngitis can be caused by fungi, injury to the pharyngeal mucosa, allergies, and gastric juice entering the pharynx in the presence of chronic gastritis.

In addition, this disease, in particular nasopharyngitis, can develop when a foreign body enters the throat.

For your reference, we offer a video about pharyngitis and its treatment features at home.

Types and classification of the disease

The following types of pharyngitis are distinguished:

The acute form of the disease appears when the pharyngeal mucosa is exposed to an aggressive factor (irritating gas, infections, etc.). The course of this type of disease is favorable.

Often, chronic pharyngitis develops against the background of an untreated acute form of the disease. This disease can also be independent, arising as a result of prolonged irritation of the pharyngeal mucosa. It is worth noting that during chronic form The disease has stages of remission and exacerbation.

Classification of acute pharyngitis:

chronic;
viral;
traumatic;
bacterial;
provoked by exposure to irritating factors;
allergic;
fungal.

Catarrhal (simple) pharyngitis is classified according to the following principle:

The most common cause of ARVI is catarrhal pharyngitis. It has been established that approximately 70% of all pharyngitis are provoked by rhinoviruses.

IN last years Studies have shown that rhinoviruses provoke more than 80% of the occurrence of pharyngeal inflammation during autumn-winter epidemics.

It is worth noting that a viral infection is often only the initial stage of the disease, and later a bacterial infection joins it.

Symptoms

Every person has encountered manifestations of pharyngitis more than once. As a rule, these include constant coughing, pain during swallowing and a sore throat.

In the acute form of the disease, the following symptoms are present:

increase in temperature (38 degrees and above);
general malaise;
weakness.

Often the infection tends to spread and after 2-3 days a runny nose is added to the pharyngitis.

Acute pharyngitis often has acute manifestations, but sometimes they are difficult to recognize. At the same time, the patient has no appetite, sleep is disturbed and his mood worsens. In addition, for many people, the signs of pharyngitis are not specific, and they are similar to the symptoms of any cold.

Moreover, pharyngitis can develop into nasopharyngitis, in which profuse discharge appears. In addition, the peculiarity of the acute form is the occurrence of a reflex cough, which is a response to irritation.

The cough with pharyngitis is paroxysmal, unproductive, and sometimes very strong. It develops due to irritation caused by mucus running down the back of the throat.

Symptoms of the chronic form of pharyngitis are less pronounced. It is characterized by such manifestations as:

In this case, the general condition does not worsen, but local symptoms cause a lot of inconvenience, which can cause insomnia and severe irritability.

As a rule, this is a manifestation of other gastrointestinal diseases, resulting in symptoms such as discomfort in the intestines and stomach.

Here it is important to understand what antibiotics to take for a sore throat, and Dr. Komarovsky will talk about this.

Diagnostics

The diagnosis of pharyngitis is established based on the patient’s complaints and information about the epidemiological situation, taking into account seasonal epidemics caused by viruses. In addition, the doctor performs a pharyngoscopy, during which he carefully examines the pharynx.

If necessary, a scraping is taken from the back wall of the pharynx and tonsils to carry out bacterial culture. This procedure allows you to identify the type of causative agent of the disease.

Treatment

Local therapy is often carried out aimed at eliminating the inflammatory process of the pharynx. To do this, you can apply a warm and dry compress to the throat, which has a warming effect.

However, inhalation treatment using medicines, drinking plenty of fluids and using drugs that have an antibacterial effect and stimulate the body's defenses.

It is worth noting that a viral infection cannot be treated with antibacterial agents. They are prescribed only if a fungal or bacterial pathogen has been identified. Moreover, antibiotics may be prescribed for prophylactic purposes in the treatment of traumatic pharyngitis.

It is worth noting that rhinitis is often associated with pharyngitis. Komarovsky advises treating it by rinsing the nose with saline solution. And to eliminate an infection from the nasal cavity, the doctor prescribes antiseptic drops.

In addition, treatment of pharyngitis involves keeping the patient in a well-ventilated and warm room. But it is worth remembering that the patient should avoid excessive overheating or hypothermia.

Moreover, in the absence allergic reaction Herbs can be used for inhalation treatment. For this purpose, the patient should inhale the healing vapors of plants.

As a rule, it contains antibacterial agents, with the help of which pharyngitis is treated, there are such antiseptic components as:

In addition, some preparations may contain bacterial lysates (Imudon), antiviral components (interferon, lysocin), vitamins ( ascorbic acid) and natural antiseptics (propolis, plant extracts).

Pharyngitis: treatment with traditional methods

To make the treatment of inflammation of the pharynx as effective as possible, you can watch a video where the doctor talks about the specifics of the therapy.

Mix lemon juice and 1 tbsp. l honey. The mass is boiled for 2 minutes, and then cinnamon and cloves are added. The product is infused for 20 minutes and drunk hot.
Every day before going to bed, the patient should drink a glass of warm milk with the addition of butter and honey.
3 tsp. chopped carrots are mixed with 1 tsp. honey and a leaf of gold mustache. The resulting medicine should be kept in the mouth for some time and then spit out. This procedure is carried out 5 times a day.

In addition, folk treatment of pharyngitis is impossible without the use of propolis. So, 60 g of beekeeping product is mixed with 40 g of wax using an aluminum container, which is placed on water bath. Inhalation procedures should be carried out over heated propolis 2-3 times a day.

In addition, you can do inhalations with the addition of chamomile. For this purpose, the patient bows his head over a container with a decoction, and then inhales the medicinal vapors. After this, you can steam your feet in hot water with mustard. And in conclusion, we offer Komarovsky’s opinion in the video in this article about sore throat, as a disease close to pharyngitis.

Komarovsky Symptoms and treatment of pharyngitis in a child

Pharyngitis is a disease that characterizes the inflammatory process of the mucous surface of the pharynx. During such a diagnosis, in most cases, a modification of the lymph nodes of the throat is observed. This diagnosis has two forms of progression: acute and chronic.

Causes of pharyngitis:

freezing,
low level of immune protection,
the presence of infectious pathogens in the baby’s body,
allergic reactions of various types,
mechanical damage to the mucous surface of the nasopharynx,
chemical irritation from taking certain medicines,
presence of chronic diseases digestive system, which provoke the occurrence of pharyngitis.

The main symptoms in a child:

wet cough,
fever,
pain in the throat area,
lethargic state
temperature increase,
dry mouth.

Symptoms may not appear fully, and may also have varying degrees of severity (depending on the individual characteristics and stage of the disease).

Pharyngitis in infants has slightly different manifestations, since the baby is not yet able to talk about his health. Disease in in this case manifests itself in the form of lack of appetite, fever, lethargy, bad sleep and even refusing to drink. Often, parents may confuse the last of the symptoms with the process of teething, but this is not so. It is worth noting that if a child refuses to drink, it is time to sound the alarm, because this can be any disease of any complexity (from a cold to pneumonia with a fatal outcome).

Pharyngitis in children treatment

Treatment of pharyngitis in a child can only take place under the strict supervision of a pediatric specialist in this area, because any self-prescription will definitely cause serious damage to the baby’s health.

The basic concept of therapeutic effects according to Komarovsky:

Inhalation using a home nebulizer.
Gargling with the addition of specialized medications (recommended from 2 years).
Optimal diet: food rich in vitamins, small portions, split meals.
Increasing the volume of drinking (maintaining the optimal temperature of the liquid consumed).

Dr. Komarovsky claims that inhalations can be used to treat children under 2 years of age instead of rinsing the throat. The most convenient devices for carrying out this kind of manipulation can rightfully be considered a nebulizer. To get maximum effect, you should add anti-inflammatory herbs to it.

Komarovsky categorically refuses the algorithm for treating pharyngitis in a child with the systematic use of antipyretic medications, since they have a detrimental effect on the still fragile body of the little man. The doctor believes that such medications do not provide therapeutic effect, only temporarily relieving the symptoms of the disease.

You should also completely refuse self-medication, especially when it comes to the child’s health. This is due to the parents’ lack of specific education that would allow them to qualitatively determine the root cause of the disease, because only in this case is it possible to correctly select a treatment regimen for the child.

The doctor also insists: therapy can be prescribed only after examining the child and taking all the necessary tests. Pharyngitis is not difficult to treat, but the complications are quite serious, so you should not joke with it.

It is also worth paying attention to strict control of the dosage of medicine consumed by the child, since only strict compliance with all necessary instructions can give the desired result and contribute to a speedy recovery.

How to treat?

As a rule, in such cases, a drug that neutralizes the cough must be prescribed (there are various forms of release according to the age of the child and the wishes of the parents). Pain-relieving aerosols and other medications can also be used locally. If necessary, you should also take an antipyretic. It is important to remember that the temperature is most often not reduced to 38, because the body must fight the infection on its own.

In some cases, homeopathic and immunomodulating medications are prescribed. However, the need to take them should be agreed with a specialized specialist. Dr. Komarovsky recommends gargling with chlorhexidine, alternating it with saline solution homemade.

On this moment On the Internet, there are many videos of Dr. Komarovsky, in which the eminent pediatrician tells parents about the treatment of certain diseases. That is why, to reinsure yourself, it is possible to take advantage of the advice of an eminent specialist.

Treatment with folk remedies

Treatment of the throat can also take place with the participation of alternative medicine. However, in this case, you should remember that all your actions need to be discussed with your pediatrician.

To neutralize the disease, you can use freshly squeezed lemon juice and a spoonful of high-quality honey. The contents are mixed and, if desired, boiling water and spices are added to it. Otherwise, they simply give the child a teaspoon as needed depending on the baby’s well-being.

Chamomile decoction is added to the nebulizer for inhalation. If such equipment is not at hand, then it is permissible to use the old-fashioned method with a saucepan. For children, the last option cannot be used.

A proven method also works great: warm milk with the addition of a small amount natural oil and honey. This procedure is carried out mainly before bedtime, which contributes to the child’s speedy recovery.

The carrots are grated on a medium grater, then the golden mustache is added to it. This is a medicine traditional medicine used primarily for resorption.

A decoction of propolis can also work wonders. That is why, if there is colds The child is given a complex of inhalations with the addition of such a medicine.

The procedure of gargling with a water-salt solution, which you can make yourself, also works great. In the absence of thyroid disease, I add a few drops of iodine to this composition. For these purposes, you can use absolutely any complex of anti-inflammatory herbs. St. John's wort is not used for human immunodeficiency virus, as it negatively affects overall health and also reduces the body's level of defense.

Complications

Incorrect treatment of pharyngitis or the absence thereof in both children and adults provokes various kinds complications that manifest themselves in the form of laryngitis and bronchitis, and even pneumonia. In case of untimely or poor quality treatment lungs may develop pneumonia, which short term capable of taking a person's life. That is why you should not delay the initial stage of therapy. Only a competent and specialized doctor can prescribe it.

Prevention

In order to protect yourself and your household from relapses of pharyngitis, you should carefully inspect the apartment for things that contribute to the accumulation of large amounts of dust. Discard them. There is also the practice of hardening a child, even at an early age, which when the right approach leads to strengthening of the immune system.

If you have frequent pharyngitis, you should purchase a device that determines the humidity of the room air. It is important to stick to the norm. If the air has an insufficient level of humidity, it is worth working in this direction by installing a humidifier in the children's room. It is also recommended to eat onions or garlic, which can strengthen the protective barrier of the human body.

You should also pay attention to toothbrush baby: harmful microbes and bacteria of various types can also accumulate there. If necessary, you can change it more often. Vitamin C and ascorbic acid will become indispensable helpers in strengthening the immune system. In case of frequent colds, you should include taking a vitamin complex.

It is important to understand that treatment of pharyngitis in a baby should begin after the first symptoms are identified, which will help cope with the disease in a short time.

Doesn't sleep well

Daytime nap

Hysterics

The child has a sore throat. Grandmothers with the air of experts claim that this is a cold due to an extra portion of ice cream eaten the day before. Moms suspect a sore throat. The last word for a doctor who is urgently taken to see the child or who is called to the house. However, the doctor does not share the points of view of the parents and representatives of the older generation and confidently declares that the baby has pharyngitis. Authoritative children's doctor Evgeny Komarovsky will talk about pharyngitis in children.

About the disease

Pharyngitis is an inflammation of the mucous and lymphoid tissue of the pharynx. If the inflammatory process moves and invades the nasopharynx, this is already rhinopharyngitis (its other name is nasopharyngitis). Inflammation of the pharynx occurs for a variety of reasons:

viral infection caused by influenza viruses, adenoviruses;
bacterial infection with streptococci, staphylococci, pneumococci, fungi of the Candida family;
allergies that develop specifically in the larynx– due to inhalation of poisonous, toxic substances, dust.

Pharyngitis can be acute or chronic. Acute develops immediately after negative impact or infection, and chronic - against the background of constant or sometimes repeated unfavorable factors that haunt the child quite long time. Sometimes chronic pharyngitis is generally an independent disease, not viral or allergic, and in no way related to ARVI, influenza or manifestations of an allergic reaction. Moreover, such “independent” pharyngitis can have full periods of exacerbation and remission.

Evgeny Komarovsky claims that there is nothing unusual about pharyngitis - the disease occurs in childhood more often than parents are used to thinking. There are children who receive this diagnosis 3-4 times a year, but this can no longer be considered the norm. Quite often, inflammation of the pharynx and nasopharynx can be caused by too dry air inhaled by a child, whose parents are very fond of closing all the windows and maintaining a hot microclimate in the apartment.

Symptoms

Viral pharyngitis usually causes sharp character. It develops against the background of ARVI or influenza, which means that it is characterized by all the symptoms of these diseases - runny nose, running snot, headaches, fever up to 38.0 degrees. With such pharyngitis, the child will complain of pain or a sore throat, and it will be painful for him to swallow. Breast baby who cannot complain about anything will begin to refuse food, cry and worry.

Another hallmark pharyngitis is a dry cough that torments a child, especially at night. The lymph nodes in the neck often become inflamed. Evgeny Komarovsky claims that this is not surprising, because it is through these nodes that the outflow of lymph from the inflamed larynx occurs. Sometimes large red granular granules can be seen on the tonsils or walls of the larynx. Then pharyngitis will be called granulosa (with damage to lymphoid tissue).

Allergic pharyngitis most often develops acutely, too, a short time after inhaling chemicals or allergens. There are no symptoms of ARVI, but there may well be a runny nose. The temperature rises slightly - up to 37.0-37.5, higher - extremely rarely. A dry, unproductive cough and pain when swallowing are also quite intense.

Bacterial pharyngitis is severe, with a temperature rise above 38.5 degrees, with severe pain in the throat. Upon visual examination, purulent formations may be noticeable in the larynx and tonsils, which are often confused with sore throat.

The main difference between acute tonsillitis (tonsillitis) and acute pharyngitis (for the information of parents) is that with angina, the tonsils are affected, and with pharyngitis, the inflammatory process is more diffuse, it spreads to the walls of the larynx. With tonsillitis, the child complains of pain when swallowing; with pharyngitis, a dry cough will certainly be observed, as well as other symptoms characteristic of the disease.

Chronic pharyngitis is less pronounced, and sometimes it is noticed only during periods of exacerbation. A child with a chronic form of the disease often has a sore throat, a feeling of dryness in the mouth and larynx, and a dry cough often appears, but the temperature does not rise (at least until the next exacerbation). An exacerbation will resemble ordinary acute pharyngitis like two peas in a pod.

Treatment

The choice of treatment tactics depends on what kind of illness the child has developed - viral, bacterial or allergic. It should be noted that even a very experienced doctor will not be able to answer this the most important question only on the basis of a visual examination of the child and an assessment of all associated symptoms. The doctor, of course, will say that the baby has pharyngitis, but only two simple tests will help determine its origin: clinical analysis blood and throat swab for flora and sensitivity to antibiotics.

Without these studies, says Evgeniy Komarovsky, there can be no talk of any normal, responsible and conscious treatment of pharyngitis. After all, all three types of illness are treated with completely different methods and medications.

You should not rush to follow the recommendations of a doctor who, having looked into the throat and established the presence of a disease, immediately prescribes antibiotics or prescribes several types of antiviral drugs. Such a doctor should be asked to write out a referral for tests, which should show how and what is best to treat.

Viral pharyngitis is more common than other types, since children get sick with viral infections more often than all others. Approximately 85% acute pharyngitis are viral in nature. Such pharyngitis cannot be treated with antibiotics, says Evgeny Komarovsky. Antimicrobial agents are completely inactive against viruses, but increase the risk of developing a bacterial complication by 7-8 times.

Komarovsky warns that there is no need to use “Lugol” (and even more so to cauterize the tonsils and larynx with iodine), since this is much more harmful to the child than pharyngitis, which is not smeared with anything, not treated or cauterized.

Allergic pharyngitis will require a more detailed approach. Antibiotics are strictly contraindicated in the treatment of such a disease. The doctor may prescribe antihistamines, depending on the allergen (if its type can be quickly determined). Current salt rinses nose and larynx, as well as local antiseptics (except iodine).

In addition, you will need to remove from the room all objects that can accumulate dust - carpets, soft toys, books. The air is humidified to a level of 50-70%, ventilated, and the child’s room is often wet cleaned.

For bacterial pharyngitis, according to Evgeny Komarovsky, the issue of the need to use antibiotics is decided on an individual basis. Not in all cases antimicrobials generally needed. If there is a need for them, drugs of the penicillin group are most often used.

Main symptoms

severe pain in the throat;
very high temperature;

Features of herpangina treatment

Herpes and streptococcal sore throat: what is the difference

The most common mistakes

The child has a sore throat. Grandmothers with the air of experts claim that this is a cold due to an extra portion of ice cream eaten the day before. Moms suspect a sore throat. The last word belongs to the doctor, who is urgently taken to see the child or who is called to the house. However, the doctor does not share the points of view of the parents and representatives of the older generation and confidently declares that the baby has pharyngitis. Authoritative children's doctor Evgeny Komarovsky will talk about pharyngitis in children.

About the disease

viral infection caused by influenza viruses, adenoviruses;
bacterial infection with streptococci, staphylococci, pneumococci, fungi of the Candida family;
allergies that develop specifically in the larynx– due to inhalation of poisonous, toxic substances, dust.

Pharyngitis can be acute or chronic. Acute develops immediately after a negative impact or infection, and chronic develops against the background of constant or sometimes recurring unfavorable factors that haunt the child for quite a long time. Sometimes chronic pharyngitis is generally an independent disease, not viral or allergic, and in no way related to ARVI, influenza or manifestations of an allergic reaction. Moreover, such “independent” pharyngitis can have full periods of exacerbation and remission.

Evgeny Komarovsky claims that there is nothing unusual about pharyngitis - the disease occurs in childhood more often than parents are used to thinking. There are children who receive this diagnosis 3-4 times a year, but this can no longer be considered the norm. Quite often, inflammation of the pharynx and nasopharynx can be caused by too dry air inhaled by a child, whose parents are very fond of closing all the windows and maintaining a hot microclimate in the apartment.

Symptoms

Viral pharyngitis is usually acute. It develops against the background of ARVI or influenza, which means that it is characterized by all the symptoms of these diseases - runny nose, running snot, headaches, fever up to 38.0 degrees. With such pharyngitis, the child will complain of pain or a sore throat, and it will be painful for him to swallow. An infant who cannot complain about anything will begin to refuse food, cry and worry.

Another distinctive sign of pharyngitis is a dry cough that torments the child, especially at night. The lymph nodes in the neck often become inflamed. Evgeny Komarovsky claims that this is not surprising, because it is through these nodes that the outflow of lymph from the inflamed larynx occurs. Sometimes large red granular granules can be seen on the tonsils or walls of the larynx. Then pharyngitis will be called granulosa (with damage to lymphoid tissue).

The main difference between acute tonsillitis (tonsillitis) and acute pharyngitis (for the information of parents) is that with angina, the tonsils are affected, and with pharyngitis, the inflammatory process is more diffuse, it spreads to the walls of the larynx. With tonsillitis, the child complains of pain when swallowing; with pharyngitis, a dry cough will certainly be observed, as well as other symptoms characteristic of the disease.

Treatment

The choice of treatment tactics depends on what kind of illness the child has developed - viral, bacterial or allergic. It should be noted that even a very experienced doctor will not be able to answer this important question solely on the basis of a visual examination of the child and an assessment of all accompanying symptoms. The doctor, of course, will say that the baby has pharyngitis, but only two simple tests will help determine its origin: a clinical blood test and a throat smear for flora and sensitivity to antibiotics.

You should not rush to follow the recommendations of a doctor who, having looked into the throat and established the presence of a disease, immediately prescribes antibiotics or prescribes several types of antiviral drugs. Such a doctor should be asked to write out a referral for tests, which should show how and what is best to treat.

Viral pharyngitis is more common than other types, since children get sick with viral infections more often than all others. Approximately 85% of acute pharyngitis are viral. Such pharyngitis cannot be treated with antibiotics, says Evgeny Komarovsky. Antimicrobial agents are completely inactive against viruses, but increase the risk of developing a bacterial complication by 7-8 times.

The only correct treatment for viral pharyngitis is drinking plenty of warm fluids., sufficiently humidified air in the apartment where the sick child is, irrigation of the nasal mucosa and nasopharynx with saline solution (1 teaspoon of salt per liter of water). If the child’s age allows, you can gargle the sore throat with the same saline solution. An antiseptic (for example, Miramistin), as well as lozenges with an anti-inflammatory and analgesic effect, are used locally for an inflamed throat. Komarovsky warns that there is no need to use “Lugol” (and even more so to cauterize the tonsils and larynx with iodine), since this is much more harmful to the child than pharyngitis, which is not smeared with anything, not treated or cauterized.

Allergic pharyngitis will require a more detailed approach. Antibiotics are strictly contraindicated in the treatment of such a disease. The doctor may prescribe antihistamines, depending on the allergen (if its type can be quickly determined). Salt rinses of the nose and larynx, as well as local antiseptics (except iodine), are relevant.

For bacterial pharyngitis, according to Evgeny Komarovsky, the issue of the need to use antibiotics is decided on an individual basis. Not in all cases are antimicrobial agents needed at all. If there is a need for them, drugs of the penicillin group are most often used.

A child is contagious until he is given antibiotics. Usually, a day after this, the child can easily attend school or kindergarten if he does not have a fever. Bed rest is optional.

If the child lab tests confirm streptococcal pharyngitis, then all family members should take similar throat swabs. If necessary, all household members should undergo antibiotic treatment to avoid re-infection of the baby.

Advice from Dr. Komarovsky

The best antiseptic for the throat, which even the most expensive pharmaceuticals cannot compare with, is saliva. If there is enough of it, it may well protect the child from pharyngitis. To prevent saliva from drying out, it is advisable to have a humidifier in the house and use it for its intended purpose. In addition, the child should drink enough fluids (to maintain the consistency of saliva). There are no vaccinations against pharyngitis. The main prevention is taking care of the quality of saliva and strengthening the immune system.

In the next video, Dr. Komarovsky will talk about sore throats in children.

Herpetic sore throat affects people at any age. The development and course of the disease will depend on many factors. The Coxsackie virus is ubiquitous.

The clinical picture of herpangina is quite typical. Classic symptoms, according to Komarovsky, are ulcers on the tonsils, fever and anginal pain. At reduced immune status(and with the high virulence of the pathogen), in weakened people and infants there is a possibility of complications of the disease.

Herpes sore throat (herpangina, ulcerous sore throat, aphthous pharyngitis) is an acute infection. Manifested by fever, sore throat, vesicular (bubble) lesions of the pharynx mucosa with the development of erosions.

Herpetic (herpetic) sore throat - Dr. E.O. Komarovsky advises calling it a lesion of the throat (its mucous membrane, tonsils and pharynx) enteroviral vesicular stomatitis or pharyngitis or herpangina.

The popular definition of “herpetic sore throat” is not entirely correct. It has nothing to do with the herpes virus or sore throat. The only generalizing point is similar rashes in oral cavity, pharynx (herpetic rash) and sore throat (typical streptococcal infection). But the treatment of herpes sore throat will have significant differences from the treatment of viral herpes infections and streptococcal sore throat.

The disease is caused by enterovirus Coxsackievirus group A, less commonly group B and echovirus. The natural source of the Coxsackie virus is patients in the acute period and convalescents (recovered and recovering). There have been cases of pathogen circulation among animals (pigs).

Viral tonsillitis is characterized by seasonality of occurrence - an outbreak of the disease occurs in the summer - autumn period. It spreads quickly from person to person, especially in large groups. One person can get sick, but the whole family can become infected, depending on the strength of each person’s immunity. The occurrence of the disease during pregnancy will not have any impact harmful effects on the health of the unborn child if the mother leads a healthy lifestyle and the disease passes easily.

Children aged 3 to 10 years and people with a reduced immune status often become ill. Children under one year old get sick less often, thanks to maternal antibodies. Incubation of the virus in the body is 7–10 days.

Routes of transmission of the virus:

Airborne - has highest value and distribution (according to Komarovsky). This is especially true for the spread of the virus among children in groups.
Fecal-oral (dirty hands, contaminated food, in children - infected toys, pacifiers).
Contact - discharge from the nose, mouth (with saliva, nasal mucus).

There is a known version that the Coxsackie virus is transmitted through water (bathing and swallowing water, getting into the nose) near wastewater discharge sites (sewage).

The gates of infection are the mucous membranes of the oral cavity and intestines. Once in the body, the virus multiplies quickly and spreads through the blood (viremia) throughout the body. The period of viremia ranges from 2 to 8 days.

Replication (multiplication) of the virus in the cell causes its swelling and subsequent death. These continuous processes lead to the accumulation of large numbers of such cells and the formation of necrotic areas that contain exudate. Later, the vesicles open, and some of the viruses are transferred to the stomach, where they are destroyed by immune components.

The clinical picture in adults and children is similar. But an adult gets sick more easily. The disease is accompanied by decreased appetite and signs of general malaise. Children often experience dyspeptic symptoms (diarrhea). This is due to the development of enterovirus in intestinal tract, in connection with which the mucous membrane becomes inflamed and digestion is disrupted. A sick child complains of abdominal pain and nausea.

Herpetic sore throat often occurs as an acute viral respiratory disease accompanied by characteristic vesicular rashes on the mucous membrane of the mouth and pharynx.

Clinical picture of the disease:

A sudden increase in body temperature (fever) - up to 40 - 41 ° C, which is typical for this sore throat. The increase occurs for a short time- 24 hours.

A feature of hyperthermia with herpangina is a change in temperature (increase) in 2 steps - on the 1st and 3rd day (acute period) of the disease.

Dysphagia and pain (acute) in the throat, which differs from typical anginal soreness - the pain does not compress the throat, does not radiate to the ear, but a tingling painful sensation occurs, which intensifies when touching the vesicles, while taking liquid or food.
Acute rhinitis with signs of nasal congestion and cough.
Enlargement of regional (ear, retropharyngeal, submandibular) lymph nodes.

After the onset of the disease, small blisters (papules) appear on the oral mucosa (palate, tonsils, cheeks), which are filled with exudate (clear liquid). The papules burst after 3-4 days, vesicular fluid leaks out, followed by drying out and the formation of crusts. The affected surface is inflamed, hyperemic and very painful. With absence bacterial infection the affected areas quickly regenerate, and complete recovery occurs.

Symptoms of complicated angina:

unilateral conjunctivitis;
meningitis accompanied by trismus (spasm) chewing muscles, headaches;
pyelonephritis;
myalgia;
heart pain;
encephalitis.

Attention! Such specific symptoms are rare, but require attention and immediate consultation with a doctor, especially when it comes to convulsive phenomena with herpes sore throat in a child.

Atypical form - signs:

absence of papular rashes with obvious swelling of the inflamed mucous membrane of the oral cavity and pharynx;
relapse of rashes (the rash appears several times during the course of the disease) - observed in people with reduced resistance.

IN difficult cases the development of herpetic sore throat provokes the appearance of diarrhea and vomiting. The entire period of the disease lasts up to 7 days in adults and 8–10 days in children.

Attention! Herpes sore throat is not chronic and does not recur (does not recur).

The disease is diagnosed taking into account the epidemiological situation and symptoms. Conduct laboratory test blood, nasopharyngeal swabs or intestinal contents.

When a child becomes ill, his age is taken into account. Children under 3-4 years of age develop herpes sore throat more often than stomatitis.

In the differential diagnosis, herpes simplex, aphthous recurrent stomatitis, and purulent tonsillitis are excluded.

Clinical differences:

Purulent sore throat - purulent rash are observed strictly on the tonsils, never affecting tissues beyond them. With ordinary typical (ordinary) sore throat, there is no runny nose or nasal congestion (swelling) (as with herpes).
Catarrhal tonsillitis (similar to herpes without rashes - an atypical form) - is not accompanied by rhinitis. The presence of a runny nose is the likelihood of developing a viral infection and herpes sore throat.

Herpangina's symptoms are different from stomatitis. Differentiation is carried out by the dislocation of vesicles. With herpangina, lesions of the palate, tonsils, throat, and pharynx are noted (aphthous pharyngitis). With herpes stomatitis, vesicular lesions of the tongue, gums, and inner surface of the cheeks are noted.

The course of the disease also has some differences. Herpangina occurs with symptoms of intoxication (nausea, vomiting, dyspeptic symptoms), fever. Stomatitis of the herpes type occurs easily, rarely with changes in temperature (the exception is a complication of bacterial microflora) and without signs of general intoxication.

Komarovsky claims that herpetic sore throat differs from sore throat in the appearance of several vesicles (vesicles) with a large number of ulcers (on the tonsils, palate, mucous membrane of the cheeks). Whereas with a sore throat, the throat will be noticeably affected by pustules without the presence of ulcers.

It is worth paying attention to the fact that the acute period with herpangina lasts 8–10 days. For viral infections - 5 – 6 days, then the condition improves.

There is no specific therapy for ulcerous tonsillitis. Symptomatic treatment is expected, which is used to reduce pain.

Antipyretic drugs are used - Nurofen, Paracetamol, Efferalgan, Aspirin.
Provide plenty and frequent fluids.
Pain relievers are used - Hexoral-Tabs, Tantum-Verde, Theraflu Lar, 2% lidocaine solution (gargle).
Gargling and mouthwash medicinal decoctions(sage, chamomile, calendula) prevents the addition of bacterial microflora to the site of inflammation.
Rarely used (but possible in case of sensitization - allergies) antiallergic drugs - Claritin, Cetrin, etc.
Recommended dietary food- puree soups, liquid dishes, jelly, porridge.

Herpetic (cold sore) sore throat, as Dr. E.O. Komarovsky, has nothing to do with the herpes virus. Therefore, it is not advisable to use antiherpetic drugs to treat herpangina.

Important! If you have herpes sore throat, you should avoid dehydration.

Fever, sweating, painful swallowing (reluctance to drink) and intoxication contribute rapid loss fluids in the body. The disease is treated with plenty of fluids and antipyretics. Therefore, provide the patient with plenty of frequent drinking in small portions. According to Komarovsky’s advice, you should drink not warm, but cool (room temperature) teas, juices, decoctions, and solutions for oral rehydration.

When treating herpangina, Dr. Komarovsky does not recommend treating affected tissues topically with solutions (gentian violet, brilliant green, Lugol). This will bring additional pain and little therapeutic effect. For a favorable course of the disease, it is enough to create bed rest, provide good nutrition and drink a lot.

It is not possible to shorten the course of the disease with medications. They can only alleviate the patient’s condition. The disease will end when immunity is formed - in 7 - 10 days, not earlier.

Herpes sore throat often has a favorable prognosis - patients recover completely. There are rare cases of complications of the process in the form of meningitis, encephalitis, myocarditis.

There is no special prevention. Preventive methods boil down to well-known principles:

If possible, avoid contact with sick people.
Create and maintain optimal microclimate parameters (in places of residence and work).
Temper yourself, practice a healthy, active lifestyle, strengthen your immune system, walk more often and visit fresh air, eat well.
Adhere to the rules of personal hygiene.

Considering a long period virus carriers, it is necessary to quarantine for 14 days after recovery.

To the Coxsackie virus, a person who has recovered from the disease develops specific immunity(to types A and B separately), persists for ten years. Therefore, a recurrence of herpangina is practically impossible; the correct diagnosis would be herpes stomatitis. It is only possible to get a sore throat again if you are infected with another type of virus, for example B (if you have previously had type A) or after a long time, having lost specific immunity.

With stomatitis, cases of relapse are common, which indicates a weak immune status that needs to be improved. This should be taken into account, since the treatment in both cases will have fundamental differences.

If signs of herpes lesions are often observed, you should consult a doctor. A specialist will help determine the cause of decreased immunity and tell you how to increase and strengthen it.

Herpetic sore throat and its treatment in children became one of the topics of Dr. Komarovsky’s speech, which was generally devoted to enteroviral infections. Below is an editor-edited transcript and video of this speech. The semantic content did not undergo changes, only speech stylistic flaws were changed and explanatory inserts were added in brackets.

The famous sore, which is called by the word (perhaps many have heard) herpangina. Please note that the word “herpangina” has nothing to do with the herpes virus. That is, if you have been diagnosed with “herpes sore throat” and prescribed medication for herpes, urgently look for another doctor, because these two words have absolutely nothing to do with each other.

What are the symptoms (of herpangina)? The appearance in the oral cavity - on the palate, on the tongue, on the uvula, on the tonsils - of small ulcers, like elements of stomatitis. All this is accompanied by high fever and sore throat. These are the classic symptoms of herpangina.

I pay fundamental attention to how sore throat differs from herpangina. Sore throat is acute tonsillitis, inflammation of the tonsils, (with it) a bunch of ulcers (appear) on the tonsils. And with herpetic sore throat, there may be one or two elements (rashes) on the tonsils, but a huge number of ulcers nearby: on the palate, on the mucous surface of the cheeks, on the tongue. This is herpangina.

The peculiarity of herpangina is that even three or four ulcers, that is, an element of stomatitis, give a high temperature. There won't be any problems if you don't get dehydrated. With herpes sore throat, there is almost always a high temperature and it is almost always painful for the child to swallow, and this is where the most important problems are associated. It’s clear - it hurts him to swallow, so we tiptoe around him and wait for him to agree to drink it. Let him drink whatever he wants, in any quantity. As a rule, warm, hot - (to drink) hurts. Please note - (you need to drink) cool solutions, any: oral rehydration products, and even sweet carbonated drinks in any quantity, compotes, we drink all this at room temperature, plus antipyretics (drugs). This is actually a treatment.

Another thing I would like to draw your attention to: as a rule, we always talk to you about the fact that with viral infections, improvement is usually observed within 5-6 days. With herpangina (the acute period lasts) it usually lasts 8-10 days. I draw your attention to this.

Features namely enterovirus infection In these two variants (herpetic sore throat and hand-foot-mouth syndrome) there is a rash in the mouth. And if there is a rash in the mouth, problems with swallowing arise. Therefore, the main problems of enterovirus infection are problems of fluid deficiency. We saw pimples in the mouth, we saw a rash - this is an enterovirus, all that is needed from you is not to force (the child) to eat, to drink in liters, and to use antipyretics symptomatically. Be patient, it will take up to 10 days.

Question: Please tell me, doctor, how to distinguish herpangina from streptococcal, and which one is more dangerous.

Answer: Streptococcal sore throat is a bacterial infection, right? It is, of course, more dangerous, because it gives a bunch of complications, but it is much simpler, because there are a huge number of excellent effective non-toxic antibiotics that do not even need to be injected, which are effective when taken orally, and if a child has streptococcal sore throat, then We have the opportunity to make him practically healthy within 24 hours. And with herpangina, well, it’s not fate... Whether you want it or not, no matter how healthy he is, you will suffer for at least a week, it will hurt to swallow, you will have a fever and it will be awkward to go out in public because there is a microbe, you know?

Therefore, the main thing is that it is scary for mom, when mom sees a rash - any kind - she clearly understands that this is not normal, and her ancestral genetic memory is triggered that diseases with rashes kill people. Because humanity remembers about deadly measles, about smallpox, about scarlet fever, which kill people. Therefore, as soon as the mother sees the rash, she becomes insane, despite the fact that there is no measles, scarlet fever is easily treated, smallpox has disappeared, but the mother is insane when she sees the rash. That’s why mom rushes to the doctors shouting: “What is this!”, and the doctor knows very well that when mom screams, what needs to be done? It is necessary to prescribe more medicine to the child, then the mother will shut up. Do you understand? So do correct conclusions. This (herpes sore throat) is not scary, it goes away on its own in a week, maximum 10 days, if you know what to do. Do you know!

Enteroviral infections

Read also:

Acyclovir is completely useless for herpetic sore throat and does not help either fight the causative agent or alleviate the symptoms of the disease. Purpose…

It is impossible to treat herpetic sore throat in children with Acyclovir. Acyclovir is completely useless in the treatment of herpes sore throat in children. This is Wed...

You can distinguish herpetic sore throat from bacterial one by the following signs: Rashes with herpetic sore throat are located mostly in ...

Herpes sore throat is one of the most mystical diseases. Most parents who have nothing to do with medicine immediately panic when they discover a rash on the child’s oral mucosa. Scary pictures of complications from a sore throat immediately appear in the imagination, and then there’s the terrible word “herpes.” We immediately begin to stuff the baby with antibiotics, and when they don’t help, we use antiherpes drugs, which again turn out to be ineffective. What kind of disease is this and how to deal with it correctly? Everything about the treatment of herpes sore throat in children according to Komarovsky.

Classic symptoms of herpetic sore throat:

severe sore throat;
small ulcers on the oral mucosa (in the area of the tonsils, tongue and palate);
very high temperature;
Digestive disorders are possible.

The fundamental difference between aphthous pharyngitis and ordinary sore throat is the localization of the rash in the oral cavity. If acute tonsillitis is a huge number of ulcers dotting the inflamed tonsils, then herpangina is several ulcers on the tonsils, and the main number of them are localized in the mucous membrane of the cheeks, palate and tongue.

Another main feature of herpes sore throat is a very high temperature. Even if there are only two or three ulcers, its values will go off scale. At the same time, the child constantly complains of severe pain in the throat, which makes normal eating absolutely impossible.

Depending on the condition of the body and the strength of the immune system, the acute period of the disease lasts from 8 to 10 days. If you don’t go to the wounds with dirty hands again, trying to pick out and puncture the pustules, the disease goes away completely unnoticed, leaving no complications.

Herpangina is an enteroviral infection that cannot be treated with antibiotics. The effect of taking antibacterial drugs will be zero, but the risks of developing dysbacteriosis are very high.

It makes no sense to give antiviral drugs. And Dr. Komarovsky once again draws attention to the unproven effectiveness of these drugs in the treatment of viral infections.

There is no specific regimen for the treatment of herpes sore throat. Only symptomatic therapy is provided, aimed at reducing the temperature and preventing dehydration. Basic recommendations for parents:

Don't force your child to eat. In his condition, the sore throat can be so intense that the baby may even refuse his favorite treats. If you have an appetite, prepare dishes with a puree-like consistency with a minimum amount of spices. Nothing fried, pickled or salted! At the same time, make sure that the food is at room temperature.
A high temperature that can and should be brought down. To do this, use antipyretics such as Panadol or Nurofen in accordance with the age-specific dosage. Aspirin and other drugs based on it are prohibited for children.
Drink plenty of fluids. The main task of parents is to prevent dehydration, which can occur due to fever and refusal to eat. You can drink anything, including pharmaceutical solutions for rehydration, teas, juices, compotes, water and anything that the child agrees to drink. In this case, drinks should be warm, or even better, at room temperature. Drinking hot drinks for a sore throat can cause more harm than good.
Bed rest. In order for the body to have enough strength to fight infection, the child must get plenty of rest. This is especially true for the first 2-3 days of the acute period.

In fact, treatment boils down to drinking plenty of fluids and taking antipyretics as needed. The child’s body will do the rest on its own.

Herpetic sore throat in children is a rash throughout the mucous membrane. If the infection is caused by streptococcus, then instead of a rash a dense plaque will form, localized exclusively in the tonsil area.

The fundamental difference between these two types of infections is their origin. And if herpangina is an enterovirus, then streptococcal sore throat is bacteria. Accordingly, the latter form should be treated only with antibiotics. And with the right drug, improvements in health can be achieved within 24 hours. This will not work with herpes sore throat. And no matter how much the mother wants to get the child back on his feet, the baby will be sick for at least a week, suffering from a sore throat and high fever.

Faced with herpes sore throat, most parents begin to terrorize the pediatrician, forcing him to prescribe suitable treatment. The doctor has no choice but to dash off a meter-long prescription to the pharmacy. Knowing that something is being done to speed up the child's recovery is reassuring to worried parents. But it’s not so simple, and let’s try to figure out what not to do if you have herpangina.

Let's return to antibiotics once again. The disease is not bacterial in nature, so it makes no sense to treat it with heavy artillery. The main danger of prescribing antibacterial drugs for aphthous sore throat is side effects, including an imbalance of intestinal microflora and, as a consequence, drug-induced diarrhea.
Antiherpes drugs (Acyclovir and others). Herpetic sore throat has nothing to do with the herpes virus. And the use of drugs used to combat this strain can greatly harm the child. Especially if you start lubricating the affected areas of the mucous membrane with ointment or cream. The consequences of such treatment include poisoning, liver and kidney damage, and work disorders. nervous system and others.

If your pediatrician advised you to take Acyclovir for herpes sore throat, immediately change your doctor!

Herpetic sore throat can be cured in 3 days if you choose the right medications. To date, there are no medications that can at least speed up the healing process. And the acute period will last exactly as long as needed immune system to suppress infection. Komarovsky advises taking an antipyretic symptomatically, and all other medications are wasted money.
Lugol's solution. Treatment of inflamed tonsils with Lugol's solution is an extremely painful procedure that will cause many unpleasant minutes for mother and child. The likelihood of a bacterial infection being associated with herpes sore throat is negligible, so there is no need to use Lugol's solution.
Steam inhalation and heating. Any warming procedures in the presence of purulent foci of inflammation contribute to the spread of infection throughout the body. So it's not worth the risk. Moreover, exposure to heat for aphthous sore throat does not have any therapeutic effect.
Piercing the blisters will shorten the time of illness and speed up recovery. All rashes on the mucous membrane will begin to heal on their own, and then completely disappear on the 5th-6th day of the disease. And picking off ulcers and treating them with all kinds of antiseptic or cauterizing solutions - all this can lead to the development of complications.

Most modern parents trust Dr. Komarovsky’s advice. And this allows you to control the treatment prescribed by “old-school” pediatricians, who are not always up to date with the latest research. Now you know how to treat herpes sore throat in a child. And this knowledge will help save not only cash or your own nerves, but also the health of the baby.

© 2017 pulmono.ru · Copying materials is permitted only if the source is indicated in the form of an active indexed link.
All information on the website pulmono.ru is intended for informational purposes only and does not constitute instructions for action.
For getting medical care We strongly recommend that you consult a doctor.

According to Dr. Evgeniy Olegovich Komarovsky, herpetic sore throat is an infectious process in the acute stage that affects respiratory organs children at any age. If not carried out in a timely manner effective treatment, then you can get serious complications due to high fever and the occurrence of ulcers in the mouth.

What does Komarovsky say about the symptoms and treatment of sore throat in children? Features of the course of the disease, causes of the disorder and methods of prevention. How to avoid serious complications?

Dr. Komarovsky states that it is a late visit to a specialist to find out the reasons feeling unwell child lead to complications of the disorder’s symptoms.

You should contact a specialized doctor immediately if your baby:

high temperature, which is reduced for a short time by antipyretic drugs, lasts about 2-3 days;
chills, fever;
sore throat, the child cannot eat food or even liquids;
cervical lymph nodes and tonsils increase in size;
a rash appears on the tongue;
the throat swells;
general weakness of the body.

TO additional features Such a disorder should include stool disorder, diarrhea, nausea, abdominal pain, and vomiting.

About the treatment of herpetic sore throat in children, Dr. Komarovsky says the following: “if you have been diagnosed with herpetic sore throat and prescribed medication for herpes, urgently look for a new doctor, there is nothing in common between the two!”
As the disease progresses, it is important to prevent dehydration; the child should drink anything, in any quantity, the liquid should be at room temperature, plus antipyretics.

With this disease, improvement is observed 7-9 days after infection. Additional medications should only be prescribed by the attending physician, according to the severity of the patient’s clinical picture.
What needs to be done?

Take antiviral and antipyretic medications.
Increase immunity with the help of a fortified complex.
Rinse tonsils with antiseptic solutions.
Maintain plenty of fluids (light meals).
Carry out additional physical procedures.

Important: to achieve maximum effect, you must maintain bed rest, regularly ventilate the room, and do wet cleaning.

Dr. Komarovsky argues that antibiotics must be taken in a strict dosage, which will be prescribed by the attending physician; the use of medications cannot be stopped after the patient’s condition has improved.

To moisturize the throat, it is necessary to take absorbable lozenges, which can eliminate nasal congestion, ease breathing and temporarily improve well-being; for this purpose, you need to gargle as an auxiliary element in the treatment of herpetic sore throat.

Attention: this disease occurs very often in children, and therefore it is important to consult a specialist in a timely manner, to begin to stop the disease at the initial stage, this is the only way to avoid all sorts of disorders and quickly improve the health of the baby’s body.

A well-known pediatrician warns that for herpetic sore throat it is prohibited steam inhalations, warming up chest, hot baths and so on, so as not to spread the infection throughout the body.

Children who cannot rinse their mouths on their own need to wipe the mucous membranes with a cotton swab, after moistening it in medicinal solution. It is recommended to drink plenty of fluids, consume vegetable broths, puree soups, fortified formulations with low calorie content, herbal infusions and fruit compotes.

Most often, children aged 3 to 10 years old get sick with herpetic sore throat, but according to Komarovsky, it is most severely tolerated by children. This viral disease, which is characterized by multiple vesicular rashes not only in the oral cavity (tonsils, pharyngeal ring and palate), but often on the hands and soles of the feet. The cause of the disease is enteroviruses (Coxsackieviruses) or echoviruses (ECHO). The famous children's doctor Komarovsky will help you understand the features of the disease, symptoms and consequences for the child's body that herpetic sore throat can lead to.

Features of the disease

Despite the word “herpes” in the name of the disease, the disease has nothing to do with the herpes virus. According to Komarovsky, whitish vesicular rashes are the only symptom that makes these ailments similar. Also, herpetic sore throat is not a type of the usual form of sore throat. This is an independent disease that can be called differently:

Ulcerous tonsillitis;
Herpetic tonsillitis;
Herpangina;
Zadvorsky's disease;
Vesicular pharyngitis;
Enteroviral vesicular stomatitis (official name).

Of the common symptoms similar to classic tonsillitis, according to Komarovsky, only sore throat and inflammatory processes in the tonsils can be distinguished.

When you have herpes sore throat, the virus that has entered the body is concentrated in the intestinal lymph nodes and begins to actively multiply.

Together with the blood, it spreads throughout the body, settling mainly in the lymphatic tissue of the tonsils, the membranes of the brain and muscles (most often in the heart muscle).

Main causes of the disease

Most often, the virus enters the child’s body under the following conditions:

Low level of protection of mucous membranes;
Weak immunity of the child;
Frequent colds.

A child often gets sick with herpes sore throat in kindergarten. Sometimes such infection has the character of an epidemic among young children. According to Komarovsky, the most favorable period for the virus to penetrate is summer, since in the period from June to September, viruses spread more actively in warm air conditions. Herpangina is extremely contagious. After recovery, a person who has recovered from the disease remains a carrier of the virus for several weeks. Infection with herpes sore throat from a carrier of the virus is usually carried out in three ways:

Coughing, sneezing and other methods of airborne transmission of infection;
Through common household items, dirty hands, bottles, pacifiers;
Contact route through saliva.

Having penetrated the oral mucosa, the virus actively multiplies and causes cell necrosis, which leads to the formation of bubbles - vesicles. Over time, they begin to burst, which causes pain and discomfort to the patient.

Symptoms of herpes sore throat

Dr. Komarovsky identifies the following stages of herpetic sore throat:

The appearance of the first signs of herpetic sore throat is preceded by an incubation period for the development of the virus. It lasts no more than two weeks. According to Komarovsky, after five days the first symptoms of malaise are noticeable in the child;
At the initial stage of a sore throat, its symptoms are similar to a common cold. These include nasal congestion, cough, and sore throat. Komarovsky believes that the difficulty of treatment for herpetic sore throat is associated with its late diagnosis; parents at this stage sometimes do not even consult a doctor;
The next stage is characterized by symptoms, if they occur, Komarovsky advises urgently consulting a doctor. Similar signs include: an increase in temperature up to 40 degrees, the child is shivering, rashes appear on the tongue, swelling of the pharyngeal ring, cutting pain in the throat, enlarged lymph nodes. In addition, with herpetic sore throat, problems with stool in the child, nausea, and pain in the abdominal area are observed. This is explained by the fact that the virus is localized in lymph nodes intestines;
Recovery stage. At this stage, it is possible that serious complications may develop, such as meningitis, encephalitis, and myocarditis.

According to Komarovsky, herpetic sore throat is characterized by a picture of local symptoms:

First, redness of the tonsils, soft palate, and palatine arches is observed;
A day after the redness, the first vesicles appear;
The formation of blisters occurs within 48 hours, after which they burst, forming aphthous ulcers;
There is inflammation of the lymph nodes in the neck, under the ears, under the jaw;
With a long course, herpetic sore throat is characterized by vesicles on the arms and legs.

Diagnosis of herpes sore throat

An otolaryngologist, with obvious symptoms, identifies herpetic sore throat immediately upon examination of the oral mucosa. On the tonsils, palate and entrance to the pharynx are observed varying degrees vesicle maturation. However, sometimes the main symptoms of the disease are erased or similar to the clinical picture of other diseases. Herpetic sore throat is distinguished from similar diseases by the following characteristics:

Thrush of newborns. With this disease, a white cheesy coating covers the tongue, the inner surface of the cheeks, and gums. After removal, the affected areas become inflamed and red;
Herpetic stomatitis. The location of the vesicles is the tongue, gums, while herpetic sore throat is diagnosed by inflamed vesicles on the tonsils and palate;
The difference from bacterial tonsillitis, according to Komarovsky, is that the localization of pustules in it does not extend beyond the pharynx and tonsils. At the same time, herpetic sore throat is indicated by vesicles that can be located around the mouth, on the hands and soles of the feet. In addition, a runny nose is not typical for bacterial sore throat;
A runny nose is also not a symptom of catarrhal tonsillitis.

When can a child go to hospital?

Komarovsky considers urgent hospitalization of a person with herpetic sore throat a necessary measure in the following situations:

The patient has a severe febrile state (temperature reaches 40 degrees, severe chills);
Involuntary muscle contractions (cramps) as a consequence of high fever or signs of complications with sore throat (encephalitis, meningitis);
Despite the fact that infants rarely get herpes sore throat due to immunity, the appearance of symptoms of the disease in children under one year old, according to Komarovsky, is a direct indication for hospitalization of the baby;
Congenital heart defect;
Children with or without disabilities chronic diseases(pyelonephritis, chronic tonsillitis).

Any complication of herpes sore throat, according to Dr. Komarovsky, should be treated strictly in a hospital. Otherwise, it poses a threat to the patient's life. Usually, a person who has had herpes sore throat acquires stable, lifelong immunity. But the disease can become chronic, with exacerbations occurring several times a year. In this case, there is usually a herpes virus infection in the human body, which provokes repeated infections enteroviruses, reduces the body's immunity. According to Dr. Komarovsky, herpes sore throat is dangerous not so much because of its symptoms as because of the complications it causes.

To prevent the disease, it is necessary to prevent the child from communicating with a sick person, to monitor the cleanliness of household items, food and the child’s hands.

A timely diagnosed disease is successfully treated, after which the child’s body develops a strong immunity to the strain of the virus that caused herpetic sore throat.

Autumn and winter are fun times for walking. Children are attracted by the snow, which they just want to try, and they are attracted by puddles - they are fun to splash with their feet. Often, the result of pranks and improper equipment for a walk are colds and ailments of the upper respiratory tract. The most common disease childhood up to 7 years of age is pharyngitis. Let's talk about him.

From this article you will learn

Features of the disease

The inflammatory process of the upper respiratory tract is accompanied by a deterioration in the overall somatic health of the baby. Most children have a severe course in infancy. Often combined with laryngitis and bronchitis. It is the first step to the occurrence of complications, the continuation of the inflammatory process in the bronchi, lungs, and nasopharynx.

Pharyngitis refers to diseases that are provoked by influenza viruses, acute respiratory viral infections, the common cold, and can be transmitted by airborne droplets. Bacterial pharyngitis most often appears in spring and late winter, when the immune system is weakened and harmful bacteria become more active.

Causes of the disease

The following factors are provocateurs:

Frosty, dry, polluted air. The baby screams and cries on the street in cold weather, in the wind, and in the evening his temperature rises and his throat turns red. The cause of inflammation is cooled air currents and bacteria that enter the child’s oral cavity.
Non-compliance with the temperature regime of food and drink. Everyone knows that ice cream, cold or hot drinks in large quantities cause a sore throat. thermal burn. The tissue of the pharynx is damaged, the gates to infection open, and conditions for the life of harmful bacteria appear.
Exogenous factors. This tobacco smoke, environmental pollution, dry and dusty indoor air, spicy food.
Viruses, bacteria. Cocci of various types, adenoviruses, influenza, bacilli, moraxella. The herpes virus from the lips penetrates the nasopharynx, causing herpetic pharyngitis.
Weakened immunity. Postoperative period, suffered severe infections reduce the level of body resistance. This group also includes a tendency to allergies.
Infectious diseases of a different nature that the baby suffers from. Caries, stomatitis, sinusitis, candidiasis, sinusitis.
Vitamin deficiency.
Malfunctions of the gastrointestinal tract and kidneys.
Thyroid diseases.
ARVI, influenza, acute respiratory infections.
Genetic predisposition.

Knowing the main factors that provoke the development of pharyngitis, it is possible to prevent the progression of the chronic form by starting treatment on time in the acute period. ENT disease can be easily treated with antiseptics, antibiotics, and other medications if the initiation of therapy is not delayed.

Alternative opinion. From a psychosomatic point of view, pharyngitis in a child is a consequence of grievances, hatred, and anger hidden from others. Unspoken complaints and fear of the offender get stuck in the larynx, provoking inflammation.

Classification of pharyngitis

Pediatricians distinguish several forms of pharyngitis, systematizing them according to the following indicators:

1. By provoking agent:

herpes;
vesicular (viral);
streptococcal;
chlamydial;
allergic
and others.

2. At the location of the concentration of foci of inflammation:

Superficial (catarrhal) pharyngitis. Only the mucous membrane of the throat is affected, the internal tissues remain unaffected.
Internal (granular). The lymphoid follicles of the pharynx become inflamed, and the deep layers of mucous tissue become covered with granular plaques.
Follicular (lymphatic). Pathological foci purulent inflammation arise rapidly, affecting the back wall of the pharynx. In terms of signs and manifestations, it is almost no different from sore throat.

3. By breadth of respiratory tract coverage:

Limited pharyngitis. Localized on the side bolsters, the back walls do not become inflamed.
Common pharyngitis. Covers the entire pharynx: back walls, sides.

4. According to the nature of the disease:

spicy;
subacute;
chronic.

Important! Parents should remember that acute viral pharyngitis is contagious. During illness, isolate your child from meetings with friends and close contact with household members.

Symptoms

The main signs of pharyngitis include:

a sore throat;

More than half of young patients complain about it. It occurs not only when swallowing food or saliva, as with a sore throat, but is permanent, but mild in severity.

sore throat, resulting in coughing;

Occurs in 80-90% of patients. A tickling, similar to itching, is especially disturbing in the first days of the development of the disease, at night.

high temperature, fever;

It is especially concerning for young patients under the age of 3-4 years.

redness of the throat mucosa, external signs inflammation;

The pharynx, which is located between the palate and the root of the tongue, is primarily affected. The tonsils become swollen and covered with a white coating. In this case, we can talk about a complication - sore throat.

labored breathing;

Caused by swelling of the tissues of the pharynx, inflammation of the tonsils.

hoarseness of voice;

main signs of a cold: weakness, headache, loss of appetite;

Diagnosed in 1/4 of all patients.

disturbance of sleep, daytime activity.

The listed symptoms are characteristic of viral and bacterial pharyngitis. A rare allergic type of disease can be recognized by swelling of the mucous membrane, nasal discharge, swollen eyes, sore throat, but without hyperthermia and fever.

You can see in detail what an inflamed larynx with pharyngitis will look like in the photo.

Symptoms in babies

A small child cannot tell his parents what worries him and how he feels, but he can easily get pharyngitis. Moms will have to diagnose the disease or help the doctor do it. Look out for the following signs of pharyngitis in infants:

hyperthermia. The fever occurs suddenly, lasts 3-4 days, the thermometer rises to 38-38.5 ° C;
lack of appetite, excessive regurgitation immediately after feedings;
dry cough;
runny nose;
sleep disturbance;
general anxiety, moodiness;
lethargy.

The causative agent of pharyngitis in infants and children under 2-3 years of age is most often viruses and the common cold. Acute illness occurs in a severe form. The mucous membrane of the throat and nose becomes inflamed; in diathesis children, a rash may appear on the arms and buttocks. In rare cases, stool problems occur in newborns if the virus enters the intestines.

How is it different from a sore throat?

Pharyngitis	Angina
The throat is sore, more often in the morning, the pain is mild.	The throat hurts when eating food, even if the child drinks warm water and swallows saliva. The discomfort intensifies in the evening.
The temperature rises by 2-3 degrees on the day the illness begins. In rare cases, there is no fever at all.	The hyperthermia is sharp, the thermometer readings do not fall below 39°C for several days. Fever lasts 5-7 days.
The back wall and side bolsters turn red in rare cases.	The tonsils become inflamed, covered with a white coating, the entire throat is painted a bright crimson color. Later purulent wounds appear.
The lymph nodes are not inflamed (this can be easily checked by touching the baby behind the ears; if there is a small lump there, then we are talking about a more serious disease).	Soreness in the area of the lymph nodes.
Intoxication, weakness, sleep and appetite disturbances are not clearly expressed.	The child completely refuses to eat, sleeps for a long time, cries, and gets nervous over trifles.
Headache, runny nose, and joint aches are mild or non-existent.	Myalgia, lack of nasal breathing, general intoxication.
Slight sore throat, coughing at night.	Severe cough, thick sputum.

Acute sore throat and pharyngitis have the same ICD code, which means that their contiguity is not denied in international medical practice.

Important! If we talk about the treatment of sore throat and pharyngitis, then this also has its own characteristics. Tonsillitis is treated only with antibiotics, and pharyngitis - with remedies unpleasant symptoms. Antibacterial drugs have no effect on viral infections.

Diagnosis of the disease does not end with listing complaints or identifying symptoms of pharyngitis or sore throat. The doctor examines the patient and prescribes laboratory tests. Based on their results, a therapeutic course is drawn up.

Watch this video carefully. which details the differences between pharyngitis and tonsillitis.

Diagnostics

First of all, parents should contact their pediatrician. Pharyngitis is diagnosed during an external examination, based on patient complaints. If the treatment does not help, the symptoms subside, but return again, and the ENT doctor gets involved in the process. Quantity additional examinations depends on what the overall clinical picture looks like.

A specialist prescribes laboratory tests and studies:

Analysis of urine;
smear of the pharynx mucosa.

Microflora, PCR, sensitivity to antibiotics are studied.

For chronic forms you will need to undergo:

Examination of the nose and throat with an endoscope. This modern method diagnostics is necessary to detect pathological changes in mucosal tissues;
Sputum analysis if blood is present;
Examination by an allergist, immunologist. Necessary for the diagnosis of allergic pharyngitis.
Examination, conversation with a gastroenterologist. Required to exclude or confirm reflux type of pharyngitis.

A detailed examination and examinations by specialized specialists are necessary for early diagnosis diseases and prescribing the correct treatment. Advanced, chronic forms will require surgical intervention.

Chronic form

Protracted illness and recurring symptoms are the first signs of chronic pharyngitis. The reasons for this deplorable situation are often:

secondary infection of the nasopharynx (herpes virus, stomatitis and others);
mononucleosis;
error in diagnosing the type of pharyngitis;
environmental factors irritating the pharynx.

The child continues to stay in the apartment of parents who smoke, the air in the rooms where the children are is dry, and during the treatment process drinks and food that are too cold or hot are offered.

allergies, constant inhalation of an allergen;
adenoids;
chronic rhinitis.

Mucus drains down the back of the throat and irritates the tissues.

Important! If symptoms remain unchanged 10-14 days after the start of treatment, contact a specialist - an otolaryngologist. Perhaps the disease develops into chronic stage or the treatment prescribed by the pediatrician is incorrect.

How to treat

Pharyngitis therapy is complex. Drug treatment combined with folk recipes and the organization of the patient’s everyday life.

The standard treatment regimen consists of the following steps:

Gargling.

Prescribed to children after one year. Antiseptic solutions are prepared from soda, salt and boiled water in the following proportions: 20 milliliters of liquid + 1 teaspoon of soda and salt.

Iodine solution is suitable for older children. You will need 2 drops of iodine per glass of warm water. You need to gargle 5-6 times during the acute period, 2-3 during the healing process.

This method is not suitable for infants, so the larynx is simply washed with Miramistin 2-4 times a day.

Or use a large syringe and boiled water. Gently point the disposable instrument down your throat and release a small amount of liquid inside. The baby will not like this, so act carefully so that the baby does not choke.

Spraying inflamed areas with sprays. Use Ingalipt, Tantum Verde, Cameton, Hexasprey.

Treatment of pustules with medicinal solutions. "Lugol", "Protargol", propolis help disinfect the pharynx and heal inflamed areas.

Lollipop sucking. Lozenges, tablets with cooling, analgesic properties relieve discomfort, are antiseptics. “Imudon”, “Faringosept”, “Septolete” are considered effective medications. It is necessary to suck the lollipop for a long time, 3-4 times a day, without chewing it.

Laser therapy. Performed in a hospital to treat severe clinical cases.

Inhalations. They are carried out with special solutions for nebulizers, sodium chloride, calendula tinctures, chamomile decoctions, water with furatsilin.

Important! Using Pulmicort and Berodual to treat pharyngitis is dangerous. They are ineffective in this case. They are used to relieve bronchospasm, treat severe forms bronchitis. In a child who does not have these diseases, they cause paradoxical spasm in the bronchi and can lead to death.

Endopharyngeal instillation. Suitable for babies.

Taking antimycotics. Effective for fungal pharyngitis. Amotericin, Diflucan, Nizoral spray are used.

Antiseptic drop therapy. Use Tonzilgon. These are antiseptic drops. Relieve sore throat, disinfect the larynx, preventing the development of bacterial complications.

Treatment with antibiotics. This is the most controversial issue in the treatment of pharyngitis. The use of antimicrobial drugs must be justified. The risk of developing bacterial complications gives the pediatrician the right to prescribe Biseptol and Summamed. Suitable for treating purulent, follicular pharyngitis. For viral or allergic infections, antibiotics are not used.

Taking antiviral drugs. "Cycloferon", "Arbidol", "Anaferon", "Acyclovir" (for herpes pharyngitis). They strengthen the baby’s immunity and help cope with adenoviruses and oral infections.

Antipyretics. For fever relief, use as needed. Syrups and suppositories are suitable for infants, and tablets for children over 2 years of age. They use Nurofen, Ibuklin Junior, Ibuprofen. If fever lasts more than 3 days, contact your doctor. You cannot use paracetamol or ibuprofen for more than 3 days in a row, change the medication, monitor the functionality of your kidneys and liver with your pediatrician.

Therapy for vesicular, allergic types involves taking antihistamines. Zodak and Zyrtec relieve swelling and remove irritants from the intestines. If there are skin rashes, use Fenistil cream and corticosteroids for itching.

Baby care

Parents must follow the following recommendations from their attending physician for caring for their baby:

1. Create a damp, cool atmosphere in the room.

Dr. Komarovsky “screams” about this in every program. A dry and warm climate is a favorable environment for the occurrence of acute respiratory infections, acute respiratory viral infections, pharyngitis, bronchitis and other childhood diseases.

A humidifier and thermometer should be your friends until your baby grows up. Sources of dust - carpets, large soft toys - also need to be disposed of urgently.

2. Provide the patient with plenty of warm fluids.

The volume of fluid depends on the age and weight of the child. For example, if the baby is one year old, then multiply his weight by 125 milliliters.

11 kg x 125 ml = 1375 ml. This daily norm for a baby of this age and weight.

At high temperatures, the coefficient increases to 140 milliliters.

11 kg x 140 ml = 1540 ml.

Of course, such a calculation is not fundamentally important, but it is worth getting closer to this volume of liquid drunk per day. With the help of drinking, the child washes his throat and prevents viruses and bacteria from clinging to the surface.

Important! The degree of heating of compotes, water, tea should correspond to the baby’s body temperature. If he has a fever and the thermometer shows 38°C, then heat the drink to the same level.

3. Create the right menu.

Do not prepare solid foods; feed your baby soups, pureed purees, and broths. Prohibited:

sweets;
soda;
spicy dishes;
sour juices;
oranges, lemons.

Liberties and indulgences in food are allowed when pain and inflammation begin to subside.

Important! Popular questions from young parents are the following: is it possible to bathe the baby and is it possible to go for a walk? The answer is negative. Do not wash completely, do not go outside with your baby until the temperature normalizes and the general condition improves. Having overcome the acute period, adequately assess the child’s mood and physical health before taking a bath or going to the playground.

Traditional methods of treatment

“Grandma’s” recipes are not used as the main methods of treatment. This additional measures, which will speed up recovery and alleviate the baby’s condition.

Honey and mustard.

Used in equal proportions. Make a cake from the mixture (if it turns out to be a batter, add flour), wrap it in gauze and attach it to the baby’s chest or back for 1-2 hours. The compress will warm the chest, relieve pain, and cure cough.

Herbs.

Used for preparing solutions for inhalation and rinsing.

You can breathe through a nebulizer with infusions of chamomile, oregano, and sage. Gargle with decoctions of oak, cinnamon, mint, eucalyptus, and black elderberry.

Potato steam.

For 3-4 days, when the baby does not have a fever, try inhaling over a pan of freshly boiled potatoes. Cover the child's head with a towel and tilt it over the container. Let the steam inhale for 5-10 minutes once a day, preferably before bed.

Drink with berries and herbs.

To reduce temperature, use raspberries, linden, and coltsfoot leaves as general tonics. Add fresh berries, brewed herbs to tea, compotes.

Foot baths.

Only used when normal temperature the patient's body. Pour hot water into a basin, add mustard or pine needle infusion. Steam the legs for 5-7 minutes. Then put on your socks.

Compress with vodka on the neck.

Wet the layered gauze alcohol solution, put the compress closer to the throat, the baby’s neck should be clasped. It will warm the tissues and help relieve pain.

Rose hip tea.

Strengthens the mucous membrane of the throat. Suitable for the treatment and prevention of chronic pharyngitis.

Together with folk remedies Homeopathy is also used as alternative medicine. Popular natural preparations are:

Argentumnitricum (silver nitrate). It restores the fullness of the voice and relieves hoarseness.
Aconite lowers temperature and relieves burning sensation in the throat.
Apis eliminates swelling of the tonsils and pharynx.

Homeopathic remedies are not generally accepted drugs for the treatment of pharyngitis in children. They are used at the request of the parents and in the absence of allergies to the components in the baby.

Prevention

The list of measures to prevent pharyngitis is as follows:

Do not overcool your child.
Avoid contact with dusty, tobacco-contaminated air.
Strengthen your immune system.
, exercise, add fruits and vegetables to your diet.
Contact your doctor promptly. Do not allow the disease to drag on or become chronic.
Avoid injury to the nasal septum.
Monitor the condition of your teeth and oral cavity. Treat caries and stomatitis in a timely manner.
Get examined for adenoids if you observe frequent sinusitis and otitis media in your baby.

Prevention of pharyngitis, colds, adherence to the rules of a healthy lifestyle will help the child avoid serious complications and protect against diseases.

IMPORTANT! *when copying article materials, be sure to indicate an active link to the original

Pharyngitis is an inflammation of the pharyngeal mucosa. This disease is quite common, so every person has encountered it more than once.

This disease is also called the common cold.

As a rule, the factors for the appearance of pharyngitis lie in the entry of a bacterial or viral infection into the nasopharynx in case of weakened immunity.

Often the disease develops due to hypothermia. For example, after drinking cold drinks or eating ice cream.

Viral pharyngitis can be contracted through airborne droplets. It spreads rapidly, in particular, it can become infected in places where there are many people.

Subsequently, a bacterial infection is often added to a viral infection. But sometimes this type of pharyngitis appears as an independent disease.

The most common causative agents of inflammation of the pharyngeal mucosa include:

coronavirus;
rhinovirus (causes acute pharyngitis in 80% of cases);
influenza and parainfluenza viruses;
adenovirus.

In addition, this disease, in particular nasopharyngitis, can develop when a foreign body enters the throat.

For your reference, we offer a video about pharyngitis and its treatment features at home.

Types and classification of the disease

The following types of pharyngitis are distinguished:

spicy;
chronic.

The acute form of the disease appears when the pharyngeal mucosa is exposed to an aggressive factor (irritating gas, infections, etc.). The course of this type of disease is favorable.

It often develops against the background of an untreated acute form of the disease. This disease can also be independent, arising as a result of prolonged irritation of the pharyngeal mucosa. It is worth noting that in the course of the chronic form of the disease there are stages of remission and exacerbation.

Classification of acute pharyngitis:

chronic;
viral;
traumatic;
bacterial;
provoked by exposure to irritating factors;
allergic;
fungal.

Catarrhal (simple) pharyngitis is classified according to the following principle:

mixed form;
granulosa (hypertrophic);
atrophic.

The most common condition is catarrhal pharyngitis. It has been established that approximately 70% of all pharyngitis are provoked by rhinoviruses.

In recent years, studies have shown that rhinoviruses provoke more than 80% of the occurrence of pharyngeal inflammation during autumn-winter epidemics.

It is worth noting that a viral infection is often only the initial stage of the disease, and later a bacterial infection joins it.

Symptoms

Every person has encountered manifestations of pharyngitis more than once. As a rule, these include constant coughing, pain during swallowing and a sore throat.

In the acute form of the disease, the following symptoms are present:

increase in temperature (38 degrees and above);
general malaise;
weakness.

Z Often the infection tends to spread and after 2-3 days a runny nose is added to the pharyngitis.

The cough with pharyngitis is paroxysmal, unproductive, and sometimes very strong. It develops due to irritation caused by mucus running down the back of the throat.

Symptoms of the chronic form of pharyngitis are less pronounced. It is characterized by such manifestations as:

dry cough;
discomfort in the throat;
sore throat.

In this case, the general condition does not worsen, but local symptoms cause a lot of inconvenience, which can cause insomnia and severe irritability.

Often it is not an independent disease.

As a rule, this is a manifestation of other gastrointestinal diseases, resulting in symptoms such as discomfort in the intestines and stomach.

Here it is important to understand what antibiotics to take for a sore throat, and Dr. Komarovsky will talk about this.

Diagnostics

If necessary, a scraping is taken from the back wall of the pharynx and tonsils for bacterial culture. This procedure allows you to identify the type of causative agent of the disease.

Treatment

Local therapy is often carried out aimed at eliminating the inflammatory process of the pharynx. To do this, you can apply a warm and dry compress to the throat, which has a warming effect.

At the same time, inhalation treatment using drugs, drinking plenty of fluids and using drugs that have an antibacterial effect and stimulate the body's defenses are indicated.

It is worth noting that rhinitis is often associated with pharyngitis. Komarovsky advises treating it by rinsing the nose with saline solution. And to eliminate the infection from the nasal cavity, the doctor prescribes antiseptic drops.

In addition, treatment of pharyngitis involves keeping the patient in a well-ventilated and warm room. But it is worth remembering that the patient should avoid excessive overheating or hypothermia.

In addition, in the absence of an allergic reaction to herbs, inhalation treatment can be carried out. For this purpose, the patient should inhale the healing vapors of plants.

As a rule, antibacterial agents used to treat pharyngitis contain antiseptic components such as:

chlorhexidine;
thymol and its derivatives;
hexetidine;
lidocaint
alcohols;
tetracaine;
ambazon;
essential oils;
menthol;
benzydamine.

In addition, some preparations may contain bacterial lysates (Imudon), antiviral components (interferon, lysocine), vitamins (ascorbic acid) and natural antiseptics (propolis, plant extracts).

To make the treatment of inflammation of the pharynx as effective as possible, you can watch a video where the doctor talks about the specifics of the therapy.

Mix lemon juice and 1 tbsp. l honey. The mass is boiled for 2 minutes, and then cinnamon and cloves are added. The product is infused for 20 minutes and drunk hot.
Every day before going to bed, the patient should drink a glass of warm milk with the addition of butter and honey.
3 tsp. chopped carrots are mixed with 1 tsp. honey and a leaf of gold mustache. The resulting medicine should be kept in the mouth for some time and then spit out. This procedure is carried out 5 times a day.

In addition, folk treatment of pharyngitis is impossible without the use of propolis. So, 60 g of beekeeping product is mixed with 40 g of wax using an aluminum container, which is placed in a water bath. Inhalation procedures should be carried out over heated propolis 2-3 times a day.

Types and classification of the disease

Symptoms

Diagnostics

Treatment

Pharyngitis: treatment with traditional methods

Komarovsky Symptoms and treatment of pharyngitis in a child

Causes of pharyngitis:

The main symptoms in a child:

Pharyngitis in children treatment

The basic concept of therapeutic effects according to Komarovsky:

How to treat?

Treatment with folk remedies

Complications

Prevention

About the disease

Symptoms

Treatment

Main symptoms

Features of herpangina treatment

Herpes and streptococcal sore throat: what is the difference

The most common mistakes

Enteroviral infections

Features of the disease

Causes of the disease

Classification of pharyngitis

Symptoms

Symptoms in babies

How is it different from a sore throat?

Diagnostics

Chronic form

How to treat

Baby care

Traditional methods of treatment

Prevention

Types and classification of the disease

Symptoms

Diagnostics

Treatment

New on the site

Most popular

POPULAR SECTIONS