Patient K (7 years old) was admitted to Tam Anh General Hospital, Ho Chi Minh City in a state of continuous high fever for 3 days without any relief, sore throat, loss of appetite, tight throat, fatigue.
Previously, the child had had tonsillitis many times, and initial internal medicine treatment responded. However, for the past year, children have had to take medicine for longer, and symptoms have improved in the long run.
This summer, parents go to work, children stay in the refrigerator all day, eat a lot of ice cream, and drink cold water continuously. At first, the child was a bit stuttering and had a mild sore throat. Parents give their children daily physical salt water, take medication, eat vitamin supplements but do not improve.
Doctor endoscopes the ENT, patient K has a large abscess around the tonsils. The tonsils are swollen, red, the surrounding tonsils are swollen, the pus accumulates behind, and the chicken tongue is pushed off.
According to K's mother, the child had previously used tonsillitis and received antibiotic treatment. However, this time, antibiotic treatment did not meet the requirements. After surgery and the drainage duct, K's health was stable and he was discharged from the hospital.
According to MSc. Dr. Tran Thi Thuy Hang - Head of the ENT Department, ENT Center, Tam Anh General Hospital, Ho Chi Minh City, the number of children with recurrent surgery and tonsil catation last month here increased by more than 50% compared to the previous month, mainly children aged 10 - 12. This is the time when children have a relapse and have the highest tonsillation surgery of the year.
This summer, the weather is erratic with sunshine and rain, making it difficult for children's bodies to adapt. The lining of the child's throat is weak, prone to dryness due to sudden heat and cold, a decrease in the natural protective layer, prone to being attacked by viruses and bacteria that cause disease recurrence; especially in children with a history of chronic tonsillitis and pre-existing tonsillitis.
In addition, children with tonsillation surgery have recurrent tonsillitis many times/year before, and were once scheduled for surgery but delayed due to children's schedule and inconvenience in post-operative care.
The enlarged tonsils caused children to snore, stop breathing while sleeping, have bad breath, and often breathe through their mouths. High humidity, ideal environment for bacteria, fungi and viruses to grow. Vaccine, bacteria from the external environment can easily attack, tonsils and adenoids irritate, and cause inflammation.
According to Dr. Hang, not all cases of tonsillitis have surgery. This is the last and optimal measure to completely treat inflammation.
tonsillation surgery, adenoid surgery are prescribed when tonsillitis returns more than 5 times/year; tonsillitis causes upper airway obstruction; sleep apnea; snoring; carelessness around the tonsils does not improve with antibiotic treatment, respiratory conditions are affected; wardines are blocked, causing middle ear infections, sepsis...
To prevent tonsillitis in children during the hot season, parents should give them plenty of water, eat lots of green vegetables, foods with vitamin C, vitamin E, vitamin A; limit children from eating cold; give them daily mouthwatering with saline; do not overuse air conditioners and only keep children in a refrigerator at a temperature of 26-28 degrees Celsius.
