The temperature at angina in children: what to do and how to bring down?

Angina is often seen in preschool children. Characteristic signs of the disease are weakness, plaque on the inflamed tonsils, as well as noticeable manifestations of intoxication. But most often the greatest concern is the fever in angina in children, because at the initial stage of the disease, it can reach up to 40 degrees.

Causes of the temperature at angina in children

Usually, the cause of fever in acute tonsillitis is the appearance of pus in the almond lacunae (it appears with follicular or lacunar form of angina, and in addition with phlegmonous angina, which is considered to be the most severe form of this disease).

[1], [2]

Symptoms

There are several different types of angina that differ in symptom and temperature.

Follicular type of angina - with him the patient has almost the same signs as in the lacunar. The temperature in this case increases to about 38-39 ° C. In addition, with this form of pathology on the tonsils, small abscesses (approximately as a match head) are formed. Sometimes it also manifests itself against the background of lacunar angina.

Lacunar angina (in general, this type of pathology and the previous (follicular) are integral parts of one process) presupposes a "deepening" of infection and purulent raid - with it pus accumulates in the almond lacunae. Among the symptoms of the disease are sharp pains in the throat, an increase in the size of the tonsils and the development of the inflammatory process in them, and in addition chills, a sense of weakness and headaches. At the same time, the temperature reaches 40 ° C. There are also cases when this form of tonsillitis develops without increasing the temperature - this happens quite rarely, with a weak immune system.

Phlegmonous tonsillitis (also called acute paratonsillitis) is a neglected form. In this case, the pathology affects not only the tonsils - the area around the glands also inflames, but in addition there is about a min-modal fiber. An abscess (or phlegmon) is also formed. In this case, the temperature increases dramatically to 39-40 + ° C, the patient begins chills and severe weakness, an increase in regional lymph nodes. Usually, in this case, the temperature normalization and improvement of the patient's state of health occurs only after the dissection of the abscess (this can happen after surgery or on his own).

Temperature for herpes sore throat in a child

In the case of development of herpagins, the child immediately raises the temperature and a general condition of malaise occurs. The increase in temperature is very sharp - only a few hours may be sufficient for a jump to 38-39 ° C.

A universal sign of this type of disease is that it shows 2 peaks of temperature increase - on days 1 and 3. With other forms of the disease, the peak of the increase is usually only one.

How much temperature does angina with children?

Usually, with angina, the temperature rises quite sharply, but it is kept in this position only for a short period of time. A smooth decrease begins several days after the onset of the disease. The exact number depends on the form of the sore throat:

• at a catarrhal angina the high temperature is kept during 1-2 days;
• at follicular - about 3-4 days;
• with lacunar form of the disease - about 4-5 days;
• with herpetic angina - 1-3 days;
• the so-called Simanovsky-Vincent's angina often develops without a rise in temperature, but if it still rises, then such a period lasts only 1-2 days.

Diagnostics of the temperature at angina in children

When diagnosing angina, one should pay attention to the clinical picture of the disease. Upon examination, the doctor reveals an increase, as well as hyperemia of the tonsils. In addition, edema and redness on the palatal creases adjacent to the tonsils are diagnosed. Also on the tonsils can be seen follicles, from which pus is released. Temperature indicators help to determine the specific form of angina.

[3], [4], [5], [6]

Treatment of the temperature at angina in children

Initially, it should be noted that it is not necessary to try to bring down the temperature that did not rise beyond 38 ° C, because this temperature indicates that the body is able to fight the infection on its own. But when the temperature is raised above 38.5 ° C, antipyretic drugs will be needed.

How to knock down the temperature in a child with angina?

An effective method is also considered physical cooling - for example, wiping with a towel moistened in warm water (at least 37 ° C). The room temperature should be approximately 25 ° C. With the right grinding, the feeling of cold does not appear. You can use vinegar solutions, although this is a rather dangerous method, since it can lead to unpleasant consequences if it is wrong to calculate the proportions.

The methods of physical cooling are suitable only in the case of the so-called "pink fever" (there is a uniform increase in temperature in all parts of the body, even if the patient's condition is considered satisfactory). In addition, in the case of pink fever, it is necessary to increase the heat transfer - you can not wrap yourself in blankets and clothes (hide behind a thin blanket or sheet).

But in the case of "pale fever," blood circulation in the skin is weakened - because of this the patient feels cold under the influence of temperature from outside. Therefore at this type of fever it is required to wrap it in warm clothes, a blanket, and also to give to drink a warm liquid. In this case, it is recommended to give the patient such drugs as paracetamol or analgin. During a white fever, the temperature should be lowered in any case, because it can cause seizures or fainting.

With sore throat, you should not use foot-heated hot tubs with mustard, and also give the child to drink raspberry tea - this will only provoke an even higher temperature rise and worsening of the condition.

Medications

When the temperature rises to more than 38 ° C, antipyretic drugs should be used: ibuprofen or paracetamol (for children - in suppositories or syrup), and in addition analgin. Dosage should be selected depending on the age of the child. With angina, the temperature should not be brought down with aspirin, because it can cause such complications as the development of Ray's syndrome (with it there is encephalopathy, as well as steatosis).

Alternative treatment

A very important aspect of treatment of sore throat is gargling - they can remove plaque from the tonsils, and also wash pathogenic microbes. For this, a variety of herbal tinctures, pharmacy disinfecting solutions are used. Can also be used and soda solution for throat rash with angina, which has an effective cleansing effect. Rinse should be done every 3 hours.

The patient also needs a lot and plenty of drinking. Strengthen the body helps decoctions of rose hips, as well as cranberry or cowberry fruit. Thanks to these drugs, immunity is increased, kidney function improves, toxins are neutralized and their excretion occurs. They should be consumed every 2 hours, 0.5 glasses each.

It is necessary to wipe off with warm water, especially on the areas where the blood vessels are located: on the wrists and neck. Wiping should be done at a warm temperature, in a room without drafts - you can not allow hypothermia.

There is also a method of gradual cooling using a bath with water (at the beginning of the procedure, the water temperature should be 37-37.5 ° C, and then it should gradually be lowered to 33-34 ° C). This method is based on the so-called "contact" loss of heat, which makes it possible to quickly and effectively lower the temperature.

[7], [8], [9], [10], [11], [12]

Complications and consequences

The danger of angina is that it is fraught with serious complications. In addition to the paratonsillar abscess, in which the patient can be helped only with the help of surgical treatment, there are many other consequences of this disease.

You can divide them into two separate groups - with common symptoms and local manifestations. Local is purulent lymphadenitis in an acute form, developing against the background of a cervical phlegmon. Among the general diseases, such as myocarditis, rheumatism, the infectious form of polyarthritis, sepsis, as well as meningitis and pyelonephritis.

Thus, after successful treatment of sore throat, it is mandatory to donate blood and urine for analysis 2 times, and besides doing an ECG, you need to make sure that the disease has not caused complications.

[13], [14], [15], [16]

Prevention

For the prevention of sore throat is required by various methods to increase immunity. Effective effects on the immune system have special immunostimulatory drugs, such as immunal or imudon. You can strengthen the body and the natural way - proper nutrition, exercise, gymnastic procedures, etc.

Also it is necessary to timely eliminate pathogens of chronic infections - caries on the teeth, suppuration in the area of the paranasal sinuses, as well as tonsillitis in chronic form. In addition, it is necessary to save the child from nasal breathing problems - often adenoids.

[17], [18], [19], [20], [21], [22]

Forecast

The temperature in angina in children often has a favorable prognosis - with proper and timely treatment. But if the disease is often repeated - it can be a reason for the development of quite unpleasant complications.