4/02/2011

ToNsiLs??!!!?

Other people asked questions on various topics, and are still
waiting for answer. Would be great if you can take a sec and
answer them
ToNsiLs??!!!?plz help! this is not a joing matter im 9 and i dont know what to do. my tonsils are on fire! it hurts they are burning. i need a doctors help. all mean answers will be reported

Mary
Could be strep throat. If your throat is that sore, tell your parent to take you to the ER. They'd do a rapid strep test to determine if that's the cause.

lisa
Do u know for sure they are your tonsils? Many people can't even see them unless they are enlarged. You should tell your parents to give you some Motrin or something for the pain and also get checked for strep. If the pain doesn't go away they should take you to the emergency room!! Hope you feel better!!!!!!

poeomoe2003
The question of whether or not a child should have their tonsils taken out by surgery. Usually the question is in response to a sore throat of some kind, whether or not there is an infected tonsil.
The first issue is that a a sore throat is either: pharangitis (painful mucus tissues in the throat) OR tonsillitis (actually infected, tonsilar lymph tissues); AND tonsillectomy is never done for pharangitis, even if it's recurrent or in a child.

The tonsils are large lymph tissues on both sides of the opening to the throat. They are a part of a circle of lymph tissue, called Waldeyer's ring, that surrounds the posterior throat, and aids in fighting off infection. Lymph tissue is the stuff that makes antibodies to fight away infections - and which make the disease "memory" that prevents future infections. (The adenoids are also a part of this ring and will be discussed in a future article).

With the responsibilities of parenting, it is important to understand all the issues when someone (as well meaning as they may be) mentions to you "he sure seems to have a lot of sore throats," or "aunt leona's son had the same thing until he had his tonsils out."

First, you should be aware that tonsils perform an important function in fighting off throat infections. They become somewhat swollen with nearly every sore throat in a child. That's their job.

Second, "infectious tonsillitis" is only one of the many causes of throats hurting. "Allergies", actually are a more common cause, as they make the mucus which then drains down the back of the throat and causes irritation – Post Nasal Drip (PND). [And believe me, as far as a child's pain is concerned, it's often difficult to tell that PND is NOT a "real" infection.] Also, "Chronic Tonsillitis" is very rare, and most sore throats resolve using treatment with throat lozenges, salt water gargles and decongestants.

Third, the normal, healthy child has about one infection a month until he is ten years old — that's almost one a month! Most of these are colds and sore throats — which, for a few years, are usually clustered one right after the other for months in the winter.

Fourth, tonsils generally "melt away" to almost nothing as the child goes through adolescence. Sometimes, as they diminish, they form little pits and crevases on their surface which can trap small pieces of food and produce bad breath – again, easily treated with throat lozenges and salt water gargles.

The average teenager's tonsils are the size of a pea – if that big.

Fifth, because of their causes listed above, the vast majority of sore throats are not caused by anything you can use antibiotics to treat (i.e. post nasal drip, allergies and viruses.)

And... last but by no means least... sixth, tonsillectomy is not without risk! An analysis of 675,729 cases showed a mortality (DEATH RATE) of one child per 16,381 operations (0.006%). The same study showed a catastrophic hemorrhage (bleeding) rate of about 0.028%.

Not very large numbers, but when you talk about risking mortality (death), the operation had better be warranted! Unfortunately, many (if not most) are not!

So... what are some of the indications for tonsillectomy?

1 -- Cancer of the tonsil. This can occur in any age group. Biopsy of suspicious lesions are done first, followed by a tonsillectomy.

2 -- Peritonsillar abscess. This is caused by a bacterial infection and the patient is usually very ill. Incision and drainage is mandatory to prevent extension of the infection into the space around the carotid artery.

About 8 to 10 percent of these abscesses recur and are much more cancerous the second time. Therefore, tonsillectomies are usually performed a few weeks after the individual has recovered.

3 -- Congestive Heart Failure from airway obstruction by tonsils so large that a child has substantial loss of breathing ability. (We are not talking about clogged nose, but a real "air gulper").

This also goes for solid food dysphagia where the child's tonsils are literally so large that he cannot swallow solid foods. (This usually means that when the child opens his mouth at rest you can easily see the two tonsils touching each other in the center of the throat.)

4 -- The necessity of hospitalization to treat acute tonsillitis, which is so severe that the child needs intravenous fluid and antibiotic therapy.

5 -- Proven "strep" recurrent tonsillitis. It should be proven by throat culture to be caused by a certain type of "streptococcus." Not just one or two infections but several which will put the child at risk for developing a heart condition known as rheumatic fever.

The tonsils usually come out after four or five episodes documented to be streptococcus.

I hope this helps.

grace02
You should tell your parents that your tonsils, or throat, hurt and you should go see a physician. In the event that you have Strep or a different kind of tonsillitis you may need antibiotics to clear it up. The sooner you go, the quicker you'll feel better. Also, if you do need an antibiotic, as much as injections suck, get the shot. It will get you feeling better quicker. Hope you feel better!!


What do you think? Answer below! Tonsillitis explained | Better Health Channel
Links to information about tonsillitis , including tonsillectomy.

Orignal From: ToNsiLs??!!!?

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