Children's health

The child has a sore throat and hard to swallow


The child has a sore throat and hard to swallow

Sore throat in children is a symptom of infection or irritation in the throat. Infection or irritation cause inflammation (swelling, redness, voltage and temperature rise) of the tissues of the throat. The most common symptoms are pain and difficulty swallowing. The pain may persist for one day or more. Young children become cranky, constantly crying, sleep poorly and skip meals. Typically, young children angina difficult to recognize. If the sore throat is caused by infection, marked redness of the mucosa of the mouth and throat or white or yellow spots on the mucosa. Usually, a sore throat occurs when a viral infection with typical symptoms of a cold or flu.

Sore throat in children – what to do?

Sore throat in children - what to doBacterial infection sore throat occurs suddenly, together with such serious symptoms as high fever, enlarged lymph nodes of the neck, headache. Sore throats are viral and bacterial nature are difficult to distinguish from each other.

Frequent sore throat are typical for children of school age. Sore throat is a symptom of more than one-third of acute respiratory diseases in children. For children up to 8 years of age accounted for 60% of cases of angina, the peak of the disease occurs between the ages of 5 to 10 years.

Which diseases there is pain in the throat in children:

Causes of sore throat in children: about 3/4 of all cases of sore throat are caused by viruses, 1/4 – bacteria, most often haemolytic streptococcus. In the first case remedial measures are only symptomatic in nature, in the second, we can effectively target the pathogen with antibiotics.

1. Tonsillitis caused by Streptococcus.
Inflammation, a usually localized in the tonsils. Angina is mild, moderate and severe. The disease rarely occurs before the age of 2 years and after 40 years.
Clinical picture:
– acute onset;
– severe pain in throat, worse when swallowing and talking;
– bad breath;
– temperature above 38°C;
– Palatine tonsils swollen, on the visible surface accumulations of pus (plaque);
– cervical lymph nodes are enlarged, painful;
– if your child is big enough to open your mouth, stick out your tongue and say “Ah”, you can see the tonsils themselves in the form of two pink hemispheres in the depths of the throat, on both sides of uvula (“tab”, located deep throat).
In all cases of angina should be deleted diphtheria!
Symptoms of angina may not go beyond the pain and the sore throat, especially when swallowing. In older children angina is often associated with catarrhal phenomena and cough.
The pain usually appears suddenly, often accompanied by a temperature increase from 37.5 to 40 degrees. High fever provokes the appearance of febrile seizures in predisposed children. Fits of shivering alternating with profuse sweating.
The kids have sore throats often accompany abdominal pain. All children grow and become inflamed cervical, submandibular, and sometimes the occipital lymph nodes, which become painful on palpation. Loss of appetite is a typical symptom for children’s ailments of this kind, with the flu it can complement the two-, three-time vomiting. Also often sick and ears, celebrated their congestion and, as a consequence, hearing loss, this should pay attention of a doctor, as in this case, the cause may be independent from a sore throat and ear infection.
When scarlet fever in children in addition to the above symptoms appear rash all over the body and is characterized by bright blush on the cheeks.
Usually the symptoms start to disappear in 4 to 7 days, although in severe cases the process may require more time and be delayed for 2-3 weeks.

2. Viral pharyngitis is one of the most frequent causes of sore throat.
Clinical picture:
– moderate redness of the mucous membrane of the pharynx;
– the speakers, sometimes whitish lymph follicles on the posterior wall of the pharynx;
– no plaque;
– cervical lymph nodes are usually not enlarged.

3. Laryngitis (inflammation of the mucous membrane of the larynx) is characterized by a feeling of dryness, tickling, scratching in the throat, hoarseness, dry, “barking” cough;

4. Infectious mononucleosis – a disease caused by a virus Epstein–Barr. The peak incidence is between 15 and 25 years. In 85% of cases, patients reported sore throat. Other symptoms: fever, weakness, headache, nasal congestion, nausea, rash, enlarged lymph nodes, liver and spleen, may be jaundice.

Other causes of sore throat in children:
1. stomatitis (especially herpes, canker and Candida);
2. acute epiglottitis, tracheitis or laryngotracheitis (croup);
3. foreign bodies in the upper respiratory tract;
4. runoff discharge from the nose on the back of the throat, such as in allergic rhinitis (adenoids);
5. irritation of the upper respiratory tract: dry air, smoke, including active and passive Smoking.

See your doctor if:
– your child has a sore throat and there are other symptoms of the disease;
– the child is unable to swallow liquid;
– the child is unable to swallow your own saliva (this suggests a serious case of constricted throat, for example, when phlegmonous angina, or epiglottitis;
– the child makes wheezing sound on inspiration (perhaps croup or epiglottitis).