My tonsils are inflamed from time to time and my doctor suggested to have them removed, I'm worried about the risks? What should I pay attention to after the operation? I'm not sure how long it will t

My tonsils are inflamed from time to time and my doctor suggested to have them removed, I'm worried about the risks? What should I pay attention to after the operation? I'm not sure how long it will take. Why do tonsils get inflamed

Why do children always have inflamed tonsils? The tonsils are considered one of the defense organs of the respiratory tract, filtering germs and producing antibodies to protect the respiratory tract and esophagus from germs, and they are at their most developed between the ages of three and five. As with other lymph glands, if germs invade the body, it will become enlarged and swollen. This is why many respiratory infections are associated with redness and inflammation of the tonsils and lymph glands of the throat. If the inflammation of the tonsils is particularly severe, there will be pus.

The pathogenic microorganisms that invade the body and cause tonsillitis are quite numerous. Seventy percent of them are viral infections, such as rhinovirus, coronavirus, adenovirus, influenza virus, parainfluenza virus, enterovirus, etc. The remaining few are bacterial infections. The remaining few are caused by bacterial infections. Viral infections are prone to secondary bacterial infections that produce more severe clinical manifestations.

Due to the different resistance of each organism and the different germs, the symptoms of tonsillitis are different and have a variety of manifestations. In some cases, there are symptoms such as mild cold symptoms, swollen lymph nodes in the neck and mouth ulcers. Of course, there may also be more severe cold symptoms, general malaise, and so on. Sometimes the tonsils swell so much that they prevent the nose from breathing freely. Certain viruses may even cause the tonsils to swell to the point where there are symptoms of upper respiratory tract obstruction, making it difficult for the child to breathe.

Is it serious to have inflamed tonsils

Is it considered serious to have tonsillitis? Will there be any adverse after-effects? Basically, tonsillitis itself is a very benign disease, however, the problem will be in the pathogenic bacteria itself, the severity of the infection and the strength of the body's resistance. If the causative agent only causes a localized infection of the tonsils, the infection will pass and you will be fine. But some pathogenic bacteria will have systemic effects, there may be a more complicated course or bad sequelae, such as arthritis, nephritis, myocarditis, endocarditis and so on.

The onset of tonsillitis in the form of tonsillitis, very direct, eye to eye, you can visualize the condition of the tonsils. Let the child open his mouth wide and observe the changes in the tonsils and oropharynx to know if there is tonsillitis. However, in addition to diagnosing tonsillitis, another important task for the doctor is to distinguish whether the infection is bacterial or viral, whether there is a systemic infection, and whether there are other complications. Often bacterial illnesses may need to be treated with antibiotics, while viral illnesses don't require antibiotics, and blood tests can be taken to help diagnose them if needed.

These infections are contagious, so children with tonsillitis should stay home as much as possible if they can, and in severe cases they should get plenty of rest and proper hydration. Some children have frequent and recurring infections, and their tonsils become larger than normal, while others are born larger and become even larger with frequent infections. Sometimes this can interfere with breathing or cause loud snoring during sleep, or even affect sleep quality, and tonsillectomy may be considered.

When to have your tonsils removed

Tonsillectomy is necessary in cases of frequent episodes of tonsillitis, or when the tonsil lesions have a generalized effect on the child's health or interrupt his or her schooling, and when they affect hearing or breathing. However, there are times when a tonsillectomy is not necessary, and if the diagnosis is questionable, it is important to consider whether there is another problem.

Indications for tonsillectomy include: four or more episodes of tonsillitis a year; three or more episodes of tonsillitis a year for two years; upper respiratory tract obstruction caused by enlarged tonsils, which results in severe snoring, poor swallowing, and slurred speech; one or more tonsillar abscesses; systemic illnesses caused by the tonsils, which have become focal; and recurrent inflammation of the tonsils. causing recurrent or prolonged rhinitis, otitis media, bronchitis, and so on.

The procedure is performed under general anesthesia, and the tonsils are stripped and removed while the patient is in a deep sleep and has no pain perception. Most incisions heal spontaneously without stitches. Patients are usually hospitalized for more than 24 hours after surgery. Tonsillectomy is generally not considered to have any adverse effects on later life.

Tonsillectomy has its advantages and disadvantages

Some parents ask their children to have their tonsils surgically removed because of frequent tonsil infections, but doctors usually consider this carefully. Why can't the tonsils just be removed?

The tonsils are the largest lymphatic tissue in the pharynx. In childhood, it is an active immune organ, containing lymphocytes at all stages of development, such as T cells, B cells and phagocytes. Therefore, it has both humoral immunity, producing various immunoglobulins, and some cellular immunity. The immunoglobulin IgA produced by tonsils is highly immunogenic and can inhibit bacterial adhesion to the respiratory mucosa and inhibit the growth and spread of bacteria, as well as neutralize and inhibit viruses.IgA also enhances phagocytosis through complement activation. These are most active between the ages of two and five.

From an immune point of view, tonsils should not be removed casually because of their immune effects on the body. Enlargement of the tonsils in children is a normal physiological phenomenon, and should not be removed if it is enlarged but does not interfere with breathing and swallowing, and does not produce more severe clinical manifestations. This is because removal may affect the local immune response and reduce the body's ability to fight infection. Tonsillitis should be removed promptly if it is recurrent, interferes with breathing and swallowing, and causes diseases such as rheumatism and nephritis. Generally children's tonsillectomy should be carried out after the age of four, and it is more appropriate to wait for two weeks to three weeks after the inflammation subsides to be removed. However, if the attacks are too frequent to wait, surgery can be considered a few days after the attacks subside.

Reference:

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Treatment:

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Tonsillectomy is an effective therapy; the efficacy of others, such as crypt flushing, electrolithiasis, and immunotherapy, is uncertain, and can be used only for those for whom surgery is contraindicated.

Tonsillectomy

Indications

(a) Repeated acute episodes of chronic tonsillitis.

(ii) History of peritonsillar abscess.

(3) Those with excessive hypertrophy of tonsils, which prevents swallowing and breathing and leads to nutritional disorders.

(d) Patients with rheumatic fever, nephritis, arthritis, and rheumatic heart disease, who suspect the tonsils to be a lesion.

(5) Because of the tonsils, proliferative body hypertrophy, affecting the function of the Eustachian tube, resulting in chronic oozing otitis media, after conservative treatment is ineffective.

(F) diphtheria carriers, the conservative treatment is ineffective.

(vii) Unexplained prolonged low-grade fever in the presence of chronic inflammation of the tonsils.

(viii) various benign tumors of the tonsils, while malignant tumors should be carefully selected cases.

Contraindications

(a) In acute tonsillitis, surgery is usually not performed, and surgery can be performed only 3-4 weeks after the inflammation subsides.

(2) Blood diseases, hypertension, heart disease with insufficient compensatory function, active tuberculosis, etc. are not suitable for surgery.

(3) Rheumatic fever and nephritis and other systemic symptoms are not controlled should not be surgery.

(4) Surgery is not recommended in cases of poliomyelitis and influenza, or during menstruation and menstruation in women.

(5) Patients with immunoglobulin deficiency or high incidence of autoimmune diseases in their families. Those with a white blood cell count below 3000.

Preoperative preparation

(1) Careful history and physical examination, with special attention to the history of bleeding and bleeding coagulation mechanism.

(2) Blood, urine, stool routine coagulation time.

(3) chest X-ray, electrocardiogram. General anesthesia, liver and kidney function tests.

(d) general anesthesia fasting before surgery, the use of local anesthesia, a small amount of preoperative diet or fasting as appropriate. Half an hour before surgery subcutaneous injection of atropine. (Squeeze cut method is exempted). Patients who are nervous can take sedatives.

Surgical methods

The peeling method and the squeezing and cutting method are used.

(A) stripping method (dissection method)

1. Anesthesia and position: the use of local anesthesia, take a seated or semi-sitting position, pharyngeal reflex sensitivity of the pharynx can be sprayed with 1% kainate, and then 1% nufcarbazone (plus 1:1000 epinephrine) in the lingual and palatal arches and pharyngeal and palatal arches of the mucous membranes and the tonsil peritonsilium around the infiltration of anesthesia.

2. Operative steps

(1) Incision: the tonsil was pulled inward and upward with tonsil clamps to expose the mucosal folds between the free edge of the lingual and palatal arches and the tonsils, and the mucosa was incised with a curved knife and part of the mucosa between the pharyngopalatine arches and tonsils was incised backward.

(2) Stripping: Insert the vascular forceps or stripper into the incision of the glossopalatine arch and free the upper pole of the tonsil upward and backward, then hold the upper pole of the tonsil with tonsil clamps, and then use the stripper to detach the tonsil from its peritonsillar periphery from upward and downward, up to its lower pole.

(3) Excision of the tonsils: the wire of the tonsil coiler is put around the tonsils, and at the same time the tonsils are lifted upward, the wire is pressed downward, the wire coil is tightened, and the lower pole of the tonsils is strangled at the root and tip part, so that the tonsils are completely excised.

(4) Hemostasis: Immediately after excision of the tonsils, the tonsil fossa was compressed with a large cotton ball for hemostasis, and ligation was given when bleeding from blood vessels was seen. Finally, the tongue and palate arches were pulled open with the palatal arch pulling hook to fully expose the tonsil fossa for inspection, if the bleeding had completely stopped and there was no residual tonsil tissue, one side of the operation was completed.

The contralateral tonsil is removed in the same way.

3. During general anesthesia, the patient is placed in a supine head-back position, with a small pillow under the shoulder, and the surgical bed is swung down so that the head is slightly lower than the chest to avoid aspiration of blood into the airway during surgery. The patient is placed in a Vickers-type mouthpiece, and care is taken not to injure the tongue and lips, and not to crush the teeth.

(2) Squeeze cut method (guillotine method)

1. Anesthesia: general anesthesia or local anesthesia.

2. Operation: the patient takes the supine or sitting position, the assistant fixes his head, and after placing an opener, the surgeon presses the tongue with a tongue depressor, exposing the lower pole of the tonsil, and then holds a squeezing knife in his right hand, which is inserted into the lower pole of the tonsil, and then rotates the knife ring, so that it is located between the tonsil and the palatine arches, and then inserts the back of the tonsil and the upper pole of the tonsil and lifts them up towards the lingual palatine arch, which is then elevated to a "block" under the lingual palatine arches. At this time, the tonsil bulges into a "lump" under the tongue and palate arch, that is, with the left thumb or forefinger to squeeze the "lump" into the ring, and then tighten the knife handle, push the knife pole forward, so that the blade cuts into the end of the knife ring, and then cuts down the tonsil with a rapid and powerful twisting and lifting action. The contralateral tonsil is removed in the same way. The assistant quickly turns the patient's head to the side, so that he or she can spit out the blood. The hemostasis method is the same as the stripping method.

Postoperative treatment

(1) The patients were placed in lateral position. Local anesthesia patients are instructed to flow the secretion from the mouth down the corner of the mouth, do not swallow, in order to observe whether there is bleeding. General anesthesia patients before awakening should be noted whether they have swallowing movements, if so, should be checked for bleeding.

(2) three hours after surgery can be fed with fluids, six hours after the available salt water gargling. When the wound is painful, cold compresses can be applied to the neck.

(3) On the second day after surgery, a white film appears on the wound, which is a normal reaction. The white membrane begins to fall off about 5~7 days after the surgery, the wound forms a granulation, and the surface epithelium begins to grow. If the white film is dirty gray, it should be noted that there is a possibility of infection, the available antibiotics and gargle with 0.5~1% hydrogen peroxide solution.

Surgical complications and their treatment

(A) bleeding: bleeding within 24 hours after surgery for primary bleeding, more common, mostly occurring within 6 hours after surgery, may be the surgery is not meticulous, leaving remnants or hemostasis is not complete, or anesthesia in the vasoconstriction of adrenaline after the disappearance of the vasodilatation of vasodilatation; it may also be the original has been bleeding a small bleeding point, due to pharyngeal activity, coughing or blood pressure momentarily increased. Cough or blood pressure momentary increase causes bleeding, lack of vitamin C, thrombin content decreased, sudden changes in the weather, can also promote postoperative bleeding. Secondary hemorrhage, often occurring 5 to 6 days after surgery, mainly when the white membrane begins to fall off, due to swallowing hard food abrasions bleeding, if you pay attention to can be prevented. If the bleeding is secondary to infection, the treatment should be strengthened, such as anti-infection.

1. If there is a blood clot in the tonsil fossa, it should be removed and pressurized with a gauze ball for 10-15 minutes. When checking the bleeding point should pay attention to the tonsil fossa on the lower and upper hidden place, the lower near the root of the tongue and the tongue and palate arch behind the bleeding point, it is more difficult to see. If there is an obvious bleeding point, use vascular forceps to clamp the ligature to stop bleeding.

2. Diffuse bleeding, available hemostatic powder, gelatin sponge attached to the pressure on the bleeding. Ineffective when available sterilized gauze ball filling pressure in the tonsil fossa, the tongue and palate arch and pharyngeal palate arch 3 to 4 stitches, gauze left in the tonsil fossa 24 hours.

3. Sometimes the patient will swallow the blood, accumulated in the stomach unnoticed, after reaching a considerable amount of sometimes suddenly vomit a large number of bloody material, the patient's pulse frequency, pale, cold sweat and other early shock phenomenon, should be taken to replenish fluids, blood transfusion and hemostasis and other measures, and actively resuscitate.

4. Surgical injury to the internal carotid artery: rare, such as untimely treatment can lead to hemorrhage death. The main preventive surgery should be peeled off the tonsils should be close to the tonsils outside the membrane peeling, separation should not be too deep, the adhesion of the tissue should not be cut with a knife, scissors. Once the unfortunate occurrence, immediately compression hemostasis, and from the neck outside the internal carotid artery suture.

(2) wound infection: the patient's resistance is low, poor aseptic operation or postoperative bleeding can be combined with wound infection. Performance of the wound does not grow white membrane, or white membrane dirty and incomplete, pharyngeal congestion, swelling, pharyngeal pain is heavier, sometimes accompanied by fever. Apply adequate amount of antibiotics and 0.5-1% hydrogen peroxide gargle.

(3) In addition, it can be complicated with lung abscess, bronchopneumonia, pulmonary atelectasis, deep neck abscess or cellulitis, and respiratory foreign body.

Prevention:

First of all, it is to enhance the body's resistance, and pay attention to the combination of work and rest. Many people often work night shifts, which can easily lead to tonsil inflammation. Secondly, you should reduce the stimulation of tobacco and alcohol, and develop good study and living habits. At the same time, should also actively treat the neighboring organs of the disease, such as acute and chronic rhinitis.

Expert introduction

Zhang Zhenying: Beijing Children's Hospital, Department of Pentaclinic, has long been engaged in pediatric otorhinolaryngology clinical work, and has a deeper attainment in pediatric tonsil surgery, trachea, bronchial foreign body diagnosis and treatment.

Zhang Yamei: Director of the Department of Pentaclinic at Beijing Children's Hospital, specializes in the diagnosis and treatment of pharyngeal obstruction esophageal acquired stenosis, as well as congenital maxillofacial surgical malformations.

Host: Let's listen to parents' thoughts on tonsillectomy for children:

1, the child is always lying there wanting to sleep, after the fever and sore throat, to the hospital to check the tonsil inflammation, and swollen especially large, can not eat into the food, always have to feed the powdered milk, so that the sleep also can not sleep, and now I always have to touch her in the dark at night, for fear that she can not come out of the breath, and now we are also very hesitant to do this, but I think it's a good idea. The first thing I'd like to say is that I'm not sure if I'd like to have my tonsils removed, because the voice is a delicate place, and I'm afraid that I'm going to have to touch my vocal cords to change my tone of voice or become mute, so we're all very scared.

2, I think it should be done, because it is good for the child, so there is no concern, if he does not do it, you have to often breathe through the mouth, then the lungs, the organs are not good, prone to other diseases.

Host: Should the tonsils be cut out or not?

Zhang ZhenyingThe tonsils are a pair of lymphatic tissues growing in the pharynx, which look like a tonsil, so they are called tonsils, which are the body's defense tissues, so the role of the 4-5 year old children is still very big.

Host: Why do tonsils get inflamed?

Zhang Yamei tonsils itself is not big, but its surface has 10-20 crypts, and through to the depth of the tonsils, crypts have a lot of folds, usually folds have a lot of bacteria, shedding epithelium, food debris, etc., if the body is good, it will not be inflamed, if the body's resistance is reduced, like catching a cold, suffering from acute infectious diseases, etc., the bacteria will proliferate, so it leads to inflammation of the tonsils. If the body's resistance drops, like after a cold or an acute infectious disease, the bacteria will multiply, and that's why the tonsils become inflamed.

Host: Should the tonsils be cut off or not?

Zhang Yamei said that whether or not the tonsils should be removed depends on the different conditions of different children.

Host: What are the general circumstances under which the tonsils should be removed?

Zhang Yamei tonsils often inflammation (1 year inflammation in more than 5 times) people, you should remove the tonsils, and tonsillitis and upper respiratory tract infections are very similar, so it is important to differentiate between the tonsillitis, tonsillitis, the main symptoms are high fever, sore throat is very painful, tonsillar redness, swelling, pus on the surface of the surface of the tonsils, lymph nodes are swollen, etc., if the tonsillar periphery of the abscess, that is, the periphery of the tonsillar interspace is inflamed, If the tonsils are pus-filled, the child will feel the pain even worse, and can't even open his mouth, and his body temperature is extraordinarily high throughout the day, and that's when the tonsils should be cut out as well.

Host: Anhui Ms. Luo's son is 10 years old, his tonsils are very large, are fast to the pharynx blocked, eating very slowly, quiet time out of breath on the coarse, a little activity is out of breath, sleep at night and snoring, breathing with his mouth open and holding his breath, and sometimes even 2 minutes do not breathe, so that family members are afraid to sleep, but his tonsils have never been inflammation, may I ask, like this! I'm not sure if I should cut off my tonsils in this case, but I'm not sure if I should.

Zhang Zhenying his case should be children tonsil hypertrophy, as shown, the enlarged tonsils to the pharynx are blocked, and the nose is through the pharynx of the gas to the trachea, bronchial tube, pharyngeal blockage, the patient will have difficulty breathing, snoring, apnea and other symptoms, and tonsil hypertrophy will also affect the child's growth, so this time it is necessary to cut it off.

Host: Beijing Ms. Li's granddaughter is 12 years old, she used to often tonsil inflammation, and now basically has been cured, but some time ago tonsil inflammation again, sore throat, fever, heart is particularly panicky, went to the hospital to check the electrocardiogram also appeared to be abnormal phenomena, cardiac enzymes increased, the doctor said it is the myocarditis is again, may I ask what is the relationship between the myocarditis and the tonsils? The doctor said that the myocarditis is a recurrence of myocarditis. What is the relationship between myocarditis and tonsils and should I cut off my granddaughter's tonsils?

Zhang Yamei long-term tonsil chronic inflammation, there will be a hyper-immune state, the production of immune complexes, which can cause glomerulonephritis, rheumatic heart disease, rheumatic cardiomyopathy, arthritis and other diseases, so in her case should be cut off the tonsils.

Host: Mr. Cui's child in Xinjiang has been suffering from low fever for a long time, and he can't find out what the cause is, and he doesn't have any disease, but he himself has chronic tonsillitis, is there any relationship between low fever and tonsils? If so, should it be cut?

Zhang ZhenyingThe cause of low fever is complicated, if the tonsils are chronically inflamed for a long time, the bacteria will produce a toxin, which will be absorbed by the body and then low fever will occur, which is called refractory coccobacillus infection syndrome, and in this case, the tonsils should be cut out.

Zhang Yamei in addition to frequent inflammation of the tonsils caused by peripheral abscess, excessive hyperplasia hypertrophy, combined with complications, low fever and other symptoms should be cut off, if combined with tonsillolithiasis, that is, the epithelium to form a lot of small stones, but also should be cut off the tonsils; if combined with tumors, no matter whether it is benign tumors, cystic tumors, or malignant tumors are also should be cut off the tonsils. However, the incidence of malignant tumors is very low, and generally use a combination of surgery, radiotherapy and chemotherapy for comprehensive treatment.

Host: What is the right age for tonsillectomy?

Zhang Zhenying's immune function is more active until the age of 5, so it is generally more appropriate for preschool children to have their tonsils removed, but adolescents can also be done, there is generally no age limit. And the tonsils are not as acute as other acute diseases, so if the child's resistance is strengthened and nutrition is enhanced, it may not be as often inflamed in the future, and there will be no need to carry out the removal.

Zhang Yamei had a 2-year-old child with enlarged tonsils and apnea, the parents thought the child was too young, so they did not remove the tonsils, and then when the child was 4 years old, they found that the electrocardiogram was abnormal, and the heart muscle was hypertrophied, so we did tonsillectomy, and the child returned to normal one year later, so the child's tonsils were removed. So if you have difficulty breathing, you should have your tonsils removed.

Host: Does it hurt to have tonsil surgery on Mr. Lei in Nanjing? How long does the surgery take?

Zhang Yamei general what surgery will have a painful feeling, at present with the development of surgical technology, the pain has been reduced a lot, and children and adults after surgery is not the same feeling, some adults still feel the pain 1 week after the operation, but there are some children on the second day there is no feeling of pain, the general children 3 days after the operation the pain will be gradually reduced. Surgical methods include extruding and cutting and peeling; the extruding and cutting method only takes a few minutes to complete, and the postoperative pain is relatively mild; peeling method is mainly applicable to adults, but children can also be used, such as if the tonsil gland is particularly small, tonsil adhesion, etc., you have to use this method, the patient can be under general anesthesia or local anesthesia for the operation, and children are usually used in general anesthesia to stop bleeding and postoperative recovery, so as to stop bleeding and postoperative recovery. in order to stop bleeding and postoperative recovery.

Host: Ms. Qiu of Bengbu, whose daughter's tonsils are often inflamed, wants to have her tonsils removed but is afraid that her voice will be hoarse after she has had them cut, she is very talented in the arts, and once they are cut off, she is afraid that it will affect her child's singing in the future, so may I ask the expert if the surgery will affect the vocal cords? Will there be any after-effects after the surgery?

Zhang Zhenying's vocal cords are in the larynx, and the tonsils are in the pharynx, so cutting off the tonsils won't damage the vocal cords, and some children's voices become hoarse before surgery due to inappropriate use of their voices, so it's not a result of the surgery, and some children's voices are not clear before surgery, but after surgery they speak in a clearer voice, so the parents feel as if their children are changing their voices, which in fact isn't the case. That's not true.

Zhang Yamei according to the survey hoarseness of the child after fiber laryngoscopy examination found that 85% of the children are hoarse due to vocal cord nodules, hypertrophy caused by hoarseness, and tonsils are not related.

Host: Will there be any after-effects after the surgery?

Zhang Zhenying This is a small to medium-sized surgery, so there should be no after-effects after the operation.

Host: Who can't have their tonsils cut off?

Zhang Zhenying should not cut off the tonsils when the child's tonsils are in an acute attack, before and after menstruation of older children, children with problems in blood clotting mechanism, thrombocytopenia, leukemia and other children with blood diseases. Because the tonsils are not sutured after they are cut off, we don't advocate cutting off the tonsils if the child's coagulation mechanism is problematic, and if there are complications, such as glomerulonephritis in the acute stage, you can't cut off the tonsils, and also can't cut off the tonsils during the period of long-term use of hormone drugs, hepatitis recovery period, and so on.

Host: Wuhan Ms. Liu child is 4 years old, two months ago, tonsil inflammation, sore throat, high fever of 40 degrees, this situation should not be cut?

Zhang Yamei that depends on how many times he is inflamed, if he is the first inflammation, there is no need to cut out, if he is already many times inflamed, I think it can still be observed for some time, he can also be in the acute phase of inflammation to let the otorhinolaryngologists for examination.

Host: Ms. Wang from Hebei asked if the removal of the tonsils will have any effect on the child's future growth and development.

Zhang ZhenyingThe tonsils will not affect the child's growth and development, and if the tonsils are repeatedly inflamed, it will affect the child's appetite, and after the operation the child's appetite will be restored, so the child will grow faster.

Host: Mr. Meng's child in Langfang has frequent fever, redness and swelling of the throat, which has not improved with medication, can he have his tonsils removed?

Zhang Yamei he should first clarify the child in the end is not tonsil inflammation, because tonsil inflammation and upper respiratory tract infection is very similar, and may also be due to acute pharyngitis caused by, if this is the case, then even if the tonsils are cut off then it is useless, so he should first clarify the child in the end is not tonsillitis.

Host: What kind of medicine does Mr. Wang take in the early stage of tonsillitis? Is it good to take anti-inflammatory drugs often?

Zhang Zhenying acute inflammation of the tonsils is a must take medication to avoid the development of inflammation after bacterial infection, but also to let the child bed rest, drink a lot of water, in order to reduce the emergence of complications.

Host: 2 days after the operation, the child feels pain, does not eat, low fever, may I ask how to take care of after the operation?

Zhang Zhenying postoperative pain is there, but the child is lighter than adults, usually after 3 days the pain will be reduced, because each child's response to pain is not the same, so the child feels the degree of pain is also different, but this pain can still be tolerated, there is no need to take painkillers, like we give the child to eat ice cream immediately after the operation, because the ice cream is no stimulation to the postoperative period And also can stop bleeding, so the first day after surgery advocate to the patient to eat some fluids, like cold milk, etc., the second day you can give the patient to eat some warm and cold semi-fluid food, like noodles, porridge, etc., but never let the patient to eat hard things, like pancakes, fried meat, etc., because the wound needs to grow a layer of white membrane, if you eat hard things, it is easy to lead to postoperative bleeding, and pay attention to keep the oral cavity clean, and The medicine prescribed by the doctor must also be given to the patient to eat, but also let the patient rest more, also do not let the patient go to the public **** place.

Host: Will the wound not be sutured to trigger the bleeding phenomenon?

Zhang Yamei has a 10-year-old child, in the seventh day after surgery, ate a fried chicken leg, the result of the growth of the white membrane to scrape off, resulting in bleeding phenomenon in the oral cavity, the general bleeding rate of about 1%-5%, if the child's mouth has bleeding phenomenon, you should immediately go to the hospital to stop bleeding.

Host: Mr. Hou of Shanxi Province, his child's tonsils are often inflamed, but not feverish, do you need to remove them?

Zhang Zhenying inflammation without fever may be the child's body response is low, because fever is a human body response, so his child's constitution may be very weak, cut or not cut off should go to the hospital to check before making a decision.

Host: Heilongjiang Wang has pharyngitis and tonsillitis, is it true that after removing the tonsils, the pharyngitis will also be cured?

Zhang Ya Mei pharyngitis and tonsillitis are two different diseases, even after the tonsils are removed, pharyngitis will not get better, he should find a specialist doctor to treat pharyngitis.

Host: Ms. Qi in Guangzhou, acute tonsillitis if not timely treatment, will develop into chronic tonsillitis? What kind of measures should be taken if it is treated?

Zhang Zhenying acute tonsillitis, sinusitis, otitis media are the three most common diseases in pediatrics, the current treatment technology is still very good, but if not treated in time, it will be easy to combine with other complications, while the chronic tonsillitis is due to recurrent inflammation caused by, not to say that one time did not get the treatment will be converted.

Host: Mr. Wang in Nanning, just now the expert said that some people have to have 6 attacks on the tonsils a year, such a situation requires surgery, but my child has only 2 attacks a year, such a situation should be how to do it?

Zhang Yamei like this case is not need to do surgery, but his child's constitution should be very weak, so in the high incidence of infectious diseases, do not let the child to go to the public **** place, should pay attention to let the child more rest, pay attention to the child to add or subtract clothes, but also pay attention to the child's oral hygiene.

Host: Is tonsillitis contagious?

Zhang Yamei tonsillitis is not a contagious disease.

Host: Ms. Wu's child in Tianjin usually do not catch a cold, and there is no overworked time, why her tonsils will always inflammation?

Zhang Zhenying has a relationship between tonsil inflammation and individual physical factors, environmental factors, genetic factors, etc., so it does not mean that the child must have a cold or overworked before tonsillitis.

Zhang Yamei some lodging children only return home once a week, so parents will give their children to do a lot of good food, but also to take the child to play, resulting in overworked children, sometimes there is a fever, resulting in inflammation of the tonsils.