Tonsillitis in Children: Care Instructions
Overview
Tonsillitis is an infection or inflammation of the tonsils that is caused by bacteria or a virus. The tonsils are in the back of the throat and are part of the immune system. Tonsillitis typically lasts from a few days up to a couple of weeks.
Tonsillitis caused by a virus usually goes away on its own. Tonsillitis caused by the bacteria that causes strep throat is treated with antibiotics. You and your child's doctor may consider surgery to remove the tonsils if your child has complications from tonsillitis or repeat infections. This surgery is called tonsillectomy.
Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.
How can you care for your child at home?
- If the doctor prescribed antibiotics for your child, give them as directed. Do not stop using them just because your child feels better. Your child needs to take the full course of antibiotics.
- Ask your doctor if your child can take over-the-counter pain medicines, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin). Do not use ibuprofen if your child is less than 6 months old unless the doctor gave you instructions to use it. Be safe with medicines. Read and follow all instructions on the label. Do not give aspirin to anyone younger than 18. It has been linked to Reye syndrome, a serious illness.
- Do not give your child two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful.
- Have your child gargle with warm salt water several times a day to help reduce swelling and relieve pain. Mix 1/2 teaspoon (2.5 mL) of salt in 1 cup (250 mL) of warm water. Most children can gargle when they are 6 years old.
- Have your child drink plenty of fluids. Fluids may help soothe the throat. Your child can drink warm or cold liquids (whichever feels better). These include tea, soup, ice, and flavoured ice pops (such as Popsicles).
- Help your child get plenty of rest.
- Place a cool-mist humidifier by your child's bed or close to your child. Follow the directions for cleaning the machine.
When should you call for help?
Call your doctor or nurse advice line now or seek immediate medical care if:
- Your child has any trouble breathing.
- Your child has new pain, or pain that gets worse on one side.
- Your child has new or worse trouble swallowing.
- Your child has a fever with a stiff neck or a severe headache.
- Your child seems to be getting sicker.
Watch closely for changes in your child's health, and be sure to contact your doctor or nurse advice line if:
- Your child does not get better as expected.
Where can you learn more?
Go to https://www.healthwise.net/patientEd
Enter E491 in the search box to learn more about "Tonsillitis in Children: Care Instructions".
Current as of: September 27, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.