Childhood Diseases

Posted by: KC | 2009-06-17



Hi Dr
My little boy of 19 months has had tonsillitis four times this year. He finished his last course of antibiotics last week and was clear for three days but after two days of very high fevers I took him to the Dr and he has tonsillitis again and is now on his second course of antibiotics this month.
I have a few questions. Firstly, he is in alot of pain. I saw the back of his throat at the Dr' s and it looks awful so I can only imagine how painful this is for him. He is also battling with fever. I am alternating between panado paed drops and nurofen for pain and empaped suppositorys to bring down the temp. I am having to give him something every three hours which according to the dosage instructions exceeds the amount allowed in a 24 hour period. Is this safe? Can I offer him anything else for pain and fever?
Secondly, I know tonsillitis is a viral or bacterial infection but could children with reflux be more prone to infection?
And lastly, is there any way of preventing a re infection? I am currently giving him creche guard to build his immune system as he has just started play group two mornings a week.
Thank you so much for your advise, it is most appreciated.

Expert's Reply



Your son is really having a problem with tonsillitis and has easily exceeded the number of episodes of tonsillitis in one year which would be an indication that he needs to have his tonsils removed. He is also getting very ill with each new episode which is of concern.He should be seen by an ENT specialist as soon as possible.
In the meantime it is wise to only use the safest medicines to treat pain and fever so Panado and Empaped are recommended. Give him a probiotic such as Probiflora children's daily for 10 days to boost his immunty and counter the effects of all of the antibiotics he has had lately.

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