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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Be The Reason For Discomfort In Child S Throat?

hi my name is allison mackey i am online to find what my 13 year old dauther tanya has wrong with her throat her tonsills are red with little ball patchs on and she finds it hard to sawoolow anything she has a frever or somtimes even ends up having hot or cold flushs she also get bads head aches with her throat aswell as a runny or stuffy nose somtimes it makes her feal sick or she does not eat alot because her throat herts her so much so can you please tell me what she might have and if their is more than one what one is the most likely for her and the symptoms she has been getting
Fri, 30 Oct 2015
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Pediatrician, Infectious Diseases,  's  Response
Hi Allison, your daughter seems to be having either an EBV infection (infectious mononucleosis) or a Strep throat. Other possibilities which seem less likely are diphtheria and bacteria apart from strep.
I would advise you to get a throat swab done for RADT to see if strep bacteria is present. If the RADT is positive, start her on Amoxicillin for 10 days
If RADT is negative, she should get a throat C/S done, and an EBV VCA antigen (or a MonoSpot test) to check for mononucleosis.
For her symptomatic relief:
1. Warm saline gargles 5 times a day (very good relief with this)
2. Lozenges to suck on
3. Warm fluids like soups and porridge to nourish her if she cant take solid food
4. Paracetamol for the headache and fever
If the fever and white patches persist in spite of the above, I suggest you see a pediatrician to rule out rarer causes.

Hope she gets better soon.
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What Can Be The Reason For Discomfort In Child S Throat?

Hi Allison, your daughter seems to be having either an EBV infection (infectious mononucleosis) or a Strep throat. Other possibilities which seem less likely are diphtheria and bacteria apart from strep. I would advise you to get a throat swab done for RADT to see if strep bacteria is present. If the RADT is positive, start her on Amoxicillin for 10 days If RADT is negative, she should get a throat C/S done, and an EBV VCA antigen (or a MonoSpot test) to check for mononucleosis. For her symptomatic relief: 1. Warm saline gargles 5 times a day (very good relief with this) 2. Lozenges to suck on 3. Warm fluids like soups and porridge to nourish her if she cant take solid food 4. Paracetamol for the headache and fever If the fever and white patches persist in spite of the above, I suggest you see a pediatrician to rule out rarer causes. Hope she gets better soon.