What should I do if my child’s tonsils are often inflamed?

     Ms. Liu: My son, who is 6 years old, has had tonsillitis for the past six months or so, basically once a month, probably eating spicy or fried food before the inflammation, and with a cold, and snoring at night. What is the best way to deal with this situation? Do I need to remove my tonsils? Pan Yueli, Department of Pediatrics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine Answer: Tonsils are lymphatic tissues, and the lymphatic system develops rapidly during infancy and early childhood, so children of this age often see large tonsils. The tonsils have an immune function, which can prevent respiratory diseases from spreading downward and play a protective role. However, because children’s resistance is relatively low, and because some children have an unbalanced diet and poor nutrition, they often become infected and show inflammation of the tonsils.    If there is a fever or sore throat, it is still necessary to go to the hospital for treatment. What mom has to do is how to prevent tonsillitis normally. In general, a combination of diet and environment should be used to prevent it. You should drink more water, eat more fruits and vegetables, eat less spicy, fried and other stimulating foods, and not eat too much fish and meat all day long, and not eat too many cold things, especially sorbets and drinks. During the season of climate change or cold epidemic, mothers should add or remove clothes for their children in time and reduce the number of trips to public places. In addition, before tonsillitis, children often have some precursors, such as increased appetite, excitement and hyperactivity, sleep disturbance or clenching teeth, taste in the mouth, dry stools, yellow tongue coating, etc. At this time, mothers should pay more attention to their children’s diet, try to avoid eating things that are easy to get hot, you can take some laxatives or vitamin C to prevent infection. Normally, the tonsils shrink with age, so the number of tonsillitis in children over 10 years old will gradually decrease.    If a child does have tonsillitis more than 5D6 times a year and each time is accompanied by high fever, sore throat, pus spots on the tonsils, or when there is a possibility of complications such as arthritis, nephritis, or heart inflammation, or if the chronic tonsillar hypertrophy affects the sleeping eyes and snoring severely, removal of the tonsils can be considered. However, the general age of surgery should be after 5 years old.