Patient: Hello doctor, my child had a cough and sore throat a week ago, and after hanging on to water for a few days, her cough has basically cleared up, but I found a rice-grain sized white indented bubble in her throat near her tonsils, similar to the kind that develops when she has a mouth ulcer. I’m not sure if it’s serious, but can it cause a fever and should I take any medication? I’d like to ask her if this is tonsillitis, can it cause fever and how to treat it?
Expert: According to your description, this is a discharge from the tonsil crypt, not tonsillitis. A cold can cause a sore throat, which is caused by pharyngitis. It can be cured by taking oral antibiotics.
Patient: Thank you for your reply.
Patient: Hello, there is a yellow discharge from the crypt under the tonsils of my child (more and less in the past two days). The child is in good spirits and her throat does not hurt, should she take any medicine?
If the yellow particles are large and cause a foreign body feeling in the throat, you can go to the hospital to pick it out.
Patient: Thank you very much!
Patient: I have another question for you, is it okay to gargle with a little salt in boiling water? Do I need to rinse my mouth like this often, or should I rinse with water?
Expert: Gargling with water is fine, you don’t need to use salt water because you don’t know how much salt to put is the concentration of saline.
Patient: Thank you for your pointers.
Patient: Hello, I’m here to bother you again. The yellow discharge disappeared after my child ate Gua Zi Jin granules for two days, but yesterday I found that the discharge appeared again in the crypt (without sore throat and redness). Do I still need to give her medicine? She is always like this I am really worried about …… experts: no relationship, do not pay special attention. However, if there is a sore throat phenomenon need to go to the hospital to see, there may be inflammation, otherwise no need to use medicine.
Patient: Thank you for your guidance! Will those discharges go away by themselves without medication?
Specialist: It will come off on its own if it is big.
Patient: Thank you. I’m sorry for always bothering you. The discharge came off on the 6th, but it’s back today. It’s always recurring.
Specialist: It’s not inflammation, it’s recurring.
Patient: Thank you for your advice. The discharge in the small crypt came off yesterday, but this morning there was a yellow peg like a small grain of rice at the opening of the right tonsil crypt. (Because my child is recovering from allergic purpura, any infection may trigger this disease, so I am worried as long as there is a little problem with the throat, I am afraid it will become inflamed) Now I am really nervous, I hope you do not mind, thank you.
Expert: Tonsillitis has symptoms, such as sore throat and fever, and is not based on the presence or absence of secretions at the mouth of the crypt.
Patient: Thank you very much for your tireless guidance!