The tonsils are often referred to as the palatine tonsils, which are located in the tonsillar fossa between the front and back palatal arches on both sides of the pharynx. There are many other tonsils in the pharynx, and the lymphatic tissues gathered into a mass are called tonsils, including pharyngeal tonsils (i.e. adenoids), pharyngeal tonsils, etc. The palatine tonsils are the largest lymphoid tissue in the pharynx. When normal, the tonsils are not visible, or they may be slightly enlarged. In acute cases, they are often red or obviously enlarged, and in prolonged or recurrent cases, they are enlarged and pale. The palatine tonsil can be divided into two parts: the medial (free edge) and the lateral (deep). The inner part is covered with mucosa, and the mucosal epithelium sinks into the tonsils to form 6 – 20 cryptic foci, which are easy for bacteria and viruses to stay and multiply, forming “foci” of infection. Food debris is also easily retained in the enlarged tonsillar crypt. When a lesion occurs, secretions accumulate on the surface of the tonsils, so there is a phenomenon of suppuration on the surface. Why are children prone to tonsillitis? Children are not yet mature, their defense mechanism is not yet sound, coupled with the inappropriate regulation of the day, it is easy to feel the wind and cold evil attack, wind, cough and other symptoms. The tonsils are the gateway to the pharynx, so it is very easy to cause tonsillar lesions. How to treat enlarged tonsils? Enlarged tonsils mostly appear along with colds and flu, so it is important to actively prevent and treat them first. Acute onset and chronic lesions with snoring, nasal congestion, etc. (possibly accompanied by enlarged adenoids) should be actively treated. To prevent and treat enlarged tonsils, it is necessary to actively treat colds. In the early stage of cold disease with sticky or yellow sputum and snot, it is mostly wind-heat; sputum and snot with thin and white tongue, it is mostly wind-cold; sputum and snot with yellow and red tongue for a long time, it is lung-heat; sputum and white color are mostly phlegm-damp. According to different types of evidence to choose drugs. Most of the Chinese medicine cold medicine, mostly for the treatment of wind-heat cold, such as silver yellow granules, double yellow Lian oral liquid, pediatric antiviral oral liquid, etc.. If the wind-cold type can be decocted ginger soup to take at the beginning, if the wind-cold will also turn into heat and appear phlegm sticky yellow and other evidence, then it is not suitable to use ginger soup. Some children who have recovered from cold but their swollen tonsils do not go away can be treated with Chinese herbal medicine that strengthens the spleen, dissolves phlegm and disperses knots. The swollen tonsils are not flat on the surface, which is difficult to subside. The treatment with medicine should be accompanied by a light diet and avoid spicy and stimulating foods. During the period of illness, you can rinse your mouth with light salt water. After eating, you can rinse your mouth with water to clean it. Should I have my tonsils removed? Some children have recurrent enlarged tonsils, do they need to be removed? It depends on the specific situation. The tonsils are an active immune organ in childhood and should be treated aggressively first, observing symptoms (such as snoring, nasal congestion, etc.) and changes in the size of the tonsils during treatment. If the tonsils are often enlarged and affect the child’s breathing, and if snoring is evident during sleep (in some cases with enlarged adenoids) and does not improve after treatment, surgery may be considered if necessary. What should I do to prevent tonsillitis? Children can be prevented from developing tonsillitis with proper care. This includes eating well, not being too hungry or too full, and regulating cold and temperature, usually by gradually adding or subtracting clothes with the seasons, not too much at once, except for sudden changes in weather. Children have a lot of activities, should not wear too much too thick, so as not to sweat when the wind, counterproductive. Of course, each child is different, and parents need to constantly observe the guidance. In addition, to ensure adequate sleep time will help children’s physical fitness to enhance immunity to improve.