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What is the treatment for tonsil pus in children and when is inflammation dangerous?
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Reviewed by: Dr. Nafi bin Saleh, general pediatrician

One of the most difficult cases that come to pediatricians is tonsillitis, which requires an organized and rapid protocol. Studies have shown that treating tonsil pus in children quickly and correctly protects the child from many health problems later on. Therefore, through this article, we will learn about the most important methods of treatment with medications and control at home, and what are the cases that are considered dangerous in tonsillitis.

Treatment of tonsil pus in children without antibiotics

In some cases, the doctor may resort to treating tonsil pus in children without an antibiotic. These are cases resulting from viral infections. There is no need for antibiotics at all because they eliminate bacteria, not viruses. There are some symptoms that confirm that tonsil pus is the result of a viral infection, and the most important of these symptoms are:

  • Sore throat.
  • Strong cough.
  • Runny nose or runny nose.
  • Slight rise in temperature.
  • Slight redness in the throat without many pus spots appearing.


If the doctor is sure that the pus is not the result of a bacterial infection, he should treat the symptoms only with analgesics or fever reducers such as paracetamol or ibuprofen, along with gargling with water and salt, or antiseptic gargling to reduce inflammation or pus. Diagnosis and treatment must be under the supervision of the doctor to make an appropriate plan after knowing the cause of the pus.

Read also: How to treat fever in children

Treating tonsil pus in children with medications

Tonsil pus in children is treated with medications, as they are the basis so that no complications occur to the child, in addition to home treatment to relieve the severity of the symptoms resulting from the inflammation. Below we learn about the most important medications for treating pus:

Antibiotic treatment

If a child has a bacterial infection, such as strep throat, the doctor resorts to antibiotic treatment to prevent complications and eliminate bacteria, the most important of which are:

  • Penicillin V: It is the first treatment to get rid of strep throat and prevent the child from later developing rheumatic fever.
  • Azithromycin: It is used as an alternative medicine to penicillin, and is given to the child in the form of a syrup for 5 days.
  • Amoxicillin: It is also an alternative to penicillin and is given for a week or 10 days depending on the severity of the disease.
  • Cephalexin: It is a powerful and effective antibiotic in treating tonsil pus in children and in the case of severe inflammation.

Treatment with pain relievers

Treatment with pain relievers is effective in treating symptoms of pus, such as fever and pain resulting from inflammation, and includes paracetamol and ibuprofen anti-inflammatory drugs. 

Congestion relief medications

It is necessary for the doctor to recommend medications to relieve throat congestion and swelling, including throat sprays such as Tenoral spray, which contains an antiseptic and numbs the affected area to relieve pain.

Book your consultation now at Pediatric Center At Al Mousa Specialist Hospital.

Treatment of tonsil pus in children


The doctor also recommends some types of throat antiseptic lozenges, such as Strepsils, which are used for older children who are able to suck them without fear of suffocation.

Home remedies and supplements

Among the ways to treat tonsil pus in children is home treatment to control the annoying symptoms of the infection, the most important of which are:

  • Gargle with warm water and salt.
  • Drink warm fluids to relieve congestion.
  • Take honey and lemon as supplements to strengthen the child's immunity and act as antibacterial. 

The best antibiotic to treat tonsillitis in children

Penicillin V is considered by doctors to be the best antibiotic for treating tonsillitis in children. It is the first line of defense in the case of tonsillitis resulting from a bacterial infection such as strep throat. This antibiotic is taken for 10 days to prevent any serious complications for the child later, such as rheumatic fever.

If a child is infected with tonsil pus, doctors at Al Mousa Specialist Hospital perform a complete diagnosis of the child through the necessary tests and a clinical examination to determine the appropriate antibiotic. Choosing the best antibiotic depends primarily on the type of bacteria causing the infection. 

Read also: The best ways to treat children's cough according to age and type of cough

When is tonsillitis dangerous?

Tonsillitis is dangerous in some cases, especially when tonsillitis in children is treated incorrectly. The doctor is the one who decides the seriousness of the condition. There are some signs that show whether tonsillitis is serious or not, and they include the following:

  • Finding severe difficulty swallowing prevents the child from eating or drinking fluids, causing him to become dehydrated.
  • If the child suffers from repeated vomiting, this is a sign of rheumatic fever.
  • Severe high temperature (more than 39 degrees Celsius) and not reduced by painkillers.
  • The child feels a lump in the throat until he is unable to move the neck.
  • Severe swelling in the neck with pain, which means there is inflammation of the lymph nodes.
  • The child's mouth odor becomes very unpleasant, accompanied by purulent secretions.

Tonsil pus in children is treated at Al Mousa Specialist Hospital with the best therapeutic medications, in addition to the great attention and follow-up of the child’s condition from doctors. One of the most important features is that the doctor may recommend to parents that the child needs to have his tonsils removed in severe and recurring cases, which protects the child from developing many health problems and future complications.

اسئلة شائعة

We are still learning more about ways to treat tonsil pus in children by answering some common questions that we receive from our followers: 

When does tonsil pus subside?

The tonsil pus usually subsides within a period of one week to 10 days in the case of a viral infection, but in the case of a bacterial infection it subsides within 5 days, and the matter, of course, varies from one case to another.

Does tonsil pus cause cough?

Yes, in some severe cases due to infection, the respiratory system is affected, resulting in a strong cough in children, so the child needs treatment for a cough with pus.

How do I remove pus from almonds?

Pus can be removed from the tonsils through drug treatment for inflammation, which depends on antibiotics in the case of bacterial infection, along with analgesics and antipyretics, and it is preferable to use an antiseptic mouth gargle.

What does a tonsil pus patient eat?

The best thing for a tonsillitis patient to eat is mashed foods with warm chicken soup, and some mashed fruits such as bananas, avocados, and boiled apples.

What are the harms of tonsil pus?

The most prominent damage to tonsil pus is local complications in the throat, such as abscesses and the spread of infection in the larynx, as well as complications in the body, such as rheumatic fever, acute kidney infection, and respiratory problems due to enlarged tonsils.

Sources and references

Pediatric Tonsillitis – yalemedicine

Tonsillitis and sore throat in children– pmc

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