sore throat, enlarged tonsils, no fever

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Hi everyone. I am in an elementary school here and we have been seeing a lot of sore throats recently. Today I saw a child with a sore throat whose tonsils were definitely large but he had no pus on them, no fever and no tender/swollen glands. Gave him some ice water which helped with the throat pain and I was thinking to call/send a note to mom (whom I know but not well) and let her know but wasn't planning on sending him home. The child is 5 and is in good spirits.

Thoughts? Should I have done anything else?

thanks everyone for being my mentors since I'm in my district all alone.

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Specializes in Dialysis.

The child probably has post nasal drip, making his throat sore. Sometimes tonsils grow and are chronically large. That was the case with me. I had horrible snoring problems and often got sore throats and ear infections.

I was in my 20s when they were finally removed. Snoring and ear infections are gone. Doctors don't like to remove them unless there is chronic infections.

You did the right thing. Document, send a note. The parent and doctor are probably already aware.

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Specializes in school nursing, ortho, trauma.

i agree - probably post nasal drip. Usually i just encourage fluids and recommend to the kiddos to have a nice hot cup of tea when they get home.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

If the child is acting ok and afebrile it's just a little sore throat.....post nasal drip, congestion. Send a note to Mom but cold water, ice pops are a good fix! :)

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