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Neck

Tonsillitis in Children: A Guide for Parents

· Jun 18, 2025 ·

What is it?

Tonsillitis is an infection of the tonsils at the back of the throat. It is a common childhood illness and can be caused by viruses or bacteria. Tonsillitis can vary in severity and duration, ranging from mild discomfort to more severe symptoms that may require medical treatment.

What symptoms do you get?

Symptoms of tonsillitis in children may include:

  • Sore throat
  • Difficulty swallowing or pain with swallowing
  • Red and swollen tonsils
  • White or yellow patches or spots on the tonsils
  • Fever
  • Headache
  • Swollen lymph nodes in the neck
  • Bad breath
  • Hoarse voice or loss of voice

It’s essential to monitor your child’s symptoms closely and seek medical advice if they are experiencing severe symptoms or if their condition does not improve within a few days.

How is it diagnosed?

Diagnosing tonsillitis in children typically involves a physical examination by a healthcare professional. Your child’s healthcare provider will examine their throat and tonsils for signs of inflammation, redness, swelling, or pus. In some cases, a throat swab or culture may be taken to determine if the infection is caused by bacteria.

What is the treatment?

Treatment for tonsillitis in children depends on the underlying cause and severity of symptoms. In most cases, tonsillitis is caused by a virus, and antibiotics are not effective, so treatment is focused on relieving symptoms. This may include rest, plenty of fluids and over-the-counter pain relievers such as paracetamol or ibuprofen. Less commonly, the tonsillitis is caused by bacteria, and your child may require antibiotics to help clear the infection and prevent complications. It’s important to ensure your child completes the full course of antibiotics as prescribed, even if their symptoms improve before the medication is finished.

If you have any concerns about your child’s symptoms or if they are experiencing severe or persistent symptoms, seek medical advice promptly.

Congenital torticollis (Left side)

· Oct 21, 2024 ·

illustration labeled "Congenital Torticollis." It depicts a baby with a tilted head position, which is characteristic of this condition. The following features are marked: 1. Head tilted toward the affected muscle - The baby's head leans to one side, indicating the muscle contraction on that side. 2. Chin points away from contracted muscle - The baby's chin is turned away from the side with the contracted muscle. 3. Contracted SCM muscle - The Sternocleidomastoid (SCM) muscle on one side of the neck is shown as contracted, causing the tilt and turn of the head.
Congenital torticollis is a common condition affecting babies in their first few weeks. It presents as a tilting and rotation of the head and neck that is caused by tightness in the neck muscles. There may sometimes be a lump in the neck, which usually reaches maximum size within the first month and then gradually gets smaller.

Your baby’s head will tend to tilt towards the affected side, but they will look or turn away from it. The following positional techniques and stretches will help to correct this and stretch your baby’s muscles.

Congenital torticollis (Right side)

· Oct 21, 2024 ·

a baby with "right-sided torticollis," a condition where there is a noticeable tilt of the head. Specifically, the baby's right ear tilts toward the right shoulder, while the nose and face rotate to the left. This is due to tightness in the right sternocleidomastoid (SCM) muscle, which is marked in the image.
Congenital Torticollis is a common condition affecting babies in their first few weeks. It presents as a tilting and rotation of the head and neck that is caused by tightness in the neck muscles.

There may sometimes be a lump in the neck, which usually reaches maximum size within the first month and then gradually gets smaller.

Your baby’s head will tend to tilt towards the affected side, but they will look or turn away from it. The following positional techniques and stretches will help to correct this and stretch your baby’s muscles.

Neck pain

· Oct 20, 2024 ·

What is neck pain?


Neck pain can be caused by many different things, often in children and young people it is caused by growing bones and muscles becoming tight which can cause your neck and back to feel painful and sometimes stiff.

Very occasionally it can also be caused by the discs or bones of your spine but this isn’t very common in young people. In almost all cases of neck pain, it is completely safe and also very important to keep moving as best you can.

You may need to take things slowly initially or even take some pain relief but this shouldn’t be for a long period of time.

This leaflet contains some basic guidance on how to manage your neck pain. You may feel some stretching but shouldn’t feel any increase in your pain or sharp pain.

Neck and upper back anatomy

  • Cervical Curve –  the curve at the top of the spine in the neck region.
  • Thoracic Curve – located in the upper to mid-back, this curve has a more pronounced outward curve.
  • Lumbar Curve – found in the lower back, this curve curves inward.
  • Intervertebral Discs – located between each vertebra, cushioning and separating them.
  • Sacrum – located at the base of the spine, connecting the spine to the pelvis.

Acquired torticollis

· Oct 20, 2024 ·

Acquired torticollis most commonly occurs due to muscle spasms.

The muscle spasm tends to come on suddenly without any history of injury or any other symptoms such as sore throat or temperature.

There will be pain on the side of the tight muscles and the head might feel stuck or too painful to move.

If your child has suffered an injury before the muscle spasm, they should be seen in the Emergency Department.

Management

Give good amounts of pain relief regularly for the first 24-48 hours and then as required.

  • Paracetamol and Ibuprofen – dose as per the recommendation on the bottle/packet.
  • Paracetamol and Ibuprofen are even better at treating pain if you give them at the same time.
  • Give every 6 hours in the first few days.

It can be useful to put a hot or cold pack over the painful area to reduce pain and spasms.

Encourage gentle exercises frequently:

  1. Look up, look down
  2. Look side to side
  3. Stretch the ear towards the shoulder
  4. Bring the chin to the chest, and stick the chin out.

The gentle movement of the neck is important to stop the muscles stiffening up.

Things should be much improved within a couple of days. If things are not improving or there is an ongoing concern, you should speak firstly to your GP.

Things to look out for when your child has a sore neck:

  • Any fever
  • Pain or swelling on touching the neck
  • Drooling or difficulty swallowing
  • Change in voice.
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