When a child has a sore throat, swollen tonsils, and refuses to eat, it’s often a zápal mandlí, inflamace mandlí způsobená virovou nebo bakteriální infekcí, která je jednou z nejčastějších dětských nemocí. Also known as angína, it’s not just a sore throat—it’s a signal that the body is fighting off something. Many parents panic when they see red, swollen tonsils with white spots, but not every zápal mandlí needs antibiotics. In fact, up to 80% of cases in children are viral and will clear up on their own in 5–7 days.
So how do you tell if it’s just a virus or something more serious? Look for bolest hrdla, intenzivní bolest při polykání, která často přechází do uší a způsobuje odmítnutí jídla, high fever over 38.5°C, swollen neck lymph nodes, and refusal to eat or drink. If the child also has a runny nose or cough, it’s likely viral. But if the fever spikes suddenly, there’s no cough, and the child looks very unwell, it might be strep throat—a bacterial infection that does need antibiotics.
Don’t rush to the pharmacy. léčba angíny, zahrnuje klid, dostatek tekutin a mírné protizánětlivé přípravky, pokud je dítě v bolesti is not about killing germs—it’s about helping the body heal. Offer cold drinks, ice pops, soft foods like yogurt or mashed potatoes. Avoid citrus or spicy foods that sting. If the child is drinking enough and the fever comes down with paracetamol or ibuprofen, you can usually wait a few days before seeing a doctor. But if they’re not drinking, have trouble breathing, or the fever lasts more than 4 days, get help.
Many parents think antibiotics are the only solution, but overusing them makes future infections harder to treat. A simple zápal mandlí doesn’t always mean a bacterial infection. Your doctor will check for strep with a quick swab test—not guess. And if it’s viral? Rest, fluids, and patience are the best medicine.
What you’ll find here are real stories from parents who’ve been there: how to tell if it’s just a cold or something worse, what to do when your child won’t swallow a spoonful, how long the fever lasts, and when you really need to call the doctor. No fluff. No fearmongering. Just clear, practical advice for when your child’s throat hurts and you need to know what to do next.