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Bạn đang xem: My 6-year-old daughter has visible blood vessels on tonsils with no symptoms. Is it a matter of concern?
I have had a look at the pictures you have sent (attachment removed to protect patient identity). The tonsils are definitely enlarged in this case, there is no doubt about it. The tonsils have a very rich blood supply and are relatively avascular structure. It is normal to encounter leash of blood vessels over the tonsil or its adjacent areas like the anterior and posterior pillars (these are two walls in between which the tonsils reside).
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Unless and until the tonsils are inflamed and the child is symptomatic, we do not need to give any sort of antibiotics as it is not indicated. At the same point of time, enlarged tonsil indicates possible previous episodes of recurrent tonsillitis as a result of which the tonsillar tissues get hypertrophied and attains a larger size.
It is always better to maintain strict oral hygiene, do saltwater gargles five to six times a day at regular intervals. Avoid anything cold, spicy, and oily food/beverages. Maintaining precautionary measures definitely goes a long way in preventing recurrent sore throats or streptococcal infections.
However, in a situation where the child is having recurrent sore throats with associated fever, significant leaves from school, it is always better to get the tonsils removed. There are criteria given by aao-hns (American association of otorhinolaryngologists and head and neck surgeons) who have laid down criteria for a patient to undergo tonsillectomy.
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In nutshell, visible blood vessels over the tonsils or related adjacent structures is not a worry as it is very common and seen in health and have not pathology related to it.
Sticking of the uvula to the right tonsil is due to surface tension of the saliva and enlarged size of the tonsil. This again has no clinical significance. There is absolutely nothing that you need to worry or get stressed about. Make sure you advise the child to follow the instructions that I have given above to prevent recurrent sore throats. In addition, she can also use crushed ginger with manuka honey (you can add crushed ginger and honey in a cup and give it together one tablespoon three times a day). Honey has excellent antioxidant, antiviral, antibacterial properties and so does ginger.
I hope this helps.
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