Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment questions for doctor specialist Home Care pain and fever adults pain and fever children sore throat in adults sore throat in children warning signs Complications Underlying Cause Anatomy

Abscess Retropharyngeal Home Care

Home care for a retropharyngeal abscess includes:

Abscess Retropharyngeal Pain and Fever Adults

Medications commonly used to control pain and fever in adults with a retropharyngeal abscess include:


Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.

Aspirin

Ibuprofen

Naproxen

Ketoprofen

NSAID Precautions

Abscess Retropharyngeal Pain and Fever Children

Common medications used at home for pain and fever in children with a retropharyngeal abscess include:


Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.

Ibuprofen

Naproxen

Abscess Retropharyngeal Sore Throat in Adults

Home care for a sore throat in an adult with a retropharyngeal abscess includes:

  • Avoid alcohol.
  • Avoid citrus juice.
  • Avoid hot and spicy foods.
  • Do not smoke and avoid exposure to secondary smoke.
  • Drink plenty of fluids.
  • Get plenty of rest.
  • Numb the throat pain with throat spray or lozenges.
  • Perform warm salt water gargles several times a day. Mix 1/2 teaspoon (92.5 ml) salt per cup (240 cc) of water.
  • Place a vaporizer or nebulizer in the bedroom at night.
  • Take acetaminophen or ibuprofen for pain.

Abscess Retropharyngeal Sore Throat in Children

Home care for a sore throat in a child with a retropharyngeal abscess includes:

  • Avoid citrus juice.
  • Avoid hot and spicy foods.
  • Avoid exposure to secondary smoke.
  • Drink plenty of fluids.
  • Get plenty of rest.
  • Numb the throat pain with throat spray or lozenges.
  • Perform warm salt water gargles several times a day. Mix 1/2 teaspoon (92.5 ml) salt per cup (240 cc) of water.
  • Place a vaporizer or nebulizer in the bedroom at night.
  • Take acetaminophen or ibuprofen for pain.

Abscess Retropharyngeal Warning Signs

Notify your doctor if you have a retropharyngeal abscess and any of the following:

Continue to Abscess Retropharyngeal Complications

Last Updated: Jan 4, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Abscess Retropharyngeal References
  1. Al-Sabah B, Bin Salleen H, Hagr A, Choi-Rosen J, Manoukian JJ, Tewfik TL. Retropharyngeal abscess in children: 10-year study. J Otolaryngol. 2004 Dec;33(6):352-5. [15971649]
  2. Craig FW, Schunk JE. Retropharyngeal abscess in children: clinical presentation, utility of imaging, and current management. Pediatrics. 2003 Jun;111(6 Pt 1):1394-8. [12777558]
  3. Philpott CM, Selvadurai D, Banerjee AR. Paediatric retropharyngeal abscess. J Laryngol Otol. 2004 Dec;118(12):919-26. [15667676]
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