cold in the head and a running nose, or when its stomach is out of
order. Any condition in which the child should be carefully watched and
tended to, rather than allowed further liberties, or risks, conduces to
sore throat of some kind.

Some children have the disease a number of times; they seem to be
predisposed toward a sore throat. These are children who have large
tonsils or who are rheumatic. The tonsils should be removed in the one
case, and the tendency to rheumatism should be the main treatment in the
other case.

These children should be encouraged to cleanse the throat and nose
morning and night with a warm salt solution (half a teaspoonful of
ordinary table salt to three-quarters of a cup of warm water). This will
help greatly to prevent these chronic sore throats.

Symptoms of Tonsilitis.--The disease begins suddenly. The child may
have a chill or be seized with sudden vomiting or diarrhea. A very young
infant may have a convulsion. The usual way is for the child to develop
a fever quickly, to complain of being sick and tired. Muscular pains all
over the body and a severe headache are constant symptoms. The
fever is usually high from the beginning. The child will tell you its
throat is sore, but there is as a rule very little pain in the throat.
The little spots or patches can be seen on one or both tonsils. The
general symptoms are more pronounced than the local throat symptoms. The
amount of physical depression that is caused by a tonsilitis is out of
all proportion to the seriousness of the disease.

Tonsilitis lasts three days usually. The throat symptoms may take a day
or two longer to clear up, and the patients feel more or less weak for
some time after all the symptoms have disappeared.

Tonsilitis is medically regarded as one of the mild diseases of
childhood. It is, however, of very great importance because of its
likeness to diphtheria, and inasmuch as a positive diagnosis must be
promptly made, in the interest of the patient, it is given close
attention and treated with considerable respect by the medical
profession. The chief differences between the two diseases are as
follows:

Tonsilitis begins abruptly with pronounced prostration and a high fever
the first day. The patient feels distinctly sick all over. The second
day the patient feels somewhat better, the fever is lower and the
prostration and pain are not so marked. The third day he feels better
still, and but for a little weakness