Understanding Tonsillitis

A Comprehensive Guide to Symptoms, Causes, and Treatment

Pediatrics

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Last updated: Mar 24, 2025

What Are the Tonsils?

Your tonsils are two oval-shaped masses of tissue located at the back of your throat. They form part of your body's immune system, helping to fight infections.

What is Tonsillitis?

Tonsillitis is an inflammation of the tonsils, typically caused by an infection. The condition can affect people of any age but is most common in children aged 5-15 years.

Common Symptoms

  • Sore throat
  • Difficulty swallowing
  • Swollen, red tonsils
  • White or yellow patches on the tonsils
  • Fever
  • Bad breath
  • Swollen lymph nodes in the neck
  • Headache
  • Fatigue

Causes

Viral Infections (Most Common)

  • Common cold viruses
  • Epstein-Barr virus (causing mononucleosis)
  • Adenovirus

Bacterial Infections

  • Group A Streptococcus (strep throat)
  • Other bacterial species

Diagnosis

  • Physical examination
  • Throat swab
  • Rapid strep test
  • Blood tests (if needed)

Treatment Options

For Viral Tonsillitis

  • Rest
  • Hydration
  • Over-the-counter pain relievers
  • Saltwater gargles

For Bacterial Tonsillitis

  • Antibiotics (usually penicillin or amoxicillin)
  • Complete full course as prescribed

When Surgery (Tonsillectomy) May Be Needed

  • Frequent recurring infections
  • Chronic tonsillitis
  • Breathing or swallowing difficulties
  • Sleep apnea related to enlarged tonsils

Prevention

  • Good hand hygiene
  • Avoiding close contact with infected individuals
  • Regular replacement of toothbrushes
  • Maintaining a healthy immune system

When to Seek Medical Care

  • Severe throat pain
  • Difficulty breathing or swallowing
  • High fever
  • Symptoms lasting longer than 4 days
  • Unable to eat or drink

Recovery Tips

  • Get plenty of rest
  • Stay hydrated
  • Use throat lozenges
  • Eat soft, cool foods
  • Avoid irritants like smoking

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