Tonsillitis is inflammation of the tonsils, most often due to viral or bacterial infection. Recurrent or complicated cases benefit from specialist evaluation to decide between medical management and tonsillectomy.
Symptoms
Painful sore throat with difficulty swallowing
Enlarged, red tonsils sometimes with white patches
Fever and swollen neck glands
Bad breath and reduced appetite
Snoring or disturbed sleep in children
Causes
Viral infection (most common)
Bacterial infection, especially Streptococcus
Recurring exposure in school or crowded environments
Diagnosis
Throat examination and rapid strep test when required
Throat swab culture for recurrent cases
Assessment for sleep-disordered breathing in children
Treatment
Supportive care, hydration and pain relief for viral cases
Antibiotics for confirmed bacterial infection
Tonsillectomy for recurrent, chronic or obstructive cases
Prevention
Good hand hygiene at home and at school
Avoid sharing utensils during infections
Manage allergies that irritate the throat
Follow up on frequent episodes rather than repeating antibiotics
Recovery
Acute episodes settle within 5–10 days. After tonsillectomy, most patients return to normal diet and activity within 10–14 days, with clear post-op instructions and follow-up.
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Answers
Tonsillitis — questions patients ask
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Typically after 5–7 significant infections a year, or when tonsils cause snoring, sleep apnea or repeated abscesses.
There is throat discomfort for about a week, well-controlled with medication and a soft diet.
No. Other parts of the immune system fully compensate; children often get sick less often afterwards.