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Tonsillitis

Tonsillitis is an inflammation of the tonsils, the two oval-shaped lymph nodes located at the back of the throat. The condition can be caused by either a viral or bacterial infection.

While tonsillitis can affect anyone, it is more common in children, although adults can experience it as well.

If you or your child are experiencing symptoms of tonsillitis, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.

Close up of young woman rubbing her inflamed tonsils, tonsillitis
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Is Tonsillitis Contagious?

Tonsillitis itself is not directly contagious, but the infections that cause it can be. Both viral and bacterial infections that lead to tonsillitis can spread from person to person.

Viral tonsillitis is often caused by viruses such as those responsible for the common cold or flu, and these viruses can be spread through respiratory droplets from coughing or sneezing.

In contrast, bacterial tonsillitis is typically caused by bacteria like Streptococcus (strep throat), which can be transmitted through close contact with an infected person, such as by sharing utensils or through respiratory droplets.

Standard Symptoms

If you have tonsillitis, you can expect any of the following symptoms:

  • Bad Breath: Foul-smelling breath due to the infection.
  • White Or Yellow Coating: Patches or spots of pus on the tonsils.
  • Fever: Elevated body temperature often accompanies the condition.
  • Swollen Tonsils: Enlarged tonsils that may appear red and swollen.
  • Sore Throat: A persistent sore throat that can make swallowing painful.
  • Difficulty Swallowing: Pain or difficulty when swallowing food or liquids.
  • Headache And Ear Pain: Discomfort that can extend to the ears and head.
doctor
Serious doctor with arms crossed

Symptoms Needing Immediate Attention

It is highly advisable to see a doctor if you experience:

  • Persistent Symptoms: Symptoms last longer than a week despite over-the-counter treatments.
  • Severe Symptoms: Symptoms such as a high fever, severe sore throat, or difficulty breathing or swallowing are present.
  • Recurrent Tonsillitis: You or your child experience frequent bouts of tonsillitis, which could indicate a need for further evaluation.
  • Complications: Signs of complications such as difficulty breathing, drooling (in children), or a swollen neck that does not improve should prompt immediate medical attention.

Tonsillitis Treatment

Tonsillitis can be acute (short-term) or chronic (long-term), and its treatment depends on the underlying cause. For bacterial tonsillitis, antibiotics are typically required, whereas viral tonsillitis usually resolves on its own with supportive care.

Over-the-counter pain relievers and throat lozenges can help alleviate discomfort, while hydration and rest support recovery. In some cases, particularly with chronic or severe tonsillitis, a tonsillectomy (a surgical procedure to remove the tonsils) may be recommended.

Woman doctor pointing
Woman doctor taking notes

Nutritional Considerations

Managing your diet can help alleviate symptoms and support recovery from tonsillitis. Opt for soft, easy-to-swallow foods like soups, mashed potatoes, and yogurt to avoid irritating a sore throat.

Drinking plenty of fluids, such as water, herbal teas, and broths, is important to keep the throat hydrated and aid in recovery. It is also crucial to steer clear of spicy, acidic, or rough-textured foods that can exacerbate throat discomfort.

Viral Causes Of Tonsillitis

  • Adenoviruses.
  • Influenza viruses.
  • Common cold viruses (like rhinoviruses).
  • Epstein-Barr virus (which causes mononucleosis).
Doctor with stethoscope
woman doctor explaining

Bacteria Leading To Infection

  • Staphylococcus aureus.
  • Haemophilus influenzae.
  • Streptococcus pyogenes (Group A Streptococcus), which causes strep throat.

Statistics​

of people have a sore throat in any three-month period
0 %
of people visit a doctor for tonsillitis each year
0 %
of All Doctors in the UK are GPs
0 %
GPs per 10000 people in the UK
0

What to do next

If you are suffering with symptoms of tonsillitis, come and speak to one of our doctors who can help you manage symptoms and advise you on the best methods of treatment.

Treatments

We work with experienced consultants & healthcare professionals who have received positive feedback from our patients, and with whom we have established long-term relationships.

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Dr Mohammad

Dr Mohammad Mohseyni

Senior General practitioner

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I think I have tonsillitis. What will the doctor do?
The doctor will examine your throat and ask you about your symptoms. A throat swab may be taken to confirm the diagnosis, with results usually available within a few days. A throat swab will also help confirm that any antibiotic that has been prescribed is appropriate for your particular infection-causing bug.
What kinds of foods can I give a child with tonsillitis?
A higher intake of fluids can soothe the symptoms of tonsillitis. In addition, soft foods such as pasta, rice, pudding, yogurt, or soups can be helpful.
What kinds of foods should I avoid in a case of tonsillitis?
Juices that are acidic can make symptoms worse, so avoid orange juice, grapefruit juice, and lemonade. Also best to avoid are crunchy foods that may scratch or irritate the throat.

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