Learn About Tonsillitis

What is the definition of Tonsillitis?

Tonsillitis is inflammation (swelling) of the tonsils.

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What are the alternative names for Tonsillitis?

Sore throat - tonsillitis

What are the causes of Tonsillitis?

The tonsils are lymph nodes in the back of the mouth and top of the throat. They help to filter out bacteria and other germs to prevent infection in the body.

A bacterial or viral infection can cause tonsillitis. Strep throat is a common cause.

Strep throat

The infection may also be seen in other parts of the throat. One such infection is called pharyngitis.

Tonsillitis is very common in children.

What are the symptoms of Tonsillitis?

Common symptoms may be:

  • Difficulty swallowing
  • Ear pain
  • Fever and chills
  • Headache
  • Sore throat, which lasts longer than 48 hours and may be severe
  • Tenderness of the jaw and throat

Other problems or symptoms that may occur are:

  • Problems breathing, if the tonsils are very large
  • Problems eating or drinking
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What are the current treatments for Tonsillitis?

Swollen tonsils that are not painful or do not cause other problems do not need to be treated. Your provider may not give you antibiotics. You may be asked to come back for a checkup later.

If tests show you do have strep, your provider will give you antibiotics. It is important to finish all of your antibiotics as directed, even if you feel better. If you do not take them all, the infection can return.

The following tips may help your throat feel better:

  • Drink cold liquids or suck on fruit-flavored frozen bars.
  • Drink fluids, and mostly warm (not hot), bland fluids.
  • Gargle with warm salt water.
  • Suck on lozenges (containing benzocaine or similar ingredients) to reduce pain (these should not be used in young children because of the choking risk).
  • Take over-the-counter (OTC) medicines, such as acetaminophen (Tylenol) or ibuprofen to reduce pain and fever. DO NOT give a child aspirin. Aspirin has been linked to Reye syndrome.

Some people who have repeated infections may need surgery to remove the tonsils (tonsillectomy).

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What is the outlook (prognosis) for Tonsillitis?

Tonsillitis symptoms due to strep will often get better within 2 or 3 days after you start the antibiotics.

Children with strep throat should be kept home from school or day care until they have been on antibiotics for 24 hours. This helps reduce the spread of illness.

What are the possible complications of Tonsillitis?

Complications from strep throat may be severe. They may include:

  • Abscess in the area around the tonsils
  • Kidney disease caused by strep
  • Rheumatic fever and other heart problems
When should I contact a medical professional for Tonsillitis?

Call your provider if there is:

  • Excess drooling in a young child
  • Fever, particularly 101°F (38.3°C) or higher
  • Pus in the back of the throat
  • Red rash that feels rough, and increased redness in the skin folds
  • Severe problems swallowing or breathing
  • Tender or swollen lymph glands in the neck
Lymphatic system
Throat anatomy
What are the latest Tonsillitis Clinical Trials?
Infectious Diseases Experts as Part of the Antibiotic Stewardship Team in Primary Care: Protocol for a Cluster-randomised Blinded Study (IDASP)

Summary: A cluster-randomised multicentre blinded clinical trial will be performed in six primary care centres located in the southern metropolitan area of Barcelona (Spain). The objective is to assess whether including experts on infectious diseases (ID) within the antimicrobial stewardship (AMS) team of primary care achieves higher reductions on overall antibiotic consumption and increases the quality of...

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Opioid-Free Versus Transitional Anesthetic With Opioids From Tonsillectomy

Summary: Prospective randomized controlled trial to determine if opioid-free anesthetic for tonsillectomy is non-inferior to standard opioid-containing anesthetic

What are the Latest Advances for Tonsillitis?
Non-prescription treatments for childhood infections: an Austrian, monocentric, cross-sectional questionnaire study.
Flavonoids for Treating Viral Acute Respiratory Tract Infections: A Systematic Review and Meta-Analysis of 30 Randomized Controlled Trials.
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Immediate or interval abscess tonsillectomy? A systematic review and meta-analysis.
Who are the sources who wrote this article ?

Published Date: October 02, 2020
Published By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Mitchell RB, Archer SM, Ishman SL, et al. Clinical practice guideline: tonsillectomy in children (update) - executive summary. Otolaryngol Head Neck Surg. 2019;160(2):187-205. PMID: 30921525 pubmed.ncbi.nlm.nih.gov/30921525/#affiliation-3.

Wetmore RF. Tonsils and adenoids. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 411.

Yellon RF, Chi DH. Otolaryngology. In: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli and Davis' Atlas of Pediatric Physical Diagnosis. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 24.