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Tonsil Diseases and their Treatment

The tonsil is an organ located at the back of the throat. The tonsil functions as an immune system defense mechanism for the infant throughout the first six years after birth. This organ serves no use beyond this point, which is why it is referred to as a vestigial organ.

When your tonsils are infected, it’s called tonsillitis. When you look at the rear of your throat, you’ll see two little bumps of soft tissue: your tonsils, one on each side. You may observe your tonsils in the mirror by widening your mouth and stretching your tongue.

Tonsils are a part of your immune system and are good at catching disease-causing microorganisms. Infected tonsils cause swelling and pain, which may make swallowing difficult. Sore throat is the common name for tonsillitis, also known as tonsillopharyngitis.

Symptoms of Tonsillitis

The following are some of the most common symptoms of tonsillitis: 

  • Pain in the throat and difficulty swallowing
  • Sore, inflamed tonsils covered with pus-filled bumps
  • Fever
  • Ear and neck discomfort
  • Swollen lymph glands
  • Irregular sleep patterns
  • Coughing
  • Headache
  • Shivers

These are some of the less frequent symptoms you could experience: 

  • Fatigue
  • Stomach ache
  • Nausea and vomiting
  • A tongue with a hairy coating
  • Modulations in vocal tone
  • Foul breath
  • Having trouble opening one’s mouth 

Tonsil stones, commonly known as tonsilloliths or tonsillar calculi, are medical conditions that may affect certain individuals. While tonsil stones might be painful to get rid of, they seldom cause severe health issues.

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    Complications Associated with Tonsillitis

    Streptococcal germs are often linked to tonsillitis complications. These are some of them:

    • Chronic tonsillitis: Tonsillitis is considered chronic if it occurs more than seven times a year. If you have difficulty sleeping or snoring often, your doctor may suggest surgically removing your tonsils.
    • Tonsil stones: Tonsil stones are chronic tonsillar inflammation or infection complication. Hard, calcified material and germs may accumulate in the crevices of your tonsils and become known as tonsil stones.
    • Scarlet fever: Scarlet fever develops from strep throat and manifests with a red rash and high body temperature. Despite its rarity, scarlet fever is more frequent in youngsters than adults.
    • Peritonsillar abscess: Tonsillitis can progress where an abscess (a deposit of pus) develops around the tonsil. Adults and teenagers, rather than children, are at higher risk for developing peritonsillar abscesses. To drain the abscess, many doctors will advise surgery.
    • Rheumatic fever: Rheumatic fever is uncommon, but it may happen if strep throat isn’t treated or antibiotics aren’t taken for the whole course of treatment. Most cases of rheumatic fever are seen in youngsters. It may cause long-term cardiac problems.
    • Spreading of disease: If not treated, Streptococcal bacteria in the throat may go to the middle ear and sinuses, among other places. Possible sequelae of this illness include sinusitis, glomerulonephritis, and necrotizing fasciitis.

    Who should go for tonsil surgery?

    The decision to have a tonsillectomy when a severe illness has developed is often difficult. If you acquire a tonsil infection more than four times a year and end up in the hospital, you should consider having the procedure performed.  

    You may still require surgery even if diagnosed with Peritonsillar Abscess. Surgery is also an option for curing tonsil cancer. Tonsil surgery should not be performed in cases with clotting conditions, hemoglobinopathies, or cleft palate.


    Tonsillitis symptoms include a painful throat, fever, and trouble swallowing. Whether bacteria or viruses cause, an illness affects how it should be treated. Tonsillitis affects a large percentage of the population, but fortunately, it may be cured with bed rest and antibiotics.

    A tonsillectomy is an option if you have frequent tonsil infections recommended by your doctor. Consult your doctor about the available treatment choices.

    About Author

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    Dr Pravin Bhosale

    ENT Surgeon
    Contact: +91 88888 22222
    Email – [email protected]

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