Tonsillitis : Symptoms, causes, complications and treatment.


Tonsillitis symptomsTonsillitis causes Tonsillitis treatmentTonsillitis diagnosis Complications of tonsillitis Tonsillitis in children

Tonsillitis is inflammation of the tonsils, two oval-shaped pads of tissue behind the throat, one tonsil on each side, swollen tonsils on the sides of the neck in the symptoms of tonsillitis, sore throat, difficulty swallowing and tender lymph nodes are included.

Most cases of tonsillitis are a common virus infection, but bacterial infection can also lead to tonsillitis.

Tonsillitis Treatment

Since proper treatment for tonsillitis depends on the cause, it is important to get a quick and accurate diagnosis. Following a common procedure for the treatment of tonsillitis, surgery to remove the tonsils usually occurs when bacterial tonsillitis occurs frequently, does not respond to other treatments, or causes serious complications.

Tonsillitis symptoms

Tonsillitis usually affects children between preschool age and mid-adolescent years. Common signs and Tonsillitis symptoms include, such as-

  1. Red, swollen tonsils is Tonsillitis symptoms
  2. White or yellow coating or patch on the tonsils is Tonsillitis symptoms
  3. Sore throat is Tonsillitis symptoms
  4. Difficult or painful swallowing is Tonsillitis symptoms
  5. Fever
  6. Enlarged, tender glands (lymph nodes) in the neck is Tonsillitis symptoms
  7. A rash, muffled or sore voice is Tonsillitis symptoms
  8. Bad Breath is Tonsillitis symptoms
  9. Abdominal pain, especially in young children is Tonsillitis symptoms
  10. Stiff neck is Tonsillitis symptoms
  11. Headache is Tonsillitis symptoms

In young children who are unable to describe how they feel, signs of tonsillitis may include, such as-

  1. Painful swallowing
  2. Refuse to eat
  3. Unusual quarrel

Tonsillitis Causes

Tonsillitis is usually caused by common viruses, but bacterial infections can also be caused.

The most common bacteria causing tonsillitis is Streptococcus pyogenes (group A streptococcus), the bacteria that cause strep throat. Other strains of strep and other bacteria can also cause tonsillitis.

Why do tonsils get infected?

The tonsil immune system is the first line of defense against bacteria and viruses that enter your mouth. This function can make the tonsils especially vulnerable to infection and inflammation. However, the immune system function of the tonsils decreases after puberty, a factor that may be responsible for rare cases of tonsillitis in adults.

When to get advice from the Doctor?

If your child has symptoms that may indicate tonsillitis, it is important to get an accurate diagnosis.

If your child is experiencing it, consult a doctor, such as:-

  1. A throat tonsil that does not go away within 24 to 48 hours
  2. painful or difficult swallowing
  3. Extreme weakness, fatigue or quarrel

If your child has any of these symptoms, take immediate care, such as:-

  1. shortness of breath
  2. Extreme difficulty swallowing
  3. Drooling

Risk Factors

Risk factors for tonsillitis include, such as:-

Young age- Tonsillitis often occurs in children, but rarely in people younger than age 2, tonsillitis caused by bacteria is most common in children aged 5 to 15, while viral tonsillitis is more common in younger children. |

Frequent exposure to microbes – School age children are in close contact with their peers, and are often exposed to viruses or bacteria, which can cause tonsillitis.

Read Also :-  What is Tonsillectomy

Complications of tonsillitis

Persistent or ongoing (chronic) tonsillitis can cause inflammation of the tonsils, such as-

  1. Shortness of breath
  2. Interrupted breathing during sleep (obstructive sleep apnea)
  3. Infection that spreads deep into the surrounding tissue ( tonsillar cellulitis)
  4. Infection that occurs in the collection of pus behind the tonsils (peritonsillar abscess)
  5. Strep infection

Your child is at increased risk of rare disorders if untreated tonsillitis due to another strain of group A streptococcal bacteria, or if antibiotic treatment is incomplete, such as-

  1. Rheumatic fever, an inflammatory disorder that affects the heart, joints, and other tissues.
  2. Post streptococcal glomerulonephritis, an inflammatory disorder of the kidneys resulting in waste and excess fluid from the blood.

Tonsillitis Prevention

The germs that cause viral and bacterial tonsillitis are contagious. Therefore, the best prevention is to practice good hygiene. Teach your child, like-

  1. Wash your hands thoroughly and often, especially before using and eating the toilet.
  2. Avoid sharing food, drinking glasses, water bottles or utensils.
  3. Change your toothbrush after diagnosis of tonsillitis

To help prevent the spread of bacterial or viral infections to your child, such as:-

  1. Keep your child at home when he is ill
  2. Ask your child if it is right for your child to go to school
  3. Teach your child to cough or sneeze, or when necessary, in his elbow
  4. Teach your child to wash their hands after sneezing or coughing

Tonsillitis diagnosis

The doctor will begin the diagnosis with a physical examination which will include,

  1. Using a light tool to look at your child’s throat and possibly his ears and nose, which may also be the site of infection.
  2. Examination of a tooth known as scarlatina, which is associated with some cases of strep throat.
  3. Gently feel (tilt) your child’s neck to check for swollen glands (lymph nodes).
  4. Listening to your breathing with a stethoscope.
  5. Investigation for enlargement of spleen (for consideration of mononucleosis, which also fires tonsils).

Tonsillitis Throat swab

With this simple test, a sterile tilt runs behind the doctor’s throat to get a sample of the secretion. The sample will be checked in the clinic or in the laboratory for streptococcal bacteria.

Many clinics are equipped with a laboratory, which can get a test result in a few minutes. However, a more reliable test is usually sent to a laboratory, which can return results within 24 to 48 hours.

If a rapid in-clinic test turns positive, you almost certainly have a bacterial infection. If the test comes back negative, your child may have a viral infection. However, the doctor will wait for a more reliable out-of-clinic laboratory test to determine the cause of the infection.

Read also :- Tonsil stones Symptom and Treatment

Complete blood cell count (CBC)

The doctor may order a CBC with a small blood sample. Results of this test, often completed in clinic

Soaking air

Use a cool air dampener to eliminate dry air, which can irritate a sore throat, or sit with your baby in a steam bathroom for several minutes.

Proposal sweet pills

Children over the age of 4 can suck on sweet pills to get rid of a sore throat.

Avoid troubles-

Keep your home free from cigarette smoke, and clean products that can irritate the throat.

Treat Pain and Fever

– Talk to a doctor about using ibuprofen (Advil, Children’s Motrin, others) or acetaminophen (Tylenol, others) to reduce throat pain and control fever. Low fever treatment without pain is not required.

Except for some diseases, children and adolescents should not take aspirin because when treated with symptoms of illnesses such as cold or flu, it is associated with Reye syndrome, a rare but potentially life-threatening condition. |


If tonsillitis is caused by a bacterial infection, the doctor will prescribe a course of antibiotics. Penicillin taken by mouth for 10 days is the most common antibiotic treatment prescribed for tonsillitis caused by group A Streptococcus. If allergic to penicillin, the doctor will prescribe an alternative antibiotic.

A full course of antibiotics should be taken, even if the symptoms go away completely. Failure to take all the medicines prescribed may result in worsening of infection, or spreading to other parts of the body. You cannot complete the full course of antibiotics, in particular, you may have an increased risk of rheumatic fever and severe renal inflammation.

If you forget to take a dose, talk to a doctor or pharmacist about what to do.


Surgery to remove the tonsils (tonsillectomy) can often be used to treat recurrent tonsillitis, chronic tonsillitis, or bacterial tonsillitis. Which does not respond to antibiotic treatment. Often tonsillitis is usually defined as,

  1. More than seven episodes in a year
  2. Four to five episodes annually in each of the last two years
  3. More than three episodes in each of the last three years

Tonsillitis can also result in tonsillectomy as a result of difficult-to-manage complications, such as-

  1. Obstructive sleep apnea
  2. Difficulty in breathing
  3. Swallowing difficulty, especially meats and other chunky foods

An abscess that does not improve antibiotic treatment

Tonsillectomy is usually performed as an outpatient procedure, until the child is very young, has a complicated condition, or complications arise during surgery. This means that your child can go home on the day of surgery. A full recovery usually takes seven to 14 days.

Why do children have tonsillitis again and again

There are two tonsils in the body. Changes in weather, viral-bacterial infections cause tonsillitis. The alimentary canal is also blocked by inflammation, causing pain in the ears, jaws while eating and drinking.

the palate, there is tonsil structure ie tonsil gland. There are two tonsils in the body. Protects the body from external infection. Protects against harmful bacteria, viruses going through the mouth. Because of this it itself becomes infected. Infections in the tonsils cause inflammation in the alimentary canal, ears, jaws, food and drink. Three to 10 years old is the most difficult problem.

Such children face problems

The problem is more in those who do not drink the milk of newborn mother. Iodine deficiency may also be the cause of repeated tonsil problems in children.

Avoid fridge food

Do not heat food kept in the refrigerator again and again. Nutrients are low. Immune also affects the system. Digestion also affects.

Surgery more than 5 times a year

Using the device to identify the tonsils, look at the throat and ears. At the same time, inflammation is felt by touching the neck to examine the glands (lymph nodes). Examine the breath with a stethoscope. If the infection of the child is more than 5-7 times in a year, then surgery of the tonsils is done. If bacterial infection is the cause of tonsils, then give a course of antibiotics. To keep the throat moist, every two hours gargle salt-water.

increase resistivity

  • Give more vitamin C rich things to children.
  • Avoid cold things in the fridge.
  • Eat seasonal fruits, green vegetables
  • Eat fresh food on time every day.
  • Exercise daily for 1/2 hour
  • Wash hands before eating anything.
  • Avoid feeding the baby in the second plate.
  • More chili-spiced things also cause harm.

These measures also work

Ginger: Grind lemon juice and fresh ginger in warm water and mix. Gargle every half an hour. Being warmer will provide relief. Drinking ginger tea also provides relief.

Milk: Gargling raw papaya mixed with milk is beneficial. Mixing half a teaspoon ground turmeric in a cup of hot milk also provides relief in tonsil discomfort.

Garlic:Put some garlic buds in boiling water. Sieve on boiling. Gargle when it gets cold. It also removes the stench of the mouth.

Rock salt:Gargling is eliminated by adding one teaspoon of rock salt to lukewarm water. It provides relief in throat pain.

Baking Soda:Mix baking soda or potassium carbonate in water and gargle. Doing two to three times will give relief in throat pain.

Honey: Using honey with lime in lukewarm water cures throat pain. In addition, inflammation of the tonsils also gets cured quickly.

How to save in Ayurveda

Boil 10 to 15 basil and mint leaves, 50 grams of ginger in half fugitive water. Boil the water until it remains one-fourth. Dissolve water and drink it after mixing honey. Drinking three to four times for seven days will provide relief. If Iodine deficiency is causing this problem, then fry Singhade in cow’s ghee to such a child, you will get relief.

– Dr. Raakesh Paandey, Principal, Ayurveda Medical College and Research Center, Bhopal



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