Throat · General information

Tonsillitis & enlarged tonsils

The tonsils are two pads of tissue at the back of the throat. Tonsillitis is an infection of the tonsils, usually caused by a virus and sometimes by bacteria. In some children, the tonsils (and adenoids) are large enough to affect breathing during sleep.

Common symptoms

  • Sore throat and pain when swallowing
  • Fever
  • Red, swollen tonsils, sometimes with white patches
  • Swollen, tender glands in the neck
  • With enlarged tonsils: snoring, mouth breathing or pauses in breathing during sleep

Common causes

  • Viral infections (most common)
  • Bacterial infections, such as streptococcus
  • Natural enlargement of tonsils and adenoids in childhood

When to see an ENT specialist

  • A sore throat is severe or does not improve after a few days
  • Tonsillitis keeps coming back
  • A child snores regularly or has pauses in breathing at night
  • One tonsil looks much larger than the other

Seek urgent medical care if

  • Difficulty breathing
  • Unable to swallow fluids, or drooling
  • Severe pain on one side with difficulty opening the mouth or a muffled voice

How it is usually assessed

An ENT specialist will usually examine the throat and neck and ask how often episodes happen and how they affect daily life or sleep.

General management

Most tonsillitis improves with rest, fluids and pain relief. A doctor may prescribe antibiotics when a bacterial infection is suspected. Removing the tonsils (tonsillectomy) may be discussed for frequent, recurrent tonsillitis or breathing problems during sleep.

This page provides general information only. It is not medical advice, a diagnosis or a treatment plan, and it does not describe the specific services of any doctor. Please consult a doctor about your own situation.

Dr. Ali Alakbar Samahaد. علي الأكبر سماحةД-р Али Алакбар Самаха

Choose your languageاختر اللغةВыберите язык

Please select the language you would like to browse in.