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Tonsillitis Treatment Pembroke Pines FL

Sore throat is a common condition that many of us experience from time to time. However, if the sore throat is caused by inflammation of the tonsils, it is called pharyngitis or Tonsillitis. The tonsils are small glands at the back of the throat, which can become swollen and painful due to an infection. Sometimes, it may happen suddenly, and you may experience it frequently. For others, it may last for a long time. If you're experiencing symptoms of Tonsillitis, it's best to consult a doctor for proper diagnosis and treatment.

Tonsillitis is a condition that occurs when your tonsils (the glands at the back of your throat) become infected. It can happen when you catch a cold or get exposed to certain germs. This condition is quite common among children in the United States, and many kids get it at least once. If you have bacterial Tonsillitis, your doctor may prescribe antibiotics, which can help prevent serious health problems like rheumatic fever. This is a severe condition that can cause fever, joint pain, and inflammation in your heart and blood vessels.

What are the symptoms of Tonsillitis?

Acute Tonsillitis

Tonsillitis is a condition that mostly affects kids, but it's rare in children under two years old. Some signs of Tonsillitis include fever, bad breath, difficulty and painful swallowing, dehydration, swollen lymph nodes in the neck, mouth breathing, snoring, fatigue, and feeling unwell. The tonsils may look red and have white patches or pus. In some cases, scarlet fever may also occur, which causes a fine red rash on the skin. Typically, the symptoms go away within three to four days, but sometimes, they can last up to two weeks, even after treatment. After taking antibiotics, some people may experience recurrent acute Tonsillitis, meaning the symptoms come back.

Chronic Tonsillitis

Symptoms of chronic Tonsillitis include:

  • Persistent sore throat
  • Halitosis
  • Tonsil stones (accumulated debris on the tonsils)
  • Continuously tender lymph nodes in the neck

Peritonsillar Abscess

This severe complication involves the formation of an abscess or pus pocket around the tonsil. While more common in adolescents and adults, it can also occur in children. Symptoms of peritonsillar abscess include:

  • Fever
  • Intense throat pain
  • Difficulty opening the mouth (trismus)
  • Altered voice quality
  • Excessive saliva production, leading to drooling
  • Asymmetrical swelling, with one tonsil appearing larger than the other

What Are The Causes of Tonsillitis?

Tonsillitis can stem from various factors, with viruses and bacteria being the main culprits.

Viral Infections

In about 70 percent of cases, Tonsillitis is caused by viruses. Some of the common viruses that can cause the condition include influenza, parainfluenza, and enteroviruses. Other viruses, such as Epstein-Barr virus, herpes simplex virus, cytomegalovirus, and measles virus, can also cause the condition. If you have Tonsillitis, it's important to rest, drink plenty of fluids, and take care of yourself until you feel better.

Bacterial Infections

Sometimes, when we get a sore throat, it might be caused by bacteria. This happens in around 15 to 30% of cases. The most common bacteria that causes a sore throat is called Group A beta-hemolytic streptococcus (GABHS). You might have heard it being called "strep throat." This bacteria can be spread through the air when someone who is infected coughs or sneezes. It can also be spread by sharing food or drinks. When someone has this bacteria, they are most contagious in the early stages of the disease.

How is Tonsillitis diagnosed?

Tonsillitis diagnosis typically begins with a thorough examination by a qualified ENT specialist. During the examination, the doctor may assess the patient's medical history and symptoms. In some cases, further diagnostic tests may be necessary to confirm the presence of the condition and determine its cause.

These tests may include:

  • Physical Examination: The doctor will visually inspect the throat and tonsils for signs of inflammation, such as redness, swelling, or pus.
  • Throat Culture: A swab may be taken from the back of the throat to test for the presence of bacteria or viruses.
  • Rapid Antigen Test: This test can quickly detect certain bacterial infections, such as streptococcus, which can cause the condition.
  • Blood Tests: Blood tests may be performed to check for signs of infection or to rule out other potential causes of symptoms.
  • Imaging Studies: In some cases, imaging tests such as X-rays or CT scans may be ordered to assess the extent of inflammation or to look for complications.

Treatment Options for Tonsillitis

If you or someone you know has symptoms of Tonsillitis, it's important to see a doctor. They can help determine the cause of the problem, whether it's due to a virus or bacteria. To do this, doctors may test the tonsils or throat with a swab. However, these tests aren't always accurate, so if you have symptoms but test negative, your doctor may recommend further testing. If you test positive for a type of bacteria called Group A beta-hemolytic streptococcus (GABHS) but don't have Tonsillitis symptoms, you may be a carrier of the bacteria.

Viral Tonsillitis

This condition usually goes away on its own without needing much treatment. It's important to drink enough fluids to stay hydrated and manage any pain you're experiencing. In severe cases, you may need to go to the hospital, particularly if you're having trouble breathing or getting enough air or if you're becoming dehydrated.

Bacterial Tonsillitis

If you have Tonsillitis caused by bacteria, your doctor may prescribe antibiotics to help you recover faster and prevent further complications. The most common types of antibiotics used to treat the condition are penicillins, cephalosporins, macrolides, and clindamycin.

Surgical Intervention

Sometimes, a doctor who specializes in the ear, nose, and throat may recommend surgery to remove the tonsils. This surgery is called a tonsillectomy. Children who have Tonsillitis (a sore throat caused by infected tonsils) seven times in one year, five times per year for two years, or three times per year for three years may need a tonsillectomy. If a patient has a very bad case, like a large pocket of pus around the tonsils, they may also need surgery to drain the pus.

Tonsillitis Complications

While Tonsillitis is typically a mild and self-limiting condition, it can sometimes lead to complications, especially if left untreated or if the infection spreads. Complications of Tonsillitis may include:

  • Peritonsillar Abscess: A collection of pus near the tonsils, which can cause severe throat pain, difficulty swallowing, and difficulty breathing.
  • Otitis Media: Middle ear infection, which can cause ear pain, fluid buildup, and hearing loss.
  • Sinusitis: Inflammation of the sinuses, leading to symptoms such as facial pain, nasal congestion, and headache.
  • Rheumatic Fever: A rare but serious complication that can affect the heart, joints, skin, and brain.
  • Kidney Inflammation: In rare cases, untreated streptococcal Tonsillitis can lead to inflammation of the kidneys (post-streptococcal glomerulonephritis).

Tonsillitis Prevention

Preventing Tonsillitis involves taking steps to reduce the risk of bacterial and viral infections that can lead to inflammation of the tonsils. Some preventive measures include:

  • Good Hygiene Practices: Wash hands frequently with soap and water, especially before eating or touching the face.
  • Avoiding Close Contact: Minimize close contact with individuals who have respiratory infections, such as colds or the flu.
  • Strengthening the Immune System: Maintain a healthy lifestyle with a balanced diet, regular exercise, adequate sleep, and stress management.
  • Avoiding Allergens: Identify and avoid allergens that may trigger allergic reactions or respiratory infections.
  • Vaccination: Stay up-to-date with vaccinations, including the flu vaccine and the pneumococcal vaccine, which can help prevent certain bacterial infections.

What questions should I ask my doctor?

These are some common questions about Tonsillitis that parents often have:

  • What are the symptoms of Tonsillitis?
  • How can I know if my child has strep bacteria?
  • What kind of tests do doctors do to diagnose Tonsillitis in children?
  • When is it safe for my child to go back to school and activities after having strep throat?
  • Do all cases of Tonsillitis need antibiotics?
  • Sometimes doctors recommend antibiotics for Tonsillitis, but not always. It depends on the situation.
  • Are there any cases where surgery might be necessary to treat Tonsillitis?


Mitchell, RB, Archer, SA, Ishman, SL, et al. Clinical Practice Guideline: Tonsillectomy in Children (Update). Otolaryngol Head Neck Surg. 2019; February (Suppl).

Copyright 2021. American Academy of Otolaryngology–Head and Neck Surgery Foundation. Last reviewed April 2020.


Is Tonsillitis common?

Yes, Tonsillitis is a common condition, especially in children and adolescents. It can occur at any age but is most prevalent in young children and teenagers.

Is Tonsillitis painful?

Yes, the condition can be painful, especially when swallowing. Other symptoms may include sore throat, fever, swollen glands, and difficulty speaking or breathing.

What can I expect if I have Tonsillitis?

You can expect symptoms such as sore throat, difficulty swallowing, fever, swollen glands, and sometimes white or yellow patches on the tonsils.

Is there a permanent solution to Tonsillitis?

For some individuals with recurrent or severe Tonsillitis, surgical removal of the tonsils (tonsillectomy) may be recommended as a permanent solution. However, this decision should be made in consultation with an ENT specialist based on the individual's medical history and condition.

How much does treatment for Tonsillitis cost?

The cost of treatment for Tonsillitis can vary depending on factors such as the severity of the condition, the type of treatment required (medication, surgery, etc.), insurance coverage, and healthcare provider fees. It's essential to consult with a healthcare provider and your insurance provider to understand the potential costs involved in treating Tonsillitis.

If you suffer from persistent congestion or sinus pain, every day feels like a struggle. But there is a way to stop the headaches, the runny noses, and the sleepless nights. Schedule your consultation at South Florida ENT Associates today to get relief from your ENT issues and start breathing freely again.

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