HomeAnswersInternal Medicineperitonsillar abscessWhat causes chronic tonsil swelling?

Why is my tonsil swelling persisting for more than a month?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At September 27, 2016
Reviewed AtDecember 1, 2023

Patient's Query

Hi doctor,

My tonsils have been swollen for almost an entire month. I have had two normal appointments for it and I am scheduled for a visit with an ENT doctor after four days. Today, my throat pain is more than it has been in the past few days and my left tonsil is significantly bigger than my right. In addition to that, I have a swollen axillary lymph node and that is what I am assuming it is. The axillary lymph node swelling was very sudden. I have had on and off fever. I came back positive for Strep group C, but I went through an entire script of antibiotics and the doctor said it should have cleared immediately. Mononucleosis tests also came back negative. I am no longer on Cephalexin, which is what they had originally put me on. Please help.

Hello,

Welcome to icliniq.com. It appears evident that your tonsil infection persists and may have become more complicated, given the increased pain, fever, and lymphadenopathy. Untreated tonsillitis can lead to retro or peritonsillar abscesses, which may necessitate specific treatment and intervention. To address this, it is advisable to schedule an appointment with an ENT specialist promptly. The specialist will conduct thorough examinations and imaging to assess the extent of the infection. Alternatively, if immediate specialist consultation is not feasible, starting antibiotics is crucial. Choose an antibiotic based on sensitivity testing of your throat secretion. Augmentin (Amoxicillin and Clavulanate combination) is a suitable first choice if streptococcus is sensitive; otherwise, consider Clarithromycin or Ceftriaxone. For pain, fever, and inflammation, use anti-inflammatory drugs like Ibuprofen every six hours. To ease throat discomfort, you may find relief with Propolis sprays or similar remedies. If needed, your doctor may incorporate Cortisone into your therapy, but this should be done only with their guidance.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Erioli Braholli
Dr. Erioli Braholli

General Surgery

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