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I have a mild sore throat with enlarged tonsils. Could this be tonsillitis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a mild sore throat for the past three to four days, and one of my tonsils is enlarged with white formations on it. I tested negative for strep throat today, and I am unsure if it is tonsillitis or tonsil cancer.

Hello,

Welcome to icliniq.com.

I have seen the picture (attachment removed to protect patient identity). You are suffering an acute attack of tonsillitis. The congestion is seen. One of the tonsils is indeed slightly larger than the other. Once the infection resolves, both will probably become similar sized. Now though you have tested negative for strep, you need a course of antibiotics. The best in the given circumstances would be Z-pack. Take a full course of it supplemented by Tylenol, warm saline gargles, and Sudafed or Allegra (Fexofenadine). Avoid spicy oily foods, drinks, and smokes. Drink plenty of warm fluids and keep yourself hydrated. Avoid exposure to cold, dry winds.

Patient's Query

Thank you doctor,

I will relay the information to my doctor in an attempt to start antibiotics.

Hello,

Welcome back to icliniq.com.

Yes, without the antibiotics, the illness may take a long time to resolve. Could it lead to complications like an ear or lung infection?

Medically reviewed byDr. Vinodhini J.
Published At February 6, 2021
Reviewed AtDecember 7, 2023

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