the Connection Between Tonsillitis and Dizziness - Otolaryngology

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What is the relationship between tonsillitis and dizziness?


Dear Doctor,
Three weeks ago, I experienced a sore throat resembling a cold (without any fever or runny nose symptoms).
After taking medication for three days, I felt somewhat better, but a few days later, I began to experience dizziness.
It’s not a spinning sensation; rather, it feels like a heavy, uncomfortable dizziness similar to that of a cold (again, without any fever or cold symptoms).
This sensation has persisted for three weeks.
Recently, I also noticed some white inflammation on my tonsils.
Could it be possible that my tonsillitis has not fully resolved, leading to this dizziness? Thank you.
(The dizziness is more uncomfortable than the tonsillitis itself.)

Ting Ting, 30~39 year old female. Ask Date: 2019/06/28

Dr. Ji Zhaoyun reply Otolaryngology


Hello, if it is confirmed that there is no acute tonsillitis but you are still experiencing dizziness (the tonsils appear slightly white and inflamed, which may indicate tonsil stones), there could be other underlying causes.
It is advisable to consult an otolaryngologist for further evaluation.
Wishing you safety and good health.

Reply Date: 2019/06/28

More Info


Tonsillitis, or inflammation of the tonsils, can indeed be associated with dizziness, although this connection may not be immediately obvious. In your case, the timeline of your symptoms suggests that the tonsillitis may be contributing to your dizziness, even if it is not the primary cause.

Firstly, let's explore the relationship between tonsillitis and dizziness. Tonsillitis is often caused by viral or bacterial infections, leading to symptoms such as sore throat, difficulty swallowing, and swollen tonsils. In some cases, the inflammation can lead to referred pain or discomfort in the neck and head, which may contribute to feelings of dizziness or lightheadedness. This is particularly true if the inflammation is significant enough to affect nearby structures, such as the eustachian tubes, which connect the throat to the middle ear. Dysfunction in these tubes can lead to a sensation of fullness or pressure in the ears, which can manifest as dizziness.

Additionally, the immune response to an infection can lead to systemic symptoms, including fatigue and malaise, which may also contribute to feelings of dizziness. When the body is fighting an infection, it can divert energy away from other functions, leading to a general sense of unwellness. This can be exacerbated if you are not eating or drinking adequately due to throat pain, which can lead to dehydration and further contribute to dizziness.

It is also worth considering that the presence of white patches on your tonsils may indicate a persistent infection or the development of a secondary infection, such as a bacterial infection following a viral one. If the tonsillitis is not resolving, it could lead to ongoing inflammation and discomfort, which may be the source of your dizziness.

Given that your dizziness has persisted for three weeks, it is essential to consult with a healthcare professional. They may recommend a thorough examination of your throat and tonsils, possibly including a throat culture to determine if a bacterial infection is present that may require antibiotic treatment. Additionally, they may assess other potential causes of dizziness, such as inner ear issues, dehydration, or even anxiety, which can sometimes accompany illness.

In summary, while tonsillitis is primarily characterized by throat symptoms, it can indeed lead to dizziness through various mechanisms, including referred pain, eustachian tube dysfunction, and the body's immune response. It is crucial to address both the tonsillitis and the dizziness with your healthcare provider to ensure that you receive appropriate treatment and to rule out any other underlying conditions. Your health and comfort are paramount, and seeking medical advice is the best course of action to alleviate your symptoms.

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