Tonsil Issues: Symptoms, Inflammation, and Recovery - Otolaryngology

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Tonsil problems


Last Friday, I visited an ENT specialist due to a cold, and the doctor mentioned that I had mild tonsillitis.
He advised me to return if the pain persisted after finishing the medication.
I went back on Monday to get more medication, and the doctor said that this course should resolve the issue.

Just now, while having dinner with cod fish and rice, I suddenly felt a sensation like something was stuck in my tonsil, so I spat it out.
After that, drinking water didn’t cause any pain.
However, when I looked in the mirror, I noticed that my tonsils seemed slightly different in size, although not by much, and there was a small hole on one of them.
The surrounding mucosa also appeared a bit white, and I thought I could see fine blood vessels, but I wasn't sure if that was due to the flashlight or because I was opening my mouth wide.
I couldn't see any fish bones myself, and I kept asking my boyfriend to check for me.
He said I was just too anxious.

The bones in cod fish are not small, so I should be able to see them.
If one were lodged in my esophagus, I would likely be in significant pain.
Given the current pandemic situation, I wanted to ask if it’s normal to feel something while swallowing food past the tonsils if it’s not a fish bone, or if it’s just that they are still inflamed and more sensitive.
I also wondered if the hard grains in the white rice I cooked could have been mistaken for a fish bone.
Additionally, is the difference in tonsil size and the small hole, along with the slightly congested and white mucosa nearby, indicative of ongoing inflammation, even though I’m not in pain anymore? I only have three packets of medication left.
Thank you.

Mei, 20~29 year old female. Ask Date: 2020/04/08

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no significant pain while swallowing, the likelihood of a foreign object being lodged is generally low, and you can start with self-observation.
However, if your throat becomes increasingly painful or if you develop a fever, it is advisable to seek medical evaluation.
As for the size variation of the tonsils and the presence of small holes, these are usually normal phenomena.
If there are no obvious ulcers, you may continue to observe.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/08

More Info


Tonsil issues, particularly inflammation, can be quite common and often arise from infections, such as viral or bacterial infections. The tonsils are part of the body's immune system and can become inflamed in response to pathogens. In your case, it seems you have been experiencing tonsillitis, which is characterized by symptoms such as sore throat, difficulty swallowing, and sometimes fever.


Symptoms of Tonsillitis
The symptoms of tonsillitis can vary but typically include:
- Sore throat
- Red and swollen tonsils
- White or yellow coating on the tonsils
- Difficulty swallowing
- Swollen lymph nodes in the neck
- Fever
- Bad breath
In your situation, you mentioned feeling a "card" sensation in your tonsils while eating, which could be due to several factors. It is possible that the sensation is related to the inflammation of the tonsils, making them more sensitive. The presence of a small hole or white patches could indicate ongoing inflammation or even the formation of pus, which is common in bacterial tonsillitis.


Inflammation and Recovery
Tonsillitis can be caused by various factors, including viral infections (like the common cold) and bacterial infections (such as streptococcal bacteria). The treatment typically involves rest, hydration, and over-the-counter pain relievers. In some cases, antibiotics may be prescribed if a bacterial infection is suspected.

Recovery from tonsillitis generally takes a few days to a week, depending on the cause and severity of the inflammation. If you are still experiencing discomfort or if the symptoms persist, it is advisable to follow up with your healthcare provider. They may want to examine your tonsils further, especially if you notice any significant changes, such as increased swelling or difficulty swallowing.


Concerns About Foreign Objects
Regarding your concern about a fish bone getting stuck in your throat, it is understandable to feel anxious about this. Fish bones can sometimes cause discomfort if they become lodged in the throat or esophagus. However, if you are not experiencing severe pain, difficulty breathing, or persistent discomfort, it is less likely that a bone is stuck. The sensation you feel could be due to the inflammation of the tonsils or irritation from the food you consumed.


When to Seek Further Medical Attention
If you notice any of the following, it is essential to seek medical attention:
- Severe pain that does not improve
- Difficulty breathing or swallowing
- High fever
- Persistent swelling or changes in the appearance of the tonsils
- Any signs of an allergic reaction or severe discomfort

Conclusion
In summary, it is normal to experience some sensitivity in the tonsils during inflammation, and the differences in size you observe may be due to the ongoing inflammatory process. If your symptoms do not resolve or worsen, it is crucial to consult your healthcare provider for further evaluation. They can provide a thorough examination and determine if any additional treatment is necessary. Remember to take care of yourself by staying hydrated and resting, as these are vital components of recovery from tonsillitis.

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