Tonsil Issues: Symptoms and Treatment Options - Otolaryngology

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Tonsil problems


Hello Doctor: A few days ago, I noticed a small red spot about 0.2 cm in diameter on my right tonsil, located right at the crypt.
I would like to know if this is tonsillitis.
I had an issue with tonsillitis a week ago, but recently it is neither red nor swollen, and there is no pain; I just feel a very slight foreign body sensation on the right tonsil.
Should I apply any medication?

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

Dr. Zheng Jueyi reply Otolaryngology


Hello: Currently, it is difficult to determine the cause of the common red spots, which may be blood vessels on the tonsils.
If there are no obvious symptoms, it is advisable to observe the situation, drink plenty of water, and avoid spicy foods.
It is not recommended to apply any topical treatments.
If the condition persists without improvement or if you have concerns, please seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/20

More Info


When it comes to tonsil issues, particularly inflammation or infection, it's essential to understand the symptoms, potential causes, and treatment options available. Based on your description, it seems you are experiencing a small red spot on your right tonsil, which may be concerning, especially since you had a previous episode of tonsillitis a week ago.

Tonsillitis is an inflammation of the tonsils, typically caused by viral or bacterial infections. Symptoms can include sore throat, difficulty swallowing, swollen tonsils, and sometimes fever. The presence of a small red spot, especially after a recent episode of tonsillitis, could indicate a few things. It might be a residual effect of the previous inflammation, a sign of a new infection, or even a benign condition such as a small ulcer or irritation.

The fact that you are not experiencing significant redness, swelling, or pain is a positive sign. However, the sensation of a foreign body feeling in your tonsil could be due to residual inflammation or irritation from the previous infection. It's also possible that the red spot is a small area of irritation or a minor infection that may resolve on its own.

In terms of treatment, if the symptoms are mild and you are not experiencing significant discomfort, you may not need any specific medication. However, here are some general recommendations:
1. Saltwater Gargle: Gargling with warm salt water can help soothe the throat and may reduce inflammation. Mix about half a teaspoon of salt in a glass of warm water and gargle several times a day.

2. Hydration: Staying well-hydrated is crucial. Drink plenty of fluids, such as water, herbal teas, or broths, to keep your throat moist and help with healing.

3. Over-the-Counter Pain Relief: If you experience discomfort, over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate pain and reduce inflammation.

4. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that could exacerbate throat discomfort.

5. Monitor Symptoms: Keep an eye on the red spot and any other symptoms. If it worsens, becomes painful, or if you develop a fever, it would be wise to consult a healthcare professional.

6. Consult a Doctor: If the red spot persists for more than a week, or if you have recurrent episodes of tonsillitis, it may be worth seeing an ENT specialist. They can perform a thorough examination and may recommend further treatment, which could include antibiotics if a bacterial infection is suspected.

In conclusion, while the small red spot on your tonsil may not be a cause for immediate concern, it's essential to monitor your symptoms closely. If you notice any changes or if discomfort increases, seeking medical advice would be prudent. Remember, maintaining good oral hygiene and addressing any underlying health issues can help prevent future tonsil problems.

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