Chronic Tonsillitis: Symptoms, Causes, and Dietary Impact - Otolaryngology

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Tonsillar hypertrophy


Dear Doctor,
For the past two years, I have experienced swollen tonsils every summer, lasting about a month each time.
Both sides are swollen (one side is larger than the other), but I have not had a fever or cold symptoms.
The swelling is not painful, but I do feel a strange sensation when swallowing.
There is a white coating on the tonsils.
I consulted a doctor at a clinic who said it was secretions and not pus or ulcers, and prescribed antibiotics.
After a week, the swelling improved.
Does this mean I have chronic tonsillitis? Do fried foods and snacks contribute to tonsil swelling and secretions? (I recently ate fried foods and snacks.) Is it necessary for a virus or bacteria to be present for the tonsils to swell? Thank you.

Ting, 30~39 year old female. Ask Date: 2020/05/05

Dr. Zheng Jueyi reply Otolaryngology


Hello: The symptoms may indicate chronic tonsillitis.
It is recommended to drink plenty of water and gargle, and to reduce the intake of spicy or fried foods.
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: 2020/05/05

More Info


Chronic tonsillitis is a condition characterized by recurrent inflammation of the tonsils, which can lead to various symptoms and complications. In your case, the recurrent swelling of your tonsils during the summer months, along with the presence of white coverings, suggests that you may indeed be experiencing chronic tonsillitis. While you have not reported fever or significant pain, the sensation of discomfort when swallowing and the presence of secretions can be indicative of this condition.

Chronic tonsillitis can be caused by several factors, including persistent infections (viral or bacterial), allergies, and irritants in the environment. In many cases, the condition is associated with the accumulation of bacteria and debris in the tonsillar crypts, which can lead to the formation of tonsil stones (tonsilloliths) and contribute to the white patches you observed. The fact that your symptoms improve with antibiotics suggests that there may be a bacterial component to your condition, even if it is not always acute.

Dietary choices can also impact the health of your tonsils. Foods that are highly processed, fried, or high in sugar can contribute to inflammation in the body, including the tonsils. For example, consuming fried foods and snacks like cookies may exacerbate inflammation and lead to increased secretions in the tonsils. While these foods alone may not directly cause tonsillitis, they can contribute to an overall inflammatory state in the body, making it more susceptible to infections.

It is important to note that chronic tonsillitis does not always require the presence of a viral or bacterial infection to be diagnosed. In some cases, the tonsils may remain enlarged and symptomatic due to chronic irritation or inflammation, even in the absence of acute infections. If your symptoms persist or worsen, it may be beneficial to consult an ear, nose, and throat (ENT) specialist for further evaluation. They may recommend additional treatments, which could include lifestyle modifications, dietary changes, or even surgical intervention (such as tonsillectomy) if your condition significantly impacts your quality of life.

In summary, your symptoms are consistent with chronic tonsillitis, and dietary choices may play a role in exacerbating your condition. It is advisable to monitor your symptoms closely and seek medical advice if they persist or worsen. Maintaining a balanced diet, rich in fruits, vegetables, and whole grains, while minimizing processed and fried foods, may help reduce inflammation and improve your overall health.

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