Chronic Tonsillitis: Should You Stop Antibiotics and What to Expect?

If the tonsillitis has not improved for a long time, it is important to consult a healthcare professional. They can evaluate the situation and determine whether to continue or discontinue antibiotics based on the specific circumstances, including the severity of the infection and the patient's overall health?

Hello Doctor: I have been diagnosed with tonsillitis for nearly a month.
During this month, I have taken Levofloxacin for 9 days and Amoxicillin for 12 days, and I have been prescribed Cefdinir (which I haven't taken yet).
However, I still experience pain when swallowing saliva.
I visited a large hospital for an examination, and they confirmed mild swelling and pus in my tonsils, but the situation is not serious, and the acute phase has passed.
They also mentioned that I could stop taking the antibiotics for now.
I would like to ask you three questions: 1.
Is it common to experience pain when swallowing saliva after nearly a month of tonsillitis? 2.
If I stop taking antibiotics now but still have some symptoms, is there a risk of relapse and developing antibiotic resistance? 3.
I found online that Cefdinir is the third antibiotic I would be taking; does it have a higher risk of side effects?

Jack, 20~29 year old female. Ask Date: 2020/11/25

Dr. Zheng Jueyi reply Otolaryngology

Hello,
1.
Having tonsillitis for a month and experiencing pain while swallowing saliva is not normal.
If there is no improvement, you should continue to follow up with your doctor for further examination.

2.
Currently, there has been no long-term use of antibiotics, so the risk of developing antibiotic resistance is not high.

3.
The term "third-generation antibiotics" does not necessarily indicate greater side effects; the generation is more related to the spectrum of antibacterial activity.

Wishing you peace and health,
Dr.
Jue-Yi Cheng,
Director, Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2020/11/25

More Info

Chronic tonsillitis can be a frustrating condition, especially when symptoms persist despite antibiotic treatment. Let's address your questions one by one.

1. Is it common to have pain when swallowing for nearly a month with tonsillitis?
It is not unusual for symptoms of tonsillitis to linger, especially if the inflammation has been present for an extended period. Chronic tonsillitis can lead to persistent discomfort, including pain when swallowing, even after the acute phase has passed. The presence of pus and swelling in the tonsils indicates ongoing inflammation, which can contribute to prolonged symptoms. However, if the pain is severe or worsening, it may warrant further evaluation to rule out complications or other underlying conditions.

2. Will stopping antibiotics lead to a relapse and antibiotic resistance?
Stopping antibiotics when symptoms persist can be concerning, but it is essential to consider the context. If your healthcare provider has assessed that the acute phase has passed and the infection is not severe, it may be appropriate to discontinue antibiotics. However, if symptoms do not improve or worsen, it is crucial to follow up with your healthcare provider. Regarding antibiotic resistance, it is a valid concern, especially with the overuse of antibiotics. If antibiotics are used unnecessarily or not completed as prescribed, it can contribute to the development of resistant bacteria. Therefore, it is essential to use antibiotics judiciously and only when necessary.

3. Is the antibiotic "Sufobacin" (Sufobacin) associated with more significant side effects since it is the third antibiotic?
Sufobacin, like any antibiotic, can have side effects, and the risk may increase with the number of antibiotics used. Each antibiotic has its profile of potential side effects, and some may be more severe than others. Common side effects of antibiotics can include gastrointestinal issues, allergic reactions, and effects on liver and kidney function. It's essential to discuss any concerns about side effects with your healthcare provider, especially if you are transitioning to a new antibiotic after previous treatments.

In summary, while it is not uncommon to experience prolonged symptoms of tonsillitis, it is crucial to monitor your condition closely. If symptoms persist or worsen, a follow-up with your healthcare provider is necessary. Stopping antibiotics may be appropriate if the acute infection has resolved, but be vigilant for any signs of relapse. Lastly, always communicate any concerns regarding side effects or the appropriateness of antibiotic therapy with your healthcare provider to ensure the best possible outcome for your health.

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