Tonsil Bleeding: When to Seek Emergency Care - Otolaryngology

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Tonsillar hemorrhage


Recently, I had a severe mouth ulcer that led to an abscess in my tonsil area.
Now, it has ruptured and is bleeding, and it feels like the bleeding won't stop.
What should I do? I'm thinking of observing it until tomorrow and then deciding whether to go to the emergency room.

Wang Ting, 20~29 year old female. Ask Date: 2021/06/24

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is persistent inflammation accompanied by bleeding, it is advisable to seek medical attention for examination as soon as possible.
Wishing you safety and health.
Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/24

More Info


Tonsil bleeding, especially when associated with an infection or abscess, can be a concerning situation. If you are experiencing significant bleeding from your tonsils, it is crucial to understand when to seek emergency care.
Firstly, it’s important to recognize the symptoms that warrant immediate medical attention. If you notice that the bleeding is persistent and does not stop after a few minutes, or if you are swallowing blood, these are clear signs that you should seek emergency care. Additionally, if you experience difficulty breathing, severe pain, or if the bleeding is accompanied by a high fever, these symptoms indicate a more serious condition that requires prompt evaluation.

In your case, since you mentioned that you have a severe mouth ulcer that has led to an infection in the tonsil area, it is possible that the bleeding is a result of the infection or an abscess that has formed. Infections can cause the tissues to become inflamed and fragile, leading to bleeding. If the bleeding is significant, it could potentially lead to complications such as aspiration (where blood enters the lungs), which can be life-threatening.

While it may be tempting to wait and observe, it is generally advisable not to delay seeking medical attention if you are experiencing heavy bleeding. The risk of complications increases with time, and healthcare professionals can provide the necessary interventions to control the bleeding and address the underlying infection.
In terms of treatment, if you do go to the emergency room, the medical team will likely perform a thorough examination of your throat and may order imaging studies if they suspect an abscess or other complications. Treatment may include antibiotics to address the infection, and in some cases, surgical intervention may be necessary to drain an abscess or cauterize the bleeding site.

Furthermore, it’s essential to stay hydrated and avoid any irritants such as spicy foods or tobacco, which could exacerbate the situation. If you have any underlying health conditions that could complicate your recovery, such as bleeding disorders or immune system issues, make sure to inform your healthcare provider.

In summary, while it might seem reasonable to wait and see if the bleeding resolves on its own, significant tonsil bleeding, especially in the context of an infection, should be treated as a medical emergency. It’s always better to err on the side of caution and seek immediate care if you are unsure about the severity of your symptoms. Your health and safety are paramount, and timely intervention can prevent more serious complications down the line.

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