Swollen Tonsils: Causes and Concerns - Otolaryngology

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One tonsil is protruding?


At the end of September, there was tonsillitis.
During the week of October 16, there was gastrointestinal discomfort.
Around October 23, a self-examination of the throat revealed a noticeably raised red spot.
There are no other uncomfortable symptoms.
What could this likely be?

Yu, 20~29 year old female. Ask Date: 2023/10/26

Dr. Ji Zhaoyun reply Otolaryngology


Based on the current resolution of the image, it is most likely indicative of tonsillar or lymphoid tissue hyperplasia, or granuloma.
If there are any concerns, it is advisable to consult an otolaryngologist for examination.

Reply Date: 2023/10/26

More Info


Swollen tonsils, or tonsillitis, can be caused by a variety of factors, and understanding the underlying reasons is crucial for appropriate management. Based on your description, it seems that you experienced tonsillitis at the end of September, followed by gastrointestinal discomfort in mid-October, and then noticed a prominent red bump on your tonsil around October 23rd. While it's important to consult a healthcare professional for an accurate diagnosis, I can provide some insights into potential causes and concerns regarding your symptoms.

Tonsillitis is typically caused by viral or bacterial infections. Viral infections, such as those caused by the common cold or influenza, are the most common culprits. Bacterial infections, particularly those caused by Streptococcus bacteria (strep throat), can also lead to swollen tonsils. The fact that you had a previous episode of tonsillitis suggests that your tonsils may still be inflamed or that you could be experiencing a recurrent infection.

The red bump you noticed on your tonsil could be a few different things. It might be a residual effect of the previous infection, where the tonsil tissue is still healing and may appear swollen or inflamed. Alternatively, it could indicate the presence of a peritonsillar abscess, which is a collection of pus that can occur as a complication of tonsillitis. This condition is characterized by severe throat pain, difficulty swallowing, and sometimes fever, but it can occasionally present with less severe symptoms.

Another possibility is that the bump is a tonsillar stone (tonsillolith), which forms when debris, such as food particles and dead cells, gets trapped in the tonsil crypts. These stones can cause irritation and may lead to localized swelling. However, they are usually not associated with significant systemic symptoms.

Given that you also experienced gastrointestinal discomfort, it's worth considering whether there might be a connection. Sometimes, infections can cause systemic symptoms that affect multiple body systems. For example, viral infections can lead to both throat and gastrointestinal symptoms, such as nausea or diarrhea.

In terms of management, if the swelling is accompanied by significant pain, difficulty swallowing, or fever, it would be advisable to seek medical attention. A healthcare provider may perform a throat examination, possibly including a rapid strep test or throat culture, to determine if a bacterial infection is present. If necessary, antibiotics may be prescribed for bacterial tonsillitis.
Additionally, symptomatic treatment can help alleviate discomfort. This includes staying hydrated, using throat lozenges, gargling with warm salt water, and taking over-the-counter pain relievers, such as acetaminophen or ibuprofen, to reduce inflammation and pain.

In conclusion, while your symptoms could be related to a lingering infection or another benign condition, it is essential to monitor your symptoms closely. If the bump persists, worsens, or is accompanied by new symptoms, please consult a healthcare professional for a thorough evaluation and appropriate treatment. Early intervention can help prevent complications and ensure a quicker recovery.

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