Redness in Tonsils: Insights from ENT Specialists - Otolaryngology

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When it comes to understanding the redness in tonsils, particularly in the context of your experience with healthcare providers, it's essential to consider several factors that may contribute to your symptoms and the treatment options available to you.

Redness in the tonsils, often referred to as tonsillitis, can be caused by various factors, including viral or bacterial infections, allergies, or irritants. In your case, the mention of "蠶豆症" (favism) indicates a specific genetic condition that affects how your body metabolizes certain substances, particularly those found in fava beans and some medications. This condition can complicate treatment options, as certain antibiotics and other medications may not be safe for individuals with this condition.

The fact that you have seen multiple healthcare providers without significant improvement can be frustrating. It's not uncommon for patients to feel that larger hospitals may not provide the same level of personalized care as smaller clinics. However, larger institutions often have protocols in place to ensure patient safety, especially when dealing with complex medical histories like yours. The decision to prescribe only paracetamol (known as acetaminophen in the U.S.) may reflect a cautious approach, prioritizing your safety over aggressive treatment, especially if there are concerns about potential drug interactions or side effects related to your condition.

In terms of treatment for tonsillitis, if the redness is due to a viral infection, supportive care is typically recommended, which includes rest, hydration, and pain relief with medications like acetaminophen. If a bacterial infection is suspected, antibiotics may be necessary, but the choice of antibiotic must be carefully considered in light of your favism.
It's also worth noting that not all cases of tonsillitis require antibiotics; many resolve on their own. If your symptoms persist or worsen, it may be beneficial to seek a second opinion from another ENT specialist who can provide a fresh perspective on your condition. They may also consider additional diagnostic tests, such as throat cultures or blood tests, to determine the underlying cause of your symptoms.

In summary, while it can be disheartening to feel that your concerns are not being adequately addressed, it's crucial to understand the complexities involved in treating conditions like tonsillitis, especially with a background of favism. Open communication with your healthcare providers about your symptoms, concerns, and treatment options is vital. If you feel that your current treatment plan is not effective, don't hesitate to advocate for yourself and seek further evaluation or a second opinion. Your health and well-being should always be the top priority.