Can You Get Tonsillitis After Tonsillectomy? Bronchitis Risks - Pulmonology

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If I have had my tonsils removed, can I still experience inflammation? Is there a possibility of developing bronchitis as a complication?


I just went to the emergency room, and the doctor ordered an X-ray.
He said I had bronchial issues and bronchitis, and that I had a high fever, so I needed to be hospitalized.
When I was admitted, a younger doctor took over my case.
When I was discharged, I asked him for a diagnosis certificate, but he stated that I had acute tonsillitis.
However, I had my tonsils removed ten years ago, so how could I have tonsillitis?

binghuan, 30~39 year old female. Ask Date: 2015/04/18

Dr. Yang Wenda reply Pulmonology


Hello: The diagnosis of bronchitis can be somewhat ambiguous; generally, if there are symptoms of coughing, it can be considered bronchitis.
A chest X-ray may not necessarily show significant abnormalities.
As for whether your tonsils were completely removed over ten years ago (some may have been partially removed), it may be necessary to consult an otolaryngologist for a definitive diagnosis.
Best wishes!

Reply Date: 2015/04/18

More Info


Tonsillitis is an inflammation of the tonsils, typically caused by viral or bacterial infections. After a tonsillectomy, which is the surgical removal of the tonsils, it is indeed impossible to develop tonsillitis in the traditional sense, as the tonsils are no longer present. However, patients can experience similar symptoms or conditions that may mimic tonsillitis, such as pharyngitis (inflammation of the throat), or infections in the surrounding areas, including the adenoids, which may still be present.

In your case, the diagnosis of acute tonsillitis after a tonsillectomy raises some important considerations. The young doctor may have misinterpreted your symptoms or the results of the examination. It is possible that you were experiencing a throat infection or inflammation that could be mistaken for tonsillitis, especially if you had symptoms such as sore throat, fever, or difficulty swallowing.
Moreover, it is important to note that after a tonsillectomy, the body may still react to infections in the throat or respiratory tract, leading to similar symptoms. The absence of tonsils does not mean that the throat is immune to infections; rather, the immune response may be altered. The surrounding lymphatic tissue can still become inflamed, and infections can occur in the throat or other areas of the upper respiratory tract.

Regarding bronchitis, it is an inflammation of the bronchial tubes, which can be caused by viral infections, bacterial infections, or irritants such as smoke or pollution. If you were diagnosed with bronchitis during your hospital stay, it is likely that the symptoms you experienced, such as coughing, wheezing, or difficulty breathing, were due to this condition rather than tonsillitis.
In summary, while you cannot get tonsillitis after a tonsillectomy, you can experience throat infections or other inflammatory conditions that may present with similar symptoms. It is crucial to communicate clearly with your healthcare providers about your medical history, including your previous tonsillectomy, to ensure accurate diagnoses and appropriate treatment. If you have ongoing symptoms or concerns, consider seeking a second opinion or further evaluation from an ENT specialist or a pulmonologist, who can provide more insight into your respiratory health and any underlying issues that may be contributing to your symptoms.
In conclusion, while the diagnosis of acute tonsillitis after a tonsillectomy is not medically accurate, it is essential to address any symptoms you are experiencing and understand that other conditions can mimic tonsillitis. Proper evaluation and treatment are key to managing your health effectively.

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