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Experiencing Prolonged Tonsillitis: What Should I Do?

3/27/2025, 3:30:27 PMMale25-34

I'm a 19-year-old male and it has been a month since I first developed tonsillitis, with discomfort primarily localized on the right side of my throat. After about a week and a half of suffering, I visited my doctor, who prescribed a ten-day course of antibiotics. Fortunately, I noticed significant improvement by the fifth day. However, a few days later, I began to feel the symptoms return, this time affecting my left side. Just yesterday, I had an episode of severe vomiting, noticed blood in my saliva, and recorded a fever of 39.3 degrees Celsius, all occurring again on the left side of my throat. This sudden resurgence of tonsillitis has left me quite worried, especially since I've never dealt with this issue before. I now find myself contemplating whether swallowing is worth the pain, or if it's better to just spit it out. I'm genuinely frustrated with this ongoing discomfort and uncertain about what steps to take next. Is experiencing recurring tonsillitis common? At what stage should I consider a tonsillectomy? Is it a procedure I should even pursue?

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

3/27/2025, 3:30:45 PM

OpenHealth AI

I understand that dealing with prolonged tonsillitis, especially with symptoms like severe vomiting, high fever, and the presence of blood, can be quite distressing. Your experience suggests an ongoing infection that may be complicated, and it’s reasonable to feel frustrated and concerned.

Key Points:

  • You have had a month of recurrent tonsillitis episodes, with improvement on antibiotics followed by a return of symptoms and new concerns.
  • The presence of blood in your saliva, a high fever, and severe discomfort are signs that warrant careful attention.

Explanation:

Tonsillitis can be caused by viral or bacterial infections. While it's not uncommon for tonsillitis to return after treatment, experiencing severe symptoms alongside new developments, such as blood in saliva or a high fever, is more serious. You may have a more significant infection or even complications like abscess formation (a collection of pus that can develop near the tonsils).

Next Steps:

  1. Immediate Action: Given your symptoms—especially the high fever, vomiting, and blood—it's critical to seek immediate medical attention. These signs suggest that you may need more than just a review of your previous treatment.

  2. Symptom Management:

    • Stay Hydrated: Keep sipping water or clear fluids to avoid dehydration, especially after episodes of vomiting.
    • Pain Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce your discomfort and fever.
    • Rest: Allow your body to heal by getting adequate rest.
  3. Follow-Up: After addressing the immediate issue, discuss the recurrence of your tonsillitis with your healthcare provider. Consider:

    • Whether further testing (like a throat culture or imaging) is necessary.
    • Evaluating the possibility of a tonsillectomy, especially if you experience recurrent infections despite treatment, or if complications arise. This is typically considered if infections recur multiple times per year or significantly affect your quality of life.

Conclusion:

While it may be common for tonsillitis to recur, your current symptoms require urgent evaluation. Please prioritize your health by seeking medical attention promptly. Once your immediate concerns are addressed, begin a conversation with your doctor about managing your tonsillitis long-term, and the potential for surgery if necessary. Take care, and I wish you a swift recovery.

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