Concerns About My Tonsils
I'm a 26-year-old male, standing at 6'5" and weighing 200 lbs. Around six weeks prior, I was diagnosed with strep throat and completed a ten-day regimen of penicillin. Shortly after recovering, I developed a mild cough that persisted for about two weeks. For the past month, however, I've noticed that my tonsils seem to show signs of a minor infection. Having dealt with tonsil stones before, I'm aware of the distinct differences in appearance. A week ago, I visited urgent care where they performed a strep test that returned negative results. The healthcare professionals indicated it was probably a viral infection. Aside from the appearance of my tonsils, I don't experience any additional symptoms. Occasionally, I feel a dryness in my throat while swallowing, which could be more accurately described as a mild irritation in my tonsils. I do not have a fever, cough, or any other issues. What troubles me is that my tonsils have appeared this way for an entire month. How long might this condition take to resolve? Should I consider seeking another round of antibiotics?
Answers (1)

6/26/2025, 7:10:38 AM
OpenHealth AI
It sounds like you've been dealing with persistent tonsil issues after a recent bout of strep throat, and it's understandable to be concerned given the duration of your symptoms. Here are the main points regarding your situation:
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Chronic Tonsil Symptoms: Your tonsils may still show signs of irritation or inflammation due to a past viral infection or post-strep throat recovery. A viral infection can cause lingering symptoms even after the active illness has resolved.
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Current Condition: Given that you have reported no fever, significant pain, or other alarming symptoms, your condition may improve on its own. It's not uncommon for mild tonsil symptoms to persist for several weeks.
Explanation:
Tonsils can remain enlarged and irritated following an infection, and they can take time to return to their usual state. Since your strep test was negative and you aren't exhibiting severe symptoms, it suggests that the infection isn’t bacterial and likely doesn’t require antibiotics. Antibiotics are most effective for bacterial infections, and using them unnecessarily can lead to resistance and other complications.
Next Steps:
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Monitor Symptoms: Continue to observe your symptoms. If you notice worsening symptoms, like increased pain, fever, or difficulty swallowing, it may require additional evaluation.
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Self-Care:
- Stay hydrated to soothe your throat.
- Gargle with warm salt water a few times daily to help reduce inflammation.
- Use throat lozenges or sprays to relieve irritation.
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Patience: Allow time for your body to heal. Mild tonsil irritation can take several weeks to completely resolve, particularly post-infection.
If symptoms persist beyond another few weeks or you develop new symptoms, consider scheduling another visit for a thorough evaluation. Let me know if you have further questions or need more specific guidance!
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