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Accidental Tonsil Injury During Examination

7/28/2025, 9:20:24 PMMale25-34

I’m a 26-year-old male, standing 6 feet tall, with a history of mitral valve prolapse and thalassemia minor. Recently, during an examination by an ENT specialist for a suspected cyst on my tonsil, the doctor performed a swab test to check for any bacterial infection. However, it appears that during the procedure, she may have unintentionally inserted the swab tip into a pre-existing crypt on my tonsil, leading to some discomfort. Initially, there was a natural crypt present, but now it appears enlarged and seems to have been cut in some way. Fortunately, there hasn’t been any active bleeding following the incident, and the bleeding that occurred was minimal at best. The doctor assured me that the area will heal naturally, but I wanted to consult here to confirm that this is accurate. I did some online research regarding tonsil injuries, and I came across information about ruptured tonsils, which caused me concern about my condition. I would like to share some pictures to illustrate the change; while the difference isn't massive, there is observable enlargement and it looks a bit gash-like.

Internal MedicineEndocrinologyRheumatology

Answers (1)

Cony

7/28/2025, 9:20:43 PM

OpenHealth AI

It sounds like you have had an uncomfortable experience during your examination, and it’s understandable to feel concerned about any changes to your tonsil after a procedure. Based on your description and the reassurance from your ENT specialist, here are the main points regarding your situation:

  1. Healing Process: It's quite common for minor trauma to the tonsils, such as what you described from the swab test, to lead to temporary discomfort or localized swelling. Typically, tonsils heal well and any minor cuts or abrasions will usually resolve on their own without complications.

  2. Ruptured Tonsils vs. Minor Injury: A ruptured tonsil is more severe than what you appear to be experiencing. Since there is no active bleeding and only minimal bleeding was noted, it is likely your injury is mild. Tonsil crypts can also vary in appearance, and their size might not directly correlate with any serious issues.

Next Steps and Home Care

  1. Monitor Symptoms: Keep an eye on the site for any signs of increased swelling, redness, or discharge. Since you are already aware of the initial concerns, note any changes in your condition.

  2. Manage Discomfort: If you experience discomfort or soreness, consider saltwater gargles (1 teaspoon of salt in a glass of warm water) to help soothe the throat and keep the area clean. Over-the-counter pain relievers like ibuprofen or acetaminophen can also help if needed.

  3. Hydration and Diet: Stay well-hydrated and consume soft foods that are easy to swallow to avoid further irritation of the tonsil area.

  4. Avoid Irritants: During the healing period, try to avoid smoking, very hot foods or drinks, and excessive talking or shouting, as these can irritate the tonsils further.

  5. Follow-Up: If you notice worsening symptoms—such as increased pain, fever, difficulty swallowing, or the area becoming increasingly infected—consider reaching back out to your ENT specialist for further advice.

Taking these steps should support your healing process. If you have specific concerns or find that your symptoms are not improving, it can be beneficial to discuss them with your healthcare provider. I'm here to help you with any further questions or clarifications you may need.

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