Tonsil Issues: Viral Tonsillitis, Strep, or Mono?
Recently, approximately four days ago, I (18-year-old female) experienced a sudden wave of exhaustion, as if every muscle in my body was sore, leaving me incredibly fatigued. That evening, I felt extremely unwell, exhibiting symptoms that resembled a fever—although I am unsure if my temperature was indeed elevated. By the following morning, however, I felt significantly better, aside from a minor irritation in my throat, which I wouldn't classify as painful. Now, on the fifth day, I have begun to feel concerned because my tonsils appear swollen and have developed some patches of white pus. Swallowing has become uncomfortable, creating a narrowing sensation in my throat, although it doesn’t hurt when I’m not swallowing. Additionally, I've noticed swelling in my glands located in the area where my jaw meets my neck. Apart from that, I’m lacking any additional symptoms such as fever, nasal discharge, or persistent cough. I'm starting to wonder what might be the cause of these changes in my throat.
Answers (1)

8/1/2025, 7:20:44 AM
OpenHealth AI
It sounds like you’re experiencing symptoms that could indicate a viral infection or possibly strep throat. The fatigue, swollen tonsils, and the presence of white patches suggest that your body is fighting off an infection, which could either be viral tonsillitis, streptococcal pharyngitis (strep throat), or even infectious mononucleosis (mono).
Explanation
- Viral Tonsillitis: Usually caused by common viruses, it can lead to sore throat, swollen tonsils, and fatigue. The white patches may occur.
- Strep Throat: Caused by a bacterial infection (Group A Strep), characterized by severe sore throat, swollen tonsils with white patches, and swollen lymph nodes. A fever is often present but not always.
- Infectious Mononucleosis: Caused by the Epstein-Barr virus, it can cause fatigue, swollen tonsils, and swollen lymph nodes, often without a fever.
Given your symptoms, especially the swollen tonsils with white patches and the feeling of discomfort when swallowing, it's important to address these issues carefully.
Next Steps
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Hydration: Drink plenty of fluids to stay hydrated and soothe your throat. Warm teas or broths can be particularly comforting.
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Symptom Monitoring: Keep an eye on your symptoms over the next couple of days. Particularly note if you develop a fever or if the throat discomfort worsens.
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Gargling: Consider gargling with warm salt water to help reduce throat irritation. Dissolve about half a teaspoon of salt in a glass of warm water and gargle several times a day.
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Rest: Ensure that you get ample rest to help your body recover from whatever infection it might be fighting.
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Over-the-counter Pain Relief: If you're experiencing discomfort during swallowing, consider taking over-the-counter pain relief (like acetaminophen or ibuprofen) as per the package instructions to alleviate throat pain and any discomfort.
If your symptoms persist for more than a few days, worsen, or you start to develop a high fever, it's advisable to seek medical attention for an evaluation and possibly a test for strep throat or mono. These conditions can sometimes require specific treatments, such as antibiotics for bacterial infections.
Take care, and let me know if you have any more questions!
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