Is This Cause for Alarm? Unusual Tonsil Swelling
Age: 27, Female For the past month, I've been dealing with what I thought was a recurring case of tonsillitis affecting one side of my throat. Currently, I’m noticing that one tonsil is swelling significantly and seems to be growing larger without any sign of reduction. Additionally, there's a lump in the lymph node on the same side of my neck, which feels hard to the touch. In conjunction with the enlarged tonsil, I've been experiencing breathing difficulties, which are particularly pronounced at night when I lie flat on my back. I've also begun snoring, a change from my usual quiet breathing. My throat feels sore, and there are times when swallowing is a challenge or I feel like I might choke on my saliva or mucus. The tonsil itself appears normal in color, with a few small visible veins, but it is so large that it almost touches my uvula. This swelling has persisted for over five weeks, progressively worsening. I’m questioning whether this is an instance of tonsillitis since antibiotics haven’t alleviated the swelling, nor have aspirin or anti-inflammatory medications provided any relief. Now I’m genuinely worried that this might signify something more serious than just tonsillitis. I find myself uncertain about whether I should wait to see if it gets better on its own or how critical it is to seek medical attention right away. I’m looking for advice on what I might be experiencing—whether this is a pressing issue and if there are any home remedies I could try in the meantime.
Answers (1)

8/13/2025, 11:10:42 PM
OpenHealth AI
It's understandable to feel concerned when dealing with persistent and worsening symptoms, especially around your throat and breathing. The significant swelling of one tonsil, the hard lump in the lymph node, and the associated breathing difficulties do warrant attention.
Explanation
Your symptoms suggest that you could be experiencing an infection or another condition affecting your tonsils and lymph nodes, such as chronic tonsillitis or even a peritonsillar abscess. The fact that swelling has occurred for over five weeks and is accompanied by difficulty breathing and swallowing is particularly concerning. Typically, tonsillitis improves with time or treatment, and the symptoms you describe could indicate a need for further evaluation.
Next Steps
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Prioritize Immediate Evaluation: Given your breathing difficulties, especially while lying flat, it's essential to seek medical attention as soon as possible. If symptoms worsen or you experience severe difficulty in breathing, consider going to an urgent care or emergency room.
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Monitor Symptoms Closely: Keep track of any changes in your symptoms, such as increased swelling, pain, difficulty swallowing, or worsening breathing difficulties. This information will be helpful for healthcare providers.
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Stay Hydrated: Drink plenty of fluids to keep your throat moist, which may help alleviate some discomfort. Warm liquids such as herbal tea or broth can be soothing.
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Avoid Irritants: Stay away from smoke and strong scents, which can irritate your throat further.
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Try Warm Compresses: Applying a warm (not hot) compress to the outside of your throat may provide some relief from pain and swelling.
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Rest: Ensure you’re getting enough rest, as this can support your immune system during this time.
Reassurance
While it’s natural to feel anxious about these symptoms, prioritizing evaluation and care is the best course of action. Seeking medical attention will clarify your condition and help develop an appropriate treatment plan. You’re taking the right steps by addressing this concern. Please don’t hesitate to reach out for support or have someone accompany you for your appointment.
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