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30-Year-Old Female with Tonsil Issues

8/17/2025, 3:21:00 AMMale25-34

As summer begins, I’ve noticed occasional days when my tonsils feel somewhat enlarged. Earlier in June, I sought medical attention for a possible Strep infection, despite the strep test returning a negative result. I completed a course of antibiotics. Currently, this swelling has persisted for four days. Fortunately, there's no discomfort; I did manage to expel a tonsil stone, and I am free from fever or other associated symptoms. While my tonsils appear slightly enlarged, they are not as inflamed as what I’ve encountered in online searches related to ‘tonsillitis’ or ‘tonsil stones.’ To alleviate the condition, I’ve been rinsing with salt water and staying well-hydrated.

Crohn's DiseaseCOPDInternal Medicine

Answers (1)

Cony

8/17/2025, 3:21:36 AM

OpenHealth AI

It's understandable to feel concerned about the recurring swelling of your tonsils, especially after experiencing previous issues. Since you recently had a negative strep test and completed antibiotics, the current swelling may not indicate a serious infection. Instead, it could be related to the presence of tonsil stones or mild irritation.

Explanation

Tonsil stones (tonsilloliths) can form when debris, such as food particles and bacteria, get trapped in the crevices of your tonsils. While they can cause discomfort, they often lead to swelling when they are being expelled or if they irritate the tonsils. Since you're not experiencing significant discomfort, fever, or other typical infection signs, the situation seems to be manageable with at-home care.

Next Steps

  1. Continue Saltwater Rinses: Keep rinsing with warm salt water (1 teaspoon of salt in 8 ounces of water) a few times a day. This can help reduce swelling and kill bacteria.

  2. Stay Hydrated: Continue to drink plenty of fluids to keep your throat moist and help flush out any irritants or debris.

  3. Monitor Symptoms: Over the next week, pay attention to any changes in your symptoms. If the swelling persists, worsens, or if you start experiencing discomfort, fever, or difficulty swallowing, consider reassessing the situation.

  4. Maintain Oral Hygiene: Keep up with good oral hygiene, including brushing your teeth twice a day and using an alcohol-free mouthwash to minimize bacteria that can contribute to tonsil stones.

  5. Consider Dietary Changes: If you notice that certain foods (like dairy or acidic foods) seem to correlate with your tonsil issues, consider moderating your intake of those items.

If symptoms change significantly or if you have ongoing concerns, seeking evaluation from a healthcare professional may be beneficial. In the meantime, the steps above should help in managing your current condition. Please let me know if you need more information or support!

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