Signs of Enlarged Tonsils
A 21-year-old woman with a six-year history of vaping and smoking has recently been experiencing significant discomfort in her tonsils, particularly the right one. She reports increased pain over the past week, which has made swallowing, chewing, and moving her tongue quite challenging. Although she has never been informed about her tonsils being enlarged, she has not had a follow-up visit since her ENT specialist retired after her battle with mononucleosis. During that time, a walk-in clinic advised her to see a doctor due to her throat nearly closing up, coinciding with a recent COVID-19 infection. She was treated with a course of steroid medication to alleviate her symptoms.
Answers (1)
2/6/2026, 6:40:32 PM
OpenHealth AI
It sounds like you're dealing with significant discomfort related to your tonsils, and it's important to address these symptoms carefully. Enlarged tonsils can be a source of pain and difficulty swallowing, especially after a recent illness such as COVID-19. Given your history with mononucleosis and vaping, there are several factors at play.
Explanation
Enlarged tonsils (tonsillar hypertrophy) can develop after infections, due to chronic irritation from smoking and vaping, or may be related to other underlying conditions. Symptoms like pain, difficulty swallowing, and a sensation of swelling can occur in these situations. Your recent COVID-19 infection and previous episodes may also contribute to the current state of your throat.
Prioritized Next Steps
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Hydration & Soft Foods: Focus on drinking plenty of fluids and eating soft foods that are easy to swallow to minimize discomfort. This will help soothe your throat while ensuring you stay nourished.
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Saltwater Gargles: Gargling with warm salt water several times a day can help reduce swelling and relieve pain in your throat.
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Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain and inflammation. Be sure to follow the recommended dosages.
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Monitor Symptoms: Keep track of any changes in your symptoms. Pay attention to any increase in pain, difficulty breathing, fever, or swelling that could indicate a more serious issue. If these occur, you may need to seek medical attention.
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Follow-Up Appointment: Plan to see a healthcare professional. A thorough examination by an ENT or general practitioner can provide clarity on the state of your tonsils and whether any interventions, like further imaging or removal, might be necessary.
It's understandable to feel concerned given your symptoms and history. Prioritizing these steps may help alleviate your discomfort and address underlying concerns effectively. If you have any further questions or need more guidance, feel free to reach out.
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