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Tonsillitis

What Are the Symptoms?

For tonsillitis:

  • A very sore throat with red, swollen tonsils; there may be a white discharge or spots on the tonsils.
  • Swollen and tender lymph nodes in the neck under the jaw.
  • A low-grade fever and headache accompanying the other symptoms.

For tonsillar abscess:

  • In addition to inflamed tonsils, severe pain and tenderness around the area of the soft palate, at the roof of the mouth, and difficulty swallowing.
  • Distinctively muffled speech, as if the child is speaking with a mouthful of mashed potatoes, caused by swelling from the abscess.

Call Your Doctor If:

  • Your child has symptoms of tonsillitis.
  • Your child has trouble breathing at night or experiences noisy breathing or episodes of sleep apnea, in which the child stops breathing for brief periods while asleep; these symptoms may indicate adenoid problems or overgrown tonsils.
  • Your child has recurrent bouts of tonsillitis; surgery may be indicated.
  • Your child is not responding to antibiotics and has fever or pain, as well as white spots or a discharge on the tonsils; this may indicate mononucleosis or another infection.

Anyone with tonsillitis who is drooling, unable to drink or swallow or has any difficulty breathing should go to a hospital's Emergency Department for evaluation.

Medically reviewed by Tracy Shuman, MD, August 2005.

SOURCE: The Mayo Clinic

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