Does chronic tonsillitis hurt?

Written by Zhang Jun
Otolaryngology
Updated on January 29, 2025
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Chronic tonsillitis can lead to throat pain. Chronic tonsillitis typically results from repeated bouts of acute tonsillitis or persistent, unresolved inflammation, leading to chronic inflammation of the tonsils. It can cause continuous dryness, itching, pain, a sensation of a foreign body, obstruction, and burning in the throat area. In severe cases, it may lead to hoarseness and irritative cough. Upon examination, both tonsils are seen to be swollen and congested, with visible crypts on the surface, and yellowish-white abnormal secretions may be expressed from these crypts when the tonsils are compressed. In terms of treatment, if the tonsils are repeatedly inflamed and accompanied by fever, the patient may need to undergo a bilateral tonsillectomy. The surgery requires hospitalization, general anesthesia, and postoperative use of antibiotics to prevent local infection. Recovery and hospital discharge can typically occur about a week after the procedure. (Medication should be used under the guidance of a professional doctor.)

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Written by Li Rui
Otolaryngology
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How to treat acute tonsillitis?

Acute tonsillitis is mainly caused by an acute bacterial infection, with the most common symptoms being sudden throat pain, and significant redness and congestion of the tonsils, which may also include pus formation if severe. In terms of treatment, oral medication is primarily preferred, generally focusing on antibiotics, and may include nebulization as well as traditional Chinese oral medications. If inflammation is particularly severe and oral medications are ineffective, infusion therapy may be considered. Some patients may also experience fever, thus requiring physical cooling methods, and if the temperature exceeds 38.5 degrees Celsius, antipyretic medications should be considered, along with regular blood tests.

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Written by Deng Bang Yu
Otolaryngology
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How to treat chronic tonsillitis?

Chronic tonsillitis is a chronic inflammation of the tonsils, with clinically subtle symptoms, or a sensation of a foreign body in the throat, which can lead to recurrent acute attacks. The clinical treatment of chronic tonsillitis mainly focuses on local treatments, or treatments with traditional Chinese patent medicines. Local treatment may involve the use of oral rinses, local nebulization inhalation, as well as some heat-clearing and detoxifying Chinese patent medicines, such as Ban Lan Gen oral liquid, Pu Di Lan oral liquid, and others that can be used for treatment; some lozenges may also be used. Apart from medication, during the chronic phase of chronic tonsillitis, due to the recurrent acute attacks of tonsillitis, surgery to remove the tonsils can be considered to prevent repeated acute attacks and subsequent secondary damage. (Medication should be used under the guidance of a clinical doctor, according to specific conditions.)

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Written by Xu Qing Tian
Otolaryngology
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Chronic tonsillitis canceration rate

Chronic tonsillitis is mainly caused by mixed infections of bacteria or viruses, with the chronic inflammation of the tonsils often being caused by hemolytic streptococcus or Staphylococcus aureus. It is rare for chronic tonsillitis to become cancerous. The primary reason is due to the persistence of acute tonsillitis, which does not provide the conditions for cancerous changes. However, if individuals frequently consume spicy and stimulating food, or engage in smoking and drinking, this can cause local ulcers and lead to cancerous changes in the tonsils. Therefore, in daily life, if one notices cauliflower-like growths on the surface of the tonsils, special attention should be given, and a timely hospital check-up should be conducted to avoid the development of cancer.

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Written by Li Rui
Otolaryngology
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How to treat acute tonsillitis

Acute tonsillitis is a relatively common otolaryngological disease, mainly caused by acute bacterial infection. In terms of treatment, it is first necessary to conduct routine blood tests and indirect laryngoscopy to assess the specific extent of the inflammatory response. Generally, most patients can consider oral medication, commonly used are cephalosporin or penicillin antibiotics. It is also possible to consider combining oral traditional Chinese medicine and nebulization therapy. The general treatment period is about one week, after which most patients will gradually recover and alleviate. If oral medication is ineffective, some patients may need to consider infusion therapy. (Please use medication under the guidance of a doctor)

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Written by Li Rui
Otolaryngology
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Does chronic tonsillitis cause fever?

Chronic tonsillitis is a relatively common ENT (Ear, Nose, and Throat) disease with various clinical symptoms. Most patients may experience enlarged tonsils, a sensation of a foreign body in the tonsils, and recurrent sore throat, though the pain generally isn't very severe. Patients with chronic tonsillitis usually do not have a fever. However, if an acute episode of chronic tonsillitis occurs, it may cause fever, primarily due to acute bacterial infection leading to fever. In terms of treatment, blood tests and laryngoscopic examinations are necessary to observe the extent of the inflammation. Generally, antibiotic treatment to fight the infection is considered, with a treatment period of about one week. (Please use medication under the guidance of a doctor.)