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Have bigger tonsil one side. Prone to tonsillitis after sweets, drinks. Advised warm saline gargle, no change

My right tonsil is a bit bigger than my left tonsil. I don't know how long it has been. All I know is that I am prone from tonsilitis everytime I eat sweet foods and drink juices and sodas. I never smoke and drink alcoholic drinks. I just want to know if it is just okay or I need to go to the doctor to ask an advice? Before I've been to a check up and the doctor said that I just gargle a warm water with salt. I did it but still the right tonsil is a bit bigger.
Asked On : Sun, 14 Apr 2013
Answers:  2 Views:  49
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ENT Specialist 's  Response
considering u and adult--
One tonsil bigger than other if is caused by infection and cause throat pain and fever and goes off by antibiotic course then u can do--
take care of dental hygiene
do regular gargle with Betadine 2 tsf in half glass of water 2 times a day for 10 days.

take care of reflux by---
Tab. Omeprazole +Domperidom two times a day half an hour before meals
Syp. antacid gel 2 tsf two times a day half an hour before meals
multivitamin twice daily
Keep head end of bed elevated.
Avoid alcohol, Smoking
Do brisk walking daily
Go for walk after dinner
Avoid spicy food
Avoid late night coffee

BUT if it is the only tonsil enlarged then you must consult your doctor as soon as possible and get examined for other lymph node enlargement and USG upper abdomen and may be you require tonsillectomy and get Histopathological examination of that.
Answered: Sun, 14 Apr 2013
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ENT Specialist Dr. A.K. Srivastava's  Response

Thanks for writing to H.C.M. for your query.

I have gone through your query regarding recurrent tonsilar infection, as you said that your right tonsil is bigger than left one.

No doubt you are having chronic tonsillitis, as far as right tonsils size is concern it may be associated with cyst or asymetrical hypertrophy.

As for as treatment is concerned we can follow conservative treatment or surgery. There is a guideline for deciding the modalities of treatment. Surgery is indicated if there is-

(a) More than 4 episodes of tonsillitis in a year.

(b) If tonsillitis is associated with cervical lymphadenopathy.

(c) Tonsil is having cyst/ stone.

(d) Whenever there is history of paratonsilar abscess.

(e) Culture and sensitivity of throat swab is positive for staph infection.

(f) Tonsillitis with growth.

(g) When tonsillar size is too large that right and left tonsils touches eachother (kissing tonsil).

This is the list of indications so after thorough examination one can decide your line of treatment.

Answered: Sun, 14 Apr 2013
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