Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
167 Doctors are Online

Inflamed tonsil, white lesions, no fever, no headache, no vomiting, hurts to swallow

My left tonsil is inflammed to 4 times its regular size and it is covered in white lesions. With difficultly the lesions can be scraped off, and go quite deep. They leave a small hole. I m on antibiotics, and gargling with baking soda and Tantum Verde, as well as 5mg prednisolone daily. I don t have all the other regular symptoms of tonsillitis (which i ve had many times) like fever, headache, vomiting, etc. I feel alright; it just hurts to swallow. Could it be something other than tonsillitis???
Asked On : Sat, 12 May 2012
Answers:  2 Views:  370
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Drug/Medication
Medical Procedures
Medical Topics
ENT Specialist 's  Response
Hi and welcome to HCM,

I have gone through your problem with details and read the lines repeatedly.



Your question was "Could it be something other than tonsillitis??? " ---

Ans: YES, It might be "tonsilloliths" (ON chronic tonsillitis).



I will try to explain it -

An inflamed tonsil is very painful and there might be fever associated with it. Simply enlarged tonsils (Bilateral & hurts to swallow) may be signs of chronic tonsillitis (NOT "Acute tonsillitis" which symptoms are same like you have suffered earlier many times. The repeated effects of acute tonsillitis leads to chronic tonsillitis and finally a chronic tonsillitis may lead to tonsilloliths. These are tonsil stones and lies inside crypts of tonsils (deep into tonsils, like you explained). When removed you can see the crypts (small hole, as you mentioned). So, provisionally i think it to be "tonsillolith" on chronic tonsillitis. Seeing is always better then assuming, so you definitely have to take help of your local doctor.

So far treatment part is concerned, tonsilloliths itself needs no treatment other then oral hygiene.

BUT, in your situation, you have difficulty (i.e., hurts) on swallowing (due to enlarged tonsils, may not be inflamed) and also you had repeated previous infections, so i think you will need "tonsillectomy". (It is not done in inflamed tonsils. Inflammation have to subside.) In my personal opinion, antibiotics, baking soda gurgling and prednisolone are absolutely NOT needed. You may do a "povidone iodine" gurgle rather.

I hope that i could draw your attention to the actual problem you are suffering and perhaps convince you with this concise explanation.

I sincerely want you to get rid of your problem very very soon and wish you an early recovery.

Take care and thanks
Answered: Sun, 13 May 2012
I find this answer helpful
ENT Specialist Dr. Diganta Kumar Das's  Response
Hi and welcome to HCM,

I have gone through your problem with details and read the lines repeatedly.



Your question was "Could it be something other than tonsillitis??? " ---

Ans: YES, It might be "tonsilloliths" (ON chronic tonsillitis).



I will try to explain it -

An inflamed tonsil is very painful and there might be fever associated with it. Simply enlarged tonsils (Bilateral & hurts to swallow) may be signs of chronic tonsillitis (NOT "Acute tonsillitis" which symptoms are same like you have suffered earlier many times. The repeated effects of acute tonsillitis leads to chronic tonsillitis and finally a chronic tonsillitis may lead to tonsilloliths. These are tonsil stones and lies inside crypts of tonsils (deep into tonsils, like you explained). When removed you can see the crypts (small hole, as you mentioned). So, provisionally i think it to be "tonsillolith" on chronic tonsillitis. Seeing is always better then assuming, so you definitely have to take help of your local doctor.

So far treatment part is concerned, tonsilloliths itself needs no treatment other then oral hygiene.

BUT, in your situation, you have difficulty (i.e., hurts) on swallowing (due to enlarged tonsils, may not be inflamed) and also you had repeated previous infections, so i think you will need "tonsillectomy". (It is not done in inflamed tonsils. Inflammation have to subside.) In my personal opinion, antibiotics, baking soda gurgling and prednisolone are absolutely NOT needed. You may do a "povidone iodine" gurgle rather.

I hope that i could draw your attention to the actual problem you are suffering and perhaps convince you with this concise explanation.

I sincerely want you to get rid of your problem very very soon and wish you an early recovery.

Take care and thanks
Answered: Mon, 14 May 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
 

 

Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor