Suggest treatment for chronic tonsillitis

Posted on Tue, 7 Apr 2015 in Ear, Nose and Throat Problems
Question: I have swollen lingual tonsils bilateral in a v shaped pattern at the back of my tongue that are unresponsive to prednisone x 3 days. Is there anything I can do? My sleep apnea is horrendous right now.
Answered by Dr. Abubakar Siddiqh 53 minutes later
Brief Answer:
Acute on chronic tonsillitis, requires antibiotics

Detailed Answer:


I had gone through your question and understand your concerns that you are having enlarged tonsils. I would like to ask you few more details.

How frequently, you get episodes of tonsillitis ?

Kindly get back to me with the details.

Based on your clinical details, it appears to be acute on chronic tonsillitis.

I suggest you to to re consult your treating doctor, to have a course of antibiotics (prednisone works only on congestion, but not on infection). Once infection subsides, go ahead for tonsillectomy to solve the problem of chronic tonsillitis and obstructive sleep apnea.

Mean time, continue gargling and Brufen.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Shanthi.E
Follow up: Dr. Abubakar Siddiqh 11 hours later
Actually it appears to be englarged circumvallate papillae. Now that i took a photo. They are really painful. Anything i can do?
Answered by Dr. Abubakar Siddiqh 1 hour later
Brief Answer:
Need naked eye examination, to rule out infection.

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

Normal components (circumvalate papillae) of tongue, concerns with taste.

Pain could be due to infection (associated with pharyngitis or tonsillitis), can be evaluated by naked eye (color and congestion). Kindly get evaluated and take antibiotics.

Mean time continue salt water gargling.

Hope, I have answered your query.

Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Answered by
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,  
Medical Procedures
Medical Topics

Recent questions on  Lingual tonsils

doctor1 MD

Hello, I have had a chronic sore throat going on 3 years now. It is horrible. I have changed everything about my lifestyle for the LPR diet, and it...

doctor1 MD

Hello, My lymph node submandular in my upper neck has been swollen for 5 years. I have had it biopsied to reveal nothing, and ultrasounded and had...

doctor1 MD

Hello.. I have been diagnosed with LPR and I am wondering on an MRI two years ago it said I had prominent lingual tonsils , again this year I had...

doctor1 MD

Hello have you treated lingual tonsil problems?
Both enlarged , 5 days in hospital 3 week ago on clindamcin 900mg for 4 weeks now and back on...

doctor1 MD

Hi I have some residual food left after after swallowing( revealed on a moderate barium swallow) I also get a swore throat and a very tight feeling...

doctor1 MD

Hello Sir, I have a lesion (small red patch around 4-5mm in dia) on the lateral part of my tongue very close to the lingual tonsils area? I have...

doctor1 MD

My question is... I've have only one enlarged circumvallate papillae on the left side on the back of my tongue for about a month now. It don't seem...

Get personalised answers from verified doctor in minutes across 80+ specialties

134 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction