Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
146 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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

Suggest treatment for tonsillitis

Answered by
Dr.
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions

default
Posted on Tue, 20 Sep 2016 in Ear, Nose and Throat Problems
Question: I have had tonsillitis more commonly since exposure to mold 2 years ago and have been working with a specialist for all my mold related symptoms but since a sore throat with tonsillitis in mid-May 2016, my tonsils have been swollen and one in particular is lumpy and irregular. Although they don't hurt anymore (infection is gone - likely viral) and have gone down a little bit, they are still huge (about ping pong size). I have been avoiding allergies and reducing inflammation using diet/lifestyle/supplements but they won'd get any smaller. They don't give me any noticeable symptoms but I don't want them this big.

I want to know more about possible causes before continuing with a tonsillectomy. I know other blood markers like liver enzymes (AST and ALT) have been unexplainably high and no chronic or latent virus infections have been found.
doctor
Answered by Dr. Abubakar Siddiqh 8 hours later
Brief Answer:
Tonsillar hypertrophy

Detailed Answer:

Hi,

I had gone through your question and understand your concerns that you are having tonsillar enlargment.

Based on your clinical details and As per picture, it appears to be tonsillar hypertrophy.

It usually occurs due to recurrent episodes of tonsillitis or secondary to allergy ( inhalational and consumed) or due to acid peptic disease.

If it's bothering with pain, respiratory obstruction, sleep apnea or with recurrent infections tonsillectomy is the choice. Very often, boold markers ( liver n kidney) will not give any clue towards tonsillar hypertrophy.

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.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
default
Follow up: Dr. Abubakar Siddiqh 4 hours later
Thank you. I have not heard of hypertrophy of the tonsils yet but after some reading it seems to fit my signs/symptoms much better than anything else: reoccurring tonsillitis, throat infections, and oral+respiratory allergen exposure, chronic enlargement, no pain or known infection (currently).

My ENT and ND suggested I get my tonsils removed but I need more information before I go through with my scheduled tonsillectomy this December.

Is it easier for the throat to get infections (like strep, thrush, etc.) with tonsillar hypertrophy than it is with regular/common sized tonsils?

If the cause of tonsillar hypertrophy was recurrent episodes of tonsillitis, can the tonsils ever reduce or do the tonsils ever shrink?

If allergen exposure is the cause - or part of the cause - and the allergens are strictly avoided (my major ones are foods and household molds) can the tonsils shrink?

I may try a sleep apnea take home test to see if these tonsils affect my sleep/breathing. Do you have any clinical opinions about this? How else can I tell if there is any respiratory obstruction?

It seems like studies show no noticeable impact on immune functions after tonsillectomy but I worry about my lymph functions and immune activity particularly since I lost my spleen in a traffic accident 3.5 years ago. Theoretically, could there be any immune dysfunctions - however minor - post tonsillectomy in a person without a spleen? (This will not affect my decision on tonsillectomy but how I take care of my body afterwards)

Thank you so much for your time. I really appreciate it.
XXXXXXX
doctor
Answered by Dr. Abubakar Siddiqh 2 hours later
Brief Answer:
tonsillectomy.

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

Answers for your queries.

1. Yes. Tonsillar hypertrophy is more prone for infections, when compared to normal sized ones.

2. Yes. Control of repeated infections can bring back the original size but not the allergic one.

3. Yes. Partially, you can reduce the size, if you know the exact allergen (there are several thousands of allergens in environment, which are very difficult to control them).

4. Sleep studies. This study gives information of number of episodes of respiratory obstruction per hour and constricted area causing the obstruction. This apnoea ( respiratory obstruction during sleep) episodes will decide the decision of surgery.

5. Tonsills are important organs of immunity in case of children but not in adults. They become atrophic and vestigial in adults. Post spelnectomy, pneumococcal infections are common, where pneumococcal vaccine given (it also gives protection to streptoccci, which is commonest one causing tonsillitis). Therefore, you can go ahead for tonsillectomy.

All the best. Take care.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  Sore throat

doctor1 MD

Hi....I m suffering from pain on one side of my neck jaw and face that aggravates when I speak...m really worried as it s been more than six months...

doctor1 MD

My 6 year old daughter is complaining of a sore throat and some body aches. The only medicine I have in the house is Nyquil and I have no funds...

doctor1 MD

I am recovering from thyroiditis, waiting for my levels to come down...my throat is sore again and have thick catarrh stuck low in my throat.....I...

doctor1 MD

Hubby has chrone he hurt his back and cant walk so we took him to hospital when he got there he needed a blood transfusion 4 bags and also a bag of...

doctor1 MD

For the past 3 weeks I have had a very persistent sore throat which at times has made it very difficult to swallow. Lemsips and lozengers ease and...

doctor1 MD

I was treated for strep about a month ago. Still have lingering cough . Not bad, but still there. Could this be due to post nasal drip?

doctor1 MD

Temperature 103.1 Very bad sore throat Difficulty swallowing Discolored sputum Chills