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What causes lingual tonsil enlargement?

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Posted on Mon, 26 Dec 2016
Question: I've had swollen lingual tonsils for over a month - some difficulty with swallowing pills or dry foods as they get stuck in my throat. Went to ENT who scoped and showed me how swollen the tonsils were. He put me on Augmentin for two weeks even though I had no pain and did not feel like I had an infection. No change in swollen tonsils after antibiotic. So he had me start on prednisone three days ago - 60 mg a day for three days then tapering down. I still feel a lump in my throat and difficulty swallowing. Why are these tonsils so unresponsive to treatment?
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Answered by Dr. Satvinder Bakshi (37 minutes later)
Brief Answer:
The commonest cause is a chronic infection

Detailed Answer:
Hello

The commonest cause for lingual tonsil enlargement is a chronic infection followed by acid reflux from the stomach

Chronic infections of the tonsils are very difficult to treat and may need prolonged antibiotics for upto 4 weeks. Besides this the source of infection has to be looked for and treated.

chronic acid reflux is also difficult to treat and instead of omeprazple I would normally start my patients on omeprazple domperidone combination for atleast 6 to 8 weeks.

Please discuss this with your doctor

Take care!!
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Satvinder Bakshi

ENT Specialist

Practicing since :2007

Answered : 2467 Questions

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What causes lingual tonsil enlargement?

Brief Answer: The commonest cause is a chronic infection Detailed Answer: Hello The commonest cause for lingual tonsil enlargement is a chronic infection followed by acid reflux from the stomach Chronic infections of the tonsils are very difficult to treat and may need prolonged antibiotics for upto 4 weeks. Besides this the source of infection has to be looked for and treated. chronic acid reflux is also difficult to treat and instead of omeprazple I would normally start my patients on omeprazple domperidone combination for atleast 6 to 8 weeks. Please discuss this with your doctor Take care!!