Tonsillitis

Treatment

If the cause of the tonsillitis is bacteria such as strep, antibiotics are given to cure the infection. The antibiotics may be given once as a shot, or taken for 10 days by mouth.

If antibiotic pills are used, they must be taken for the full course. They must not be stopped just because the discomfort stops, or the infection will NOT be cured. Some health care providers will treat all tonsillitis with antibiotics to prevent the chance of strep-related complications. Others treat only known bacterial and strep infections.

Rest to allow the body to heal. Fluids, especially warm (not hot), bland fluids or very cold fluids may soothe the throat. Gargle with warm salt water or suck on lozenges (containing benzocaine or similar ingredients) to reduce pain.

Over-the-counter medications may be used to reduce pain and fever. Do NOT use aspirin in children if the infection could be viral, because this may be associated with Reye's syndrome.

Surgery to remove the tonsils (tonsillectomy) may be necessary for some people who have repeated infections.

Outlook (Prognosis)

Tonsillitis symptoms usually lessen in 2 or 3 days after treatment starts. The infection usually is cured by then, but may require more than one course of antibiotics. Complications of untreated strep tonsillitis may be severe. A tonsillectomy may be recommended if tonsillitis is severe, comes back, or does not respond to antibiotics.

Possible Complications

• Pharyngitis - bacterial
• Pharyngitis - viral
• Dehydration from difficulty swallowing fluids
• Blocked airway from enlarged tonsils
• Peritonsillar abscess or abscess in other parts of the throat
• Rheumatic fever and subsequent cardiovascular disorders
• Kidney failure
• Post-streptococcal glomerulonephritis

When to Contact a Medical Professional

Call your health care provider if a sore throat persists longer than 48 hours, is accompanied by other symptoms of tonsillitis, if symptoms worsen, or new symptoms develop.