{"id":22171,"date":"2025-07-24T11:35:50","date_gmt":"2025-07-24T04:35:50","guid":{"rendered":"https:\/\/abdiwaluyo.com\/?p=22171"},"modified":"2025-07-24T11:35:50","modified_gmt":"2025-07-24T04:35:50","slug":"swollen-tonsils-and-pain-when-swallowing-it-could-be-acute-tonsillitis","status":"publish","type":"post","link":"https:\/\/abdiwaluyo.com\/en\/health-info\/swollen-tonsils-and-pain-when-swallowing-it-could-be-acute-tonsillitis\/","title":{"rendered":"Swollen Tonsils and Pain When Swallowing? It Could Be Acute Tonsillitis"},"content":{"rendered":"<p><em>By : Geraldus Sigap<\/em><\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-22172 size-full\" src=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/07\/Cuplikan-layar-2025-07-18-154248.png\" alt=\"\" width=\"381\" height=\"269\" srcset=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/07\/Cuplikan-layar-2025-07-18-154248.png 381w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/07\/Cuplikan-layar-2025-07-18-154248-300x212.png 300w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/07\/Cuplikan-layar-2025-07-18-154248-200x141.png 200w\" sizes=\"(max-width: 381px) 100vw, 381px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Severe sore throat, enlarged tonsils, and difficulty swallowing? Don\u2019t take it lightly. These symptoms may indicate acute tonsillitis, commonly known as inflamed tonsils. This condition frequently affects both children and adults, and can disrupt daily activities if not treated properly.<\/span><\/p>\n<h2><b><i>What Is Acute Tonsillitis?<\/i><\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tonsillitis is inflammation of the tonsils, two lymphoid tissues located at the back of the throat. In acute cases, the inflammation occurs suddenly and may last from several days up to two weeks. It is usually caused by viral infections but may also result from bacterial infections, particularly <\/span><i><span style=\"font-weight: 400;\">Streptococcus pyogenes<\/span><\/i><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2><b><i>Symptoms of Acute Tonsillitis to Watch For<\/i><\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Symptoms may vary, but common signs include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden and severe sore throat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain or difficulty when swallowing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enlarged, red tonsils or white patches on them<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever and chills<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bad breath<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache or ear pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hoarse voice or voice loss<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Swollen lymph nodes in the neck<\/span>&nbsp;<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In children, symptoms may include decreased appetite, irritability, or vomiting.<\/span><\/p>\n<h2><b><i>Causes of Tonsillitis<\/i><\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tonsillitis can be caused by:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Viral infections (adenovirus, influenza, Epstein-Barr virus)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bacterial infections, mainly group A beta-hemolytic streptococcus (<\/span><i><span style=\"font-weight: 400;\">Streptococcus pyogenes<\/span><\/i><span style=\"font-weight: 400;\">)<\/span>&nbsp;<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Risk factors include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">School-aged children<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Close contact with respiratory infection cases<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Crowded environments with poor ventilation<\/span>&nbsp;<\/li>\n<\/ul>\n<h2><b><i>How Is Tonsillitis Diagnosed?<\/i><\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Diagnosis is made by a physical exam. If a bacterial infection is suspected, the doctor may perform:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Throat swab for rapid strep test<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood test (if mononucleosis is suspected)<\/span><\/li>\n<\/ul>\n<h2><b>Treatment Options<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Treatment depends on the cause:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">For viral tonsillitis:<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Rest<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Warm fluids<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Pain relievers like paracetamol or ibuprofen<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Warm saltwater gargle<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">For bacterial tonsillitis:<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Antibiotics (usually penicillin or amoxicillin, prescribed by a doctor)<\/span>&nbsp;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It is important to complete the full course of antibiotics to prevent resistance or complications.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b><i>When to See an ENT Specialist<\/i><\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Consult a doctor if you or your child experiences:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever &gt; 38.5\u00b0C lasting more than 3 days<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inability to eat or drink due to pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severely swollen tonsils or pus-filled tonsils<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neck pain or stiffness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden foul breath<\/span>&nbsp;<\/li>\n<\/ul>\n<h2><b><i>Is Tonsil Surgery Necessary?<\/i><\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tonsillectomy (tonsil removal surgery) may be recommended if:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tonsillitis recurs more than 5\u20137 times a year<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It causes sleep disturbances or eating difficulties<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">There is a peritonsillar abscess<\/span>&nbsp;<\/li>\n<\/ul>\n<h2><b>Preventing Tonsillitis<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wash hands regularly<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid sharing eating\/drinking utensils<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear a mask when ill<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Boost immunity with a balanced diet<\/span>&nbsp;<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tonsillitis is common but should not be ignored. Early treatment helps prevent complications and speeds up recovery. If symptoms persist, consult an ENT specialist. Contact the ENT team at RS Abdi Waluyo at 021-3144989 or book your appointment online.<\/span><\/p>\n<h1><b>FAQ<\/b><\/h1>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>What\u2019s the difference between tonsillitis and a regular sore throat?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Tonsillitis is inflammation of the tonsils, while sore throat can occur without involving the tonsils.<\/span>&nbsp;<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Can tonsillitis heal without antibiotics?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">If caused by a virus, yes. But bacterial tonsillitis requires antibiotics.<\/span>&nbsp;<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>When should I see a doctor for tonsillitis?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">If there is high fever, severe pain when swallowing, significant tonsil swelling, or no improvement in 3 days.<\/span>&nbsp;<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Is tonsillitis contagious?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Yes. It spreads through saliva droplets or direct contact.<\/span>&nbsp;<\/li>\n<\/ol>\n<p><b>Does tonsillitis always require surgery?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">No. Surgery is considered for recurrent cases, abscesses, or if it causes serious eating\/sleeping issues.<\/span><\/p>\n<hr \/>\n<p><strong>Resource :<\/strong><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anderson J, Paterek E. Tonsillitis. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gaskell K, Gwini SM, Dalrymple J, Prichard E, Pilcher DV. Use of oral antibiotics for acute sore throat in adults: a systematic review. <\/span><i><span style=\"font-weight: 400;\">BMJ Open<\/span><\/i><span style=\"font-weight: 400;\">. 2024;14(6):e085883. <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Patel NB, Jariwala DR, Patel JK, Gajera MV. Comparative efficacy and safety of co-amoxiclav, cefpodoxime proxetil, and levofloxacin in acute uncomplicated bacterial tonsillitis: An open-label, randomized, comparative study. <i><span>J Family Med Prim Care<\/span><\/i><span>. 2024;13(3):648\u201354.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>By : Geraldus Sigap Severe sore throat, enlarged tonsils, and difficulty swallowing? Don\u2019t take it lightly. These symptoms may indicate acute tonsillitis, commonly known as inflamed tonsils. This condition frequently affects both children and adults, and can disrupt daily activities if not treated properly. What Is Acute Tonsillitis? Tonsillitis is inflammation of the tonsils, two <a href=\"https:\/\/abdiwaluyo.com\/en\/health-info\/swollen-tonsils-and-pain-when-swallowing-it-could-be-acute-tonsillitis\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  Swollen Tonsils and Pain When Swallowing? 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