What Is Tonsillitis?
Tonsillitis is inflammation of the tonsils, usually caused by a viral or bacterial infection. The tonsils are two oval-shaped pads of tissue at the back of the throat. While tonsillitis is common in children, frequent or severe episodes may warrant further treatment.
Symptoms of Tonsillitis
- Sore throat — often severe
- Red, swollen tonsils (may have white patches)
- Difficulty or painful swallowing
- Fever
- Swollen neck glands
- Bad breath
- Stomachache (common in younger children)
- Stiff neck or headache
Causes
- Viral infections — Most common cause (common cold viruses, EBV, etc.)
- Strep throat — Group A Streptococcus bacteria (requires antibiotics)
What Parents Can Do at Home
- Offer warm or cold liquids — Warm broth, cold popsicles, and ice water soothe the throat
- Use a humidifier to add moisture to the air
- Give pain relief — Acetaminophen or ibuprofen as directed
- Encourage rest
- Offer soft foods that are easy to swallow
- Saltwater gargles for older children who can gargle
When to Call the Pediatrician
- Sore throat lasting more than 2 days
- Difficulty swallowing or drooling
- High fever (over 103°F)
- Recurrent tonsillitis episodes
- Snoring or breathing problems during sleep
When Surgery Is Recommended
Your pediatrician may refer to an ENT for tonsillectomy if:
- 7+ throat infections in one year, or recurring pattern over multiple years
- Enlarged tonsils causing sleep-disordered breathing or sleep apnea
- Difficulty eating or breathing due to tonsil size
- Peritonsillar abscess
Key Takeaways
- Most tonsillitis is viral and resolves with home care
- Strep tonsillitis requires antibiotics
- Tonsillectomy is safe and recommended for frequent infections or sleep problems
- Recovery takes 1-2 weeks with cold, soft foods and plenty of fluids
