Tonsillitis is an inflammation of the tonsils, the two oval-shaped lymphoid glands located at the back of the throat. It is usually caused by a viral or bacterial infection, most commonly Streptococcus pyogenes (group A streptococcus).
While occasional episodes of tonsillitis are common and usually resolve with time, some people experience recurrent tonsillitis, where infections occur multiple times a year. This can affect quality of life, lead to frequent time off work or school, and may eventually require surgical treatment.
Tonsillitis can occur in both children and adults. Dr Nicholas Phillips can help you determine whether further investigation or treatment, including tonsillectomy, is appropriate.
Most episodes of tonsillitis are triggered by:
Certain individuals are more prone to recurrent infections due to:
Each episode of tonsillitis may involve:
In recurrent cases, symptoms may seem to come and go, with short periods of recovery between infections. Persistent bad breath or discomfort may also indicate chronic tonsillitis or tonsil stones.
Recurrent tonsillitis is diagnosed based on:
It is helpful to keep a record of episodes, including dates, symptoms, and treatments, as this assists in determining whether surgery is warranted.
Most cases of acute tonsillitis can be managed at home with:
If a bacterial infection is suspected, a course of antibiotics (usually penicillin) may be prescribed by your local GP.
Tonsillectomy may be recommended for patients who:
Dr Phillips will discuss the pros and cons of surgery with you, based on your health history and preferences.
See Tonsillectomy procedure information for full details.
To reduce the frequency of tonsillitis:
If you have been diagnosed with recurrent tonsillitis, Dr Phillips may recommend:
Following surgery, most patients experience a significant reduction or complete resolution of symptoms.
Yes, in some people, the frequency of infections declines with age or improved immune function. However, others continue to experience recurrent infections and may benefit from surgery.
Recurrent tonsillitis refers to separate acute episodes, while chronic tonsillitis involves persistent low-grade inflammation, discomfort, or bad breath due to enlarged or infected tonsils.
No. Surgery is recommended when the symptoms are frequent, severe, or impact your quality of life. The decision is always made in consultation with your specialist.
The tonsils are part of the immune system, but their removal has not been shown to weaken immunity in adults or children. Other lymphoid tissues in the body continue to provide immune protection.
If you’d like to discuss a procedure or explore suitable treatment options, please get in touch with Dr Nicholas Phillips’ clinic.
To book with Dr Phillips, you’ll need a referral from your GP or specialist. Questions? Call our team — we’re happy to help.
