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When to See a Doctor about Tonsils and Adenoids

The most common problems affecting the tonsils and adenoids are recurrent infections (throat or ear) and significant enlargement or obstruction that causes breathing and swallowing problems.

Abscesses around the tonsils, chronic tonsillitis, and infections of small pockets within the tonsils that produce foul-smelling, cheese-like formations can also affect the tonsils and adenoids, making them sore and swollen. Tumors are rare, but can grow on the tonsils.

When Should I See My Doctor?

You should see your doctor when you or your child suffer the common symptoms of infected or enlarged tonsils or adenoids.

Tonsillitis And Its Symptoms
Tonsillitis is an infection in one or both tonsils. One sign is swelling of the tonsils. Other signs or symptoms are:

  • Redder than normal tonsils
  • A white or yellow coating on the tonsils
  • A slight voice change due to swelling
  • Sore throat
  • Uncomfortable or painful swallowing
  • Swollen lymph nodes (glands) in the neck
  • Fever
  • Bad breath

Enlarged Adenoids And Their Symptoms
If you or your child's adenoids are enlarged, it may be hard to breathe through the nose. Other signs of constant enlargement are:

  • Breathing through the mouth instead of the nose most of the time
  • Nose sounds "blocked" when the person speaks
  • Noisy breathing during the day
  • Recurrent ear infections
  • Snoring at night
  • Breathing stops for a few seconds at night during snoring or loud breathing (sleep apnea)

What Should I Expect At the Exam?

The primary methods used to check tonsils and adenoids are:

  • Medical history
  • Physical examination
  • Throat cultures/Strep tests
  • Blood tests

Dr. Klotch will ask about problems of the ear, nose, and throat and examine the head and neck. He will use a small mirror or a flexible lighted instrument to see these areas.

Cultures/strep tests are important in diagnosing certain infections in the throat, especially "strep" throat.

Blood tests can determine problems such as mononucleosis.

Read more about Tonsil & Adenoid disease treatments.