Tonsillitis

Tonsillitis is an infection of the tonsils at the back of your throat. It is a common childhood illness, but teenagers and adults can get it too.

Check if you have tonsillitis

Tonsillitis can feel like a bad cold or flu. The tonsils at the back of your throat will be red and swollen.

The main symptoms in children and adults are:

• a sore throat
• problems swallowing
• a high temperature of 38C or above
• coughing
• a headache
• feeling sick
• earache
• feeling tired

Sometimes the symptoms can be more severe and include:

• swollen, painful glands in your neck (feels like a lump on the side of your neck)
• pus-filled spots on your tonsils
• bad breath

If you're not sure it's tonsillitis

Look at other sore throat symptoms .

How long tonsillitis lasts

Symptoms will usually go away after 3 to 4 days.

Tonsillitis is not contagious, but most of the infections that cause it are, for example, colds and flu.

To stop these infections spreading:

• if you or your child have a high temperature or you do not feel well enough to do your normal activities, try to stay at home and avoid contact with other people until you feel better
• use tissues when you cough or sneeze and throw them away
• wash your hands after coughing or sneezing

How to treat tonsillitis yourself

Tonsillitis usually gets better on its own after a few days.

To help treat the symptoms:

• get plenty of rest
• drink cool drinks to soothe the throat
• take paracetamol or ibuprofen (do not give aspirin to children under 16)
• gargle with warm salty water (children should not try this)

A pharmacist can help with tonsillitis

Speak to a pharmacist about tonsillitis.

They can give advice and suggest treatments, like:

• lozenges
• throat sprays
• antiseptic solutions

What happens at your GP appointment

A doctor can usually tell it's tonsillitis by asking about your symptoms and looking at the back of your throat.

You may also need:

• a swab test to see if bacteria are causing your tonsillitis (a cotton bud is used to wipe the back of your throat)
• a blood test for glandular fever if symptoms are severe or will not go away

You should get any test results back within 2 or 3 days.

Treatment from a GP

Treatment will depend on what caused your tonsillitis:

• most children and adults get viral tonsillitis (caused by a virus), which clears up on its own
• for bacterial tonsillitis (caused by bacteria), a GP may prescribe antibiotics

A GP will usually wait for the test results to tell which type you have.

Causes of tonsillitis

Tonsillitis is usually caused by a virus, such as a cold, but it can also be due to a bacterial infection such as strep throat.

Complications with tonsillitis (quinsy)

Complications with tonsillitis are very rare.

Sometimes you can get a pocket filled with pus (abscess) between your tonsils and the wall of your throat. This is called quinsy.