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Conditions and Diseases > Ear, Nose and Throat Disorders Forum > Chronic Inflammation of the Tonsils
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Q: Chronic Inflammation of the Tonsils
asked by: DoctorQuestion on January 28th, 2006
this morning i have blisters on my right tonsil and can hardly swallow. my tonsils have been swollen since early december, the doctor prescribed penicillin but the symptoms took at least two weeks to go. the sore throat reappeared suddenly on the 5th of january, the doctor prescribed penicillin again and took a throat swab which proved negative, so the disease was not bacterial. i recovered more quickly this time, but had a blood test to test for EB virus, which was again negative. all three times my throat has been close to closing up and i almost couldnt swallow; the tonsils are very swollen and never really went down since the 1st occurence. This morning, the right tonsil is pushing my uvula to one side, and there is hardly any passage imbetween my tonsils. As it is a saturday today, i cant see a doctor until monday, any advice would be really appreciated, thanks, Felix.


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Dr. Nikola Gjuzelov , MD
replied on February 9th, 2006
Ear, Nose & Throat Disorders Answer A306
Chronic inflammation of the tonsils caused by various infective agents can create the recurrence of a chronic inflammation. Viruses are most frequently responsible for tonsillitis. There is no medicine to treat them but they are not very dangerous and your body is designed to overcome viruses quickly. However, bacterial infections are also possible causes and can be treated differently. Streptococcus pygenes is the most common bacterial agent associated with tonsil infection and is treated with penicillin for 10 days.

Bacterial infection is possible given the symptoms that you report. Antibiotics and local antiseptics prescribed by your doctor can help the condition but will also eliminate the positive bacteria that live in your stomach and intestines. In the case of an anibacterial medication treatment, be sure to boost your immune system because your white blood cells will attack and eliminate bacteria and viruses, also. To reduce the tonsils' swelling, you can ask for more information about corticosteroids to gargle or swallow. Further, you can visit an ENT-specialist for advice. If inflammations occur very often, you might consider the surgical removal of your tonsils.


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