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February 10, 2012

Adenoids and Tonsils (cont.)

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What are the symptoms of tonsillitis or an adenoid infection?

The most prominent symptom of tonsillitis and adenoid infection is a sore throat. Other symptoms of tonsillitis and adenoid infection include:

  • Fever
  • Bad breath
  • Congestion and runny nose
  • Swollen lymph nodes in front of the neck
  • Red, swollen tonsils with patches of pus (white spots)
  • Pain or difficulty swallowing
  • Loss of voice or muffled voice
  • Headache
  • Abdominal pain
  • Coughing up blood
  • If the adenoids are enlarged, breathing through the nose may be difficult
    • Breathing through the mouth, especially in kids
    • Noisy breathing in the day; snoring at night is often observed
    • Voice may be nasal-sounding

When there is a sore throat and cold symptoms such as congestion, runny nose, sneezing, and coughing, the cause is most likely a virus. Viral infection of the tonsils or adenoids usually resolves without treatment within 2 weeks.

Sore throat with a sudden mild fever without symptoms of an upper respiratory tract infection may point to a bacterial infection. If these symptoms are present, see a doctor for diagnosis because of the risk of strep throat. Although strep throat will usually go away even without treatment, an untreated strep infection can lead to complications including rheumatic fever, which can permanently damage the heart.

Is tonsillitis contagious?

Tonsillitis may or may not be contagious, depending on the cause. If the cause is viral, it is usually contagious, but this depends upon whether or not a person has been exposed to that particular virus before. Mononucleosis, a viral cause of sore throat, is contagious the first time a person is exposed to the virus, usually in childhood or adolescence.

If the cause of the tonsillitis is bacterial, it is also contagious. For example, strep throat is highly contagious.

If the tonsillitis and enlarged adenoids are chronic or caused by a chronic condition, such as sinusitis or allergic rhinitis, it is not likely contagious.


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    • Sore Throat (Pharyngitis)
      • Most sore throats are caused by viruses or mechanical causes (such as mouth breathing) and can be treated successfully at home. However, a person should be seen by a health care professional if they have a sore throat that has a rapid onset, and is associated with a fever or tenderness of the front of the neck; a sore throat that causes the person to have difficulty swallowing (not just pain swallowing) or breathing; or if a sore throat lasts for more than a week.
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      • Strep throat is a sore throat caused by a bacterium called streptococcus (strep) that can be treated through antibiotics. Common symptoms of strep throat include pinkeye, runny nose, skin rash, cough, hoarseness, diarrhea and more. Complications of untreated strep throat include middle ear infections, meningitis, pneumonia, rheumatic fever, and more.
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      • The Eustachian tube is a membrane lined tube that connects the middle ear space to the back of the nose. Problems include partial or complete blockage which can cause popping, clicking, and ear fullness. Allergies, sinus and ear infections, or the common cold can cause this blockage, while altitude changes can cause symptoms in those persons with Eustachian tube problems. Treatment includes several maneuvers (swallowing, chewing gum, yawning etc.), which can be done to improve Eustachian tube function.
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      • Middle ear infection or inflammation (otitis media) is inflammation fo the middle ear. There are two types of otitis media, acute and chronic. Acute otitis media is generally short in duration, and chronic otitis media generally lasts several weeks. Seventy-five percent of children in the U.S. suffer from otitis media at some point. Treatment depends upon the type (chronic or acute).
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