Tonsillitis

Tonsillitis is most often caused by a virus, which resolves on its own. But tonsillitis can be caused by strep bacteria, which requires treatment with antibiotics. Watch for Reference signs of dehydration Opens New Window, such as a dry mouth and tongue. Also, watch for signs of complications, such as ear pain, from tonsillitis caused by strep bacteria.

Tonsillitis caused by a virus

Tonsillitis caused by a virus will usually go away on its own. Antibiotics are not effective treatment for viral tonsillitis.

The virus that causes Reference mononucleosis Opens New Window (mono) can lead to tonsillitis that is as severe as tonsillitis caused by bacteria and can take several weeks or more before it goes away.

Home treatments such as gargling with salt water, drinking warm tea, and taking over-the-counter pain medicine (such as acetaminophen or ibuprofen) may help relieve discomfort. Do not give aspirin to anyone younger than 20 because of its link to Reference Reye syndrome Opens New Window, a serious but rare problem.

Many nonprescription remedies such as antiseptic mouthwashes, Reference decongestants, and Reference antihistamines Opens New Window contain extra ingredients that don't relieve discomfort. These remedies are not recommended for children, because they have not been proved to have any benefits in the treatment of acute tonsillitis.^{Reference 2}

Tonsillitis caused by bacteria

Antibiotics are prescribed for tonsillitis caused by strep bacteria. A strep infection will usually go away on its own, but antibiotic treatment is needed because untreated Reference strep throat Opens New Window can cause serious Reference complications. For more information, see the topic Reference Strep Throat.

If antibiotics are prescribed, be sure you take them exactly as directed by your doctor. Antibiotics should be taken for the entire duration of the prescription, even if the symptoms disappear completely before the prescription is gone. If antibiotics used to treat tonsillitis are not taken as directed, bacteria can become resistant to them (Reference antibiotic resistance Opens New Window). In these cases, antibiotic treatment of future infections may not work.

Surgery

Surgical removal of the tonsils (tonsillectomy) is still a common procedure, particularly for children. But it is not performed nearly as often as it was in the past. Tonsillectomy may be considered to treat tonsillitis when a child has serious complications, recurrent infections, or chronic infections that do not respond to treatment and interfere with daily functioning. But the risks and benefits of surgery need to be weighed carefully. Tonsillectomy should only be done after you and your doctor carefully consider your or your child's overall health.

Opens New Window Tonsillitis: Should My Child Have a Tonsillectomy? Opens New Window

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