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This is the most common cause of bacterial tonsillitis infection and is the same type of bacteria that causes strep throat (streptococcal pharyngitis).
Tonsillitis treatment available online today
Consult with one of our board-certified primary care doctors online today to develop a treatment plan to get relief from a sore throat or scratchy voice. If needed, get a new prescription to treat tonsillitis or refill an existing prescription today.*
*Prescriptions are provided at the doctor's discretion. Learn more about our controlled substances policy and how to save up to 80% with our prescription discount card. PlushCare doctors cannot treat all cases of tonsillitis. Our primary care physicians can conduct an initial evaluation of your symptoms but may need to refer you to a specialist or for in-person treatment. If you are experiencing life-threatening symptoms, seek emergency medical attention immediately.
Learn about tonsillitis
Tonsillitis is an inflammation of the tonsils, which are two oval-shaped lymph nodes on each side of the back of your throat. Like other lymph nodes throughout the body, tonsils work as a defense mechanism to protect your body from infections.
When an infection develops on the tonsils, the condition is called tonsillitis. Although tonsillitis is a common childhood illness, it can occur at any age. There are two types of tonsillitis: bacterial and viral.
Tonsillitis causes
Tonsillitis happens when your tonsils—the lymph nodes located on each side of the back of your throat—become infected. Tonsils are your body's first-line defense against illness, combating bacteria and viruses that enter your body through your mouse and nose. They are also, however, vulnerable to viral and bacterial infections.
Streptococcus pyogenes bacteria (group A streptococcus)
Viral infections
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Common cold (rhinovirus, adenovirus, among others) are the most frequent culprits of tonsillitis
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Flu (influenza virus)
Tonsillitis symptoms
Tonsillitis primarily affects children between preschool ages and mid-teenage years. Sore throat patients typically experience:
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Sore throat
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Difficulty swallowing
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Scratchy voice
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Bad breath
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Fever above 100.4 °F
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Stomachache, earache, or headache
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Stiff neck
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Tenderness around the jaw and neck
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Red and swollen tonsils
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White or yellow spots on the tonsils
In young children, tonsillitis may also be marked by a poor appetite, irritability, and excessive drooling.
How to treat tonsillitis
Tonsillitis treatment varies depending on the cause of the infection. Although the symptoms of viral and bacterial tonsillitis may look similar, each infection requires different treatments. It's important to remember that not all tonsillitis should or needs to be treated with antibiotics. Overuse of antibiotics can lead to serious health complications.
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Bacterial tonsillitis: Bacterial tonsillitis (strep tonsillitis) is treated with antibiotic medications, which require a prescription from your healthcare provider. Certain signs will help distinguish bacterial tonsillitis including high fever and pus (exudates) on your tonsils which appear as white patches. If bacterial tonsillitis isn't properly treated, an abscess may rarely develop as pus collects in the back of your throat. If this happens, you may need urgent treatment with IV antibiotics and/or surgery to remove the abscess.
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Viral tonsillitis: Antibiotic medications cannot treat viral infections. The best treatment for viral tonsillitis often involves rest, hydration, and over-the-counter pain relievers to manage sore throat symptoms.
Tonsillitis medication
Your healthcare provider will review your medical history and identify the cause of your tonsillitis to determine the best medication for you. If you have bacterial tonsillitis, your doctor may prescribe oral antibiotics. If you have viral tonsillitis, your doctor may recommend over-the-counter pain medications to manage your sore throat symptoms.
How to prevent tonsillitis
It's not always possible to prevent tonsillitis. However, you can take steps to lower your risk:
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Wash your hands frequently with soap and warm water, especially before touching your nose and mouth.
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Avoid sharing foods, drinks, or eating utensils with someone sick.
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Replace your toothbrush regularly to avoid introducing harmful bacteria into your mouth.
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Rest, eat healthily, and exercise regularly to maintain a strong immune system.
When to see a doctor for tonsillitis
Tonsillitis treatment FAQs
How do you get rid of tonsillitis fast?
In most cases, you can manage tonsillitis symptoms with home remedies. Some helpful tips for treating sore throats include: Gargling warm saltwater Lozenges and cough drops Drinking plenty of water to stay hydrated Drinking warm liquids, such as tea, apple cider, or broth Taking over-the-counter pain relievers, such as acetaminophen (Tylenol) or ibuprofen (Advil) Using a humidifier
What is the best medicine for tonsillitis?
Is tonsillitis contagious?
How long does viral tonsillitis last?
Can tonsillitis heal itself?
Can online doctors treat tonsillitis?
Yes, online doctors can treat tonsillitis by asking targeted questions about your symptoms and prescribing tonsillitis treatment online. If you're interested in treating sore throat online, you can book an appointment with a licensed PlushCare primary care physician to learn about your treatment options. After your doctor determines whether your infection is viral or bacterial, they can prescribe tonsillitis treatment online if needed. It's important to follow post-visit instructions for to speed up your recovery time.
3 simple steps to request treatment for tonsillitis today
Book a tonsillitis treatment appointment.
Talk to your medical provider regarding your tonsillitis symptoms.
If prescribed, pick up a prescription to treat your tonsillitis.
Related conditions to tonsillitis
Tonsillitis treatment pricing details
To request tonsillitis treatment and get a new or refill on your prescription, join our monthly membership and get discounted visits.
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Tonsillitis treatment resources
Sources:
PlushCare is dedicated to providing you with accurate and trustworthy health information.
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Cleveland Clinic. Tonsillitis. Accessed on July 24, 2022. https://my.clevelandclinic.org/health/diseases/21146-tonsillitis
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ENT Health. Tonsillitis. Accessed on July 24, 2022. https://www.enthealth.org/conditions/tonsillitis/
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Mayo Clinic. Tonsillitis. Accessed on July 24, 2022. https://www.mayoclinic.org/diseases-conditions/tonsillitis/symptoms-causes/syc-20378479
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MedlinePlus. Tonsillitis. Accessed on July 24, 2022. https://medlineplus.gov/tonsillitis.html
PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.