What are the early symptoms of tonsillitis

Tonsillitis - signs and course

Acute tonsillitis

Acute tonsillitis usually starts suddenly with a fever, possibly even with chills. The patients suffer from severe sore throats, which sometimes radiate into the ears, as well as headaches and fatigue. The throat is swollen, which leads to difficulty swallowing and an unclear, "lumpy" pronunciation, in extreme cases breathing is even impeded. The lymph nodes in the neck are swollen and tender. The tonsils are reddened, swollen and - in the case of a bacterial infection - shed the tonsils form a white-yellowish, viscous mass, cell waste (detrius), the so-called stipples. In severe cases, these stipples merge (confluent) and extend beyond the tonsils (e.g. in pneumococcal angina or diphtheria) If the pus specks spread to the pharynx, it is called retronasal angina, if the side cords are affected, it is referred to as side cord angina. A typical unpleasant halitosis (foetor ex ore) often occurs with a purulent infection.

Acute tonsillitis heals completely within one to two weeks with the right treatment.

Chronic tonsillitis

If the inflammation lasts for more than three months, it is called chronic tonsillitis. The course can be very different here and ranges from the recurring acute clinical picture to the completely inconspicuous manifestation. Often there are slight swallowing difficulties, a scratchy throat, an unpleasant taste or bad breath, but the strong symptoms of acute tonsillitis are usually absent. The tonsils appear fissured on the surface. Possible scarring with the muscles of the almond bay lead to immobility, the almond can no longer be moved sideways. If you press the tonsils with a stick, pus or detritus will come out. The anterior palatal arch is reddened, the cervical lymph nodes are swollen, but not painful. The tonsils can be enlarged (hyperplasia), but they can also be small and stunted (atrophy).