When should i go to the er? i currently have tonsilitis, my lymph nodes are very swollen, and my ears and throat are very sore when i swallow, making it hard to eat or drink water. i've been using anaesthetic lozenges and painkillers?

Consider urgent care or a virtual consult with Healthtap. If you are in extreme pain, please proceed to the Emergency room. Most likely you have an infection. One possible cause is Strep pharyngitis. A test is available. If the test is positive, a course of antibiotics is indicated. Watch for signs of shortness of breath and dehydration. Stay well hydrated and drink soothing fluids.