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Doctor insights on: Asymmetric Tonsil Hypertrophy

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What is the difference between asymmetrical tonsil hypertrophy and unilateral tonsils enlargement? What % of population have this?

What is the difference between asymmetrical tonsil hypertrophy and unilateral tonsils enlargement? What % of population have this?

Same: It's the same thing. Uncommon to have unilateral enlargement and it should be checked out. If it's confirmed we usually recommend tonsillectomy ...Read more

Hypertrophy (Definition)

Hypertrophy is an increase in size of an organ or tissue, or a particular part of the body. Examples include muscle hypertrophy due to lifting weights, ventricular hypertrophy (enlargement of a ventricle of the heart) due to high blood pressure or other heart disorders, or prostatic hypertrophy (enlargement of ...Read more


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Is hypertrophied tonsil a sign of hiv?

Is hypertrophied tonsil a sign of hiv?

No: Not isolated...No. Swollen lymph glands (lymphadenopathy) is a nonspecific finding associated with acute HIV acquisition...But requires more than 3 sites excluding inguinal. ...Read more

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What causes lingual tonsil hypertrophy?

What causes lingual tonsil hypertrophy?

Usually acid reflux: Most often it is due to acid reflux. The lingual tonsils can become swollen due to reaction to infection as well as allergic reactions. ...Read more

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I had a tonsillectomy as a child but half my left tonsil was left in. It hypertrophied over the years and I get frequent sore throats, worth removing?

I had a tonsillectomy as a child but half my left tonsil was left in. It hypertrophied over the years and I get frequent sore throats, worth removing?

Not necessarily: The problem in kids comes when the tonsils grow faster than they do, between birth & 8, with recurrent infections and sleep apnea making the removal common. If you are an adult, it might help sleep apnea, if present, but would not end throat infections. There is always tissue left behind that can be invaded by strep/viruses. A consultation with an ENT could clear this up. ...Read more

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I have tonsillar hypertrophy. For the past 24hr I've had an sore throat, no appetite & a what looks to be a blood blister on my tonsil. What is this??

I have tonsillar hypertrophy. For the past 24hr I've had an sore throat, no appetite & a what looks to be a blood blister on my tonsil. What is this??

Tonsil lesion: It could be a small blood blister, could be a dilated blood vessel on the tonsil, called a varicocele, which is a normal variant. Sometimes you notice things that have been there because your attention is drawn there, in your case due to sore throat. Doesn't sound concerning to me, but you should see an ENT doctor to check it out. ...Read more

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Does cortisone help shrink hypertrophic tonsils? Are tonsil crypts located on the top part of tonsils? My tonsil looks like a crater just on the top.

Does cortisone help shrink hypertrophic tonsils? Are tonsil crypts located on the top part of tonsils? My tonsil looks like a crater just on the top.

Possible: If the tonsil is not inflamed or causing pain, it is unlikely that steroids will reduce the size of hypertrophic tonsils.
Tonsillar crypts are all over the surface of the tonsils. The large one on the upper pole just happens to be more noticeable and could be a receptacle for food particles. If the tonsils are not infected frequently and you do not have sleep disorder, no treatment is necessary. ...Read more

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Is there really any fix for TMJ displacement and hypertrophy of the pterygoid? Or will I be stuck with this pain and a mouth that can't open forever?

Is there really any fix for TMJ displacement and hypertrophy of the pterygoid? Or will I be stuck with this pain and a mouth that can't open forever?

Relief is possible: Treatment is available to return pterygoid muscles to a physiologically-neutral condition. In my practice, I will fabricate an orthotic that will help to "relax" the pterygoid muscles; in turn, the disc that sits in the TMJ will be relocated by to their normal position. ...Read more

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I have a dislocated articular disc & hypertrophy in my right pterygoid muscle I can't get a splint made as my mouth can't open wide enough what's next?

I have a dislocated articular disc & hypertrophy in my right pterygoid muscle I can't get a splint made as my mouth can't open wide enough what's next?

Referal: This is a problem that necessitates a face-to-face meeting with your doctor. This will allow him/her to examine you, ask specific questions. And possibly order tests to find out what's wrong and what to do to help you. In this case it sounds as if a referral is necessary. ...Read more

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I have ONE tonsil that has stayed enlarged for almost a year now. It was not always asymmetrical with the other, and is significantly larger. No pain.

Common & Concerning: Having a swollen tonsil is common. However, it's also concerning, especially since it hasn't returned to its original size. It could be infected, or growing a cyst or tumor. You should get that checked by an ENT or oral surgeon before it becomes something serious. Even if it doesn't hurt, it could be a real problem. Any oral condition which lasts more than 2 weeks could be dangerous. Get checked. ...Read more

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What can cause asymmetry of the lingual tonsil?

What can cause asymmetry of the lingual tonsil?

Many things: The cause of the asymmetry of the lingual tonsils can be best determined after several questions are considered such as the presence of pain and if so, the duration. Do you have any allergies. Is this something that you have recently noticed and if so have any other changes have presented. It would be best for you to visit your dentist or an oral maxillofacial surgeon for a visual evaluation. ...Read more

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Asymmetrical tonsils (left greater than right by about 30-40%) with big crypts in the left one. With no other symptoms, normal CBC am I gonna be okay?

Asymmetrical tonsils (left greater than right by about 30-40%) with big crypts in the left one. With no other symptoms, normal CBC am I gonna be okay?

This is common: The left one got infected at some time, scarred up, the scar is added to the basic tonsil structure and its contraction pulled the crypts open. ...Read more

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Hi. It looks like there is a deeper crater in the top of my left tonsil. They are inflamed with tonsil stones but my biggest concern is the asymmetry.

Tonsil problem: Tonsoliths (stones in your tonsils) are common among the young with swollen, irregular tonsil tissue. Asymmetry is not unusual, and perhaps due to the size of these stones. Gargling, Q-tip/finger manipulation, or irrigation can dislodge larger stones, but only time or tonsillectomy will ultimately resolve them in my experience. These are not usually infectious, but if painful should be checked. ...Read more

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41y, asymmetrical tonsils 1.5cm in diameter front and back lymph nodes iin right side of neckswollen that for 6months, now epitrochlear node on left : (?

41y, asymmetrical tonsils 1.5cm in diameter front and back lymph nodes iin right side of neckswollen that for 6months, now epitrochlear node on left : (?

Enlarged tonsil: Usually when there is an infectious process both tonsils are affected. Unilateral tonsil swelling requires a workup by an ent. You may have a tonsilar abscess or even a malignant process such as lymphoma. See your ENT and get a workup started. ...Read more

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I have asymmetrical tonsils. Ent said the larger one can b removed but I opted out. Is there any way to help it to not get bigger? Left 2+ right 3+.

I have asymmetrical tonsils. Ent said the larger one can b removed but I opted out. Is there any way to help it to not get bigger? Left 2+ right 3+.

Good question: In my experience, asymmetrical tonsils usually are not diagnostic of anything serious. However, some ENT doctors are worried about serious diseases such as leukemia or lymphoma. The advice of taking out 1 tonsil is not logical to me because the other tonsil could have a similar disease. If you are not having severe sore throats and are not obstructed, I would not recommend any surgery. ...Read more

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Have asymmetric tonsils I can only see 1 tonsil (which has bumps all over it) the 2 tonsil is hard to see I can only see red line (vein) on it.

Have asymmetric tonsils I can only see 1 tonsil (which has bumps all over it) the 2 tonsil is hard to see I can only see red line (vein) on it.

See an ENT: Asymmetric tonsils may just be that one is infected or enlarged worse than the other. Or it might mean something is growing in it. You should see an ent. ...Read more

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What is a hyperechoic tonsil.? I have had this asymetrical tonsil for many yrs and I just read that one ent called it hyperechoic. What does this me

What is a hyperechoic tonsil.? I have had this asymetrical tonsil for many yrs and I just read that one ent called it hyperechoic. What does this me

Hyperechoic tonsil: Hyperechoic is terminology used by ultrasonographers to illustrate increased or abnormal density of tissues. In your case, the tonsil. If you have had this for years and it has not changed or you have not had any symptoms, you should be ok, but advised to keep track of it. If you do have symptoms like recurrent throat infections or pain and fevers, you should have it removed via ENT. ...Read more

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Is there a less invasive procedure to shrink tonsils than tosillectomy? I have asymmetric tonsil. Ent dr says no problem unless gets bigger. Big 4 yrs

Is there a less invasive procedure to shrink tonsils than tosillectomy? I have asymmetric tonsil. Ent dr says no problem unless gets bigger. Big 4 yrs

Most commonly time: Tonsils ; adenoids are lymph nodes exposed to what is coming in by mouth, a first line of immune system awareness. Surgical excision (cutting out the tissue) was long promoted but an ENT group, starting in the early 1980s, began their own randomized trial of surgical vs. Symptomatic treatments. Results, no benefit (except $) from surgery unless breathing was blocked or abscess under the organ (s). ...Read more

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Asymmetrical tonsils. 1 has been big for yrs now. Should I get a second opinion at ent? Still worried it's cancer. Scared it's going to get bigger.

Asymmetrical tonsils. 1 has been big for yrs now. Should I get a second opinion at ent? Still worried it's cancer. Scared it's going to get bigger.

Please stop this: You've got the obsessive idea that you have cancer with no basis whatsoever. I think this is the 3rd time. Cancer in a tonsil enlarges rapidly, over weeks or at most months, and is obviously abnormal. Many people have ideas they can't get rid of; they are like earworms and there are specialists who can help you get these out of your mind. Please take advantage of this. Best wishes. ...Read more

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Why does some docs say asymetrical tonsils is normal and some say they aren't. My ENT says he sees them frequently. Why is it bad? ER docs said same.

Why does some docs say asymetrical tonsils is normal and some say they aren't. My ENT says he sees them frequently. Why is it bad? ER docs said same.

Different sizes.: To some degree asymmetrical tonsils are normal. Just like one hand may be larger or one leg longer. On the other hand, if one is larger because of a disease state (infection, cancer...), then treatment is indicated. Like most findings in medicine, the significance depends on the background. A full medical history and physical exam are needed to make the correct diagnosis. ...Read more

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L tonsil 3+ r is 2+ been this way long time. Ent & 2other drs seen it. My ENT didn't seem concerned. Is asymmetrical tonsils always cancer? Why 1 big?

L tonsil 3+ r is 2+ been this way long time. Ent & 2other drs seen it. My ENT didn't seem concerned. Is asymmetrical tonsils always cancer? Why 1 big?

We're not symmetric!: You've done the right thing by seeing an ent, and if the specialist isn't concerned, you shouldn't be either. We humans are not even, so one foot or one breast or one tonsil is often bigger than the other. It's nothing to worry about if it's been that way a long time. New changes in size causing asymmetry (in either a breast or tonsil) are when we worry about cancer! stay calm and be well! ...Read more