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Doctor insights on: Enlarged Tonsils

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Dr. Robert Knox
193 doctors shared insights

Enlarged Tonsils (Overview)

This is a complex question. We grade tonsil size by how large they are with respect to the tonsillar pillars. 1+ is small and in the fossa, 2+ is no larger than the fossa but to the fossas, 3 + larger than the fossa or pillars, 4+ touching each other. As we get older the tonsils should recede and get smaller. Enlarged tonsils decrease the size of the airway for breathing


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Need doctor's help! Will infant formula allergies cause enlarged tonsils and adenoids?

Need doctor's help! Will infant formula allergies cause enlarged tonsils and adenoids?

Formula: Not likely. Typically, infant formula allergies cause abdominal symptoms, such as pain, diarrhea, etc... ...Read more

Dr. Robert Knox
193 doctors shared insights

Enlarged Tonsils (Overview)

This is a complex question. We grade tonsil size by how large they are with respect to the tonsillar pillars. 1+ is small and in the fossa, 2+ is no larger than the fossa but to the fossas, 3 + larger than the fossa or pillars, 4+ touching each other. As we get older the tonsils should recede and get smaller. Enlarged tonsils decrease the size of the airway for breathing


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Symptons of enlarged tonsils?

Symptons of enlarged tonsils?

Big Tonsils: Enlarged tonsils may cause voice changes and blockage of airflow during sleep. Most of the time, the swelling goes down after an infection. If just one of your tonsils is enlarged, go see your doctor.
Unless there are other problems, generally no treatment is necessary for enlarged tonsils. Not sure? Go see an ent. ...Read more

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How do doctors treat enlarged tonsils in children?

How do doctors treat enlarged tonsils in children?

Depends: It depends on why the tonsils are enlarged, and how the child is being affected. A lot of children have large tonsils when compared to adults, and nothing needs to be done. If the child is having sleep apnea and snoring, then the tonsils may need to be removed. If the tonsils are temporarily enlarged secondary to a viral or bacterial illness, then medical treatment maybe needed. ...Read more

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Am sure I don't have sleep apnea. Am not overweight. Father. Mother. Brother also snore. . I have large tonsils could it be the reason. Treatments?

Need to be tested: Without a study, you can't know. Tonsils can obstruct airflow, and if blocked long enough, that is the definition of obstructive sleep apnea. Tonsil removal may be all you need, but you need an exam. Tonsils may only be part of the problem. Often it is not enough. Apnea is common in skinny people. ...Read more

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Treating Swollen Feet or Ankles (Checklist)

Keep moving your body; avoid sitting or standing for long periods
Once
Don't wear tight garments
Once
Lose weight if needed
Once
Avoid standard diuretics as they won't solve the problem
Once
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Will removing enlarged tonsils help 2 cure mouth breathing? Adenoids have been removed, but the child still can't breathe or eat with their mouth closed

Will removing enlarged tonsils help 2 cure mouth breathing? Adenoids have been removed, but the child still can't breathe or eat with their mouth closed

Probably not: Tonsils definitely play into breathing issues (e g sleep apnea), but they should not cause nasal blockage. Depending on when adenoids were removed, they may have regrown (occurs much more commonly than tonsil regrowth). This can be evaluated by x-ray. Otherwise, an ENT may treat and evaluate for allergy / sinus issues (e g trial of steroid nasal spray) or do surgery to shrink the nasal turbinates. ...Read more

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I have had enlarged tonsils for three months and can't get rid of this mucous in my throat, what could it be?

Large tonsils: It could just be your enlarged tonsils, which tend to pool secretions (provide a lot of nooks and crevices). That they are enlarged is indicative that there is already chronic inflammation present. Once these get significantly enlarged they take a long time (several months) to go down. If they don't go down after several months, and they are still bothering you, you might consider tonsillectomy. ...Read more

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My 3 year old daughter has enlarged tonsils and adnoids. What should we do for her to avoid surgery?

My 3 year old daughter has enlarged tonsils and adnoids. What should we do for her to avoid surgery?

See below: Talk to the ENT surgeon. Sometimes the excess tissue of the adenoids and tonsils can be shrunk by a course of nasal steroids and/or decongestants. The ENT can help you decide if the symptoms that your daughter is experiencing needs surgery. For example, has the sleep pattern been disturbed. Good luck. ...Read more

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Can I have a septoplasty and tonsillectomy done together? I've been putting off getting a septoplasty, but I've been having more trouble breathing lately, so I guess it's time. Also, my doctor now says I have enlarged tonsils and should get them taken out

Can I have a septoplasty and tonsillectomy done together? I've been putting off getting a septoplasty, but I've been having more trouble breathing lately, so I guess it's time. Also, my doctor now says I have enlarged tonsils and should get them taken out

Both : Both surgeries can safely be performed together. The obvious advantages are one operation instead of two, with associated decreased total cost (indirect or direct), and less missed total time off from work/school. The disadvantage will more likely be seen if you require nasal packing, are forced to mouth breath only, thereby increasing throat dryness and local discomfort. For patients who are claustrophobic or have difficulty with forced mouth breathing this can be a harder recovery. Clearly, the pain experience will be dictated by the tonsillectomyand likely take about two weeks to abate. ...Read more

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What is enlarged tonsils?

Secretory IgA: Dr. Balagun is almost perfectly correct. I know this is immunological trivia but, let's be absolutely accurate.
Secretory IgA is not synthesized by the palatine tonsils because the latter are covered with squamous epithelium (modified skin) and thus does not synthesize secretory component. However, the adenoid (tonsil in the back of the nose) does because the surface does produce sc. ...Read more

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Symptons of enlarged tonsils?

Big Tonsils: Enlarged tonsils may cause voice changes and blockage of airflow during sleep. Most of the time, the swelling goes down after an infection. If just one of your tonsils is enlarged, go see your doctor.
Unless there are other problems, generally no treatment is necessary for enlarged tonsils. Not sure? Go see an ent. ...Read more

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Enlarged tonsils with white patches?

Enlarged tonsils with white patches?

Could be strep.: Could be strep throat. See a doctor, get cultured and start proper antibiotics.
Good luck. ...Read more

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What are the symptoms of enlarged tonsils?

Sxs enlarged tonsils: Enlarged tonsils may not cause symptoms. Tonsil enlargement may cause difficulty swallowing or breathing, snoring or obstructive sleep apnea. Sore throat is also a possible symptom. ...Read more

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I have enlarged tonsils. Do I need them removed?

I have enlarged tonsils.  Do I need them removed?

Not necessarily!: Enlargement of the tonsils is not the true reason for removal. There are guidlines for tonsil removal. Recurrent strep infections (6 per year), recurring episodes of sore throat, inability to clear tonsils of tonsil-liths, foul lbreath and others. If you are having a recurring problem, see your pcp or an ent. ...Read more

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What are some causes of enlarged tonsils in adults?

What are some causes of enlarged tonsils in adults?

Enlarged tonsils: Hello, enlarged tonsils in an adult may be normally enlarged or possibly due to a condition called lymphoma. It is important to see your doctor especially if your tonsils are asymmetric. That is if one is larger than the other. ...Read more

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What is the definition or description of: Enlarged tonsils?

Enlarged tonsils: This is a complex question. We grade tonsil size by how large they are with respect to the tonsillar pillars. 1+ is small and in the fossa, 2+ is no larger than the fossa but to the fossas, 3 + larger than the fossa or pillars, 4+ touching each other. As we get older the tonsils should recede and get smaller. Enlarged tonsils decrease the size of the airway for breathing ...Read more

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Severely enlarged tonsils with no pain. Do they have to come out?

Severely enlarged tonsils with no pain. Do they have to come out?

No: Enlarged tonsils are removed if they are a chief part of the problem in sleep apnea in adults, or if there is concern of a cancer. They are also removed if you have 5 to 7 infections in a year, or 3 to 5 a year for multiple years, or chronic pain. ...Read more

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When is the most appropriate time to have you enlarged tonsils to be removed.?

When is the most appropriate time to have you enlarged tonsils to be removed.?

Only if they bother: If your tonsils are large but you do not have any symptoms then they do not need to be removed. If you have significant recurrent sore throats or foul-smelling debris within your tonsils (tonsil stones or tonsil cheese) or if they're so big you have trouble breathing or sleeping, then the time to remove them is now. ...Read more

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What are the important disorders that is required for removal of enlarged tonsils.?

Several: More common indications for tonsillectomy: chronic tonsillitis, airway blockage (e.g. Obstructive sleep apnea), and tonsil cancer. Some patients with lymphoproliferative disorders or metastatic cancer from an unknown source may undergo diagnostic tonsillectomy. ...Read more

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Can enlarged tonsils be cancerous?

Rare: Most of the time enlarged tonsils are due to infection, mostly in children, in adults rarely malignancy can occur, bilateral in lymphomas, unilateral enlargement in cancer, and needs professional evaluation. ...Read more

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How do doctors treat enlarged tonsils in children?

Depends: It depends on why the tonsils are enlarged, and how the child is being affected. A lot of children have large tonsils when compared to adults, and nothing needs to be done. If the child is having sleep apnea and snoring, then the tonsils may need to be removed. If the tonsils are temporarily enlarged secondary to a viral or bacterial illness, then medical treatment maybe needed. ...Read more

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Can enlarged tonsils cause psuedo rbd in a 23-year-old?

Can enlarged tonsils cause psuedo rbd in a 23-year-old?

Enlarged tonsils: Obstructive sleep apnea (which can be caused by enlarged tonsils) can induce pseudo rbd, so possibly. But I'd guess that enlarged tonsils without evidence of osa would not. I recommend talking with a sleep specialist to discuss further workup. ...Read more

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How common are enlarged tonsils in adults? Mine are grade 4 resulting in apnea

How common are enlarged tonsils in adults? Mine are grade 4 resulting in apnea

Tonsils: Relatively common. There are guidelines for tonsillectomy. Depends on frequency of infection, whether or peritonsilar abscess, sleep apnea, etc. rMost tonsils decrease in size in older teens and your adults. Risk/benefit considerations. See an ENT. ...Read more

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Enlarged tonsils? There are permanently huge and food and mucus stick to them but no dr. Wants to remove them, what can I do?

Enlarged tonsils? There are permanently huge and food and mucus stick to them but no dr. Wants to remove them, what can I do?

Live: This is a common problem and you are not alone. But, what is also very common is death from anesthesia and bleeding after tonsillectomy in too many adults like you. Your surgeons are being appropriately cautious and this is not a punishment. They are not being 'mean' or bad doctors. You are in a predicament that may be one you can learn to live with and find what others do with same situation. ...Read more

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My 4yr old has enlarged tonsils. She gets coughs regularly worse at night and she dribbles a lot could this be because of her tonsils???

My 4yr old has enlarged tonsils. She gets coughs regularly worse at night and she dribbles a lot could this be because of her tonsils???

Possibly: If the tonsils are large enough to interfere with swallowing food and saliva, excess drooling can occur. Children with enlarged tonsils often snore or cough at night due to partial airway obstruction while laying flat and with relaxed muscles. ...Read more

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Does having enlarged tonsils related to having bad breath?

Does having enlarged tonsils related to having bad breath?

Yes, certainly: Bad breath is smell of gases that certain gas /odor producing bacteria release in your mouth. Billions of those bacteria form colonies under your gum line, deep inside gum pockets, between teeth, on your tongue, on your tonsills, on your hard palate, your chicks etc. Bacteria are everywhere in your mouth... So -when you exhale -everybody around you can smell it... ...Read more

Mouth (Definition)

Mouth (mouth) " n. Pl. Mouths 1. A. The body opening through which an animal takes in food. B. The cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the oropharynx and containing in higher vertebrates the tongue, gums, and teeth. C. This cavity regarded as the source of sounds and speech. D. The opening to any cavity or canal ...Read more


Swollen Tonsils (Definition)

Tonsils that are larger than normal. This can be from many causes, most commonly infection, ...Read more