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Doctor insights on: One Enlarged Tonsil In Children

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One enlarged tonsil, could it be a cancer?

One enlarged tonsil, could it be a cancer?

Could be: How long has the unilateral enlargement lasted? What are associated symptoms? Is there lymph node enlargement? It is not feasible to give a reasonable answer without examining the lesion and may be taking a biopsy for examination of the tissue by a pathologist. It would be prudent to consult your doctor. Read more

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Dr. Robert Knox
193 Doctors shared insights

Enlarged Tonsils (Definition)

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 ...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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One enlarged tonsil, white spots. Been on penicillin v for 3 days, no tonsil swelling reduction. First noticed 8 weeks ago.?

One enlarged tonsil, white spots. Been on penicillin v for 3 days, no tonsil swelling reduction. First noticed 8 weeks ago.?

Could be: Mononucleosis or another bacterial or viral infection. Consult your doctor again for additional treatment. Read more

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I have one enlarged tonsil with craters and tonsil stones in it; and the other tonsil has one red bump sticking out and tonsil stones as well.

I have one enlarged tonsil with craters and tonsil stones in it; and the other tonsil has one red bump sticking out and tonsil stones as well.

Cryptic tonsils: This is a very common problem. Most people can manage the condition by frequent gargling with listerine or hydrogen peroxide, gently brushing over the area with a soft brush, or using a water pik to dislodge them. Sometimes the tonsils may become chronically infected, painful, or swollen. Then it may be time to consider removal. You should see an otolaryngologist and discuss. Read more

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Can chronic EBV cause enlarged tonsil? . Ever since I had strep my one tonsil has been larger. It goes down then when I get sick goes up. Ent says ok.

Can chronic EBV cause enlarged tonsil? . Ever since I had strep my one tonsil has been larger. It goes down then when I get sick goes up. Ent says ok.

Asymmetrical Tonsil: EBV is a known commensal in the oropharynx and can be associated with tonsillar hypertrophy. Generally, tonsil size being larger during infections and then subsiding is quite normal.
However, if there is a persistent asymmetrical enlargement of the tonsil, i.e. one tonsil being larger than the other, then in that situation further examination and removal may be indicated. Read more

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Daughter has one enlarged tonsil x one yr with only two pharyngitis diagnoses. Went to ENT and they want to take it out right away. Do I need a se?

Daughter has one enlarged tonsil x one yr with only two pharyngitis diagnoses. Went to ENT and they want to take it out right away. Do I need a se?

Depends: If one tonsil appears unusually large it may have had a prior abscess & might deserve to come out. If you are concerned about jumping into surgery right away get another opinion, preferably from someone not directly affiliated with the first doc. Read more

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Hypothetically would one with undiagnosed lymphoma be able to beat the common cold, enlarged tonsils, any common virus/infection??

Hypothetically would one with undiagnosed lymphoma be able to beat the common cold, enlarged tonsils, any common virus/infection??

Depends on the: Type of lymphoma. Some people with drug induced or natural immunodeficiency develop lymphoma and those people will have difficulty with infections. Some lymphomas cause immune deficiency and would make a person more susceptible to infections. Other early stage lymphomas may not have any effect on response to infection. Read more

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I have grade 4 enlarged tonsils causing mild to moderate sleep apnea (AHI 10, nadir SpO2 88%). One dr said tonsillectomy other said CPAP. What's best?

I have grade 4 enlarged tonsils causing mild to moderate sleep apnea (AHI 10, nadir SpO2 88%). One dr said tonsillectomy other said CPAP. What's best?

Both: Unless you were born with extra tonsils you have 2 adult tonsils and adenoidal tissue. Either tonsillectomy/adenoidectomy plus C-PAP will be beneficial. Read more

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Enlarged tonsil no pain what could this be?

Enlarged tonsil no pain what could this be?

Enlarged tonsils: Some people normally just have enlarged tonsils, which are harmless. Tonsils can be enlarged from infection, viral or bacterial - usually this is painful, but not always. Read more

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I have an enlarged tonsil only on left side, what to do?

I have an enlarged tonsil only on left side, what to do?

Have it checked: If your tonsils have always been like that, it is less likely to be anything serious. However, having asymmetric tonsils in an adult is a reason to do a tonsillectomy. This is to make sure that the enlargement isn't caused by cancer. Please see your doctor to be evaulated. 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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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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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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I have enlarged tonsil. In throat. Please. Give. Solutions?

Large tonsils: Are not necessarily a problem if you have no symptoms and if enlarged because of infection then will revert to normal with treatment or just time. There is no "solution" except a tonsillectomy. Read more

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What does small hard ring of dark spots on enlarged tonsil indicate? Pta?

What does small hard ring of dark spots on enlarged tonsil indicate? Pta?

Probably nothing.: Definitely not a pta, especially if you aren't having any symptoms of fever or severe pain. Hard to say without looking at it, but they may be a collection of blood vessels that are often seen on the surface of the tonsil. If the swelling doesn't improve or one tonsil stays larger than the other, get it looked at by an ent. Read more

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I have a Larger white thing behind tonsil no pain, and enlarged tonsil which the white spot is behind?

I have a Larger white thing behind tonsil no pain, and enlarged tonsil which the white spot is behind?

Tonsil stone: It sounds like you have a tonsil stone, or tonsolith. These occur when crypts in the tonsils get food packed in them. You can removed them with a Q-tip or a waterpick. If you develop sore throat see a doctor. 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 nevertheless, 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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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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