Tonsillitis: When to See a Doctor

Tonsillitis—inflammation of the palatine tonsils—is usually viral (70‑85%) but can be bacterial (Group A Strep). Seek medical evaluation if you have:

• Fever >101°F (38.3°C) lasting >48 hours
• Severe throat pain impairing hydration
• Difficulty breathing or swallowing
• Drooling, muffled voice (“hot potato” voice)
• Unilateral swelling, trismus (limited mouth opening) – suggests peritonsillar abscess
• Recurrent episodes (≥7/year, ≥5/year x2 yrs, ≥3/year x3 yrs)
• Rash, joint pain, or dark urine (post‑strep complications)

Diagnosis & Treatment

• Centor criteria + rapid strep test / throat culture.
• Strep → penicillin/amoxicillin 10 days (prevents rheumatic fever).
• Viral → supportive: hydration, analgesics, saltwater gargles, rest.

Do not self‑prescribe antibiotics. Inappropriate use drives resistance.