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Symptoms
By Mayo Clinic staffTonsillitis most commonly affects children between preschool ages and the mid-teenage years. Common signs and symptoms of tonsillitis include:
- Red, swollen tonsils
- White or yellow coating or patches on the tonsils
- Sore throat
- Difficult or painful swallowing
- Fever
- Enlarged, tender glands (lymph nodes) in the neck
- A scratchy, muffled or throaty voice
- Bad breath
- Stomachache, particularly in younger children
- Stiff neck
- Headache
In young children who are unable to describe how they feel, signs of tonsillitis may include:
- Drooling due to difficult or painful swallowing
- Refusal to eat
- Unusual fussiness
When to see a doctor
It's important to get an accurate diagnosis if your child has symptoms that may indicate tonsillitis.
Call your doctor if your child is experiencing:
- A sore throat that doesn't go away with the first drink or two in the morning
- Painful or difficult swallowing
- Extreme weakness, fatigue or fussiness
Get immediate care if your child:
- Has difficulty breathing
- Has extreme difficulty swallowing
- Is drooling
- Tonsillopharyngitis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec08/ch090/ch090i.html. Accessed March 21, 2010.
- Fact sheet: Tonsillitis. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/tonsillitis.cfm. Accessed March 21, 2010.
- Tonsillitis. Healthy Children: American Academy of Pediatrics. http://www.healthychildren.org/English/health-issues/conditions/ear-nose-throat/pages/Tonsillitis.aspx. Accessed March 21, 2010.
- The difference between a sore throat, strep and tonsillitis. Healthy Children: American Academy of Pediatrics. http://www.healthychildren.org/English/health-issues/conditions/ear-nose-throat/pages/The-Difference-Between-a-Sore-Throat-Strep-and-Tonsillitis.aspx. Accessed March 21, 2010.
- Wetmore R. Tonsils and adenoids. In: Kliegman R, et al., eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/193178650-2/0/1608/0.html. Accessed April 5, 2010.
- Fact sheet: Tonsils and adenoids. American Academy of Otolaryngology - Head and Neck Surgery. http://www.entnet.org/HealthInformation/tonsilsAdenoids.cfm. Accessed March 21, 2010.
- Tonsillar cellulitis and abscess. The Merck Manuals: The Merck Manual of Healthcare Professionals. http://www.merck.com/mmhe/sec19/ch222/ch222b.html. Accessed April 5, 2010.
- Streptococcal and enterococcal infections. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec14/ch171/ch171d.html. Accessed March 21, 2010.
- Information from your family doctor. Sore throat. American Family Physician. 2006;74:1185.
- Get smart: Know when antibiotics work. Symptom relief. Centers for Disease Control and Prevention. http://www.cdc.gov/getsmart/antibiotic-use/symptom-relief.html. Accessed April 5, 2010.
- Fact sheet: Tonsils and adenoids post-op. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/tonsilsAdenoidsPostop.cfm. Accessed March 21, 2010.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. April 7, 2010.
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