Symptoms
The main symptom of
tonsillitis is a sore throat. More symptoms occur in
most cases. Some or all of the following may be present:
- Fever
- Bad breath
- Nasal
congestion and runny nose
- Swollen
lymph nodes
- Red, swollen tonsils covered
completely or in patches by pus
- Difficulty
swallowing
- Headache
- Abdominal (belly)
pain
- Raw, bleeding patches on the tonsils
When you have sore throat plus cold symptoms such as nasal
congestion, runny nose, sneezing, and coughing, the cause is most likely a
virus. Viral infection of the tonsils usually goes away without treatment
within 2 weeks.
Sore throat with a sudden fever above
101°F (38.3°C) —milder fever may
point to a viral infection—and swollen lymph nodes, and without symptoms of an
upper respiratory tract infection, may point to a
bacterial infection. Anyone with these symptoms should see a doctor for
diagnosis because of the risk of
strep throat. Although strep throat will usually go
away even without treatment, an untreated strep infection can lead to
complications including
rheumatic fever, which can permanently damage the
heart.