Quick read
Key points
- 1
Tonsillitis is inflammation of the tonsils, the two soft tissue masses at the back of the throat, usually caused by a viral or bacterial infection. It causes a sore throat, difficulty swallowing, swollen and red tonsils sometimes with white patches, and often fever and swollen neck glands.
- 2
Recognise uncomplicated tonsillitis while identifying quinsy and other airway or systemic complications and using antibiotics appropriately.
- 3
Symptoms are severe or not improving after a week
01 · Know
What is Tonsillitis?
Tonsillitis is inflammation of the tonsils, the two soft tissue masses at the back of the throat, usually caused by a viral or bacterial infection. It causes a sore throat, difficulty swallowing, swollen and red tonsils sometimes with white patches, and often fever and swollen neck glands.
Most cases are caused by viruses and clear up within a week to ten days with simple self-care, though a bacterial infection may sometimes need antibiotic treatment.
02 · Understand
Clinical context
Self-care advice
See your GP if symptoms are severe, persistent beyond a week, or you have difficulty swallowing or breathing.
03 · Act
When to see a doctor
- 1Symptoms are severe or not improving after a week
- 2You have significant difficulty swallowing, breathing, or opening your mouth
- 3Symptoms keep recurring frequently
- 4You develop a high fever that doesn't respond to paracetamol or ibuprofen
- 5You notice one-sided swelling in the throat, which could indicate a complication
04 · Prevent & manage
Practical steps
Take these self-care steps
These measures can help ease symptoms, support recovery, and reduce the chance of things worsening — but they don't replace medical advice if symptoms are severe or persistent.
- 1Rest and stay hydrated.Drinking plenty of fluids and resting supports your body's recovery from the infection.
- 2Gargle with warm salt water.This can help soothe throat pain, especially for older children and adults who can safely gargle.
- 3Take pain relief as needed.Paracetamol or ibuprofen can ease throat pain and reduce fever.
- 4Eat soft, cool foods if swallowing is painful.Soup, yoghurt, and ice lollies can be easier to manage than solid or hot foods.
- 5Use lozenges or throat sprays for symptom relief.These can provide temporary soothing for a sore throat.
Medical information notice
Health education, not individual medical advice
BarnMD Health Library provides general health education for public health literacy. Reading this article does not establish a doctor-patient relationship and this information is not a diagnosis, prescription, or personalised treatment plan. If you have symptoms or concerns about your health, seek appropriate advice from a qualified healthcare professional. If you develop emergency warning signs, seek urgent or emergency medical attention.
BarnMD Bottom Line
Most tonsillitis is caused by a virus and settles within a week to ten days with rest, fluids, and simple pain relief.
Not every sore throat needs antibiotics — most tonsillitis is viral and improves on its own with supportive care.