Adenotonsillitis | Atlanta ENT Institute | Ear, Nose and Throat Specialists in Georiga


The winter months pushing cold, dry air has been known to cause all sorts of  ear, nose and throat problems. Adenotonsillitis is the inflammation of the tonsils and adenoids and is one of the most common ENT conditions found in all age groups, but most commonly children.

Trying to differentiate a acute tonsillitis from Adenotonsillitis can be tough especially when your child is telling you they have a sore throat, but when the sore throat does not seem to be going away and is accompanied by additional symptoms, that is when you need to see a doctor. In addition to the sore throat look for fever, lack of appetite, nausea, swollen lymph nodes in their neck, snoring, inflamed adenoid and difficulty sleeping. When the symptoms tonsillitis and adenoiditis are combined that is a clear sign to alert you something is wrong, and your child could be suffering from Adenotonsillitis.

Adenotonsillitis is caused by a viral or bacterial infection. The virus and bacteria that causes adenotonsillitis are airborne and easily spread to other individuals. In addition this can cause many complications:

  1. Middle ear infection known as Otitis Media, where bacteria gets into the the fluid between the eardrum and inner ear.
  2. Peritonsillar Abscess – a collection of pus that develops between the wall of the throat and the tonsil.
  3. Rheumatic Heart Disease and glomerulonephritis – though these are more rare can be a complication.

What can help?

  1. Take paracetamol or ibuprofen to help reduce the fever and pain.
  2. Gargle with warm water and salt and/or lozenges to help reduce pain in older children.
  3. Drink plenty of fluids and get plenty of sleep.
  4. If bacterial infection is suspected, a course of antibiotics is given.

If these treatments do not settle the fever and sore throat than the child will need to be admitted into hospital for intravenous antibiotics. In most cases, the adenotonsillitis will get better within a week, however, in some cases a small number of children have recurring tonsillitis which could eventually lead to surgical treatment. The removal of tonsils is called tonsillectomy, the removal of adenoid is called adenoidectomy and the removal of both is called adenotonsillectomy. Due to the increase in medical advancements and modern medicine and techniques in general anaesthesia, these surgeries are safe and are generally done as a day care procedure.

If your child has the issue of adenotonsillitis, call us today for a same-day or Saturday appointment at 770-740-1860 or fill out the form at the top. 

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