What should you know about follicular tonsillitis?

The tonsils may look red and swollen with pale dots or patches in their small pits. A sore throat can make swallowing uncomfortable, and fever, swollen glands in the neck or earache may occur. Viral infections are common causes, while bacteria such as those responsible for Strep Throat can also be involved. The appearance alone cannot identify the germ or decide whether antibiotics are useful.

Rest, drink regularly, and choose soft foods or cool liquids if swallowing hurts. Follow the label or a clinician’s instructions for suitable pain or fever relief, considering age, pregnancy, allergies and other medicines. Do not share utensils, cups or towels while unwell, and wash hands after coughing or sneezing. A GP Consultation can help assess the throat and decide whether testing or treatment is appropriate. Take Antibiotic Treatment only when prescribed and follow the full instructions.

Seek urgent medical help if breathing is difficult, saliva cannot be swallowed, the voice becomes markedly muffled, or one side of the throat swells with trouble opening the mouth. Arrange medical assessment if symptoms are severe, dehydration is developing, or improvement does not begin. Children who are unusually drowsy or cannot drink need prompt attention.

Could this be viral or bacterial? Do I need a throat test? Which pain-relief options suit my age, medicines and health conditions? What changes should prompt an urgent review?