Hemorrhagic tonsillitis: symptoms and care

Tonsillitis can make the tonsil tissue swollen, red, and tender. Small blood spots may appear when inflamed tissue is irritated by coughing, dryness, vigorous throat clearing, or infection. Sore throat, fever, swollen glands, earache, bad breath, and painful swallowing can accompany it.

The appearance does not identify the cause. Viral illness is common, while bacterial infections such as strep throat need a clinical assessment and sometimes a throat test. A one-sided swelling, muffled voice, or trouble opening the mouth can signal a deeper infection.

Arrange a GP consultation if blood persists, pain is significant, fever continues, or swallowing becomes difficult. Rest, sip cool fluids, choose soft foods, and gargle with warm salt water if you can do so safely. Avoid smoking, vaping, alcohol, and scratching or picking at the tonsils.

Use paracetamol only as directed on the label or by a clinician, taking account of other medicines that contain it. Antibiotic treatment is not needed for every sore throat. If prescribed after assessment, take it exactly as directed and do not share it.

Get emergency help for difficulty breathing, inability to swallow saliva, drooling, rapidly increasing swelling, a weak or muffled voice, severe one-sided throat pain, or significant bleeding. Seek prompt review for dehydration, persistent high fever, or symptoms that are worsening rather than settling.

Ask whether the bleeding fits irritated tonsil tissue, whether a strep test is appropriate, and which pain relief suits your health history. Ask how to recognise an abscess and when you can return to work, school, or close contact.