Recurrent Tonsillitis
Recurrent tonsillitis is a common condition in children, marked by repeated episodes of inflammation and infection of the tonsils. These episodes are typically caused by viral or bacterial infections, with Group A Streptococcus (strep throat) being a frequent bacterial cause. Children with recurrent tonsillitis may experience sore throats, fever, swollen lymph nodes, bad breath and difficulty swallowing multiple times throughout the year. Other common symptoms of tonsillitis include headache and nausea or vomiting. This can significantly affect school attendance, sleep and overall quality of life for both children and their caregivers.
Initial treatment for tonsillitis usually involves medical management, especially for episodes with a bacterial cause. Your child’s doctor may prescribe antibiotics, such as amoxicillin, to treat bacterial infections. Supportive care like pain relievers, fluids, rest and throat lozenges helps manage symptoms regardless of the cause. In some cases, children may also be tested for strep throat using a rapid antigen test or throat culture to guide appropriate antibiotic use. While medical treatment can be effective, it does not always prevent future episodes in children prone to recurrent infections.
When a child experiences frequent bouts of tonsillitis, surgical removal of the tonsils and adenoids may be considered. Guidelines suggest surgery if a child has seven or more episodes in one year, five or more per year for two years, or three or more per year for three consecutive years, especially if the episodes are well-documented and significantly disruptive. Tonsillectomy and adenoidectomy is a common and generally safe procedure performed by our surgeons at ENT for Kids. Most children recover within one week and often see a dramatic reduction in throat infections afterward.
Tonsillectomy and adenoidectomy is not a decision made lightly, and it’s important to weigh the risks and benefits with our providers at ENT for Kids. In the right cases, surgery can bring long-term relief from repeated illness, fewer missed school days and improved sleep and behavior.
If your child is struggling with frequent sore throats and infections, please reach out to us to arrange a consultation.