Peritonsillar abscess (tonsil abscess)

About Peritonsillar abscess (tonsil abscess)

A collection of pus in or around an infected tonsil. The swelling can become large enough to interfere with breathing. Surgical drainage of the abscess is required. This problem can occur after strep throat infection.

Symptoms

Sore throat (may be severe), asymmetrical swelling of the tonsils, swelling extending onto the roof of the mouth, shifting of the uvula to one side, tender glands of the jaw and throat, facial swelling, drooling, headache, fever, chills, difficulty and pain with opening the mouth.

Tests & Diagnostics

A history and physical exam will be performed. A sample of drained abscess fluid may be sent for culture. A CT scan may be performed to establish the diagnosis and determine its extent.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Antibiotics are given either orally or intravenously. Most abscesses will be drained through an incision in the tonsil. Nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), pain medications such as acetaminophen (Tylenol), and steroids may be administered. Surgery to remove the tonsils (tonsillectomy) may be considered.

Medical specialties

Ear, Nose, and Throat (ENT) · Pediatric ENT (Otolaryngology)

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Peritonsillar abscess (tonsil abscess).