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Published on: 3/5/2025

What Causes Tonsils to Swell?

Tonsils can swell due to various causes, primarily infections and other inflammatory conditions. Understanding these causes can help in managing symptoms and determining the appropriate treatment.

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Explanation

Infections

The most common reason for swollen tonsils is an infection. This can occur due to:

  • Viral Infections: Many cases of tonsillitis (inflammation of the tonsils) are caused by viruses, such as the common cold or influenza. These infections can lead to swelling, redness, and discomfort in the tonsils.
  • Bacterial Infections: Streptococcus bacteria, which cause strep throat, are another frequent cause of swollen tonsils. This type of infection often results in more severe symptoms, including significant pain, fever, and difficulty swallowing.

Allergic Reactions

Allergies can also lead to tonsil swelling. When the body reacts to allergens (such as pollen, dust, or pet dander), it can cause inflammation in the throat and tonsils, leading to swelling.

Chronic Conditions

In some cases, chronic conditions can cause the tonsils to remain enlarged:

  • Chronic Tonsillitis: Repeated infections can lead to chronic inflammation of the tonsils, causing them to stay swollen over time.
  • Adenoid Hypertrophy: The adenoids, which are similar to tonsils and located at the back of the nasal cavity, can also become enlarged and contribute to the swelling of the tonsils.

Other Factors

Other factors that may contribute to swollen tonsils include:

  • Irritants: Exposure to smoke, strong odors, or other irritants can lead to inflammation and swelling of the tonsils.
  • Gastroesophageal Reflux Disease (GERD): Acid reflux can irritate the throat and tonsils, leading to swelling.

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