01

In this article

  • Frequency and impact of episodes guide the decision
  • Surgery is performed under general anaesthesia
  • Sore throat for one to two weeks is common
02

Assessment and treatment

  • Take prescribed pain relief regularly
  • Maintain fluids and follow dietary advice
  • Follow school/work and activity restrictions
QUICK FACTS

At a glance

Definition: Tonsil removal may be considered for selected recurrent severe infections or sleep-related obstruction.

Key takeaways

  • Frequency and impact of episodes guide the decision
  • Surgery is performed under general anaesthesia
  • Sore throat for one to two weeks is common

Clinical steps

  1. Take prescribed pain relief regularly
  2. Maintain fluids and follow dietary advice
  3. Follow school/work and activity restrictions

Red flags: Any fresh bleeding from the mouth or throat after surgery requires emergency assessment.

Quick FAQ: When should I see an ENT specialist?

Any fresh bleeding from the mouth or throat after surgery requires emergency assessment.

EXPERT INSIGHT

How I assess this in clinic

I first clarify duration, severity, whether symptoms are one-sided or bilateral, and their effect on daily life. I then perform a focused ENT examination and compare the findings with frequency and impact of episodes guide the decision.

Endoscopy or audiometry is not required for everyone. I advise endoscopy when the nose, sinus, throat or voice box needs direct assessment, and audiometry/tympanometry when hearing or middle-ear function is in question.

A common misconception is that every ENT problem needs an antibiotic or an operation. Treatment should instead follow the diagnosis, functional impact, examination findings and evidence-based indications.

Do not wait when: Any fresh bleeding from the mouth or throat after surgery requires emergency assessment.

ReferencesEar, nose and throat careNHSSore throat (acute): antimicrobial prescribingNICEAbout Strep ThroatUS CDC

For patient education; not a substitute for individual diagnosis or treatment.