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Aisana Pandya
Clinical Lead, Pharmacist, Independent Prescriber
Master of Pharmacy (MPharm)
Independent Prescribing Course (2019)
GPhC Number: 2085970

Justin Dicks
Superintendent Pharmacist
Bachelors in Nutrition & Dietetics
GPhC Number: 2038305

Lara Dunn-Ceylan
Dietician
Bachelor of Pharmacy (BPharm)
Trusted by 600,000+ patients
We support thousands of patients across the UK every day
Have a question? we’re here to help
Bacterial Tonsillitis is an infection of the tonsils caused by bacteria, most commonly Streptococcus pyogenes. It leads to sore throat, swollen tonsils, and difficulty swallowing. Unlike viral tonsillitis, it usually requires antibiotics to treat and prevent complications.
The typical symptoms include a very sore throat, swollen or red tonsils (sometimes with white patches), pain when swallowing, fever, and swollen lymph nodes in the neck. Some people may also experience bad breath or a hoarse voice. Symptoms usually come on suddenly and can be quite severe.
Tonsillitis can be caused by both viruses and bacteria. Viral infections, such as the common cold or flu, are more common, but bacterial infections like Streptococcus are responsible for bacterial tonsillitis. Poor immune response, frequent exposure to germs, or close contact with infected individuals can increase the risk.
Bacterial tonsillitis is usually treated with antibiotics such as penicillin, clarithromycin for bacterial tonsillitis, or erythromycin. These medications help kill the bacteria and prevent serious complications. Pain relief, hydration, and rest are also important parts of recovery.
Bacterial tonsillitis can be contagious for about 24–48 hours after starting antibiotics. Without treatment, it may remain contagious for up to 2 weeks. To reduce the risk of spreading it, avoid close contact with others and maintain good hygiene practices like handwashing.
Tonsillitis refers to inflammation of the tonsils, which can be caused by viruses or bacteria. Strep throat is a specific type of bacterial infection caused by Streptococcus, and it can lead to tonsillitis. Strep throat often causes sudden severe pain, fever, and white patches on the tonsils.
Yes, not everyone with tonsillitis develops a fever. While fever is a common symptom of bacterial infections, some people may only experience throat pain, swollen tonsils, or difficulty swallowing. The absence of fever doesn’t rule out tonsillitis.
Sleeping with tonsillitis can be difficult due to throat pain and discomfort. Drinking warm fluids before bed, using throat lozenges, or taking pain relief may help. Elevating your head with extra pillows can also ease breathing and reduce irritation during the night.
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