What to Expect When It Comes to Allergy Testing
At Advanced ENT & Allergy in Newport News, Dr. Timothy Queen provides in-office allergy testing that is simple, effective, and designed with your comfort in mind.
Tonsil Trouble? Here’s When It’s Time to Consider a Tonsillectomy
When people think of ENT (ear, nose, and throat) specialists, one of the first things that comes to mind is tonsils. These small glands in the back of your throat play a role in your immune system, but they can sometimes cause more problems than they prevent—especially if you're dealing with frequent infections or sleep-related breathing issues.
So, when is it time to consider having your tonsils removed?
Understanding Your Tonsils (and Why They Can Be a Problem)
Tonsils are part of your immune system and are usually more active in children. Over time, they tend to shrink, especially in adulthood. But sometimes, they become chronically inflamed or infected, leading to symptoms that disrupt daily life and even pose long-term health risks.
There are two primary reasons for a tonsillectomy:
- Recurrent or chronic tonsillitis (tonsil infections)
- Obstructive sleep symptoms, including sleep apnea
Let’s explore both.
Reason #1: Recurrent or Chronic Tonsillitis
Tonsillitis is typically caused by bacterial infections, not just general sore throats or cold-related discomfort. True tonsillitis often includes:
- Swollen tonsils with pus or a white coating
- Tonsil stones (technically solid pus, not calcified stones)
- Fever and painful swallowing
- Bad breath or a globus sensation (feeling like something is stuck in your throat)
Dr. Queen explains to patients that recurrent acute tonsillitis means you keep getting these infections over and over—often treated with antibiotics, only to return. On the other hand, chronic tonsillitis is when the symptoms never fully go away despite multiple rounds of treatment.
According to national ENT guidelines, you may be a candidate for tonsil removal if you’ve had:
- 7 episodes in one year
- 5 episodes per year for two years
- 3 episodes per year for three years
Complications like peritonsillar abscess, scarlet fever, or rheumatic heart disease may also fast-track the need for surgery.
If antibiotics aren’t helping and you’re constantly dealing with discomfort or missed work/school days, a tonsillectomy may offer long-term relief.
Reason #2: Obstructive Sleep Apnea or Breathing Issues
Tonsils can also cause breathing problems—especially during sleep. In children and adults alike, enlarged tonsils can block the airway, leading to:
- Loud snoring
- Pauses in breathing during sleep (sleep apnea)
- Restless sleep or gasping
- Daytime fatigue and concentration issues
In adults, sleep studies are typically done to determine the severity of obstructive sleep apnea (OSA). But in children, even witnessed apneas without a sleep study may be enough to recommend surgery. That's because kids desaturate faster, and untreated OSA can lead to developmental delays, heart problems, and more.
What About the Adenoids?
Adenoids are similar to tonsils but located behind the nose, where you can’t see them directly. Dr. Queen often removes adenoids along with the tonsils—especially if they’re causing:
- Chronic nasal congestion
- Frequent sinus infections
- Mouth breathing or snoring
By using a small telescope, ENT specialists like Dr. Queen can examine whether adenoids are still present (they often shrink during the late teen years). If they are enlarged or inflamed, removing them along with the tonsils improves breathing and reduces future infections.
What to Expect from a Tonsillectomy
If you or your child is struggling with chronic tonsil infections or obstructive sleep symptoms, the ENT team at Advanced ENT and Allergy in Newport News, VA is here to help.
Tonsillectomy is an outpatient procedure, and recovery usually takes 7–10 days. Most patients experience significant improvement in sleep quality, fewer infections, and overall quality of life.
When to See an ENT
You don’t have to live with repeated infections, trouble swallowing, or poor sleep. If you suspect your tonsils—or your child’s—are causing chronic problems, it’s time to schedule a consultation.
At Advanced ENT & Allergy, Dr. Timothy Queen and his team specialize in ear, nose, and throat conditions for children and adults. We provide expert evaluation and personalized treatment options, including tonsil and adenoid removal, to help you feel your best.
Located in Newport News, VA
Schedule your appointment today at: https://www.entallergy1.com/contactus
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