What is the management of tonsillitis?

  1. Paracetamol syrup for pain and fever
  2. Penicillin, amoxycillin or erythromycin for 10 days

The indications for tonsillectomy are:

  1. Repeated severe tonsillitis
  2. Tonsillar abscess
  3. Severe airway obstruction

Unless there is severe airway obstruction, enlarged tonsils alone is usually not an indication for tonsillectomy.

Tonsillectomy for repeated attacks of tonsillitis remains controversial. While occasional tonsillitis is not an indication for tonsillectomy, it has been suggested that more than 5 attacks of tonsillitis per year is a reasonable indication for tonsillectomy.

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