Swollen tonsils due to stress
Swollen tonsils, as a sign of an activated body’s own defense system, can be caused by stress. In stressful situations, the body releases various hormones that permanently influence the body’s own defense system. Some studies report that permanent negative stress, so-called stress can lead to increased susceptibility to infections. In addition, the interaction between the sympathetic and parasympathetic nervous systems can influence the body’s own defense system, which may also manifest itself in tonsillitis. The connections in detail are still being researched.
Allergy
In the context of an allergy, swollen tonsils can occur. The palatine tonsils can swell accordingly in an allergic reaction with so-called histamine release and vascular dilatation. But also a permanent mucous membrane inflammation due to allergies is considered a risk factor for enlarged pharyngeal tonsils. The exact causes are still being researched. It has also been observed that enlarged pharyngeal tonsils can be caused by allergies to painkillers.
Diagnosis
First, the doctor systematically interviews the person concerned. In the mirror examination, he looks at the tonsils and throat. In doing so, he can differentiate between color, swelling and evidence.
He also tests how the tonsils react to pressure. He also palpates the lymph nodes of the lower jaw and neck. If Pfeifferian glandular fever is suspected, the neck lymph nodes and the lymph nodes in the groin are also checked.
The doctor can identify the pathogen by means of a throat swab and a so-called streptococcal rapid test. If the tonsillitis has already existed for a few weeks, a so-called antibody detection may also be useful. If an allergy is suspected, an allergy test follows. If glandular fever is suspected, an ultrasound examination of the upper abdominal organs is also recommended.
Associated symptoms
The swollen tonsils and the surrounding pharyngeal structures may be reddened. Pus may leak from the tonsils. This can taste and smell unpleasant.Bad breath can be very strong.
In addition, pain of various kinds can occur or be absent. In addition, the mouth may become difficult to open, making it difficult to eat and speak. In addition, the lymph nodes in the neck and below the ear at the angle of the jaw can be swollen and painful.
Pfeiffer’s glandular fever can also cause the neck and groin lymph nodes to be swollen. Fever and fatigue may also occur. Breathing difficulties and breathing noises, as well as irritable cough can also occur.
With the so-called Kawasaki syndrome, a “raspberry tongue” also appears in addition to the swollen tonsils. But the rash affects especially the inner surfaces of the hands and feet. At first redness is visible here and then scaling. In addition, vomiting and diarrhea can occur in the context of the Kawasaki syndrome. In these cases a doctor should be consulted.
