Key pointers:
- Tonsils are part of the body’s immune system, but can sometimes cause ongoing problems.
- Recurrent tonsillitis, sleep issues, and breathing difficulties are common reasons surgery is considered.
- ENT specialists assess frequency, severity, and impact on quality of life before recommending tonsillectomy.
- Removal is not always necessary; decisions are individualised.
Why the Tonsils Sometimes Need to Go
The tonsils are small glands at the back of the throat that help fight infection. In most people, they cause no problems. However, when they become enlarged or frequently infected, they can affect breathing, sleep, and overall health. Tonsil removal (tonsillectomy) is only considered when symptoms are persistent and significantly impact daily life.
7 Signs Tonsil Removal May Be Needed
1. Recurrent Tonsillitis
If you or your child suffers from repeated episodes of tonsillitis, typically more than 5–7 times a year, surgery may be discussed. Constant sore throats, fever, and difficulty swallowing can disrupt school, work, and daily routines.
2. Persistent Throat Infections
Even if not classified as “tonsillitis,” ongoing infections around the tonsils may indicate that the glands are a source of recurrent illness. This is especially true when infections do not fully resolve with antibiotics.
3. Obstructive Sleep Apnoea or Severe Snoring
Enlarged tonsils can block the airway during sleep. In children, this may cause loud snoring, restless nights, or pauses in breathing. In adults, it can contribute to sleep apnoea, leaving you tired despite a full night’s rest.
4. Difficulty Breathing or Swallowing
Tonsils that are chronically enlarged can make it hard to swallow food or even breathe comfortably, especially in younger children. This may also affect growth and nutrition.
5. Peritonsillar Abscess (Quinsy)
Sometimes an infection spreads deeper, forming an abscess beside the tonsil. If this happens more than once, ENT specialists may recommend removal to prevent recurrence.
6. Impact on Quality of Life
Frequent sore throats, missed school days, repeated courses of antibiotics, or disturbed sleep can affect a child’s development and an adult’s productivity. When symptoms keep interfering with daily life, tonsillectomy may be considered.
7. Concern About Complications
In some cases, untreated tonsil issues can contribute to recurrent ear infections, speech problems, or long-term breathing difficulties. If your ENT finds these links, surgery may be advised as a preventive step.
How ENTs Decide if Surgery Is Necessary
Not every sore throat means the tonsils must come out. ENT specialists carefully weigh several factors:
- Frequency: How many infections occur in a year.
- Severity: Whether symptoms require antibiotics or hospitalisation.
- Duration: How long symptoms persist despite medical treatment.
- Impact: How daily life, growth, or sleep quality are affected.
- Examination findings: The size and condition of the tonsils on assessment, sometimes with a scope.
Only when benefits outweigh the risks will surgery be recommended.
What to Expect if Surgery Is Advised
Tonsillectomy is a common procedure performed under general anaesthesia. Recovery usually takes about 1–2 weeks. Pain and discomfort are expected initially, but patients typically return to normal activities once healing is complete. Your ENT will also provide guidance on managing diet and hydration during recovery.
When to See an ENT Specialist
You may wish to consider an ENT consultation if:
- You or your child experience frequent sore throats or tonsillitis.
- Snoring and disturbed sleep affect rest or growth.
- Enlarged tonsils cause trouble with breathing or swallowing.
- Throat infections keep returning despite medical care.
Takeaway
Tonsils play a role in fighting infections, but when they cause more harm than good, removal may be the right step. Recurrent infections, breathing issues, or significant impact on daily life are signs that an ENT assessment is needed. With careful evaluation, ENT specialists can determine if tonsil removal is the best option for long-term relief.
Get Personalised ENT Care for the Whole Family
Whether you or your child are experiencing recurrent tonsillitis, snoring, or persistent throat infections, Dr Soon Sue Rene at Adult & Child ENT Specialists provides comprehensive assessment and care. Schedule a consultation to understand your options and receive guidance tailored to your needs.
Book an Appointment with Dr Soon Sue Rene
