How To Tell If I Need My Tonsils Out

Our tonsils play an important role in our immune system, acting as a net to trap incoming viral and bacterial particles as we swallow or breathe them in. But while these tissues are intended to help us, sometimes they can cause more harm than good, leaving patients in need of a tonsillectomy – or the surgical removal of the tonsils. This procedure is common, and if you’re wondering how to tell if you need your tonsils out, the Center for Sinus, Sleep & Facial Plastic Surgery has you covered. Keep reading to learn all about tonsillectomies from Dr. Tadros

Understanding Tonsillitis

Tonsillitis is a condition many of us might have heard of or even experienced ourselves, and it is more than just a sore throat. This condition is actually indicated by inflammation of the two oval-shaped pads of tissue at the back of our throats, known familiarly as the tonsils. But what causes tonsillitis, and why is it a concern?

At its core, the inflammation caused by tonsillitis is typically an indicator of an infection. Whether they’re viral (more common) or bacterial (less common), these infections can be uncomfortable and are often associated with the following symptoms: 

    • Sore throat, which is often severe and may last longer than 48 hours.
    • Difficulty swallowing or breathing due to the swelling and pain in the throat, especially in children.
    • Swollen, red tonsils that may have white or yellow patches or pus.
    • Enlarged lymph nodes in the neck
  • Fever
  • Headache
  • Fatigue
  • Stomachache, especially in younger children.
  • Snoring or noisy breathing during sleep due to enlarged tonsils blocking the airway.


It’s important to note that the symptoms of viral and bacterial tonsillitis can be very similar. However, bacterial tonsillitis (often caused by Streptococcus pyogenes) may require antibiotic treatment, while viral tonsillitis does not. If you suspect that you or your child have tonsillitis, especially if symptoms are severe or persistent, it is important to see a healthcare professional for a proper diagnosis and appropriate treatment.

Signs You Might Need Your Tonsils Taken Out

While tonsils play a pivotal role in our immune system, there are instances when they might do more harm than good. Recognizing the signs that suggest you might need your tonsils removed is crucial for both your health and well-being.

You may be an ideal candidate for a tonsillectomy if you experience the following:

  • Recurrent Infections: A single bout of tonsillitis or chronic strep throat doesn’t warrant surgical intervention. However, if you find yourself or your child grappling with this painful condition repeatedly, it’s a sign that your tonsils might be causing more harm than benefit. Typically, if you’ve experienced seven or more infections in a year or five or more each year for two consecutive years, it’s time to consult with a specialist.
  • Breathing Difficulties: Enlarged tonsils can obstruct the airway, leading to conditions like sleep apnea. If you or your child experience heavy snoring, pauses in breathing during sleep, or excessive daytime sleepiness, it might be linked to the tonsils.
  • Frequent and Loud Snoring: While snoring can have various causes, enlarged or infected tonsils are a common culprit. Persistent, loud snoring can disrupt sleep quality, leading to daytime fatigue and other health concerns.
  • Difficulty Swallowing Certain Foods: If you or a loved one experience trouble swallowing chewy foods, especially meats, it could indicate that the tonsils are obstructing the throat.
  • Bleeding of the Tonsils: Uncontrolled or recurrent bleeding from the tonsils is a sign that they might need to be removed.
  • Tonsil Cancer: In rare cases, if there’s a suspicion or diagnosis of cancer in the tonsils, a tonsillectomy becomes necessary.


How To Tell If I Need My Tonsils Out

What to Expect from Tonsil Surgery at the Center for Sinus, Sleep & Facial Plastic Surgery

Tonsil surgery is a common procedure, but knowing what to expect can put your mind at ease ahead of your appointment. At the Center for Sinus, Sleep & Facial Plastic Surgery, we prioritize patient well-being, ensuring a seamless and comfortable experience from consultation to recovery. 

Here’s what you should know: 

Tonsillectomy Procedure

  • Methods of Removal: The world of medical science is ever-evolving, and tonsillectomy techniques have seen significant advancements. The most traditional method involves a “cold knife (steel) dissection,” where the tonsils are carefully removed with a scalpel. However, other innovative techniques, such as cauterization or ultrasonic vibration, may also be used based on individual needs and Dr. Tadros’s expert recommendation.
  • Duration and Anesthesia: A typical tonsillectomy at our center lasts about half an hour. We prioritize patient comfort, ensuring that you’re under general anesthesia, meaning you’ll be asleep and won’t feel any pain during the procedure.

Tonsillectomy Recovery:

  • Post-Surgery Symptoms: Recovery is an integral part of the surgical journey. After the procedure, it’s common to experience a sore throat. Some patients also report pain in the jaw, ears, or neck. Remember that these symptoms are temporary and are a natural part of the healing process.
  • Dietary Recommendations: Proper nutrition aids in faster recovery. In the initial days post-surgery, it’s advisable to stick to soft foods and liquids. Warm broth, applesauce, and ice pops can soothe the throat. As you heal, you can reintroduce other soft foods like pudding and oatmeal. It’s essential to avoid spicy, crunchy, or hard foods for a few days to prevent any irritation.
  • Medication and Rest: Dr. Tadros will prescribe pain medication to ensure your comfort during the recovery phase. It’s crucial to follow the dosage instructions meticulously. Additionally, ample rest, especially in the first two to three days, can significantly aid in faster healing.


At the Center for Sinus, Sleep & Facial Plastic Surgery, we understand the apprehensions associated with any surgical procedure. Our team, led by our double board-certified expert Dr. Tadros, is committed to providing top-tier care, ensuring that you’re well-informed, comfortable, and on the path to swift recovery.

How To Tell If I Need My Tonsils Out

Join Over 20,000 Happy Patients & Find Relief

For those struggling with frequent tonsil infections, difficulty breathing or swallowing due to tonsils, or other tonsil-related complications, the Center for Sinus, Sleep & Facial Plastic Surgery has good news: relief is just a consultation away. As a top doctor in the New York and New Jersey areas, Dr. Tadros has years of experience performing tonsillectomies, so you can feel comfortable placing your trust in us. 

If you’re ready to get started, call our office to schedule a consultation today!