Tonsillitis
Tonsillitis causes inflammation of the tonsils, often leading to throat pain, swelling and difficulty swallowing. Learn how supporting immune function and reducing inflammatory stress can help during recovery.
What Tonsillitis Is and Why It Happens
The tonsils sit at the back of the throat and, crucially, they form part of the body’s immune defence system, helping to trap germs which may enter through the mouth and nose. Tonsillitis describes a condition whereby the tonsils become inflamed, most commonly this can happen due to a viral or bacterial infection.
Within naturopathic medicine, tonsillitis is often viewed as a sign that the immune system is under increased pressure. Therefore specific steps may be taken to help prevent disease, or support tonsillitis, once it has arisen.
Common symptoms associated with tonsillitis
Throat pain is usually the first and most noticeable symptom. More specifically, as the tissues become irritated, the throat may feel swollen, raw or painful, particularly when swallowing. Some people also notice fatigue, fever or tenderness around the glands in the neck (1).
Visually, tonsils may appear red, while white patches can sometimes develop across the surface.
Nutritional support during recovery
With nutritional therapy, food is often used to help calm irritation while supporting the immune system during recovery. Vitamin C together with zinc are recommended as they contribute to tissue repair and healthy immune function (2).
In terms of food, soft and nourishing foods such as bone broth, collagen peptides and plant based options like well cooked legumes are also frequently recommended because they provide support for recovery without further aggravating an already sore throat. To reduce additional irritation, practitioners may also suggest temporarily limiting refined sugar, highly acidic foods and rough textured foods that can scratch or inflame sensitive throat tissues (3).
Gut microbiome immunity
Because much of the immune system is closely connected to the gut microbiome, digestive health is often considered an important part of recovery (4). As such, high potency probiotics may be introduced, particularly after antibiotic use, in order to help support bacterial balance within the digestive tract (5).
Herbal support for throat comfort
Naturopathic practitioners use herbs chosen for their soothing or antimicrobial properties.
Slippery Elm, Marshmallow Root and Liquorice Root are traditionally valued because they naturally contain demulcent compounds, meaning they create a coating effect that may help calm raw or irritated throat tissues (6).
Meanwhile, herbs such as garlic, goldenseal and astragalus may be used due to their traditional association with antimicrobial and immune support and modulation (7, 8).
Immune modulation and recurring tonsillitis
At the first sign of throat irritation, echinacea and elderberry may be used to support immune responsiveness during the early stages of infection (9).
Recurring tonsillitis
For recurring tonsillitis, practitioners may also investigate the triggers which may be contributing to chronic inflammation.
Alongside this, therapies intended to support lymphatic circulation, such as contrast compresses or dry skin brushing, may occasionally be suggested for immune support.
Safety
Persistent fever, worsening pain or significant swelling should always be assessed medically, especially if swallowing or breathing becomes difficult.
Takeaways
Holistic approaches to tonsillitis typically focus on soothing an inflamed throat, supporting immune resilience and reducing inflammatory stress through nutrition, hydration and carefully selected herbal support.
Disclaimer
Please note that the information contained within this website does not and should not replace medical advice, and is not intended to treat or diagnose. We always recommend you consult with your doctor. Our Nutritional Therapy team is highly trained and we offer one to one Nutritional Therapy Consultations, which are designed to be complementary to any medical treatment from a functional medicine approach, as well as offering a preventative & optimal health focus.
Academic References
- Wu S, Hammarstedt-Nordenvall L, Jangard M, Cheng L, Radu SA, Angelidou P, Zha Y, Hamsten M, Engstrand L, Du J, Ternhag A. Tonsillar Microbiota: a Cross-Sectional Study of Patients with Chronic Tonsillitis or Tonsillar Hypertrophy. mSystems. 2021 Mar 9;6(2):e01302-20. doi: 10.1128/mSystems.01302-20. PMID: 33688019; PMCID: PMC8547005. https://pmc.ncbi.nlm.nih.gov/articles/PMC8547005/
- Wintergerst ES, Maggini S, Hornig DH. Immune-enhancing role of vitamin C and zinc and effect on clinical conditions. Ann Nutr Metab. 2006;50(2):85-94. doi: 10.1159/000090495. Epub 2005 Dec 21. PMID: 16373990. https://pubmed.ncbi.nlm.nih.gov/16373990/
- Ma X, Nan F, Liang H, Shu P, Fan X, Song X, Hou Y, Zhang D. Excessive intake of sugar: An accomplice of inflammation. Front Immunol. 2022 Aug 31;13:988481. doi: 10.3389/fimmu.2022.988481. PMID: 36119103; PMCID: PMC9471313. https://pubmed.ncbi.nlm.nih.gov/36119103/
- Wiertsema SP, van Bergenhenegouwen J, Garssen J, Knippels LMJ. The Interplay between the Gut Microbiome and the Immune System in the Context of Infectious Diseases throughout Life and the Role of Nutrition in Optimizing Treatment Strategies. Nutrients. 2021 Mar 9;13(3):886. doi: 10.3390/nu13030886. PMID: 33803407; PMCID: PMC8001875.https://pmc.ncbi.nlm.nih.gov/articles/PMC8001875/
- Kechagia M, Basoulis D, Konstantopoulou S, Dimitriadi D, Gyftopoulou K, Skarmoutsou N, Fakiri EM. Health benefits of probiotics: a review. ISRN Nutr. 2013 Jan 2;2013:481651. doi: 10.5402/2013/481651. PMID: 24959545; PMCID: PMC4045285. https://pmc.ncbi.nlm.nih.gov/articles/PMC4045285/
- Peterson CT, Sharma V, Uchitel S, Denniston K, Chopra D, Mills PJ, Peterson SN. Prebiotic Potential of Herbal Medicines Used in Digestive Health and Disease. J Altern Complement Med. 2018 Jul;24(7):656-665. doi: 10.1089/acm.2017.0422. Epub 2018 Mar 22. PMID: 29565634; PMCID: PMC6065514. https://pmc.ncbi.nlm.nih.gov/articles/PMC6065514/
- Alanazi HH, Elasbali AM, Alanazi MK, El Azab EF. Medicinal Herbs: Promising Immunomodulators for the Treatment of Infectious Diseases. Molecules. 2023 Dec 12;28(24):8045. doi: 10.3390/molecules28248045. PMID: 38138535; PMCID: PMC10745476. https://pmc.ncbi.nlm.nih.gov/articles/PMC10745476/
- Ettefagh KA, Burns JT, Junio HA, Kaatz GW, Cech NB. Goldenseal (Hydrastis canadensis L.) extracts synergistically enhance the antibacterial activity of berberine via efflux pump inhibition. Planta Med. 2011 May;77(8):835-40. doi: 10.1055/s-0030-1250606. Epub 2010 Dec 14. PMID: 21157683; PMCID: PMC3100400. https://pmc.ncbi.nlm.nih.gov/articles/PMC3100400/
- Tiralongo E, Wee SS, Lea RA. Elderberry Supplementation Reduces Cold Duration and Symptoms in Air-Travellers: A Randomized, Double-Blind Placebo-Controlled Clinical Trial. Nutrients. 2016 Mar 24;8(4):182. doi: 10.3390/nu8040182. PMID: 27023596; PMCID: PMC4848651. https://pmc.ncbi.nlm.nih.gov/articles/PMC4848651/