Why Is One Tonsil Bigger Than the Other in My Child? A Parent’s Guide You ask your child to open their mouth because they have complained of a sore throat. Then you notice something unexpected: One tonsil looks much bigger than the other. It is an understandably worrying discovery. Parents may immediately wonder whether the tonsil is infected, whether it should be removed—or whether an uneven tonsil can indicate something serious. The reassuring message is that tonsil asymmetry in children is often benign . Tonsils are not perfectly symmetrical structures. They sit in spaces on either side of the throat called the tonsillar fossae, and differences in the depth and shape of these spaces can make one tonsil appear larger even when their actual volumes are quite similar. A UK evidence-based review published in the British Journal of General Practice in 2024 notes that most apparent unilateral tonsillar enlargement is associated with benign explanations such as anatomical v...
What to do if your child has a neck lump? Neck lumps can be due to enlarged lymph nodes, birth cysts or lumps or (only 10%) malignancy. When you notice a neck lump in a child, consider the presentation's age. Is the child getting associated B symptoms, i.e. night sweats, fever, unexplained weight loss, fatigue, loss of appetite, trouble breathing, itching or painful swelling in their belly? Note down any recent exposure to a person with flu-like symptoms, a young cat or any change in size or neck lumps becoming multiple. What happens when you visit an ENT surgeon with your child? The ENT surgeon will take a detailed history and perform a clinical examination of the tummy, ear, nose and throat. The ENT surgeon will request special blood tests, a chest X-Ray and an Ultrasound scan of the neck. Depending on the results, it may be required to do a sample surgical biopsy of the lymph node in a few cases. Which lymph node neck lumps in children are ENT surgeons more concerned ab...