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The doctor may ask about symptoms , conduct a physical examination using a lighted instrument to see the tonsils , check for swollen lymph glands, and assess the breathing pattern. The doctor might also swab your throat. The tests will help identify the cause of the infection for an appropriate treatment recommendation. What are the symptoms of tonsillitis in toddlers? Tonsillitis is an infection of the tonsils caused by viruses and bacteria. When tonsillitis occurs the tonsils get inflamed and swell up causing nasal obstruction and/or breathing, swallowing, and sleep problems. The main symptoms of tonsillitis are inflamed and swollen tonsils , sometimes severe enough to make it hard to breathe through your mouth. Other symptoms include: In children, tonsillitis ... Tonsillitis is a condition that causes inflammation and irritation of the tonsils , often due to viral or bacterial infections. Learn about the common signs of tonsillitis, such as sore throat, fever, and white spots on the tonsils , and the best ways to treat it, including medications and tonsillectomy.