Wellness

A quinsy is a peritonsillar abscess often caused by a streptococcal infection which arises as a complication of a sore throat and often tonsillitis. 

The abscess usually develops on one side at the back of the throat and can push your uvula across as shown below. 

Quinsy arises in about 1 in 1,000 patients with a sore throat so it is not a common problem. 

Sore throat

Fever

Pain on swallowing 

Difficulty in swallowing

Difficulty opening your mouth ( trismus )

Difficulty speaking 

Dribbling of saliva 

Feeling generally unwell

Headache

Earache

Tiredness

Neck swelling

Bad breath 

Analgesia such as paracetamol and ibuprofen. 

Gargle with mouthwash or salt water 

Oral numbing sprays 

Stop smoking 

Antibiotics

Rest and fluids 

Surgery 

In most cases, the abscess will need to be drained by an ENT specialist. 

Surgery can involve any of the following - 

Needle Aspiration: A thin needle is used to withdraw pus from the abscess after numbing the throat with an anaesthetic spray. 

Incision and drainage: A cut is made in the abscess to allow the pus to drain out. 

Tonsillectomy: Usually the last option if you have a very severe case of quinsy or have recurrent episodes. 

About 15 percent of patients will suffer another episode of quinsy after initial infection. 

Don’t share toothbrushes or cutlery with anyone who has tonsillitis and always maintain high levels of hygiene by washing your hands regularly with soapy water. 

If you are worried about a sore throat then you can start a diagnosis.