Paediatric ENT Care for Tonsillitis with Dr Brett Leavers
- Tonsillitis is common in children and is usually caused by an infection.
Symptoms can include a sore throat, painful swallowing, fever, swollen tonsils and bad breath. - Young children may refuse food or drinks, drool, become irritable or have trouble swallowing.
- Tonsillitis can usually be managed by a GP, but some children may need a paediatric ENT assessment.
- Enlarged tonsils can sometimes affect breathing during sleep, causing snoring or poor sleep.
- A paediatric ENT specialist can assess ongoing tonsil problems and discuss treatment, including whether tonsillectomy may be appropriate.
On this page:
What is tonsillitis?
Tonsillitis is inflammation of the tonsils, usually caused by:
Viral infections (most common)
Bacterial infections (such as strep throat)
It is particularly common in preschool and primary school children.
Common signs of tonsillitis in children
Children with tonsillitis may experience:- A sore throat and pain when swallowing
- Fever and chills
- Swollen or red tonsils, sometimes with white patches
- Bad breath
- Fatigue or increased irritability
- Snoring or disrupted sleep, especially if the tonsils are enlarged
- Trouble swallowing, which may cause drooling
- Refusing food or drinks
- Being more irritable or unsettled than usual
How to tell if tonsillitis is viral or bacterial
Understanding whether your child’s tonsillitis is caused by a virus or bacteria helps guide appropriate treatment. While symptoms can overlap, a medical assessment is often needed to confirm the cause.
Symptom overview
| Feature | Viral tonsillitis | Bacterial tonsillitis (e.g. strep throat) |
|---|---|---|
| Severity | Often mild to moderate | May be more severe |
| Fever | Low-grade or absent | High fever is more common |
| Tonsils | Red or swollen | May have white patches or pus |
| Other symptoms | Cough, congestion, runny nose | Headache, swollen neck glands, sore throat |
| Rash | Uncommon | Scarlet-like rash may appear in some cases |
Medical evaluation
It’s not always possible to determine the cause of tonsillitis based on symptoms alone. Your child’s GP or specialist may perform a throat swab or blood test to identify whether the infection is viral or bacterial.
Why it matters
Viral tonsillitis usually improves with supportive care like rest, fluids, and pain relief.
Bacterial tonsillitis, such as strep throat, may require antibiotics to reduce the risk of complications and to help speed recovery.
If your child has a sore throat that persists, is very painful, or is accompanied by a high fever or swollen glands, it’s best to seek medical advice.
When to see a paediatric ENT specialist
If your child has frequent or ongoing throat infections, it may be helpful to speak with a specialist. Dr Brett Leavers is an ENT and Head & Neck Surgeon in Sydney who manages paediatric tonsillitis, particularly when it becomes recurrent or complicated. You may consider referral to a paediatric ENT if your child experiences:- Frequent episodes of tonsillitis — such as four or more in a 12-month period
- Symptoms that persist or worsen despite treatment, including significant pain, fever, or difficulty swallowing
- Enlarged tonsils that interfere with breathing during sleep (e.g., snoring or disrupted rest)
- Possible complications, such as an abscess near the tonsils, trouble breathing, or a muffled voice
Treatment options for tonsillitis in children
Management of tonsillitis depends on your child’s symptoms, age, and overall health. Dr Brett Leavers, ENT and Head & Neck Surgeon, offers care based on current clinical evidence and individual needs.Non-surgical management
In many cases, especially where the cause is viral, supportive care is enough to help your child recover. This may include:- Rest and staying well-hydrated
- Managing discomfort with age-appropriate pain relief
- Monitoring symptoms over time
Surgical treatment – Tonsillectomy
Surgical removal of the tonsils (tonsillectomy) may be considered if your child experiences:- Frequent or severe episodes of tonsillitis
- Enlarged tonsils causing breathing or sleep disturbances
- Complications like abscesses near the tonsils (peritonsillar abscess)
Why choose Dr Brett Leavers?
Dr Brett Leavers is an Australian-trained Ear, Nose and Throat (ENT), Head and Neck Surgeon who cares for both adults and children across Sydney and regional New South Wales. He has a particular interest in paediatric ENT care, including conditions like recurrent tonsillitis. His approach is grounded in evidence-based practice, clinical experience, and open communication with families. Dr Leavers works closely with GPs, paediatricians, and caregivers to ensure each child receives care tailored to their needs.
How Dr Brett Leavers treats paediatric tonsillitis
Dr Brett Leavers is an Australian-trained ENT, Head & Neck Surgeon who provides tailored care for children with tonsillitis. His approach focuses on accurate diagnosis, family-centred communication, and evidence-based treatment.
A careful and individualised approach
Comprehensive assessment
Every child receives a thorough examination to understand the cause and severity of their symptoms.Personalised care plans
Management may include rest, fluids, pain relief, or antibiotics if the infection is bacterial. Dr Leavers works with parents to find the best approach for their child’s needs.Surgical care when needed
If tonsillitis is frequent, severe, or causing complications such as sleep issues, Dr Leavers may discuss the option of a tonsillectomy. This is a common procedure performed under general anaesthesia and tailored for each child’s safety and recovery.
Conclusion
If your child is experiencing frequent or complicated tonsillitis, Dr Brett Leavers provides expert care with a focus on safety, clarity, and support for families. As an Australian-trained ENT, Head & Neck Surgeon, Dr Leavers brings extensive experience in managing both medical and surgical treatment for children with ENT conditions.
He takes the time to explain every step of the process, ensuring parents feel informed and confident about their child’s care—from initial assessment through to recovery when surgery is needed.
Your child’s comfort and health are always the priority.
Frequently Asked Questions
Can children outgrow tonsillitis?
Yes—some children experience fewer infections as they get older. However, if infections are frequent or severe, further treatment may be needed.
Can a young child have their tonsils removed?
In some cases, such as when breathing or eating is affected, surgery may be considered. This decision is made carefully based on age, symptoms, and overall health.
Who treats tonsillitis in children?
A GP can manage most mild cases. For recurring or complicated tonsillitis, referral to an ENT (Ear, Nose and Throat) specialist, such as Dr Leavers, may be appropriate.
Can enlarged tonsils cause drooling?
Yes, particularly in toddlers who struggle to swallow due to pain or obstruction.
This article is intended for general education only and should not be used as a substitute for professional medical advice, diagnosis or treatment. If you are concerned about your symptoms, speak with your GP or ask your GP to write a referral to see Dr Leavers.
Dr Brett Leavers is an Australian-trained Ear, Nose and Throat (ENT), Head and Neck Surgeon. He has been practising across NSW for over ten years.
When to see a doctor
- Tonsillitis that keeps coming back
- Trouble swallowing or eating
- Enlarged tonsils affecting sleep
- A muffled or changed voice
- Breathing difficulty or worsening symptoms
Symptoms vary from person to person — if you're concerned, it's worth getting assessed
Meet Dr Leavers

Dr Leavers, BMedSci MBBS (Hons) FRACS (ORL-HNS), is an ENT Specialist, Head and Neck Surgeon who treats adult and paediatric conditions.
- Ready to take the next step?
Speak with your GP about a referral to Dr Brett Leavers for a paediatric ENT consultation.
Don’t wait — your well-being is worth it. Book today!

Send us a message
You can call us on (02) 9037 6373 to make an appointment or discuss our medical services. One of our team members will be available to take your call during business hours. If you would prefer email, you can send us an enquiry using the form below.