Quinsy, medically known as a peritonsillar abscess, is a collection of pus that forms behind one of the tonsils in the throat. It typically develops as a complication of an untreated or partially treated infection, such as tonsillitis or strep throat. It is a localized infection that can lead to significant discomfort and potential complications if not addressed.
Recognizing the Visible Signs
One of the most noticeable visual signs of quinsy is a distinct swelling in the throat, usually on one side. This swelling occurs in the peritonsillar space, located between the tonsil and the pharyngeal muscles. The affected tonsil itself often appears enlarged and pushed towards the center of the throat.
A characteristic indicator is the deviation of the uvula, the small fleshy tissue hanging at the back of the throat. Instead of hanging centrally, the uvula is typically pushed away from the side with the abscess, shifting towards the unaffected side. The soft palate on the affected side may also appear to bulge, changing from its normal concave shape to a more convex appearance. The tissue around the swollen area, including the anterior arch and palate, often looks red and inflamed. This asymmetrical swelling and redness are key visual cues that differentiate quinsy from a typical case of tonsillitis.
Other Common Indicators
Beyond the visible changes, quinsy presents with a range of other physical symptoms that can be quite severe. Individuals commonly experience intense throat pain, which is usually more pronounced on the side where the abscess has formed. This pain is often accompanied by odynophagia, meaning painful swallowing, and dysphagia, or difficulty swallowing. Some people may even find it difficult to swallow their own saliva, leading to drooling.
A distinct change in voice, often described as a “hot potato” voice, is another frequent symptom. This muffled quality occurs because the swelling in the throat interferes with normal vocal resonance. Many individuals also experience trismus, which is a difficulty or inability to fully open the mouth due to muscle spasms and pain. Additional general symptoms include fever, chills, and a general feeling of being unwell, similar to a severe infection.
When to Seek Immediate Care
Prompt medical attention is important if quinsy is suspected, especially if symptoms worsen quickly. Increasing difficulty with swallowing or breathing warrants immediate care, as the swelling can potentially block the airway.
The inability to open the mouth fully, or significant worsening of trismus, also signals a need for urgent medical attention. If severe pain is not alleviated by common pain relievers, or if symptoms do not improve, seek medical assessment. Untreated quinsy can lead to more serious complications, including the spread of infection to deeper neck spaces.