Many kidney disease patients, especially IgA nephropathy patients have different degrees of enlarged tonsils, generally acute tonsillitis will appear pain, pus, fever, pharyngeal discomfort, dysphagia and other symptoms, chronic tonsillitis is generally asymptomatic, the doctor found out that they have enlarged tonsils only after physical examination, how do kidney disease patients face their own tonsillitis? Tonsils are slightly peach-colored, round and prominent spongy-like tissues on both sides of the throat, which have many tiny holes and cracks and are easily attacked by bacteria or other microorganisms, which in turn lead to acute or chronic inflammatory reactions. The tonsils are the largest lymphoid tissue in the pharynx and are an active immune organ, which has both humoral immunity, producing various immunoglobulins, and some cellular immunity. Tonsillar infection stimulates the release of large amounts of immunoglobulin IgA and/or inflammatory mediators, which can lead to the development of IgA nephropathy or acute post-infectious glomerulonephritis, the two kidney diseases most closely related to tonsillitis and also the most common kidney disease. Generally, you can see whether the tonsils are enlarged by stretching out your tongue and saying “ah”, and some patients need the doctor to use a tongue depressor to see whether the tonsils are enlarged or not. Tonsillar enlargement is divided into three degrees: I degree: tonsil enlargement does not exceed the arch of the pharynx and palate; II degree: tonsil enlargement exceeds the arch of the pharynx and palate; III degree: tonsil enlargement reaches the middle line of the back wall of the pharynx. Tonsillitis is very harmful, does not mean that the degree of bacterial infection of tonsillitis itself is very serious, but that the complications caused by tonsillitis are very serious, in addition to causing rhinitis, pharyngitis, otitis media, sinusitis, bronchitis, but also prone to cause systemic diseases, such as glomerulonephritis, rheumatoid arthritis, rheumatism heart disease, cardiomyopathy, asthma and other diseases. Tonsillitis should not be underestimated, does it need to be removed? Tonsils are the “first line of defense” against diseases of the respiratory tract. There are various types of cells involved in cellular immunity in the tonsils, which can produce antibodies, so it is an important defense organ of the human body. If this line of defense is breached, it will bring many hazards to the human body. From the immune point of view, due to its immune effect on the body, the tonsils should not be removed casually, because the removal may affect the local immune response and reduce the body’s ability to fight infection. If tonsillitis is recurrent and prevents whistling and swallowing, and the kidney condition is closely related to tonsillitis, it should be removed promptly. If tonsillitis attacks are infrequent and the kidney condition is not closely related to tonsillitis, blind removal will do more harm than good. At present, there is no international evidence-based medical evidence to prove that the removal of tonsils can improve the prognosis of the kidneys in the study, so it is recommended that tonsillitis attacks are infrequent, do not easily remove it. For patients with frequent tonsillitis attacks, IgA nephropathy (repeated episodes of hematochezia type) who have obviously enlarged tonsils can consider removing the tonsils, and other kidney types according to the condition and then discretionary to determine whether the need to remove the tonsils. How to take care of enlarged tonsils in patients with kidney disease: 1. Drink more water, water can remove excess pathogenic bacteria and metabolites in the body, avoid drinking and eating spicy, sour and cold drinks and food. 2. 2, don’t use your voice excessively, usually pay attention to protect your voice, avoid the infection of the upper whistling tract. 3, maintain oral hygiene, gargle with water after meals, use saline or light salt water to gargle when there is pain in the pharynx, and develop good oral hygiene habits; 4, careful use of medication: if there is acute tonsillitis, especially suppurative infections, you can follow the doctor’s instructions to use antibiotics reasonably, such as asymptomatic enlargement of the tonsils, you can’t abuse the use of antibiotics or other medications, and eat more fresh vegetables and fruits every day. 5.Strengthen sports and physical exercise, enhance physical fitness, enhance resistance. Pay attention to keep warm, avoid getting cold, increase or decrease clothes in time, prevent cold and flu, and keep a good mindset.