The appearance of two bulging bags on both sides of the throat may be enlarged tonsils, seen in acute and chronic tonsillitis, physiological hypertrophy of the tonsils and other conditions. 1. Acute tonsillitis: it can be caused by beta-hemolytic streptococcus, staphylococcus, adenovirus, etc., triggered by cold, overwork, etc. Typical symptoms include severe sore throat, dysphagia, accompanied by chills, fever, headache and other systemic symptoms. Examination can find that the palatine tonsils are congested and enlarged, and there may be pus spots or pus moss on the surface of the tonsils of those with purulent tonsillitis. 2. Chronic tonsillitis: often caused by repeated episodes of acute tonsillitis or poor drainage of palatine tonsil crypts. There is often a history of recurrent acute tonsillitis, with obvious sore throat during the attack, and dry throat and foreign body sensation in the intervals. Examination of the palatine tonsils can be seen enlarged, the surface can be seen scar contraction. 3. physiological hypertrophy of the tonsils: most common in children and adolescents, no conscious symptoms, tonsils soft, smooth, light color, no abnormal secretion, no adhesion with the surrounding tissue. Enlarged tonsils, there may be tonsil tumors, pharyngeal diphtheria and other diseases. It is recommended to go to the ENT department of the hospital in time to get a clear diagnosis and follow the doctor’s instructions to choose the appropriate treatment plan.