Pediatric enlarged tonsils may be caused by physiological enlargement, acute inflammatory enlargement, chronic tonsillitis, etc., of which physiological ones usually do not require medication. Other anti-inflammatory drugs such as amoxicillin can be given to treat, and if necessary, surgical treatment. 1. Physiological enlargement: usually due to the active proliferation of the lymphatic system in children, which leads to physiological hypertrophy of the tonsils, which may shrink after the child reaches adulthood. If there are no other symptoms, it can be left untreated without medication. 2. Acute inflammatory enlargement: If the pediatric tonsil enlargement appears sore throat, fever, dysphagia and other symptoms, usually acute inflammation caused by hypertrophy, this situation can be prescribed to take amoxicillin granules, cephalosporin benzyl and other antibacterial drugs treatment. 3. Chronic tonsillitis: Chronic tonsillitis is usually characterized by recurrent sore throat, bad breath, enlarged tonsils and other symptoms. If there is repeated inflammation of the tonsils more than 3-6 times a year, tonsils are too enlarged to cause breathing difficulties, etc., can consider surgical resection treatment. Children with enlarged tonsils should be taken to the hospital in a timely manner, and reasonable treatment should be taken under the guidance of the doctor. The use of medication should follow the doctor’s instructions.