Swollen gums with inflammation of the tonsils need timely medical attention, in the doctor’s examination to confirm the cause of the cause according to the cause of targeted treatment, clinical general considerations of swollen gums and gingivitis, periapical inflammation related to the tonsillitis at the same time also for the treatment of tonsillitis. 1. Gingivitis: Gingivitis caused by swollen gums can be removed from the local stimuli, such as plaque, tartar. Gums can also be rinsed with hydrogen peroxide solution or chlorhexidine gargle. 2. Apical periodontitis: Gum swelling and pain caused by apical periodontitis can be relieved by the use of metronidazole tablets, cefradine capsules, ibuprofen extended-release capsules and other drugs. At the same time, root canal treatment is used to treat apical periodontitis. 3. Tonsillitis: Secondary tonsillitis is usually relieved after treatment of swollen gums. If the inflammation is severe enough to cause tonsil abscesses or hypertrophy that affects breathing, tonsillectomy can be performed. All of the above medications should be used under the guidance of a doctor, avoid self-medication. If the patient’s gum swelling and pain symptoms are not relieved, or accompanied by other symptoms, you should go to the hospital in a timely manner, to identify the cause of the targeted treatment.