Get a physical examination, needs to be palpated to check if further assessment is required

Physical consultation Warm watwr gargles

please get done physical examination

Your Symptoms: • Right tonsil bigger than left for 2 years. • Right external ear canal swelling without pain, but with tightness sometimes. • Mild itching and needle-like pain in throat/tonsil. • Feeling of tightness in ear. • No severe pain or systemic symptoms. First, to answer you honestly: • Tonsil asymmetry is not always normal, especially when it persists over years. • But it is not always serious either. • Most cases are due to chronic inflammation, scarring, or benign conditions. • Rarely, it can be a sign of something concerning like a slow-growing tumor (example: lymphoma, tonsillar cancer). Important Red Flags you should watch for (if any are present, it’s more serious): • Rapidly increasing tonsil size. • Weight loss. • Difficulty swallowing (progressive). • Ear pain severe and deep inside. • Blood in saliva. • Lump in neck (hard, not painful). • Severe trismus (difficulty opening mouth). That’s why doctors recommend physical check-up. Summary: • Most likely: Chronic tonsillitis, chronic mild otitis externa. • But to be safe, one ENT visit (for physical exam + maybe fiberoptic check) is recommended. • Probably not serious, but needs ruling out serious causes properly once