Right side of tonsil and ear problem.

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

You have mostly mild symptoms without strong red flags. But, because tonsillar asymmetry persisting >1 year is considered important to assess properly, I recommend getting examined physically by an ENT surgeon. If an in-person clinical examination is not possible — it is advisable to undergo a Contrast-Enhanced CT (CECT) scan of the neck (extending from the base of skull to the clavicle).