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When to See a Primary Care Doctor for Tonsil Cancer Symptoms Book a visit if you notice: Throat pain that does not improve One swollen tonsil Ear pain with throat symptoms Trouble swallowing Neck lump or swelling Blood in saliva Mouth sore that does not heal Ongoing bad breath with throat changes Jaw stiffness Voice or speech changes A primary care provider can look inside the throat, feel the neck for swollen lymph nodes, check for infection, and decide if you need medicine, testing, or an ENT referral