Hello! Related your concern you should know that are some reasons that could cause swollen tonsils for over a month that don't well-respond using of antibiotic. These reasons include chronic tonsillitis, and mononucleosis. So I suggest to do a swab throat culture and test for Epstein-bar Virus. Regards.

---

Brief Answer:
I suggest to do a EBV test (IgM, IgG), full blood count and cervical ultrasound.

Detailed Answer:
Hello! Thank you writing back in healthcare magic.

I have seen carefully your attached picture and I noticed the right tonsil with moderate swollen and with some red holes on it.

Based on that you have just a neck pain and no sore throat I suggest to do a EBV test (IgM, IgG), full blood count and cervical ultrasound (to see for lymph nodules) in order to define better the diagnosis and to exclude mononucleosis.

I hope my answer helps you.
I wish you a quick recovery. Feel free to ask me further.
Regards.

---

Brief Answer:
Yes the stress could have an impact in this condition.

Detailed Answer:

Hello! Thank you writing back again in healthcare magic.

You should know that red spots alone are not a major cause for concern, but medical attention may be required if other symptoms appear alongside them.

Usually the red spots on the tonsils is indicative of a viral infection, and should be monitored carefully, especially if other symptoms, such as high temperature and sore throat, are present, although red spots alone are likely to disappear after a few days as the body defeats the infection.

So, based on that taking antibiotic you should see improvement in a bacterial infection but not in viral situation as I suppose you have (maybe mononucleosis).
Yes, the stress could have an impact in this condition because it weakens immunity that fights the infection in order to get a quick recovery.

I hope my answer helps you.
I wish you a quick recovery. Feel free to ask me further.
Regards.

---