Can tonsils be a possible cause of speaking issues?

I can't say how long this has been going on, probably several months, but many times I find talking is hard, more so than it should be. Like I have to push harder in my throat to get words out, even if I'm using my stomach to speak. I would have said this is an anxiety thing, but it also happens when I'm alone or recording something perfectly comfortably. I'm 19. Is there any reason I might feel like there's an actual knot in my throat impacting speech? I'm 19 btw.