Tonsil Stones

Tonsil stones, known medically as tonsilloliths, are hard rocks that form in the crypts, or pockets, of tonsils. Tonsil stones may or may not cause discomfort or pain, and can go undiagnosed for lengthy periods if they are not symptomatic.

Significance

Tonsil stones are common in those who have frequent tonsillitis. Tonsil stones form when pockets form in the tonsils, and drainage, food and other debris collects in the pockets. Eventually, these materials harden and calcify, sometimes causing irritation and infection.

Types

Tonsil stones consist of some combination of mucous, debris and bacteria. Tonsil stones can be very large or tiny, depending on the size of the tonsil pocket and the amount of debris collected in it.

Identification

Tonsil stones are calcified deposits in the tonsils. They are white or yellow in color. When visible, they protrude from pockets in the tonsils, located on the sides of the throat. Upon removal, the tonsil stone is hard to the touch, and when broken open has a foul stench due to the sulfur content of the stone.

Effects

Tonsils stones cause soreness in the throat, both localized at the site of the tonsil stone, and general throat pain that hurts all over the throat. Bad breath is a direct result of tonsil stones. Some tonsilloliths are asymptomatic, causing no issues.

Warning

If tonsil stones become painful or a fever is present, seek medical attention. It may indicate there is an infection or inflammation that needs treatment. When using a WaterPik or other device to remove tonsil stones, use the lowest setting with extreme care, as the pressure can tear the tonsil. Sanitize anything used for tonsillolith removal before putting it in the mouth. It is safer to have a doctor remove the tonsillolith than to try to do it at home.

Prevention/Solution

The only way to cure or prevent tonsil stone recurrence is to have a tonsillectomy. The pockets in the tonsils will collect tonsil stones, regardless of the removal of the stones. Temporary fixes for tonsil stones include self removal with a WaterPik or cotton swab, surgical removal of only the tonsil stone by a Ear Nose and Throat Doctor (ENT), and antibiotic use for infections. Sore throat remedies include gargling with salt water or mouthwash to rid the mouth of germs and bacteria and taking pain relievers. For tonsil stones that don't produce any symptoms, no treatment is necessary.

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