Doctor insights on:
Lots Of Tonsil Stones
I've been getting a lot of tonsil stones recently. Should I be concerned? I don't want to get my tonsils removed, can a better diet prevent it?
Extreme dizziness, a lot of tonsil stones, some ear pain and tinnitus for a week. What could be causing the dizziness? There is no ear wax or fluid.
Dizziness: Extreme dizziness can be from many causes including severe infection, dehydration, increased pressure in the middle ear space, inner ear inflammation (labrynthitis), cardiac disease, stroke or TIA. An urgent care for formalized testing and in person neurological exam is likely required. Please get help. ...Read more
I think I have post nasal drip and I'm not sure what to do. Help? - I get a lot of tonsil stones and have lots of phlegm in the back of my throat
Time to see ENT: You need to consult an ENT doctor. ...Read more
Really bad breath because of my tonsils I have a lot of tonsils stones I don't know how to get rid of the smell brushing teeth and mints not helping?
Prevention is key: To prevent bad breath and tonsil stones in the future, you must use dental floss, oxygenating toothpaste and mouthwash and a tongue cleaner to effectively neutralize the anaerobic bacteria from the very back of the tongue. This procedure three times a day will prevent tonsil stones from forming again. ...Read more
Big tonsils: Probably some people have big tonsils, and there are bacteria and inflammatory responses by one's own white blood cells in the holes (crypts) on the tonsils' surfaces... thus leading to lumps of stuff we know as tonsil stones. An ENT doctor can help, but if medical treatment doesn't make things well enough for a patient's desires, the next option may be removing the tonsils. ...Read more
I have tonsil stones. White smelly things on my right tonsil. I don't get them a lot and they go away in few days. Should I get my tonsils removed?
Probably not: This is a very common problem. Most people can manage the condition by frequent gargling with listerine or hydrogen peroxide, gently brushing over the area with a soft brush, or using a water pik to dislodge them. Sometimes the tonsils may become chronically infected, painful, or swollen. Then it may be time to consider removal. You should see an otolaryngologist and discuss. ...Read more
My right tonsil is slightly swollen for 2 months, then I found a lot of stones that come out from it. The swelling can be releated to tonsil stones?
Maybe: Stones can form in salivary ducts, but not tonsils. Best to be seen by an Ear, Nose and Throat specialist for a good exam and more complete evaluation. Hope this helps! ...Read more
I used hydrogen peroxide on my tonsils. Put some on a q tip and dapped it on my tonsils it helped remove a lot it! However my tonsil looks white! I'm trying not to freak out but idk if it's more tonsil stones or my tonsil is actually white. I did use a l
Depends on how much: Depending on how strong the solution was. Nothing to freak out about but I don't recommend using it. Don't you hate those annoying stones! ...Read more
Tonsil stones lately. Struggling 2shift them. Only thing done differently lately is consume a lot of calcium supps &food to help bones. Could this b why?
Possibly: There is no general need to consume extra calcium unless you have been specifically diagnosed with hypocalciumia by a physician. If you are ingesting a large amount of excess calcium it can manifest in stone production both salivary and kidney. Please see you doctor if you are concerned about your bone density and stop taking extra calcium. ...Read more
37y healthy female never smoked tonsil stones x 10yr Removed lots stones when pushed on tonsil Tonsils appear swollen w/ large pockets. Tonsil cancer?
Not likely: But only an exam by a qualified doctor can tell the difference. You need to show your tonsils to a doctor. ...Read more
No: They're masses of keratin -- there's a propagated error on the internet giving a different composition. Get a penlight and a mirror and half-unbend a paper clip. You'll get good at it. Water pick is even better. If it's truly a nuisance, a otolaryngologist can laser-resurface your tonsils. ...Read more
Eating: Tonsil stones (i.e. Tonsilliths) are collections of food and debris which get trapped in the tonsils. This material gets infected usually becomes foul smelling. Some tonsils have more nooks and crannies in which to collect this debris, which makes the stones larger and/or more numerous. If removed, tonsilliths usually will recur. If severe, tonsillectomy will cure the problem. Best wishes. ...Read more
Take them out: If you don't have a water pick, get a penlight and a mirror and half-unbend a paper clip. You'll get good at it. Injury / infection risk is minor. If it's truly a nuisance, a otolaryngologist can laser-resurface your tonsils. ...Read more
Various ways: I have known patients who were bothered by their "tonsil stones" who used a tooth-pick to clean out the tonsil stones; others reported that they used a "water pik" with great success. Try also daily gargling with salt water (saline) containing manuka honey - "nature's antibiotic". ...Read more
None really: It is not a medical problem, more of a physical one. Medications, herbs, mouthwashes generally don't help. If the tonsils have the deep crypts which trap food debris, tonsil stones will form. They can be removed cleaned out, but usually recur. If tonsil stones are a severe and chronic problem, tonsillectomy will cure the issues. See your local ent. Best wishes. ...Read more
ICKY STUFF: Tonsil "stones" are comprised of dead mucosal cells from the lining of the oral cavity, from microscopic food particles, and from bacteria - usually in the form of "biofilm". Based on dna sequencing studies, we found more than 100 separate species of bacteria in tonsil stones in a group of 50 children. ...Read more
Nothing: They are uncomfortable and smell bad, which can be a significant social liability. The best way to get rid of them is with a water pick, assisted by a mirror and a penlight. If you try something like a half-unbent paper clip, be careful not to hurt yourself. ...Read more
Try a Water Pik.: An oral irrigator or dental water jet device such as a Water Pik can be used to rinse out stones without traumatizing the tonsil tissues. Use it in its gentlest setting to prevent gagging. In difficult cases, see an ENT doctor. Avoid using objects such as Q-tips or your finger to manually express stones from the tonsil, as this can cause more serious pain and predispose to infection. ...Read more
Cryptic tonsils: As some people get older, their tonsils lose their smooth surface and become pitted or cryptic. The purpose of the tonsils is to sample debris (food as well as cellular debris) to help determine if is dangerous or not to the body. It then compacts the debris and gets rid of it. This happens in every person with tonsils. However, if the tonsils are cryptic, the debris is larger and noticeable. ...Read more
Often you do not need anything for tonsil stones
an easy and simple way I recommend is to use an oral irrigator. Only the irrigators that connect directly to sink tap via a threaded attachment to be used for this purpose. Most electric irrigatoer are too powerful and can cause discomfort or rupture of the tonsils
large stones need to be removed by doctor by curettage. Very large need excision. ...Read more
Gargle: Initially you can try gargling with warm salt water and/or mouth wash. If that doesn't help then try taking a long moist swab and manually remove them (like a long q-tip). If you still can't remove them then a doctor can do it for you. ...Read more
Look in the mirror: Tonsilloliths or so called stones in the tonsils are usually collections of food particles in the crypts (grooves) on the surface of the tonsil. You can see them in the mirror as small white round collections. They may represent bacterial colonies, food particles or small retention cysts. They often produce a foul odor to the breath and may be a minor indication for tonsil removal. ...Read more
Just look: With the right light and a goo mirror, tonsil "stones" can be seen by opening your mouth and looking in the mirror. They are usually whitish nodules that fill little pits - "crypts" - in the surface of the tonsil. ...Read more
Just remove them: Nothing disintegrates them. Just a little dexterity is all that's required to get rid of them once they're big enough, though they will form again. Get a penlight and a mirror and half-unbend a paper clip. You'll get good at it. Don't hurt yourself. A water pick is even better. If it's truly a nuisance, a otolaryngologist can laser-resurface your tonsils. ...Read more
Yes: They'll darken on exposure even to dry air after a few minutes. The black color is related to the high sulfur content; despite what you may have heard elsewhere, they're made primarily of sulfur-rich keratin imparting the nasty smell. A water-pick is underapprediated as a way to remove them. ...Read more
Not dangerous: Tonsils "stones" - tonsil liths - are a collection of bacteria, sloughed cells from the lining of the oral cavity, and microscopic particles of food, that accumulate in the pits of the tonsil surface. They often are irritating, and contribute to bad breath. They are not dangerous. Some people have luck with a "water pik" to regularly remove them. ...Read more
Crypts: You probably have large tonsil crypts (or pockets) where debris accumulates. Consider using salt water gargles or an alcohol free mouth wash. There are some office procedures that a very few ent's can perform to help such as radiofrequency cryptolysis. If you are interested in this you will definitely have to ask around. ...Read more
Tips on care: This is a very common problem. Most people can manage the condition by frequent gargling with Listerine or hydrogen peroxide, gently brushing over the area with a soft brush, or using a water pik to dislodge them. Sometimes the tonsils may become chronically infected, painful, or swollen. Then it may be time to consider removal. You will get tips like this when you see an ENT. ...Read more
Gargles or surgery: Tonsil stones aka tonsillolithiasis are concretions of dead skin, bacteria, possibly food particles. Antibiotics help temporarily. Gargling with various rinses or water picking may help. Occasionally an otolaryngogist may cauterize the tonsils in office. The problem is resolved with tonsillectomy. ...Read more