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Doctor insights on: Tonsil Crypt

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Can i bleed to death from what i think are tonsil crypts?

Can i bleed to death from what i think are tonsil crypts?

No: But these can be annoying, especially when they are the sites for formation of tonsilloliths. If you have any concerns about an oral lesion, a visit to your dentist often resolves the question. Best wishes. ...Read more

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Does cortisone help shrink hypertrophic tonsils? Are tonsil crypts located on the top part of tonsils? My tonsil looks like a crater just on the top.

Does cortisone help shrink hypertrophic tonsils? Are tonsil crypts located on the top part of tonsils? My tonsil looks like a crater just on the top.

Possible: If the tonsil is not inflamed or causing pain, it is unlikely that steroids will reduce the size of hypertrophic tonsils. Tonsillar crypts are all over the surface of the tonsils. The large one on the upper pole just happens to be more noticeable and could be a receptacle for food particles. If the tonsils are not infected frequently and you do not have sleep disorder, no treatment is necessary. ...Read more

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What is an abnormal number of tonsil stones? I just extracted at least 5 good sized stones from one tonsil crypt. Should i consider a tonsillectomy?

What is an abnormal number of tonsil stones?  I just extracted at least 5 good sized stones from one tonsil crypt.  Should i consider a tonsillectomy?

Not sure: There isn't a defined number of abnormal stones. What is important are the symptoms. If they cause pain, bad breath, or are associated with infection, especially 6-7 infections in one year, or 3-5 yearly for>3-5 years then removal is indicated. Stones are from actinomyces, a normal mouth anaerobic resident. Sometimes augmentin, (amoxicillin and clavulanate) penicillin, or Cleocin can resolve it. ...Read more

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Food keeps getting stuck in my tonsil crypts, and I have acid reflux for which I am taking PPI. What should I do?

Food keeps getting stuck in my tonsil crypts, and I have acid reflux for which I am taking PPI. What should I do?

2 different problems: The acid reflux is not related to food particles getting caught in the crypts of the tonsils. The acid reflux is a GI problem and needs the advice of that specialty. The food particles can be a source of a bad odor to the mouth noted not only by you but by people near to you. If the problem with the tonsil alters your quality of life significantly, tonsillectomy is curative. ...Read more

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Redness of the smal. 2 mms tonsil crypt, is almost blood red. The rest of tonsil is normal with slight irritation. Bad post nasal drip. Never smoked?

Redness of the smal. 2 mms tonsil crypt, is almost blood red. The rest of tonsil is normal with slight irritation.  Bad post nasal drip. Never smoked?

Can't be certain: One can think of infection, are you in bleeding from a blood vessel. You don't describe blood. The redness suggest a lot of vascular congestion. This could be a large vein. You need to discuss this with your physician. ...Read more

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What is the realistic chances I have tonsil cancer. If my tonsils bleed? Im 22 and don't drink or smoke I do have white spots in tonsil crypts though

What is the realistic chances I have tonsil cancer. If my tonsils bleed? Im 22 and don't drink or smoke I do have white spots in tonsil crypts though

Infection more likel: Rarely epstein barr virus causes cancer in the tonsils, in young persons. However, what you described is more likely to be a chronic infection. Please consult a doctor for proper diagnosis and treatment. ...Read more

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Can tonsil crypts (holes) from having tonsil stones cause you to bleed to death? Seeing how it is a hole in your throat. Mine hurt now and then.

Can tonsil crypts (holes) from having tonsil stones cause you to bleed to death? Seeing how it is a hole in your throat. Mine hurt now and then.

Just a nuisance: It would be extremely unlikely to have any significant bleeding from tonsil stones. This is a common problem with irritation, discomfort, and mild bleeding at times. See an ENT for guidance on management of tonsil stones and consider tonsillectomy in some cases. ...Read more

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What can I do 4tonsil stones so big they have torn my tonsil crypts open, they bleed & smell & i can't remove them thy r 2 deep. Gp says no treatment?

What can I do 4tonsil stones so big they have torn my tonsil crypts open, they bleed & smell & i can't remove them thy r 2 deep. Gp says no treatment?

Surgery?: You can try something that is called a waterpik in the usa. It's a small hand-held device that shoots a stream of water. You can try this to flush out the crypts. Beyond that, surgery could be done (tonsillectomy versus cryptolysis). Tonsil stones usually don't lead to any further medical complications so any treatment will need to take side effects & complications into account. ...Read more

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Do most ent's do the laser co2 thing to ablate tonsil crypts without surgery?

Do most ent's do the laser co2 thing to ablate tonsil crypts without surgery?

Laser CO2 tonsil: Laser co2 tonsillectomy is by definition surgery. What may differ, depending on the surgeon is whether they perform laser tonsillectomy under general anesthesia or under local anesthesia with sedation. Most ent's use electrocautery, bipolar, harmonic scalpel or radiofrequency (coblation) for tonsillectomy. ...Read more