Having tonsil stones every day isn't necessarily "bad" in a life-threatening way, as they are usually harmless, but it's a nuisance that causes persistent bad breath, discomfort, and can signal enlarged tonsil crypts (pockets) from frequent infections, so seeing a doctor is important for management, potentially through better hygiene, gargling, or in some cases, surgery like cryptolysis or tonsillectomy.
Why do I keep getting tonsil stones? If you get tonsil stones repeatedly, you probably have enlarged tonsillar crypts. Tonsillar crypts are folds that form and grow larger after each tonsil infection. If you have tonsillitis frequently, then you're more likely to get tonsil stones.
Home methods to remove tonsil stones:
Studies have shown that oral bacteria may increase in number and unusual oral microorganisms maybe become more prominent during pregnancy. Excessive saliva, also frequently associated with pregnancy, or ptyalism gravidarum, 12 – 14 could be an additional contributing factor to increased tonsil stone formation.
A tonsil with a tonsil stone may look like it has a crack with a small, pebble-like mass wedged inside it. While tonsilloliths are generally harmless, they may occasionally cause discomfort such as a sore throat, feeling like there is something stuck in the throat, dry mouth, and bad breath (halitosis).
Processed foods: Highly processed snacks like chips and crackers tend to leave particles that are hard to remove from the mouth. These particles can get lodged in the tonsil crypts and contribute to stone development. High-starch foods: Pasta, bread, and potatoes can leave residue in the mouth.
Tonsil stones happen when bits of food, dead cells and bacteria get stuck in the small pockets of your tonsils. Over time, this material can harden into small lumps. You may be more likely to develop tonsil stones if you have: poor oral hygiene.
The 7-5-3 rule (Paradise Criteria) for tonsillectomy is a guideline for recurrent tonsillitis: surgery may be considered if a patient has ≥7 infections in 1 year, or ≥5 infections for 2 consecutive years, or ≥3 infections for 3 consecutive years, with each episode being significant (fever, exudate, etc.) and impacting daily life, though modifying factors (like peritonsillar abscess) can alter this.
They are usually small in size, measuring a few millimetres. Large tonsilloliths are usually discovered in routine panoramic radiographs, where they may appear as radiopaque masses that overlap the mandibular ramus. However, large tonsilloliths measuring more than 3 cm have also been reported [6].
Tonsilloliths or tonsillar concretions occur in up to 10% of the population, frequently due to episodes of tonsillitis. While small concretions in the tonsils are common, true stones are less so. They commonly occur in young adults and are rare in children.
Can dehydration cause tonsil stones? Not drinking enough water can lead to tonsil stones. This is because a dry throat can lead your body to produce more mucus, which can trap bits of food food and bacteria.
Postnasal Drip or Sinus Congestion
Excess mucus from allergies or sinus conditions can contribute to tonsil stone formation.
Anaerobic bacteria produce volatile sulfur compounds which have a pungent aroma. You may liken it to rotten eggs. So, despite your best attempts to mask the smell, if you have tonsilliths the smell will be present as long as the stones are.
Drinking water and chewing sugar-free gum can help prevent dry mouth. Doing so decreases the proliferation of bacteria in the oral cavity and helps control bad breath. It is important to note that a person must be attentive to oral care on a daily basis in order to reduce the risk of tonsil stone recurrence.
Tonsil stones look like white or yellow pebbles on your tonsils. They can cause bad breath, a sore throat, a bad taste in your mouth, and ear pain. Or they may not cause any symptoms.
A child at any age can have a tonsillectomy if the indications are severe. However, surgeons generally wait until children are 3 years old to remove tonsils because the risk of dehydration and bleeding is greater among small children.
Your doctor did the surgery through your mouth. Most adults have a lot of throat pain for 1 to 2 weeks or longer. The pain may get worse before it gets better. The pain in your throat can also make your ears hurt.
Recurrent tonsillitis not only occurs in children, but in adults too. Although surgery can prevent tonsillitis, it is associated with certain risks. The main one is bleeding after surgery. Inflammation of the palatine tonsils can lead to a sore throat and difficulty swallowing.
Poor Oral Hygiene: Not brushing, flossing, or using mouthwash regularly allows bacteria and food particles to build up in the mouth and get trapped in the tonsils' pockets, leading to tonsil stones.
Some MyLupusTeam members with both lupus and Sjögren's disease have shared that they also have tonsil stones occasionally. Without enough saliva to lubricate your throat, food can become stuck — especially if you have lots of folds and pockets in your tonsils.
Preventing Tonsil Stones
Brush your teeth twice a day or after meals: Use an anti-bacterial toothpaste like Crest Pro-Health to better neutralize plaque and limit the spread of oral bacteria into the throat.
Using diluted apple cider vinegar in place of saltwater is a great option to help dissolve the hard outer coating of the tonsil stones, making it easier to pop out. If saltwater isn't helping, try apple cider vinegar instead. Pro tip: Consistency is key!
One of the main causes is poor oral hygiene. If you don't regularly remove bacteria and debris from your mouth and tonsils through brushing, flossing, and rinsing, they can build up and contribute to the formation of tonsil stones.
Most tonsil stones fall out on their own, but there are home remedies that can help speed up the process. You can gargle with warm salt water or apple cider vinegar to get rid of tonsil stones. Rinsing with alcohol-free mouthwash can also help remove tonsil stones.
They don't spread like a cold, flu, or strep throat. Even though bacteria play a role in how they form, it's not the kind of bacteria you "catch" from other people. You might exchange bacteria through kissing or sharing utensils, but that doesn't mean you'll develop tonsil stones.