Tonsil stones form when debris, such as food, dead cells, bacteria, and other substances, becomes trapped on the tonsils. The debris hardens as calcium builds up around it, forming tonsil stones. These stones are also called “tonsil calculi” or “tonsilloliths.” They are usually visible as white or yellowish lumps.
Good oral hygiene, including gargling with warm salt water, can helpmanage most tonsil stones. In rare cases, an ear, nose and throat (ENT) specialist may need to surgically remove your tonsil stones,if they become very large.
Tonsil stones form when bacteria and debris get stuck in those gaps and harden. 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.
Because tonsils stones are composed primarily of bacteria, this is known to produce a foul-smelling sulfide. You will notice this both when the stone is in your tonsil and when it is dislodged and visible outside your body.
Removing tonsil stones
In most cases, removing a tonsil stone can be done at home. Using a cotton swab, gently push on the tonsil, behind the stone, to force the stone out. Vigorous coughing and gargling can dislodge stones, as well. Once the stone is out, gargle with salt water, to remove any remaining bacteria.
This can include avoiding certain foods, such as dairy products or sugary snacks, that can contribute to the formation of tonsil stones. You may also need to use a nasal spray or other medication to manage post-nasal drip or acid reflux.
While tonsil stones may be troublesome, they are generally not harmful. And they are not a sign of cancer or another illness. Some people may become concerned when they see these deposits on their tonsils and may think they have a tumor or another illness, says Thatcher.
Gargling with warm salt water may help loosen tonsil stones. A person can prepare this by adding half a teaspoon of salt to a cup of warm water. They can gargle the liquid for several seconds and repeat if necessary. Saltwater gargles may also help relieve a sore, scratchy throat.
Tonsil stones usually fall out on their own without treatment. You can try to help dislodge the stones by brushing your teeth regularly and gargling with warm salt water (one teaspoon of salt mixed with eight ounces of water). You do not need antibiotics.
Tonsil stones form in the crevices of the tonsils when food particles, bacteria, saliva, or other debris get trapped. A common factor that increases your likelihood of getting tonsil stones is the structure of your tonsils.
Sometimes, tonsil stones dissolve or dislodge on their own in a short time. They may last for weeks if the bacteria continue to grow. If untreated, tonsil stones may last for years.
Bad breath, also called halitosis, is the most common complaint of those with tonsil stones. Tonsil stones smell bad for some, but others don't cause any symptoms.
Foods To Be Avoided
Alcohol and carbonated beverages must be avoided, as these beverages can cause intense pain, irritation, and burning sensation in the throat. Citrus fruits like oranges and lemons are acidic in nature, which may be too harsh on the throat and irritate the tonsils.
Tonsil stones smell bad because they are home to anaerobic bacteria. These bacteria create sulfides, which give off a putrid smell.
Anyone can develop tonsil stones, but recurring strep throat (tonsillitis), viral infections or sinus issues, poor oral hygiene, and the shape and size of your tonsils may put you at greater risk for developing them.
Gargling: Vigorous gargling using salt water has a few advantages. It helps your throat feel better, plus it can dislodge the tonsil stones. It may even get rid of the bad odor. This is particularly helpful when you gargle after eating to prevent food and debris from getting caught in the tonsil crypts.
Staying hydrated by drinking plenty of water can keep tonsil stones from forming. Water can also increase natural saliva production and help to change the chemistry in your mouth.
Rinse regularly using a mouthwash, gently swishing alcohol-free mouthwash around your mouth helps kill bacteria and loosen tonsil stones.
Symptoms of tonsil stones
Some tonsil stones don't cause any symptoms. If you have symptoms, they may include: Bad breath — Tonsil stones can have a foul odor, making severe bad breath one of the main symptoms. Sore throat or cough — Sometimes, tonsil stones can irritate the throat and cause a sore throat or cough.
Tonsil stones form when this debris hardens, or calcifies. This tends to happen most often in people who have long-term inflammation in their tonsils or repeated cases of tonsillitis. Many people have small tonsilloliths, but it's rare to have a large tonsil stone.
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In some cases, tonsil stones can lead to chronic tonsil inflammation or infection of your tonsils, called tonsillitis. But in many cases, they are simply a nuisance. If you have a history of developing tonsil stones, the best way to get rid of them permanently is to remove 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.