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I have had tonsillitis despite medication. What else to try?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been suffering from tonsillitis for the last month. I have taken Ibuprofen many times, three tablets of Clarithromycin (250 mg), but in vain. A doctor said that Lincomycin with Dexamethasone injection should work. So I did so. But in vain.

I can see the whitish stones. There is no fever, no pain on ingestion. Just fed up. I do not take any soft drinks or spicy food. I have a sensitive respiratory tract. I take Arinac whenever I feel sneezing.

Please guide me.

Answered by Dr. Ahsanullah Niazai

Education:

MD

Professional Bio:

Dr. Ahsanullah Niazai is a General Physician with a strong commitment to patient-centered care and medical education. He is skilled in diagnosing and managing a wide range of acute and chronic health conditions. His areas of expertise include internal medicine, preventive healthcare, and clinical education, with a focus on promoting overall well-being and disease prevention.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I completely understand how frustrating it feels to keep dealing with tonsil stones despite trying several treatments.

Tonsil stones are small collections of debris and bacteria that get trapped in the crevices of your tonsils, and antibiotics like Clarithromycin or injections such as Lincomycin with Dexamethasone usually do not help much unless there is an active infection.

Since you are not having pain or fever, this suggests that the issue is not infection but rather chronic buildup. The best approach now is to focus on regular oral hygiene, which includes:

  1. Try gargling several times a day with warm salt water or a non-alcoholic mouthwash to help loosen and flush out the stones.

  2. You can also gently use a cotton swab or a water flosser to remove them if they are visible and easy to reach, but do not force them out.

  3. Drinking plenty of water, brushing your tongue, and maintaining good dental care can reduce future stone formation.

If the problem keeps coming back or your tonsils have deep crypts where stones repeatedly form, you may need to visit an ENT (ear, nose, and throat) specialist to discuss long-term solutions such as laser cryptolysis or, in some cases, tonsil removal.

You are doing the right thing by being cautious and avoiding irritants like soft drinks and spicy foods. Keep up your hygiene routine, and if the stones persist, let an ENT evaluate them under proper light and tools.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At December 21, 2025
Reviewed At December 21, 2025

Education:

MD

Professional Bio:

Dr. Ahsanullah Niazai is a General Physician with a strong commitment to patient-centered care and medical education. He is skilled in diagnosing and managing a wide range of acute and chronic health conditions. His areas of expertise include internal medicine, preventive healthcare, and clinical education, with a focus on promoting overall well-being and disease prevention.

This doctor is not available for online consultations on the platform anymore.

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Companion

Tonsillitis Management Companion

How it works

Tonsil stones can be frustrating. Here's what they are, why they occur, and initial steps you can take to manage them.

1

Tonsil
Stones

2

Why
Antibiotics

3

Saltwater
Gargle

4

Manual
Removal

5

Preventative
Measures

6

Specialist
Consult

Important Note on Medications

Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MD

Professional Bio:

Dr. Ahsanullah Niazai is a General Physician with a strong commitment to patient-centered care and medical education. He is skilled in diagnosing and managing a wide range of acute and chronic health conditions. His areas of expertise include internal medicine, preventive healthcare, and clinical education, with a focus on promoting overall well-being and disease prevention.

This doctor is not available for online consultations on the platform anymore.

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