Tonsil Stones

Tonsil stone, also called tonsillolith, is a hard white formation within or on the tonsil. Tonsil stones are small as rice to large as a grapefruit. So the person will not even know they have it. When they grow into larger formations, the tonsil swells up and creates an unpleasant odor.

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Can you explain what the hole present in the back wall of my son's mouth is?

Query: Hello doctor, My 8 year old son has a small hole in the back wall of his mouth. He has seen a number of GPs and consultants. None of them know what it is or can explain it. They are not going to continue to review it as they say it is not a problem. I would like to know how what it is and if anythi...  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to From your description, the hole seems to release tonsil stones. In that case, it must be a tonsillar crypt. The hole is in the anterior pillar. Usually, tonsillar crypts open into the oropharynx area behind the pillar and not through the pillar. And, I can see enlarged...  Read Full »

Why is there a white bump on my tonsil?

Query: Hello doctor, I am a 36-year-old male. I have had a history of smoking for the past ten years and have been using an e-cigarette for the past five years. I also have an account of drinking over weekends. I have no sore throat or sensation, But I noticed a small (less than 2 cm in length) fleshy bu...  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to I am sorry for such discomfort. I saw the picture you attached (attachment removed to protect the patient's identity). There is a slightly swollen tonsil on the left side with a yellowish spot probably reflecting? Tonsil stone on the surface. The right tonsil appe...  Read Full »

I have viral tonsillitis with a history of vaping. Will it progress to cancer?

Query: Hi doctor, I have been vaping for six months on and off, and I recently noticed that I have viral tonsillitis. I got a strep test and culture swab because of the symptoms. It is negative for both tests. So the doctor said that it might be viral tonsillitis. I had tonsil stones all over but had a re...  Read Full »

Dr. Sandeep Shrestha

Answer: Hello, Welcome to As per your history and photographs, it does not seem to be cancerous (attachments removed to protect the patient's identity). I suggest not to remove tonsil stone on your own, as it may cause traumatic bleeding. I recommend gargling after every meal with warm sa...  Read Full »

After having a throat infection, I have some alterations in my taste. Why?

Query: Hi doctor, I am a 24 year old female. I was at my local out of hours service this morning with an extremely painful and swollen throat. I was told I had a severe case of tonsillitis. I have been given antibiotics. Since then I feel a poison taste running down my throat and had a bit of a relief of p...  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to The feeling that something burst and having poison taste in the mouth will be most probably due to release of tonsillolith (tonsil stone) from the tonsillar fossa and associated pus and mucus that come along with the stone. I suggest you antiseptic gargles like Betadine...  Read Full »

Why do I keep getting infected tonsils?

Query: Hi doctor, I have had recurrent tonsillitis for a few years. Now I have developed tonsil stones on my left tonsil quite badly, and every couple of days, if I cough too hard, the tonsil stone will dislodge and come out. My tonsils are quite big as well and sit on the back of my tongue and make me ga...  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to Please take a picture of the back of your throat with an open mouth and send it to me.  Read Full »

Will weight reduction help in controlling the habit of snoring?

Query: Hi doctor, I want to know why one side of my palatopharyngeal arch seems larger than the other. I noticed this about two weeks ago. I had a tonsil stone on that side around a week ago. There is no pain. I suffer from airborne allergies and allergic rhinitis. I have a history of asthma. And I have t...  Read Full »

Dr. J. N. Naidu

Answer: Hi, Welcome to I carefully studied the pictures (attachment removed to protect the patient's identity). It appears that on one side, there is mild inflammation which makes it appear as though it is on a lower level compared to the other side. 1. Cetirizine 10 mg- one tablet daily fo...  Read Full »

What treatment has to be done for tonsil stones?

Query: Hi doctor,I have had trouble with my tonsils my whole life, and they have always been enormous. I have had on and off bouts of tonsil stones. There is now a giant hole in my left tonsil. Way bigger than normal tonsil crypts. It is so big that it almost looks like the tonsil is splitting into halves....  Read Full »

Dr. B. Vageesh Padiyar

Answer: Hi, Welcome to Thanks for the briefing regarding the problem in concern. You need to worry about absolutely nothing, and I did have a look at the picture you have sent. Your tonsils are enlarged ( I would say almost grade four), and if you have been having issues with it, I would sugg...  Read Full »

Why is one of my tonsils larger?

Query: Hi doctor,I am 23 years old. I suffered from round allergies for a year and took Zyrtec every day. I am a mouth breather and I am doing it even when I am sleeping. Before a few months, I started to have tonsil stones and they are in three to four numbers. One of my tonsils got larger. I am a huge hy...  Read Full »

Dr. B. Vageesh Padiyar

Answer: Hi, Welcome to I have gone through the attached picture (attachment removed to protect patient identity). There is an allergic component and it requires proper precautionary and medical treatment. Do not take Zyrtec (Cetirizine) for a long period of time. The tonsils get enlarged due ...  Read Full »

My tonsils were removed before 2 years, and I am getting tonsil stones now. What to do?

Query: Hello, I am 24 yrs old now, and I had my tonsils removed before 2 years because of halitosis. After few weeks, tonsil stones came back as Normal.Should I repeat surgery or what should I do to treat halitosis. Thanks.  Read Full »

Dr. B. Vageesh Padiyar

Answer: Hi Thanks for providing a brief history regarding the problem in concern. There is no question of developing stones in the oropharynx IF the tonsils have been removed completely (through whatever technique). Tonsils have crevices and the surface isnt flat and does have the tendency to accumilate fo...  Read Full »

Why do I have an oval-shaped growth beyond my tonsil?

Query: Hi doctor, I noticed an oval shaped growth beyond my left tonsil. The top is white and the bottom is in normal color. It seems like a nodule that is hanging on the flat throat surface. It also seems that capillaries are running in and out of this growth. Please see the attached picture. It does not ...  Read Full »

Dr. Alok Rathi

Answer: Hi, Welcome to It looks like pustule, which may be due to localized infection. It can also be debris collected and appearing as such creamy white. However, it is definitely not a lesion to be worried. You can do salt water gargles for a week and recheck. Take healthy diet and multiv...  Read Full »

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