I have a white spot on my left tonsil with no pain or swelling. Why?

Q. What does the white spot on my left tonsil indicate?

Answered by
Dr. Bhadragiri Vageesh Padiyar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 02, 2022 and last reviewed on: Aug 31, 2023

Hi doctor,

I have had a white spot on my left tonsil for the past week. There is no pain, no swelling, no trouble while swallowing, or no sore throat or fever. Also, I would like to mention that I have never had tonsil problems before. It is the first time I have had this white spot in one of my tonsils. I have attached the picture. Please help.



Welcome to icliniq.com.

I had a detailed look at the reports (attachment removed to protect the patient's identity). Our pharynx is filled with multiple lymphoid follicles, with the tonsil being one of the larger lymphoid follicular aggregates. The white spot over the tonsil is a lymphoid follicle that can be visible in a few people and may not be visible in others. It does not suggest any infection but might indicate some ongoing inflammation for which you may or may not be symptomatic. I suggest you start warm salt water gargles 5 to 6 times a day for a few months. In most cases, this white spot might persist despite maintaining good oral hygiene. There is absolutely nothing that you need to be worried about. I hope this answers your query. Do let us know regarding any further queries. Warm regards.

Hello doctor,

Thanks for your reply.

Initially, it was like normal color, and there was no white spot. However, I noticed this white spot only a week back. Is it something like tonsil stone or cyst?



Welcome back to icliniq.com.

It is neither a stone nor a cyst. A stone is a calcified form of debris lodged in the crypts of the tonsil. In contrast, a cyst is an enclosed cavity containing fluid. It is more of a hypertrophied lymphoid follicle that is very commonly seen in patients and does not go on for a long time. However, it never creates any trouble. So please do not go to fiddle with it, burst it or do anything else which can cause bleeding or an infection. I hope this answers your query. Do let us know for any other further helps. Warm regards.

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