Tonsil stones, or 'tonsilloliths', are small lumps of hardened material that can form in your tonsils. They can cause bad breath and most commonly occur in teenagers. The stones are usually small — it is rare to have a large tonsil stone.
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.
Tonsil stones may be removed by a dentist, oral surgeon, or an otolaryngologist (ear, nose, and throat specialist). Is it OK to swallow tonsil stones? Yes. Tonsil stones are not harmful.
Unlike kidney stones or salivary stones, which are calcified and therefore hard, tonsil stones are soft and stinky, white or yellow balls of solid pus, which form in the crypts of the tonsils. The proper medical term is exudate. They consist of bacteria, white blood cells and protein.
Typically, the smell is sulfuric, like rotten eggs. Bad taste in mouth: You may experience a metallic taste in the back of the throat due to tonsil stones. Difficulty or pain when swallowing: When tonsil stones form, they can be accompanied by inflammation.
Tonsil stones look like small white or pale yellow bumps on your tonsils. Usually they're the size of gravel or slightly larger. They can smell foul and cause bad breath. Other typical symptoms include: sore throat, the sensation of something being stuck in the back of your throat, and problems swallowing.
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.
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 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.
Tonsil stones slowly increase in size over time and once large enough may be spit out or swallowed.
They don't indicate illness — although they are sometimes associated with chronic tonsillitis — and they aren't tumours, he says.
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.
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.
Poor oral hygiene, as well as tobacco use, can increase the likelihood of tonsil stones. But in other individuals, it's the structure of the tonsils themselves that makes them more prone to developing tonsil stones.
The best way to remove tonsil stones is with a solid oral hygiene routine. Rinse with mouthwash or warm salt water a few times daily, and this will typically remove the tonsil stones over time.
If you have a history of developing tonsil stones, the best way to get rid of them permanently is to remove your tonsils. Surgery to take out the tonsils is called a tonsillectomy. It is usually done as an outpatient procedure, so you don't have to stay overnight in the hospital.
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.
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.
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.
cetylpyridinium chloride. chlorhexidine (only available with a prescription)
Causes of Tonsil Stones
Poor dental hygiene. Chronic mouth breathing (during the day or at night) Deep crevices (crypts) in the tonsils (where food particles can become lodged) Large tonsils.
Probiotics: Eating yogurt and other foods with probiotics can help kill the bacteria in tonsil stones. Carrots: Chewing raw carrots naturally increases production of saliva, which can help reduce stones. Apples: Apples are acidic, which may help fight bacteria in tonsil stones.