Tonsil Stones

Tonsil stones, also called tonsilloliths, are firm, pebble-like deposits that form within the small folds and pockets of the tonsils. These stones are made of hardened debris, such as dead cells, mucus and food particles. While small tonsil stones may not cause noticeable symptoms, larger ones can lead to discomfort and bad breath. They are more common in people who experience frequent tonsillitis or have large tonsils with deep crevices.

Tonsil Stone Symptoms and Causes: What to Watch For

Causes:

Tonsil stones develop when particles like food, dead cells and mucus accumulate in the small folds of the tonsils and harden over time. This debris can harden over time, leading to stone formation. Common causes include:

• Poor oral hygiene leading to bacterial buildup.
• Chronic tonsil inflammation or recurrent infections.
• Large or irregularly shaped tonsils with deep crevices.
• Excess mucus in the throat.
  
  

Symptoms:

• Bad breath (halitosis)
• Sore throat or a feeling of something stuck in the throat
• Difficulty swallowing
• White or yellowish formations visible on the tonsils
• Ear pain (due to shared nerve pathways)
• Swollen or inflamed tonsils

How Tonsil Stones Are Diagnosed

A health care provider can diagnose tonsil stones by:

• Examining the throat and tonsils for visible stones.
• Asking about symptoms such as bad breath or throat discomfort.
• Using imaging tests like X-rays or CT scans for larger, non-visible stones.

Tonsil Stone Treatment Options and When to See a Doctor

Most tonsil stones are harmless and may not require treatment. However, if they cause discomfort or infection, treatment options include:

• At-home removal: Gargling with salt water, using a cotton swab or a water flosser to gently remove stones.
• Good oral hygiene: Brushing teeth and tongue twice a day and flossing to prevent debris buildup.
• Antibiotics: If the stones cause infection.
• Tonsillectomy: Surgical removal of the tonsils in severe or recurrent cases.
  
  

Contact a healthcare provider if:

• Tonsil stones cause severe pain or discomfort.
• You experience frequent or recurrent tonsil stones.
• There is difficulty swallowing or breathing.
• Signs of infection like swelling, redness or fever develop.

How to Prevent Tonsil Stones: Oral Hygiene and Lifestyle Tips

• Maintain proper oral hygiene, including brushing and flossing daily.
• Gargle with salt water to help keep the mouth clean.
• Stay hydrated to reduce mucus buildup.
• Avoid smoking and reduce alcohol consumption.
• Visit a dentist regularly for oral health check-ups.

If you notice signs of tonsil stones, try at-home remedies like saltwater gargles or improved oral hygiene. If symptoms persist or cause discomfort, consult a health care provider for evaluation and potential treatment options. Maintaining good oral hygiene is the best way to prevent tonsil stones in the future.

At Riverside Health, we're dedicated to compassionate, collaborative care. We provide a wide range of services, from childbirth to end-of-life care, delivering over 2 million services each year. Our integrated network allows us to support you seamlessly through health, illness, recovery, and wellness. With top clinicians and advanced technology, we’re here for you at convenient locations close to home and work. Visit riversideonline.com.

If you’re wondering where the best place is to get care, please see our guide below:

If your problem is life- or limb-threatening, call 911 or go to the emergency room.

Primary Care – Schedule through MyChart or call your provider’s office who you go to for most health care needs.

Virtual Clinic – Schedule through MyChart or click Here to learn more about Primary Care On Demand.

MD Express Urgent Care – Click Here to find a location near you for after-hours care or when your primary care provider is not available. Open 9am-9pm, Mon-Sun.

If you’re not sure, call Riverside Nurse 24/7 at 1-800-675-6368