DEAR MAYO CLINIC: What causes tonsil stones? Is there a way to permanently get rid of them, other than having my tonsils removed? I am 48 and have heard that having a tonsillectomy as an adult is a significant surgery that can lead to other problems.  ANSWER: Tonsil stones form when substances become logged in the crevices of your tonsils. If you are prone to tonsil stones, having your tonsils removed is the most effective way to solve the problem. If, however, you prefer not to do that, there are ways you can safely remove tonsil stones. There also are self-care steps you can take to help prevent them from coming back. Your tonsils are two oval-shaped pads of tissue at the back of your throat, one on each side. The tonsils are a type of lymph node and work as part of your body’s immune system. They act as filters for bacteria and viruses. They also make disease-fighting white blood cells and antibodies. The tonsils’ surfaces are irregular. Some people have pits and craters in their tonsils that are deep enough for food particles, bacteria, saliva or mucus to become caught in them. As these substances are pressed into the craters, they eventually develop into tonsil stones. Also called tonsilliths or tonsil calculi, these stones typically are pastel yellow in appearance. You might be able to see the stones when you examine your tonsils. But if they form deep in the tonsillar tissue, the stones may not be visible. Common signs and symptoms of tonsil stones are tonsil redness and irritation. These stones also frequently cause bad breath due to the bacteria that collect on them. In some cases, tonsil stones can lead to chronic tonsil inflammation or infection of your tonsils, called tonsillitis. But in many cases, they are simply a nuisance. 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. As with all surgeries, it carries some risks, such as bleeding after surgery. Most people have throat pain after a tonsillectomy. But the pain often can be effectively managed with medications, along with plenty of fluids and rest. If your doctor recommends against a tonsillectomy due to your medical history, age or other factors, or if you simply would rather not have your tonsils removed, you can take other steps to deal with tonsil stones. When stones form, you can remove them either by gently pressing them out with a cotton swab or the back of your tooth brush, or by washing them out with a low-pressure water irrigator. You can use this device to aim a gentle stream of water at the tonsil craters and rinse out debris that may be caught in them. You can help prevent tonsil stones from forming in the first place by following good oral hygiene. Brush your teeth after meals, at bedtime, and when you get up in the morning. When you brush your teeth, gently brush your tongue, as well. Floss your teeth daily. Regularly use mouthwash that does not have an alcohol base. These techniques can lower the amount of bacteria in your mouth that may contribute to the development of tonsil stones. If tonsil soreness persists, if your tonsils look very red or bleed easily, or if pain from your tonsils extends to your ear, make an appointment to see your doctor. These symptoms could signal a more serious problem that may require medical attention. — Ann Bell, M.D., Otorhinolaryngology, Mayo Clinic, Rochester, Minn. Related articlesOverviewYour tonsils are areas of tissue in the back of your throat. They are part of the immune system, which helps your body fight infection. Tonsil tissue has small gaps in it. 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. Or they may not cause any symptoms. Usually, tonsil stones can be treated at home. But large stones that cause pain or other problems may have to be removed by a doctor. And if your tonsil stones keep coming back or are bothering you a lot, your doctor may recommend removing your tonsils. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take. How can you care for yourself at home?
When should you call for help?Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:
Where can you learn more?Go to https://www.healthwise.net/patientEd Enter T111 in the search box to learn more about "Tonsil Stones: Care Instructions". How do you get rid of deep tonsil stones?If you have tonsil stones, these at-home remedies can help:. A warm saltwater gargle helps with swelling and discomfort. Gargling can even help dislodge the stone. Try a gargle of 1 teaspoon salt mixed with 8 ounces of water.. Use a cotton swab to remove a tonsil stone that's bothering you.. Brush and floss regularly.. What causes throat tonsil stones?Tonsil Stone Causes
Your tonsils are filled with nooks and crannies where bacteria and other things, including dead cells and mucus, can get trapped. When this happens, the debris can bond together. Tonsil stones form when this debris hardens, or calcifies.
Can tonsil stone get stuck in your throat?If you have tonsil stones, you might find it hard to swallow. It might feel like there's something stuck at the back of your throat. You might be able to see small patches of white on your tonsils. Tonsil stones can also trigger infections and can be difficult to treat with antibiotics.
How long do tonsil stones last?How long do tonsil stones last? Tonsil stones may last anywhere from several days to several years. Most tonsil stones clear up in 1-3 weeks on their own. Large stones may remain on the tonsils for many years if not removed by a doctor.
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How to get rid of tonsil stone in throat
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