Tonsil stones, also known as tonsilloliths, are small, whitish-yellow, pimple-like growths that can develop in the crevices of your tonsils. While they may not be a serious health issue, they can cause discomfort and lead to halitosis (bad breath). Tonsil stones are most common in children and young adults, but they can also occur in older people. They usually form when food particles become trapped in your tonsils and mix with dead cells and bacteria. As these particles harden over time, they turn into small stones that can be easily dislodged from your mouth by a dentist or doctor. (1)
Tonsil stones often go unnoticed if they are small, but they can cause various symptoms when they become larger or more abundant. Some common symptoms include (2):
- Really bad breath (halitosis)
- Sore throat or difficulty swallowing
- Metallic taste in the mouth
- Swollen tonsils
- Ear pain or pressure
- Persistent coughing
- Tonsil infections or tonsillitis
Tonsil stones don’t always require treatment – sometimes, they will even come out on their own. If tonsil stones are not causing any noticeable symptoms, treatment may not be necessary. However, if you experience discomfort or persistent bad breath, there are several treatment options available (3):
- Self-removal: You can try gently removing the stones at home using a cotton swab or by gargling with salt water to dislodge them. Do not try to use anything sharp or pointy, as you could damage your tonsils. This method is only suggested if you know what you are doing.
- Medicated gargles: Antimicrobial mouthwashes or gargles may help reduce the build-up of bacteria and prevent the development of tonsil stones.
- Oral irrigators: These devices can be used to flush out the tonsil crypts and remove any trapped debris.
- Surgical removal: In severe cases, where tonsil stones are causing recurrent infections or significant discomfort, your doctor may recommend a tonsillectomy, which involves removing the tonsils.
