If you feel confused due to intermittent bad breath (halitosis), you should be aware of tonsil stones in your mouth.
A closer look at tonsils and tonsil stones
The tonsils are small, oval-shaped bits of tissue located at the back of the throat, with fissure folds known as tonsillar crypts. The tonsils are components of the immune system that protect the body from infections. The tonsils filter bacteria and viruses that enter the body through the mouth.
Tonsil stones, also called tonsilloliths, are little hard lumps that develop in the tonsils. Tonsil stones appear as little white or yellow stones sticking to the tonsils. If left untreated, tonsil stones persist, causing problems with foul breath. Bad breath is not harmful or dangerous, but it can impair your relationships and daily life and cause insecurity and discomfort.
Identifying the signs and symptoms of tonsil stones
Tonsils become an accumulation of bacteria, food debris, mucus, and dead cells due to their numerous gaps. When they consolidate and attach, they can solidify and become tonsil stones. Tonsil stones are often undetected typically only seen through CT scans or X-rays.
Tonsil stones usually present with associated symptoms or signs, such as:
- Prolonged bad breath (halitosis) indicates an infection in the tonsils
- Sore throat accompanied by discomfort or pain in the tonsil area
- Tonsil stones can cause throat irritation, leading to unexplained coughing.
- Tonsil stones (white plaques) may be visible at the back of your neck.
- Swallowing becomes difficult as the tonsil stones increase in size.
- Tonsil stones can impact nerve pathways, leading to frequent earaches.
- Tonsil swelling, or inflammation, is a sign of infection.
Simple Steps to Prevent Tonsil Stones
Tonsil stones can be treated with good oral hygiene for visible ones. However, those only detectable by imaging tests may require antibiotic therapy, surgical removal, or tonsillectomy.
To prevent the development of tonsil stones, you may implement the following tips:
- Maintain oral hygiene by brushing your teeth and tongue in the morning, after meals, and before bedtime. Consider using dental floss to clean your teeth and prevent food residue.
- Rinsing with mouthwash can prevent the accumulation of plaque that causes tonsil stones. Choose an alcohol-free mouth rinse for optimal results.
- In addition to mouthwash, you can gargle with warm salt water. Warm water with salt prevents bacteria and viruses from infecting the tonsils and relieves tonsil stone pain.
- If none of the above helps and the tonsil stones continue to develop, consider a tonsillectomy.
See a doctor for specific advice and recommendations if you still have questions about poor breath and tonsil stones.
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- dr. Yuliana Inosensia
Cleveland Clinic (2021). Tonsil Stones. Available from: https://my.clevelandclinic.org/health/diseases/21505-tonsil-stones
Diana Wells (2020). Everything You Need to Know to Remove and Prevent Tonsil Stones at Home. Available from: https://www.healthline.com/health/tonsil-stones-home-remedy#_noHeaderPrefixedContent
Katherine Lee (2019). Why You Keep Getting Tonsil Stones and How to Prevent Them. Available from: https://www.everydayhealth.com/tonsil-stones/prevention/
Hilary Parker (2021). Tonsil Stones (Tonsilloliths). Available from: https://www.webmd.com/oral-health/guide/tonsil-stones-tonsilloliths-treatment-and-prevention
Erica Hersh (2019). Preventing the Recurrence of Tonsil Stones. Available from: https://www.healthline.com/health/how-to-prevent-tonsil-stones