The formation of tonsil stones is often associated with unpleasant side effects, such as earaches, difficulty swallowing, sore throats, and persistently bad breath. Most people with tonsil stones also suffer from chronic bad breath that is related to their tonsils' condition, since these small, hardened masses can release an unpleasant, lingering smell if they are not treated.
Your tonsils are two small, dimpled organs that are located on either side of the tongue at the back of the throat. These structures function as part of the lymphatic system by making white blood cells and antibodies and by trapping foreign substances that may enter the mouth. The tonsils are made of lymphatic tissue and mucosa, and they also have irregular surfaces in which microorganisms, food particles, dead cells, and mucus can become lodged. If material remains in these crevices (also called the tonsillar crypts) for long, it can decay and harden into calcified tonsil stones.
Individuals with large tonsils are more prone to developing tonsil stones than those with smaller tonsils, as the deeper tonsillar crypts make the accumulation of debris more likely. Tonsil stones usually create symptoms like tonsil redness and irritation, and they are often associated with bad breath as a result of the decaying debris they contain. In 2007, researchers at the State University of Campinas in Brazil noted that tonsil stones were present in nearly 75% of all tonsillitis patients with bad breath, but were only seen in six percent of patients with normal breath. As a result, tonsil stones appear to contribute to chronic bad breath in patients with inflamed tonsils.
Despite the unpleasant effects of bad breath that they may cause, tonsil stones rarely involve serious medical consequences. For others, however, tonsil stones can be bothersome and irritating because of symptoms like a perpetual sore throat, swollen tonsils, and chronic bad breath. If you are experiencing chronic bad breath and think it could be related to tonsil stones, see your doctor for an examination. He or she may be able to dislodge any obvious tonsil stones in the office and to suggest at-home remedies to reduce your symptoms. If your tonsil stones are large or troublesome, your doctor may suggest you see an ear, nose, and throat specialist for a more-extensive evaluation and for alternative treatment.
Tonsil stones, also known as tonsilloliths, are formed when decaying material is trapped in the crevices of your tonsils. Most people have small tonsil stones that do not cause noticeable symptoms. As a result, this condition is often discovered incidentally via X-rays or CT scans.
Your tonsils (the palatine tonsils) are two, oval-shaped lymphatic organs that are located on either side of the back of your throat. Each tonsil is covered by a surface of pink mucosa, which contains small pits and channels that are known as the tonsillar crypts. Debris such as food particles, dead cells, mucus, and microorganisms like viruses and bacteria can accumulate in these crypts. Once these materials begin to decay, they can become concentrated into round, pale tonsil stones.
Anyone can develop tonsil stones. However, this condition is most common in children and young adults who have a history of persistent throat infections. In general, tonsil stones do not create noticeable symptoms. Some patients with larger, solidified tonsil stones may experience symptoms such as bad breath, recurrent sore throat, swollen tonsils, difficulty swallowing, and earaches. Visible white debris is also noted among some individuals with larger tonsil stones as well.
While many individuals develop small tonsil stones repeatedly, only a few patients suffer from large, solidified tonsil stones. Those who do experience this latter, more-problematic form of tonsil stones are often unaware of the cause of their discomfort. Your family doctor usually makes an official diagnosis during an oral examination of your throat. Sometimes, he or she may order additional imaging studies to confirm this diagnosis and to pinpoint the size and location of the tonsil stones.
If you suspect that you may be experiencing tonsil stones, see your doctor for an oral examination. He or she can determine whether you have this condition and can suggest treatments to help you manage your symptoms. In most cases, your tonsil stones will not create any significant symptoms or long-term health issues, and therefore no substantial treatment or surgery will be necessary after your diagnosis. For patients with recurrent, problematic tonsil stones, however, the tonsils may require more extensive methods such as a tonsillectomy.
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