Throat Issues: What Could That White Spot Be? - Otolaryngology

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Throat issues/Tonsils


Hello, doctor.
I would like to ask, I opened my mouth and noticed a white spot on the left side of my throat.
What could that be, and will it fall off on its own? Thank you, doctor.

winnie, 40~49 year old female. Ask Date: 2017/07/08

Dr. Zheng Jueyi reply Otolaryngology


Hello, if the symptoms persist, it is recommended to visit an otolaryngologist for examination and diagnosis.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/07/08

More Info


The white spot you are observing in your throat could be attributed to several potential causes, and it is essential to understand the context and characteristics of this symptom. In medical terminology, a white spot in the throat can often be referred to as "oral leukoplakia" or "tonsillar crypt debris," depending on its specific location and appearance.

Oral Leukoplakia is a condition characterized by white patches that can form on the mucous membranes of the mouth, including the tongue and the inner cheeks. This condition is often benign but can sometimes be associated with more serious conditions, including precancerous lesions or oral cancer. It is crucial to have any persistent white patches evaluated by a healthcare professional, especially if they do not resolve on their own.

Tonsillar Crypt Debris refers to the accumulation of food particles, dead cells, and bacteria in the small crevices (crypts) of the tonsils. This debris can sometimes appear as white spots and may be accompanied by bad breath or a sensation of something being stuck in the throat. In many cases, this debris can dislodge on its own, especially during swallowing or coughing. However, if the debris becomes impacted or leads to recurrent infections, it may require medical intervention.

In your case, if the white spot is not painful and does not cause any significant discomfort, it may be a benign condition. However, if you notice any changes in size, color, or if it becomes painful, it is advisable to seek medical attention. A healthcare provider, particularly an ear, nose, and throat (ENT) specialist, can perform a thorough examination and may recommend further diagnostic tests, such as a biopsy, if necessary.

Treatment Options:
1. Observation: If the white spot is determined to be benign and not causing any symptoms, your doctor may recommend a watchful waiting approach.

2. Oral Hygiene: Maintaining good oral hygiene can help prevent the accumulation of debris in the throat and tonsils. Regular brushing of the teeth and tongue, along with the use of mouthwash, can be beneficial.

3. Medications: If the white spot is associated with an infection, your doctor may prescribe antibiotics or antifungal medications.

4. Surgical Intervention: In cases where the white spot is due to tonsillar crypt debris that causes recurrent infections or discomfort, a tonsillectomy may be considered.

In summary, while a white spot in the throat can be concerning, many cases are benign and can resolve on their own. However, it is essential to monitor the spot and consult with a healthcare professional for an accurate diagnosis and appropriate management. Regular check-ups and open communication with your healthcare provider can help ensure any potential issues are addressed promptly.

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