Is It Normal to Have Blood on Your Tonsils? When to See a Doctor - Otolaryngology

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Is it normal for the tonsils to have blood?


I just opened my mouth to check, and I found a "blood blister or blood spot" in the area of my tonsils (I'm not sure, but it looks like blood is encapsulated).
I tried to puncture it with a fork, but it wouldn't break; is this normal? Do I need to see a doctor? (I also have a problem with tonsillitis and often expel some white, foul-smelling material.)

Ding Ding, 20~29 year old female. Ask Date: 2019/01/15

Dr. Zheng Jueyi reply Otolaryngology


Hello: If symptoms persist for more than a week without improvement, it is recommended to seek medical examination and treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/01/15

More Info


Finding blood on your tonsils can be concerning, and it's important to understand the potential causes and when to seek medical attention. The presence of blood in the throat, particularly around the tonsils, can arise from various conditions, some of which may require medical evaluation.

Firstly, if you notice a "blood blister" or a similar lesion on your tonsils, it could be due to several reasons. One common cause is tonsillitis, which is an inflammation of the tonsils often caused by viral or bacterial infections. In cases of severe tonsillitis, the tonsils can become swollen and may develop small areas of bleeding or ulceration. This can lead to the appearance of blood on the tonsils.

Another possibility is that you may have experienced trauma to the throat, such as from vigorous coughing, vomiting, or even from using objects like forks to poke at the tonsils. This can cause minor bleeding, which may appear as a blood blister or spot. However, attempting to pop or break these lesions can lead to further irritation or infection, so it is generally not advisable to do so.

Additionally, if you have a history of chronic tonsillitis or recurrent throat infections, you may also notice the presence of white patches or "tonsil stones," which are calcified debris that can accumulate in the crevices of the tonsils. These can sometimes have a foul odor and may be associated with discomfort or a sore throat.

When it comes to determining whether you should see a doctor, consider the following factors:
1. Severity of Symptoms: If you are experiencing significant pain, difficulty swallowing, or a high fever, it is advisable to seek medical attention. These symptoms may indicate a more serious infection that could require treatment, such as antibiotics.

2. Duration of Symptoms: If the blood on your tonsils persists for more than a few days or is accompanied by worsening symptoms, it is important to consult a healthcare provider.

3. Frequency of Occurrence: If you frequently notice blood on your tonsils or have recurrent episodes of tonsillitis, it may be worth discussing with a doctor. They may recommend further evaluation or treatment options, including the possibility of tonsillectomy if the infections are recurrent and severe.

4. Underlying Health Conditions: If you have any underlying health issues, such as a bleeding disorder or a weakened immune system, you should seek medical advice sooner rather than later.

In summary, while finding blood on your tonsils can be alarming, it is not always indicative of a serious condition. However, it is essential to monitor your symptoms closely and seek medical attention if you experience significant pain, prolonged symptoms, or if you have concerns about your health. A healthcare professional can provide a thorough examination and appropriate treatment based on your specific situation.

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