Tonsil Stones: Symptoms, Management, and Recovery Time - Otolaryngology

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Continuation of the tonsil stone issue?


Hello Doctor: Recently, I had tonsillitis and developed tonsil stones.
After recovering, I have been feeling a sensation of a foreign body in my throat for the past two weeks.
The intensity of this sensation varies daily; sometimes I don't feel it at all, while other times it feels like tonsil stones.
A few years ago, I used a cotton swab to check and found white stones, but this time I can't find any stones; it feels like they are deeper and encapsulated.
I would like to ask the doctor, how long does it usually take for such stones to pass on their own? During this period, should I avoid spicy and fried foods?

QQQQ, 20~29 year old female. Ask Date: 2020/07/08

Dr. Zheng Jueyi reply Otolaryngology


Hello: Some deeper stones may be difficult to pass on their own.
It is recommended to reduce the intake of spicy and fried foods, drink plenty of water, and rinse your mouth after meals.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/07/08

More Info


Tonsil stones, also known as tonsilloliths, are calcified debris that can form in the crevices of the tonsils. They are often composed of food particles, dead cells, and bacteria, which can accumulate and harden over time. The symptoms associated with tonsil stones can vary, and they may include a persistent feeling of something being stuck in the throat, bad breath, sore throat, difficulty swallowing, and sometimes ear pain.

In your case, it seems that you have experienced tonsillitis followed by the formation of tonsil stones. The sensation of having something in your throat, even after the inflammation has resolved, is not uncommon. The stones can sometimes be difficult to see or feel, especially if they are lodged deeper within the tonsils.
Regarding the timeline for tonsil stones to naturally dislodge, it can vary significantly from person to person. Some stones may eventually work their way out on their own, while others may remain for an extended period. If the stones are not causing significant discomfort or complications, they may not require immediate intervention. However, if you continue to experience discomfort or if the stones become larger, you might consider consulting with an ENT specialist for further evaluation.

In terms of dietary recommendations, it is generally advisable to avoid spicy and fried foods if you are experiencing throat discomfort. These types of foods can irritate the throat and exacerbate any inflammation or discomfort you may be feeling. Instead, focus on a diet that includes soft, soothing foods and plenty of fluids to help keep your throat hydrated. Warm saltwater gargles can also provide relief and may help dislodge smaller stones.

If you find that the sensation of having a stone persists or worsens, or if you develop additional symptoms such as fever, difficulty swallowing, or severe pain, it would be prudent to seek medical attention. In some cases, tonsil stones can be removed manually by a healthcare professional, or if they are recurrent and problematic, a tonsillectomy (surgical removal of the tonsils) may be considered.

In summary, while tonsil stones can be bothersome, they often resolve on their own. Maintaining good oral hygiene, staying hydrated, and avoiding irritating foods can help manage symptoms. If symptoms persist or worsen, consulting with a healthcare provider is recommended for further assessment and potential treatment options.

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