Managing Tonsil Stones: Risks of Self-Cleaning and When to See a Doctor - Otolaryngology

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Cleaning tonsil stones?


Hello doctor, I was cleaning a stone myself and ended up applying too much pressure...
it seems like I squeezed the stone that was encapsulated (I heard a sound similar to a pimple being popped).
There was a lot of bleeding afterwards, so I quickly pressed with a cotton swab to stop the bleeding.
If I leave it alone to heal on its own without seeing a doctor, will it have any consequences? After the bleeding stopped, I started to have a headache; could this be related? Thank you.

Yang, 30~39 year old female. Ask Date: 2021/02/27

Dr. Li Jiaxuan reply Otolaryngology


Chronic tonsillitis is likely to cause increased bleeding, but other possibilities cannot be ruled out.
It is recommended to consult an otolaryngologist.

Reply Date: 2021/02/27

More Info


Managing tonsil stones, also known as tonsilloliths, can be a delicate process, especially when it comes to self-cleaning. Tonsil stones are calcified debris that can form in the crevices of the tonsils, leading to discomfort, bad breath, and sometimes infection. While it might be tempting to remove them yourself, there are significant risks involved, particularly if excessive force is used, as you have experienced.

When you attempted to remove the tonsil stone and applied too much pressure, it is possible that you caused trauma to the surrounding tissues. The sound you heard, akin to a pimple bursting, suggests that you may have ruptured a small blood vessel, leading to the bleeding you described. This bleeding can be alarming, but it is often manageable with appropriate first aid, such as applying pressure with a cotton swab, as you did. However, if the bleeding does not stop or worsens, it is crucial to seek medical attention.

The headache you experienced following the incident could be related to several factors. First, the stress and anxiety of the situation might contribute to tension headaches. Additionally, if you experienced a significant amount of blood loss, even if it was minor, it could lead to a temporary drop in blood pressure, which might also cause headaches or dizziness. It is essential to monitor your symptoms closely. If the headache persists or worsens, or if you experience other symptoms such as dizziness, fainting, or increased bleeding, you should see a doctor immediately.

In terms of managing tonsil stones, here are some recommendations:
1. Avoid Self-Cleaning: While it may be tempting to remove tonsil stones at home, it is best to avoid aggressive methods. Using tools like cotton swabs or fingers can lead to injury, as you have experienced. Instead, consider gentle rinsing with warm salt water to help dislodge stones naturally.

2. Maintain Oral Hygiene: Good oral hygiene can help prevent the formation of tonsil stones. Regular brushing of your teeth and tongue, along with using mouthwash, can reduce bacteria and debris that contribute to stone formation.

3. Hydration: Staying well-hydrated can help keep your throat moist and may reduce the likelihood of stone formation. Drinking plenty of water helps flush out debris that could accumulate in the tonsils.

4. When to See a Doctor: If you experience recurrent tonsil stones, persistent pain, difficulty swallowing, or any signs of infection (such as fever, severe throat pain, or swollen lymph nodes), it is advisable to consult an ENT specialist. They can provide professional cleaning or discuss surgical options if necessary.

5. Surgical Options: In cases where tonsil stones are frequent and problematic, a doctor may recommend a tonsillectomy, which is the surgical removal of the tonsils. This is typically considered when conservative measures fail to provide relief.

In conclusion, while self-cleaning may seem like a quick solution for tonsil stones, it carries risks that can lead to complications. If you experience bleeding or persistent symptoms, it is essential to seek medical attention. Maintaining good oral hygiene and consulting with a healthcare professional for recurrent issues can help manage tonsil stones effectively and safely.

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