Throat Issues: Insights on Tonsil Stones and Inflammation

Follow-up on throat issues?

Hello Dr.
Hong, I consulted you yesterday and today I visited an ENT specialist.
The doctor said there was nothing unusual in my nose, just some nasal congestion, and my throat was slightly inflamed.
He mentioned that the sensation of something stuck in my throat, along with occasional tastes or small particles coming out, could be due to tonsil stones.
He advised me to reduce late nights and to gargle more often.
However, the doctor referred to my gums; aren't gums the tissues around the teeth? I feel that after staying up late or when my mouth is very dry, I sometimes have blood-tinged saliva or phlegm that comes out when my tongue touches the uvula.
Is that related? The afternoon doctor said inflammation is common and that staying up late makes it worse.
He also mentioned that if there is blood in the nasal mucus, along with other symptoms, it could be related to the nasopharynx.
He advised me not to worry too much and that it's not the diseases I fear, and that with more rest, hydration, and medication, I would recover over time.
So, should I really not worry too much? Additionally, aside from gargling and reducing late nights, what other methods can help with tonsil stones? I read online that diluted apple cider vinegar might be effective; I have honey vinegar at home—would that work? I apologize for asking you again.

Tina, 20~29 year old female. Ask Date: 2021/10/31

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on your description, it does seem to align with what your doctor mentioned about having inflammation in the throat along with stones.
It is recommended to get plenty of rest and stay hydrated.
As for the apple cider vinegar, it appears to be an internet rumor without strong scientific backing, so there is no need to be overly anxious.
Thank you for your question.

Reply Date: 2021/10/31

More Info

Tonsil stones, also known as tonsilloliths, are small, calcified formations that occur in the crevices of the tonsils. They are often composed of bacteria, dead cells, and food particles that become trapped in the tonsillar crypts. While they can be a nuisance, they are generally not harmful and can lead to symptoms such as a sore throat, bad breath, and a sensation of something being stuck in the throat.
From your description, it sounds like you have been experiencing throat inflammation and possibly tonsil stones, which can indeed cause discomfort and the sensation of something being present in the throat. The inflammation you mentioned could be due to various factors, including infections, allergies, or irritants. The presence of blood in your saliva or phlegm, especially after late nights or dry mouth, can be concerning, but it is often related to minor irritation or inflammation in the throat or gums.
Your ENT specialist's advice to avoid late nights and maintain good oral hygiene, including gargling, is sound. Gargling with warm salt water can help reduce inflammation and discomfort. As for the use of diluted apple cider vinegar, it is sometimes suggested as a natural remedy for tonsil stones due to its antibacterial properties. However, it is essential to dilute it properly to avoid irritation to the throat and teeth. Honey vinegar may also have soothing properties, but again, moderation is key.

In terms of managing tonsil stones, here are some additional strategies you might consider:
1. Hydration: Keeping well-hydrated can help prevent dry mouth, which can exacerbate the formation of tonsil stones. Drinking plenty of water throughout the day is crucial.

2. Oral Hygiene: Regular brushing of your teeth and tongue, along with using mouthwash, can help reduce the bacteria in your mouth and minimize the risk of tonsil stones.

3. Gargling: As mentioned, gargling with warm salt water can help soothe the throat and may assist in dislodging any stones.

4. Dietary Adjustments: Avoiding excessive dairy products, which can contribute to mucus production, may help some individuals.

5. Manual Removal: In some cases, individuals may be able to dislodge tonsil stones using a cotton swab or their fingers, but this should be done with caution to avoid injury.

6. Consultation with a Specialist: If tonsil stones become a recurrent issue or if you experience significant discomfort, it may be worth discussing further treatment options with your ENT specialist. In some cases, surgical removal of the tonsils (tonsillectomy) may be recommended, especially if the stones are causing chronic problems.

Regarding your concerns about the blood in your saliva or phlegm, it is essential to monitor this symptom. If it persists or worsens, it would be prudent to follow up with your healthcare provider for further evaluation. While your doctor has reassured you that it may not be serious, it is always best to err on the side of caution when it comes to health concerns.

In summary, while tonsil stones can be bothersome, they are typically manageable with good oral hygiene and lifestyle adjustments. If symptoms persist or worsen, seeking further medical advice is always a good idea. Remember to take care of your overall health by getting enough rest, staying hydrated, and managing stress, as these factors can significantly impact your immune system and overall well-being.

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