Tonsil Stones: Risks, Removal Methods, and Infection Concerns

The possibility of infection following tonsil cleaning?

Hello, I noticed a small tonsil stone while brushing my teeth.
I gently pressed on the tonsil stone with a sterilized cotton swab, as my previous ENT doctor had done, but he advised me to be gentle to avoid inflammation.
However, I still couldn't get it out, so I plan to see the doctor again on Monday for assistance.
During the process, I felt a sudden salty taste, possibly because the wooden stick of the cotton swab was too close to the inner wall of my mouth.
I remember having a similar sensation when the doctor helped me, as if I had licked the stick, which had a wood-like taste.
Additionally, while pressing, I noticed an increase in saliva.
Afterward, I used mouthwash to disinfect my mouth, but I'm concerned about the risk of infection.
Although there was no bleeding, the inside of my mouth appeared red with visible blood vessels or streaks.
I'm unsure if this poses a risk of bloodborne infections or if it's generally considered low risk.
Also, I noticed that my throat feels dry and has a slight sting afterward, but drinking water alleviates it.
Should I be worried about that? Lastly, I would like to ask if there are any methods to dissolve tonsil stones besides having a doctor remove them.
My family suggested drinking cola, claiming it can dissolve them.
Is there any scientific evidence for this?

Chen, 20~29 year old female. Ask Date: 2021/11/14

Dr. Hong Yuanbin reply Internal Medicine

Hello, the oral mucosa can easily bleed with minor friction, but this does not indicate a risk of bloodborne diseases, so there is no need to worry.
The tingling sensation is due to inflammation and will improve soon.
The use of cola is just an internet rumor and has no proven effectiveness.
Thank you for your question.

Reply Date: 2021/11/14

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, and can lead to discomfort, bad breath, and sometimes infections. Understanding the risks associated with tonsil stones, their removal methods, and potential infection concerns is essential for effective management.

Risks Associated with Tonsil Stones
While tonsil stones are generally not dangerous, they can lead to several complications if not managed properly. These include:
1. Infection: Tonsil stones can harbor bacteria, leading to infections in the tonsils or throat. Symptoms may include sore throat, difficulty swallowing, and fever.

2. Chronic Bad Breath: The bacteria and debris in tonsil stones can produce foul-smelling compounds, leading to persistent halitosis.

3. Discomfort and Pain: Larger stones can cause discomfort in the throat, a sensation of something being stuck, or even referred pain to the ears.

4. Tonsillitis: In some cases, the presence of tonsil stones can exacerbate or contribute to tonsillitis, an inflammation of the tonsils.

Removal Methods
There are several methods for removing tonsil stones, ranging from home remedies to professional medical interventions:
1. Home Removal: As you mentioned, using a sterilized cotton swab can help dislodge smaller stones. However, caution is essential to avoid injuring the tonsils or causing an infection. It’s advisable to apply gentle pressure and avoid deep probing.

2. Gargling: Gargling with warm salt water can help reduce inflammation and may assist in loosening tonsil stones. Some people find that gargling with mouthwash can also help.

3. Water Irrigation: Some individuals use a water flosser on a low setting to gently flush out the stones.

4. Medical Removal: If tonsil stones are recurrent or large, a visit to an ENT specialist is recommended. They can use specialized tools to remove the stones safely. In some cases, if tonsil stones are a chronic issue, a tonsillectomy (surgical removal of the tonsils) may be suggested.

Infection Concerns
Regarding your concerns about potential infections from your attempts to remove the stones, it’s important to note that while minor irritation and redness can occur, the risk of serious infection is relatively low if there is no bleeding. The presence of a salty taste or increased saliva production during the process is not uncommon and may simply be a response to irritation or stimulation of the salivary glands.

However, if you notice persistent pain, swelling, or any signs of infection (such as fever or worsening throat pain), it’s crucial to seek medical attention. Using mouthwash after the procedure is a good practice to help reduce bacterial load in the mouth.

Dietary Considerations
As for the idea of using cola or other soft drinks to dissolve tonsil stones, there is no scientific evidence to support this claim. While acidic beverages may help in some cases of dental calculus, they are not effective for tonsil stones. Maintaining good oral hygiene, staying hydrated, and avoiding foods that may contribute to stone formation (like dairy or excessive sugar) can be more beneficial.

Conclusion
In summary, while tonsil stones can be bothersome, they are typically manageable with proper care. If your symptoms persist or worsen, it’s advisable to consult with a healthcare professional for appropriate evaluation and treatment. Regular dental check-ups and maintaining good oral hygiene can also help prevent the formation of tonsil stones in the future.

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