What Causes White Bumps in the Throat That Bleed When Touched? - Dentistry

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White lesions in the throat?


Today, I accidentally discovered white spots in my throat, and when I gently poked them with a toothpick, they bled...
What could this be? It doesn't hurt or itch.

Xiao Cao, 10~19 year old female. Ask Date: 2014/06/06

Dr. Zeng Guanghui reply Dentistry


The white lesions in the throat that bleed when gently poked with a toothpick may be ulcers caused by oral mucosal inflammation, or they could be lesions resulting from bacterial or viral infections.
It is advisable to consult a dentist for further evaluation and treatment.

Reply Date: 2014/06/06

More Info


The presence of white bumps in the throat that bleed when touched can be concerning, but it is important to understand the potential causes and implications of these symptoms. Based on your description, it seems that you may be experiencing a condition related to inflammation or infection in the throat area.
One common cause of white bumps in the throat is the presence of tonsil stones (tonsilloliths). These are calcified debris that can form in the crevices of the tonsils and may appear as white or yellowish lumps. While they are often asymptomatic, they can sometimes cause discomfort or bleeding if they are manipulated or if they become inflamed. Another possibility is that the white bumps could be related to a condition known as pharyngitis or tonsillitis, which is an inflammation of the throat or tonsils, respectively. In these cases, the tissue may become swollen and sensitive, leading to bleeding when touched.

The fact that you mentioned the bumps do not cause pain or itching is somewhat reassuring, as this may indicate that the condition is not severe. However, it is essential to consider that even minor irritations can lead to bleeding, especially if the tissue is fragile or inflamed. The bleeding you experienced when using a toothpick could be due to the disruption of small blood vessels in the area, which is not uncommon in inflamed tissues.

In terms of treatment, it is crucial to avoid further irritation to the area. Using sharp objects like toothpicks can exacerbate the problem and lead to more bleeding or infection. Instead, consider rinsing your throat with warm salt water, which can help reduce inflammation and promote healing. Staying hydrated and avoiding irritants such as smoking or very spicy foods can also be beneficial.

If the white bumps persist, increase in size, or are accompanied by other symptoms such as fever, difficulty swallowing, or persistent pain, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination and may recommend tests to determine the underlying cause of the bumps. In some cases, a throat culture may be necessary to rule out bacterial infections such as strep throat.

In summary, while the presence of white bumps in the throat that bleed upon touch can be alarming, it is often related to benign conditions such as tonsil stones or mild inflammation. However, if symptoms worsen or do not improve, consulting a healthcare professional is essential for proper diagnosis and treatment. Remember, your health is paramount, and seeking medical advice when in doubt is always a wise choice.

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