HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Whitish Yellow Patch Around Tonsil Caused By Tonsillolith

default
Posted on Thu, 31 Dec 2015
Question: On 07/12/2015 i came to know that i have some white/yellow patch near left side Tonsil.
I been to ENT doctor he given me 5days medicine, but also no effect then he told that should remove out and sent for biopsy.
Later I went to another ENT, he told that it is infection and given some tablets (Bactrim d.s & Cofsils) and told there is no necessary to operate.
I have no pain, fever & other things when it happened.
Please suggest me for blood test so that I can identify the issue.
doctor
Answered by Dr. Sumit Bhatti (3 hours later)
Brief Answer:
Tonsillolith. Common. No active treatment.

Detailed Answer:
Hi,

Thank you for your query.

1. This is a tonsillolith on the left side in the image.

2. Tonsilloliths are concretions of food particles and pus lodged in the natural crypts of the palatine tonsils. The white/ yellow collection is sometimes referred to as 'cheesy' or even 'toothpaste' like in consistency. The largest crypt is known as the crypta magna and is located near the upper pole of the palatine tonsil. This is also where the tonsillolith is located in your case.

2. When we swallow, our palatine tonsils rub against the food bolus and pick up food particles. This food debris decays there while it is analysed for antigens, foreign bodies and organisms by the lymphoid tissue which forms the bulk of the tonsils. Below the age of five years, this is especially important in the development of immunity.

3. No active treatment is requires. Some people use a medicated gargle occasionally or just warm saline gargles daily. You can remove the tonsillolith gently with your finger or the other end of the toothbrush while brushing.

4. For recurrent large and troublesome tonsilloliths or the only definitive treatment is tonsillectomy. Partial coblation may be attempted but results are hard to predict.

I hope I have answered your query. Please reply back with the answers and I will be able to help you further.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sumit Bhatti (5 hours later)
1) I don't feel any solid material near that area
2) even I have no pain
3) Further what step should I take.
4) in how much time it will take to recover
5) Any tests to be made.
doctor
Answered by Dr. Sumit Bhatti (10 hours later)
Brief Answer:
No active treatment is necessary unless this grows or changes in appearance

Detailed Answer:
Hi,

Thank you for writing back.

1. No active treatment is necessary, besides regular follow up.

2. Tonsilloliths will recur. There is no way to predict their behaviour.

3. Your blood test reports are not related to this condition. Kindly consult a General Medicine Specialist for the minor changes seen in your blood test reports.

I hope I have answered your query. Please reply back with the answers and I will be able to help you further.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Whitish Yellow Patch Around Tonsil Caused By Tonsillolith

Brief Answer: Tonsillolith. Common. No active treatment. Detailed Answer: Hi, Thank you for your query. 1. This is a tonsillolith on the left side in the image. 2. Tonsilloliths are concretions of food particles and pus lodged in the natural crypts of the palatine tonsils. The white/ yellow collection is sometimes referred to as 'cheesy' or even 'toothpaste' like in consistency. The largest crypt is known as the crypta magna and is located near the upper pole of the palatine tonsil. This is also where the tonsillolith is located in your case. 2. When we swallow, our palatine tonsils rub against the food bolus and pick up food particles. This food debris decays there while it is analysed for antigens, foreign bodies and organisms by the lymphoid tissue which forms the bulk of the tonsils. Below the age of five years, this is especially important in the development of immunity. 3. No active treatment is requires. Some people use a medicated gargle occasionally or just warm saline gargles daily. You can remove the tonsillolith gently with your finger or the other end of the toothbrush while brushing. 4. For recurrent large and troublesome tonsilloliths or the only definitive treatment is tonsillectomy. Partial coblation may be attempted but results are hard to predict. I hope I have answered your query. Please reply back with the answers and I will be able to help you further. Regards.