Suggest Treatment For Whitish Yellow Patch Around Tonsil Caused By Tonsillolith
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.
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.
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.
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.