
White Spots On Left Tonsil . Present Since Late Spring

Question: White spots on left tonsil. Present since late spring (could be before but didn't notice). Not painful. Started with one, I think it got a bit smaller. Saw ENT told me nothing to worry about could be from a previous viral infection. I had a flu shot December 2019 and got sick with flu (or Covid-19) last week of January, had pneumonia. that's the only viral infection I had. Took antibiotics. Seeing ENT again this week follow up but noticed there are 3 white spots now. I was treated for H-Pylori in October and took clarythromycin and metronadozole, infection now clear. I have pictures I'd like to show but don't know how to add photo

White spots on left tonsil. Present since late spring (could be before but didn't notice). Not painful. Started with one, I think it got a bit smaller. Saw ENT told me nothing to worry about could be from a previous viral infection. I had a flu shot December 2019 and got sick with flu (or Covid-19) last week of January, had pneumonia. that's the only viral infection I had. Took antibiotics. Seeing ENT again this week follow up but noticed there are 3 white spots now. I was treated for H-Pylori in October and took clarythromycin and metronadozole, infection now clear. I have pictures I'd like to show but don't know how to add photo

the first picture was taken a couple of months ago, saw ENT but the other spots developped since then. I have no sore throat, fatigue or fever.

the first picture was taken a couple of months ago, saw ENT but the other spots developped since then. I have no sore throat, fatigue or fever.
Brief Answer:
Tonsilloliths
Detailed Answer:
Hi
Thanks for posting the query.
I have examined the images thoroughly and I’m of the opinion that it’s tonsilloliths (tonsil stones) over the left tonsil.
Tonsilloliths are totally harmless and are formed due to the accumulation of food material in the crypts of the tonsils. There is absolutely no infection of the tonsils. I would not suggest you to take any antibiotics for the same.
You need to drink frequent sips of warm water and gargle with warm water, every time after having the meals. With the above measures, you should feel better.
Hope this answers your query; I would be available for the follow up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Tonsilloliths
Detailed Answer:
Hi
Thanks for posting the query.
I have examined the images thoroughly and I’m of the opinion that it’s tonsilloliths (tonsil stones) over the left tonsil.
Tonsilloliths are totally harmless and are formed due to the accumulation of food material in the crypts of the tonsils. There is absolutely no infection of the tonsils. I would not suggest you to take any antibiotics for the same.
You need to drink frequent sips of warm water and gargle with warm water, every time after having the meals. With the above measures, you should feel better.
Hope this answers your query; I would be available for the follow up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

Brief Answer:
Tonsilloliths
Detailed Answer:
Hi
Thanks for posting the query.
I have examined the images thoroughly and I’m of the opinion that it’s tonsilloliths (tonsil stones) over the left tonsil.
Tonsilloliths are totally harmless and are formed due to the accumulation of food material in the crypts of the tonsils. There is absolutely no infection of the tonsils. I would not suggest you to take any antibiotics for the same.
You need to drink frequent sips of warm water and gargle with warm water, every time after having the meals. With the above measures, you should feel better.
Hope this answers your query; I would be available for the follow up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Tonsilloliths
Detailed Answer:
Hi
Thanks for posting the query.
I have examined the images thoroughly and I’m of the opinion that it’s tonsilloliths (tonsil stones) over the left tonsil.
Tonsilloliths are totally harmless and are formed due to the accumulation of food material in the crypts of the tonsils. There is absolutely no infection of the tonsils. I would not suggest you to take any antibiotics for the same.
You need to drink frequent sips of warm water and gargle with warm water, every time after having the meals. With the above measures, you should feel better.
Hope this answers your query; I would be available for the follow up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


I see one maybe in the crypt but the other ones won't move at all when pressing. There is no pain or discomfort. If they are not stones, what else could it be?

I see one maybe in the crypt but the other ones won't move at all when pressing. There is no pain or discomfort. If they are not stones, what else could it be?
Brief Answer:
Embedded tonsillolith
Detailed Answer:
Hi
Thanks for writing back
There are multiple crypts over the tonsils and many a times, the tonsillolith gets embedded in the crypt of the tonsils followed by formation of a mucosal layer over it, hence it would not be peeled off easily.
Hope this clarifies your doubts. Wish you good health.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Embedded tonsillolith
Detailed Answer:
Hi
Thanks for writing back
There are multiple crypts over the tonsils and many a times, the tonsillolith gets embedded in the crypt of the tonsils followed by formation of a mucosal layer over it, hence it would not be peeled off easily.
Hope this clarifies your doubts. Wish you good health.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

Brief Answer:
Embedded tonsillolith
Detailed Answer:
Hi
Thanks for writing back
There are multiple crypts over the tonsils and many a times, the tonsillolith gets embedded in the crypt of the tonsils followed by formation of a mucosal layer over it, hence it would not be peeled off easily.
Hope this clarifies your doubts. Wish you good health.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Embedded tonsillolith
Detailed Answer:
Hi
Thanks for writing back
There are multiple crypts over the tonsils and many a times, the tonsillolith gets embedded in the crypt of the tonsils followed by formation of a mucosal layer over it, hence it would not be peeled off easily.
Hope this clarifies your doubts. Wish you good health.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


would they not move when I press down or around them? I have pressed on all of them, firmly enough and nothing moves or changes. I value your expertise and hope that's all it is but, for differential diagnosis, could it be something else?
thanks again
thanks again

would they not move when I press down or around them? I have pressed on all of them, firmly enough and nothing moves or changes. I value your expertise and hope that's all it is but, for differential diagnosis, could it be something else?
thanks again
thanks again
Brief Answer:
It’s a spot on diagnosis of tonsilloliths
Detailed Answer:
Hi
Welcome back
I would stick on to my earlier response as it’s a spot on diagnosis of tonsilloliths. There are no other features of tonsillar infection.
Wish you a good health
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
It’s a spot on diagnosis of tonsilloliths
Detailed Answer:
Hi
Welcome back
I would stick on to my earlier response as it’s a spot on diagnosis of tonsilloliths. There are no other features of tonsillar infection.
Wish you a good health
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

Brief Answer:
It’s a spot on diagnosis of tonsilloliths
Detailed Answer:
Hi
Welcome back
I would stick on to my earlier response as it’s a spot on diagnosis of tonsilloliths. There are no other features of tonsillar infection.
Wish you a good health
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
It’s a spot on diagnosis of tonsilloliths
Detailed Answer:
Hi
Welcome back
I would stick on to my earlier response as it’s a spot on diagnosis of tonsilloliths. There are no other features of tonsillar infection.
Wish you a good health
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
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

Answered by

Dr. Dr. Naveen Kumar Nanjasetty
Otolaryngologist / ENT Specialist
Practicing since :2001
Answered : 2545 Questions
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