What Are Tonsil Stones, And How Do They Form?

Tonsil stones are a common problem that affects people of all ages. They can be caused by a number of things, including allergies, infections, and genetics. In this article, we will discuss what tonsil stones are and how they form.

What Are Tonsil Stones?

In most cases, tonsil stones are composed of minerals and other debris that have been collected over time in the tonsils. These stones can form due to a number of reasons, including dehydration (due to poor oral hygiene or throat infections), eating habits (e.g., overeating), and genetics. When these stones become large and accumulate on the tonsil surface, they can cause discomfort.

tonsil stones

How Do Tonsil Stones Form?

Most people know tonsil stones as something that is unpleasant to have and can lead to bad breath. But what most people don’t know is that tonsil stones are actually a common complication of the tonsils and can form for a variety of reasons.

The tonsils are two enlarged lymph nodes located at the back of the throat. The tonsils are responsible for fighting infection and helping to protect the throat from bacteria. However, over time, the tonsils can become enlarged and may start to collect excess plaque and other debris. This accumulation of material is what leads to tonsil stones formation.

Another way they can form is when plaque collects on the surface of the tonsil and starts to calcify (turning into calcium carbonate). This type is often called a tonsilite. Other stones can form when debris accumulates in the tonsil area, including bits of food and pieces of mucous membrane. These types of stones are called epiphyses (epi- = on top, physis = structure).

And yet another way is through dehydration. When the mouth is dry, bacteria can form and collect on the tonsils. This bacteria can create an environment that is hospitable for tonsil stones to form.

Finally, they may be caused by genetics if your parents or siblings have had them before you.

girl getting her tonsils checked

What Causes Tonsil Stones?

Tonsil stones occur when particles in the saliva collect and form a mass over time, which can then become a stone. The most common cause of tonsil stones is an increase in oral hygiene habits, such as not flossing or brushing your teeth enough. Other causes include food and drink changes (such as going from drinking water to fruit juice), genetics, and infection with certain bacteria or viruses. 

  • Poor oral hygiene habits
  • Eating a high-sugar diet
  • Drinking alcohol excessively
  • Smoking cigarettes
  • Having a family history of tonsil stones  
man standing and smoking

What are the Symptoms of Tonsil Stones

If you’ve never had tonsil stones before, the initial onset may be painful. Most common reports are a feeling of a bump in the back of the throat and sometimes difficulty swallowing. 

  • difficulty swallowing food and water
  • sore throat
  • hoarseness
  • coughing
  • trouble breathing
  • red, swollen tonsils
  • fever
  • night sweats
  • loss of appetite
  • bad breath
girl emotions and signs of bad breath

How Are Tonsil Stones Diagnosed?

There are a few ways to diagnose tonsil stones. A doctor may perform an examination to determine if there is excessive swallowing, or if a fever is present. You may be asked questions around your family history. If there are recurrent tonsil stones, the doctor may order a scan of the throat to look for other causes of the stones. 

Typical process to diagnose are:

  • A tonsil stone can be diagnosed with a physical exam.
  • A tonsil stone may be detected through a screening test like an x-ray.
  • A tonsil stone may be diagnosed through a blood test.
  • A tonsil stone may be diagnosed through a CT scan or MRI.
female doctor examining patient mouth1

How Do You Prevent Tonsil Stones?

Step 1: One the the best ways to prevent tonsil stones is to consult with your doctor or dentist about the best way to manage your oral health. He or she may recommend strict adherence to a diet and regular dental checkups.

Step 2: Eat a balanced diet that includes plenty of fresh fruits and vegetables.

Step 3: Avoid sugary drinks and snacks.

Step 4: Swish with water after eating or drinking to help remove food residue and saliva from your throat.

Step 5: Avoid smoking.

Step 6: Get regular throat and mouth checks to monitor your progress and catch any early signs of tonsil stones.

woman drinking from green plastic bottle

Are There Any Health Risks With Having Tonsil Stones?

There are potential health risks associated with having tonsil stones, but the vast majority of people who have them do not experience any problems. Tonsil stones can form when the tonsils become thickened and difficult to clean. As a result, bacteria can build up and create tonsil stones. These stones can also form if food collects in the spaces between the tonsils and the throat, leading to inflammation and pain. However, most people who have tonsil stones do not experience any serious health problems as a result.

  • Difficulty swallowing and breathing
  • Infection from bacteria that can form around the stones
  • Deeper breathing problems
  • Pain from the stones pressing on nearby tissue
woman in black spaghetti strap top

What Color Is a Tonsil Stone?

Most tonsil stones are yellowish in color and may appear to be a very light shade of green. In some cases they can be a bit darker, or my even be dark brown if food deposits have built up over time.

What Treatment is Available for Tonsil Stones?

Tonsil stones can be treated with surgery or medication. In some cases, the stones can be removed through surgery. Treatment typically involves removing them then cleaning the surrounding area with a special solution. There are some home remedies that work well in some people that I would recommend you give a try.

If the stones are caused by infection, treatment will typically involve antibiotics to kill the bacteria and clear the way for healing. If the stones are due to genetics, treatment may involve lifestyle changes (such as avoiding drinking water that is too cold) or medications (such as epiglottitis drugs).

Final consideration

Tonsils are an important part of the body’s immune system. They help to fight off infection and prevent allergies from developing. If you are experiencing tonsil stones, it is important to seek medical advice to have them properly diagnosed and treated as soon as possible.