Tonsil Stones: Causes, Symptoms, and Treatment Options explained by a Houston, Texas ENT

Madeleine Herman
Oct 13
3 min read

Updated: Nov 4

ENT Expert tips Treat your Tonsil Stones

What Are Tonsil Stones?

Tonsil stones, also called tonsilloliths, are small, hardened deposits that form in the crevices of the tonsils. They are made up of debris such as food particles, dead cells, bacteria, and mucus that get trapped in the tonsils’ natural folds. Over time, this buildup can calcify into small, white or yellowish stones.

While tonsil stones are usually harmless, they can cause bad breath, throat discomfort, and recurrent infections, making them a common reason patients seek help from an ENT specialist.

Common Symptoms of Tonsil Stones

Not everyone with tonsil stones experiences symptoms, but when they do, the most common include:

Persistent bad breath (halitosis)
A sensation of something stuck in the throat
Sore throat or throat irritation
Difficulty swallowing or discomfort when eating
Visible small white or yellow stones on the tonsils
Ear pain (due to shared nerve pathways)

If you notice recurring symptoms, especially persistent bad breath or throat pain, it’s important to schedule an evaluation with an ENT.

What Causes Tonsil Stones?

Several factors can increase your risk of developing tonsil stones, including:

Chronic tonsillitis (repeated tonsil infections)
Large or cryptic tonsils (deep folds and crevices)
Poor oral hygiene

Treatment Options for Tonsil Stones

At SCENT Houston, we offer a range of treatment approaches depending on severity and frequency:

At-Home Care:
- Gargling with warm salt water
- Using a water pick for gentle removal
- Maintaining excellent oral hygiene
Medical Treatments:
- Antibiotics if secondary infection is present
Surgical Solutions:
- Tonsillectomy (removal of the tonsils) may be recommended for patients with severe, recurring stones or chronic tonsillitis.
- Tonsillar resurfacing using radiofrequency ablation technologies removes the pockets that allow for debris to collect can cause stones

When to See an ENT Specialist in Houston

If you are experiencing chronic bad breath, recurring throat pain, or frequent tonsil stones, it’s time to consult an ENT doctor. At SCENT Houston – Sinus Center & ENT Specialists of Houston, our experienced team provides personalized treatment to help patients find long-term relief from tonsil stones and related conditions.

Schedule an Appointment

Don’t let tonsil stones affect your daily life. Contact SCENT Houston today to schedule an evaluation with Dr. Madeleine Herman and our ENT specialists. Call us at 833-723-6863 or book an appointment online at SCENTHouston.com.

Frequently Asked Questions (FAQs)

What causes tonsil stones?

Tonsil stones form when debris—like food particles, dead cells, and bacteria—collects in the small crevices of your tonsils. Over time, this buildup hardens into white or yellowish lumps that can cause bad breath and discomfort.

Are tonsil stones dangerous?

Tonsil stones are usually harmless but can cause chronic bad breath, throat irritation, or a metallic taste in your mouth. Large stones may cause pain or swallowing difficulty and should be evaluated by an ENT specialist.

How do I know if I have tonsil stones?

Common symptoms include visible white spots on your tonsils, bad breath, sore throat, ear pain, or a feeling that something is stuck in your throat. A quick exam by an ENT can confirm the diagnosis.

Can I remove tonsil stones myself?

Small tonsil stones may dislodge on their own with coughing, gargling, or using a Waterpik. Avoid using sharp tools or excessive force. For recurrent or painful stones, see a professional for safe removal.

When should I see an ENT about tonsil stones?

If you experience recurring stones, pain, bad breath that won’t go away, or frequent infections, it’s time to see an ENT. At SCENT Houston, we can recommend medical management or a tonsillectomy if needed.

How are tonsil stones treated?

Treatment depends on size and recurrence. Options include saltwater gargles, irrigation, antibiotics (for infection), or tonsillectomy for chronic cases. Your ENT will tailor treatment to your symptoms and goals.