Tonsil stones: bad breath and safe care
Deposits in the tonsils can sometimes cause odour and discomfort. Learn about safe care and symptoms needing assessment before trying to force a stone out.
What is a tonsil stone?
Material trapped in small tonsil pockets can harden into white or yellow deposits called tonsilloliths. Many cause few symptoms. They are not the same as an infection, although both can occur together.
Not the only cause of bad breath
Bad breath and a sensation of something in the throat may occur. Dental and gum problems can also cause odour; do not assume every white spot is a stone. Persistent bad breath can be assessed by a dentist, and throat symptoms by primary care or ENT.
Safe daily care
- Brush regularly with fluoride toothpaste; clean between teeth and gently clean the tongue.
- A salt-water gargle may help adults who can gargle safely; spit it out. It is not suitable for children or anyone unable to gargle safely.
- Do not try to remove a stone with fingers, sharp tools or water jets; this can cause bleeding and injury.
Is a procedure needed?
Small stones without symptoms may need no procedure. A stone alone does not mean that antibiotics or surgery are required. Discuss recurring or disruptive symptoms with a clinician; any procedure should follow an assessment of benefits and risks.
Which symptoms should not be dismissed as stones?
Get assessed for severe or worsening pain, fever or difficulty swallowing. Trouble breathing or inability to swallow saliva is an emergency; do not wait for a routine appointment and call 112 for help.
Information sources
These sources support general information; they do not confirm our hospital’s services or clinical approval.
This information is general and does not replace individual diagnosis or treatment advice. Discuss your own situation with your healthcare team.
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