If you’ve ever experienced persistent bad breath or a sensation like something’s stuck in the back of your throat, you might be dealing with tonsil stones. These small, hardened calcium deposits form when debris—like food particles, dead cells and bacteria—get trapped in the crevices of your tonsils, known as tonsillar crypts.
While generally harmless, tonsil stones can be occasionally uncomfortable. Let’s look at what you need to know about why they form, how to get rid of them and when to seek help from an ENT specialist.
Why Do Tonsil Stones Develop?
Tonsil stones form when the tonsils have deep or irregular crypts that more easily collect debris. This debris can harden over time, leading to the formation of small, calcified lumps. A few key factors that may increase your risk include:
- Recurrent tonsil infections
- Large or deeply pitted tonsils
- Poor hydration
- Dry mouth or poor oral hygiene
Though the most common sign is unpleasant breath, other symptoms may include a sore throat, difficulty swallowing or the feeling of a foreign object in your throat.
At-Home Methods for Tonsil Stone Removal
Many tonsil stones will dislodge on their own, but if they’re irritating, there are a few safe methods you can try at home:
- Saltwater gargle: rinsing with warm salt water (one-fourth to one-half teaspoon of salt in an eight-ounce cup of warm water) can help loosen stones and ease throat discomfort
- Gentle pressure: using a cotton swab, you can carefully press around the bump to nudge the stone out. Always use caution and good lighting.
- Water flosser: a low-pressure water flosser can flush out smaller stones
- Coughing: sometimes, a firm cough is enough to knock a stubborn tonsil stone loose
When to See an ENT Specialist
If home techniques aren’t effective or you’re experiencing pain, frequent infections or larger stones, it’s time to see an ENT specialist. In-office removal is a quick, minimally invasive procedure. In some cases, if tonsil stones are recurring or associated with chronic tonsillitis, your specialist may recommend a tonsillectomy. They can also prescribe pain relievers and antibiotics if an infection accompanies your tonsil stones.
Tips to Reduce Your Risk
While there’s no guaranteed way to prevent tonsil stones, the following habits can make them less likely:
- Maintain good oral hygiene, including brushing and flossing daily
- Stay well-hydrated
- Avoid tobacco products
- Consider using an alcohol-free mouthwash to reduce bacteria
If you’re dealing with tonsil stones or related throat issues, our ENT team is here to help. Schedule an appointment at Ear, Nose & Throat Associates to discuss your symptoms and treatment options tailored to your needs.