They seem to appear from my tonsils. Does anyone have any ideas what they’re? They smell really bad and I seem to cough them up. Theyre only very small and only appear now and again, more so when i excercise. Theyre horrid and peculiar.

They are actually tonsil stones. They are actually harmless. But go to these pages for more of an explanation.



Here’s a picture of tonsil stones, they can be different sizes.


No problem, glad i could help. I’ve also had tonsil stones and they really do taste and smell bad. at least you are able to cough them up. It is terrible, when they are stuck and you’ve to try to push them out with a cotton bud. Report It

Sounds very much like tonsilloliths (tonsil stones). You usually produce them when you’ve a bad cold or a throat infection. As you get better they will disappear. Try gargling with TCP or alternatively go and see your doc. Don't worry too much they’re very common.

It could be a number of things, upper respiratory infection, I don't know if you smoke but that could be a cause which means “Quit!”, it could even be fluid backed up in your lungs which could also turn into pneumonia! Go see your physician, good luck

I would like to know what they’re too…mine are white but smelly too and disguisting. I notice that they appear in the mornings if I had bread the day before. I am also mystified what they’re.

Oh My, I think this calls for a trip to the doctor, I would assume your tonsils are infected. You might need them removed. You should go this day, the infection might spread.

I have had those too! I always wondered what they were…they are gross and you’ve to hock them up! haha…it is even worse because I am a girl. I ha ven't had them in a long time though.

It could be a build up of plaque behind your tonsils. Do you gargle with mouthwash after you brush your teeth? I advocate Listerine mouthwash and lots of gargling x x

If it has only been happening recently you probably have bronchiolitis. If it doesn't clear up soon, see a physician.

You’ve an Infection! Congrats! So see a doctor- Maybe you’ve allergies… but no way of knowing until you see a physician and they can tell you.

Balls= phlegm


Thats Normal :)


how nice for you!

go see a doctor…..they will help with your smelly balls lol

go see an ear nose and throat doctor ;)

ew, go to the doctor, ur obviously sick

Ewwww… I'd go to the physician cause that really doesn't sound healthy!

A tonsillolith (also called tonsil stone or calculus of the tonsil) is a piece (or more commonly, a cluster) of calcareous matter which forms in the rear of the mouth, in the crevasses (called tonsillar crypts) of the palatine tonsils (which are what most people commonly refer to as simply tonsils).

Tonsil stones, it is theorized, are the result of a combination of any of the following:[1]

dead white blood cells (a.k.a. leukocytes)

oral bacteria

overactive salivary glands

Protruding tonsilloliths have the feel of a foreign object, lodged between the outside of wisdom teeth and the temporomandibular joint region of the fleshed jaw. They may be an especially uncomfortable nuisance, but are not often harmful. They are one possible cause of halitosis.

1 Appearance and characteristics

2 Symptoms

3 Differential diagnosis

3.1 Giant tonsilloliths

4 Treatment and prevention

4.1 Self treatment

4.2 Surgical treatment

4.3 Prevention

5 See also

6 References

7 External links

[edit] Appearance and characteristics

Tonsilloliths or tonsil stones are calcifications that form in the crypts of the palatal tonsils. These calculi are composed of calcium salts either alone or in combination with other mineral salts, and are usually of small size - though there have been occasional reports of big tonsilloliths or calculi in peritonsillar locations.

Tonsilloliths are difficult to diagnose in the absence of clear manifestations, and often constitute casual findings of routine radiological studies.

These calculi are composed of calcium salts such as hydroxyapatite or calcium carbonate apatite, oxalates and other magnesium salts or containing ammonium radicals, and macroscopically appear white or yellowish in color. The mechanism by which these calculi form is subject to debate, though they appear to result from the accumulation of material retained within the crypts, along with the growth of bacteria and fungi such as Leptothrix buccalis – sometimes in association with persistent chronic purulent tonsillitis. In other words, “Because saliva contains digestive enzymes, trapped food begins to break down. Particularly, the starch or carbohydrate part of the food melts away, leaving firmer, harder remains of food in the tonsils.”

Substitute mechanisms have been proposed for calculi that are located in peritonsillar areas, such as the existence of ectopic tonsillar tissue, the formation of calculi secondary to salivary stasis within the minor salivary gland secretory ducts in these locations, or the calcification of abscessified accumulations.

[edit] Symptoms

Tonsilloliths occur more frequently in adults than in children. Symptoms are usually non-specific such as sore throat, chronic cough, bad taste in the back of the throat, or otalgia. A foreign body sensation might also exist in the back of throat with recurrent foul breath (halitosis). Treatment is usually removal of concretions by curettage; bigger lesions might require local excision.

Tonsilloliths tend to be present in young adolescents and can manifest with bad breath and swallowing pain accompanied by a foreign body sensation and, in some cases, referred ear pain. The condition may also prove asymptomatic, with detection upon palpating a hard intratonsillar or submucosal mass.

[edit] Differential diagnosis

Differential diagnosis of tonsilloliths includes foreign body, calcified granuloma, malignancy, an enlarged styloid process or rarely, isolated bone which is usually derived from embryonic rests originating from the branchial arches.[3]

Imaging diagnostic techniques can identify a radiopaque mass that may be mistaken for foreign bodies, displaced teeth or calcified blood vessels. Computed tomography (CT) might reveal nonspecific calcified images in the tonsillar zone. The differential diagnosis must be established with acute and chronic tonsillitis, tonsillar hypertrophy, peritonsillar abscesses, foreign bodies, phlebolites, ectopic bone or cartilage, lymph nodes, granulomatous lesions or calcification of the stylohyoid ligament in the context of Eagle’s syndrome (elongated styloid process).[4]

[edit] Giant tonsilloliths

Much rarer than the typical tonsil stones are giant tonsilloliths. Giant tonsilloliths might often be mistaken for other oral maladies, including peritonsillar abscess, and tumours of the tonsil.[5]

[edit] Treatment and prevention

This section needs additional citations for verification.

Please help improve this article by adding reliable references. Unsourced material may be challenged and removed. (May 2008)

[edit] Self treatment

Tonsilloliths can be removed by the patient. Using a medicine dropper (especially one with a curved tip) can help to suck out the stones if they are small enough. A cotton swab dipped in hydrogen peroxide applied directly on the tonsil stones will not necessarily dislodge them - it might help some sufferers of tonsilloliths while others may experience only an unpleasant gagging sensation.

Pulsating nasal irrigator.The use of pulsating irrigation to clear out the crypts of accumulated debris may also help (only use an adjustable unit on the low pressure setting as you might damage tissue with the high pressure units).[citation needed] Use a solution of salt water, or a mixture of hydrogen peroxide with mouthwash in the water tank instead of (or combined with) water to sanitize the tonsil crypts and help prevent future tonsilloliths. The use of a combination nasal/throat irirgation device is recommended).[citation needed] for direct cleansing of the tonsil stones with the throat irrigator tip and cleansing of the nasal passages using the nasal irrigation tip. This is especially beneficial for post nasal drip which routinely contributes to the formation of tonsil stones.).[citation needed]

While difficult to perform due to the gag reflex, a quick brushing with a toothbrush will generally remove surfaced tonsilloliths. Another effective way to remove tonsil stones is by pressing a finger against the bottom of the tonsil and pushing upward. The pressure squeezes out stones. Some people can even reach them with their tongue, which is the ideal method as the tongue doesn't stimulate the gag reflex.

Another remedy for removing them, without stimulating the gag reflex, (in most people) is to simply flex the throat, this causes the tonsils to tense up and will often result in the tonsil stone popping out.

[edit] Surgical treatment

The most aggressive form of treatment involves surgical removal of the stone, via oral curette or a tonsillectomy to remove the tonsils.

For huge crevices, an effective tool for digging out a stone is an ear curette. The curette is used primarily for the removal of ear wax, but is effective for removal of tonsil stones as well. It comprises a long thin metal stick with a tiny metal loop at the end. Alternatives include the curved end of a hair grip (bobby pin) or a cotton swab.

A longer term cure is possible by using laser resurfacing. The procedure is called laser tonsillotomy, or laser tonsillectomy. This technique can be performed under local anaesthetic, using the scanned carbon dioxide laser, which vaporises and removes the surface of the tonsils. In this way, the edges of the crypts and crevices that collect the debris are flattened out, so that they have the ability to no longer trap material. Therefore stones, which are nearly like pearls forming from a grain of sand, cannot form.

The most drastic method, a tonsillectomy, is not usually indicated or suggested, but will provide permanent relief.

[edit] Prevention

Prevention methods include gargling with salt water, cider vinegar, dissolvable paracetamol or a non-alcohol-, non-sugar-based mouth wash (eg sodium bicarbonate mouthwash).

What have you had in your throat??

sounds like some freak disease to me mate

This entry was posted on Monday, May 12th, 2008 at 2:10 am and is filed under Diseases & Conditions. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or TrackBack URI from your own site.

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