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Ask a doctor on the topic of Otorhinolaryngology

Tonsil stones

Dear Sir or Madam,

About 7 years ago, I had a pretty severe case of tonsillitis twice. I'm not exactly sure when, but I believe I have had tonsil stones since then. Lately, they have become more frequent and when I remove them, I noticed today that a proper hole is left behind. Is this dangerous?
Unfortunately, I now have complete hypochondria. Since then, I have only had one acute tonsillitis.
Are tonsil stones ALWAYS a sign of chronic tonsillitis? as this can lead to myocarditis?
Do I urgently need to have my tonsils removed now? How common are dangerous postoperative bleeding incidents?

Yours sincerely

Christian Welsch

Dear questioner, tonsil stones do not have a mandatory medical significance. The tonsils produce a secretion that can thicken so much that stones are formed. This can be a potential source of foreign body sensation in the throat or bad breath, as these holes are often colonized by harmless bacteria.

To be on the safe side, have an ENT doctor take a look at it. When it comes to tonsil stones, I only operate on tonsils if the patients are bothered by the constant particles in the throat or if bad breath does not improve with conservative therapy.

There are, however, patients who have stones and only feel occasional sore throat and itching, but have severe joint, kidney, or heart problems. If that is the case and the ASL value in the blood is high, then the tonsils are also removed.

Do you have any questions?

Regards, C.W.

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Christian Welsch

Christian Welsch

Veitsbronn

niedergelassener HNO-Arzt und Notfallmediziner, seit 15 Jahren regelmäßige Mitarbeit im allgemeinmedizinischen Notdienst

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