How to Get Rid of Tonsil Stones?

March 10, 2025 | by Dr. Paul Zickler

Have you ever noticed small, white lumps in the back of your throat? Or perhaps you've been plagued by persistent bad breath that just won't go away, no matter how much you brush? If so, you might be dealing with tonsil stones.

What are Tonsil Stones?

Tonsil stones are small, hardened lumps that form in your tonsils (1). They are also called tonsilloliths (TON-sill-uh-liths). Most stones are harmless but may cause bad breath, sore throat, or ear pain. You might have one stone or several at the same time.

Formation and Appearance

They develop when minerals, food particles, and bacteria get trapped in your tonsils' crevices. These stones are usually small but can sometimes grow larger. They often look like tiny white or yellow pebbles on your tonsils.

What Are Tonsillar Stone Symptoms? 

Small tonsil stones may not cause any symptoms that you would notice. Even when they are large, some are found only after x-rays or CT scans.
  • Symptoms include bad breath or halitosis, that comes along with a tonsil infection.
  • You may experience sore throat when you get a tonsil stone and tonsillitis together, it can be hard to figure out which is causing the pain in your throat.
  • The tonsil stone itself might give you pain or discomfort. Having a cough might be initiated by a stone irritating your throat.
  • Depending on the location or size of the tonsil stone, it may be hard or painful to swallow food or liquids. Tonsil stones can develop anywhere in your tonsil.
  • Because of shared nerve pathways, you might feel pain in your ear, even though the stone itself isn’t touching your ear.
  • You may feel or see tonsillar swelling as the debris hardens and a stone form, inflammation, infection and the stone itself may cause this swelling. 

How are tonsil stones diagnosed?

Tonsil stones are diagnosed when a doctor or dentist sees them while looking at your throat. They may be seen on an x-ray or scan that you are having for a different reason.  

Get rid of tonsil stones

Remove tonsil stones at home

Gargling
  1. Salt water: Mix a teaspoon of salt in warm water and gargle for 30 seconds. This can help dislodge stones and reduce inflammation (2)(3).
  2. Apple cider vinegar: Dilute with water and gargle. The acidity may help break down the stones (2).
  3. Non-alcohol mouthwash: This can help dislodge stones and improve bad breath (4).
Manual Removal
  1. Cotton swab method: Gently press on the tonsil with a moistened cotton swab to dislodge visible stones. Be careful not to cause gagging or injury (2)(4).
  2. Water irrigation: Use a Waterpik or oral irrigator on the lowest setting to flush out the stones (2)(5)(6).
Other Techniques
  1. Coughing: A forceful cough might help dislodge smaller stones (2)(4).
  2. Probiotics: Consuming yogurt and other probiotic-rich foods may help combat bacteria in tonsil stones (4).
  3. Raw vegetables: Chewing carrots or apples can increase saliva production, which may help reduce stone formation (4).

Professional tonsil stone removal

If home remedies aren't effective, consider these professional options:
  1. Manual extraction: A dentist or ENT specialist can remove stones using specialized tools (5).
  2. Laser treatment: For stubborn stones, a focused laser can break them down effectively (5).
  3. Antibiotics: In cases of infection, your doctor may prescribe antibiotics, though this isn't a long-term solution (3).
  4. Tonsillectomy: For recurring, problematic stones, removal of the tonsils may be recommended (3).

How can I prevent tonsil stones? 

People who have long-term tonsillitis are more likely to get tonsil stones. The only way to prevent them is to remove your tonsils. 
  • Good dental habits can help to prevent stones. Brush and floss your teeth regularly to remove bacteria and keep things from getting stuck in your tonsils. Make sure to brush the front and back of your tongue, too. 
  • Quit smoking. 
  • Gargle with salt water after eating to help prevent food buildup. 
  • Use a waterpik to clean your mouth and help dislodge any tonsil stones. Stay hydrated and hopefully keep the stones softer and more mobile by drinking plenty of water (tips to drink more water). 

Conclusion

Tonsil stones can cause discomfort, bad breath, and irritation, but they are usually harmless. Regular oral hygiene, including gargling with salt water and brushing your tongue, can help prevent them. If tonsil stones persist or cause ongoing issues, consult a doctor for professional removal options. By maintaining good oral care, you can reduce the chances of tonsil stones forming and keep your mouth feeling fresh and healthy.

References

  • (1) Tonsil Stones. 2024
  • (2) Everything You Need to Know to Remove and Prevent Tonsil Stones at Home. 2023
  • (3) Tonsil Stones (Tonsilloliths). 2024
  • (4) 15 Home Remedies for Tonsil Stones. 2022
  • (5) Can a Dentist Remove Tonsil Stones? Treatment Methods vs. At-Home Remedies. 2024
  • (6) How to Remove Tonsil Stones. 2025

Also Read

Dr. Paul Zickler

About Author

Dr. Paul Zickler

Dr. Paul Zickler graduated from the faculty of medicine at the University of Western Ontario in 1972 and became an Emergency Physician. He practiced as an Emergency Physician for 18 years after which he co-owned and operated several ambulatory medical and travel clinics for 12 years and discovered his interest in prescription medicines. Dr. Zickler was a founding member of the Canadian International Pharmacy Association (CIPA) and was CIPA’s Vice-president for Medical Affairs. He has also served as an Associate Professor of Emergency Medicine at the University of British Columbia, the Director of Professional Programs for the Justice Institute of British Columbia (paramedic academy) and was the principal investigator for Phase 2 and 3 studies researching vaccines.

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