Tonsil stones often dissolve on their own, are coughed up, or are swallowed and no treatment is needed.
If tonsil stones do not go away on their own, treatments include:
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- Medications used to treat tonsil stones may include
- Antibiotics to treat infection
- Antihistamines to treat sinus problems or allergies
- Laser treatment (laser tonsil cryptolysis): a noninvasive treatment used to minimize or remove tonsil crypts where tonsil stones can become lodged
- Coblation cryptolysis: a treatment that uses radio waves to change a salt solution into charged ions that can cut through tissue to reduce tonsillar crypts and get rid of tonsil stones
- Tonsillectomy: surgical removal of the tonsils, usually a last resort but the only cure for the condition
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Removing tonsil stones at home is generally not recommended because tonsils are delicate tissues and bleeding and infection may occur if stones are not removed carefully. If tonsil stones are painful, large, or you are having difficulty breathing, see a doctor.
Home remedies that may help get rid of tonsil stones include:
- Coughing: Tonsil stones are often coughed up on their own. In some cases, a forceful cough may help dislodge them.
- Salt-water gargle: Gargling with salt water may help dislodge the stones.
- Non-alcohol mouthwash gargle: This may help dislodge stones and also improve bad breath.
- Apple cider vinegar gargle: This may help dislodge stones and also acts as an antibacterial agent.
- Honey gargle: Boil water, add 2 tablespoons of honey, allow to cool, and gargle to help kill bacteria.
- Oral irrigation: Oral irrigators may be used to gently shoot water into the back of the mouth to try to dislodge tonsil stones. Use this method carefully because if not done properly it may result in injury to the tonsils.
- Maintain good oral hygiene: Tonsil stones may be caused by food or bacteria that get stuck in the tonsillar crypts. Proper brushing and flossing may help prevent this from occurring.
- Use a tongue scraper: Use of a tongue scraper may help remove more bacteria from the mouth.
- Chew garlic: Crushing a clove of garlic releases allicin, which is responsible for its antimicrobial properties, and chewing crushed garlic may help kill bacteria that causes tonsil stones and bad breath.
- Oil pulling: This is an Ayurvedic remedy in which patients swish a tablespoon of oil (such as olive, coconut, or sesame) around the mouth for about 10 minutes to improve oral hygiene. Follow with toothbrushing.
- Remove with a cotton swab: Moisten the swab and GENTLY push nearby tissues to dislodge the stone. Be very careful not to injure the tonsils. Consult your doctor before attempting this method.
- Probiotics: Eating yogurt and other foods with probiotics can help kill the bacteria in tonsil stones.
- Carrots: Chewing raw carrots naturally increases production of saliva, which can help reduce stones.
- Apples: Apples are acidic, which may help fight bacteria in tonsil stones.
- Essential oils: certain essential oils such as lavender, lemongrass, and clove have antibacterial properties. Add a couple of drops to your toothbrush before brushing your teeth.
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