Question

My friend is affected with severe bad breath issue for long time, he brushed his teeth twice a day and using mouth wash but the sais issue not reduced and also some time when he cough some white small stones (,tonsil stones) come from his throat. Pls help him.

Dr.Ruchi Bhatt · Accepted Answer

Tonsil stones develop in your tonsils due to the accumulation of dead skin cells, bacteria, and food particles that get lodged in the crevices of the tonsils and then the salts from the saliva cause the deposits to calcify. Usually, tonsilloliths, as tonsil stones are also called, are harmless and do not require treatment. However, if you have bad breath or experience pain and discomfort, it is best to consult a doctor.
Home remedies:
Salt water gargles: You can get relief from the pain and discomfort by gargling with salt water. If you gargle vigorously, you may succeed in dislodging the stones as well. Make the water, lukewarm and add half a teaspoon of salt. Dissolve the salt and gargle with the water. Do not swallow the salt water while gargling.
Other treatments available:
Laser Tonsil Cryptolysis:
This is a noninvasive laser treatment that gets rid of the pockets and crevices where the tonsil stones are lodged. You neednât worry as it causes minimal pain. Anyway, the doctor will use local anesthesia to ensure you enjoy a pain-free treatment session. The downtime after the treatment is minimal.
Coblation Cryptolysis:
In this medical procedure, the ENT uses radio waves to change a simple salt solution into charged ions, which adhere to the tonsil tissue and then cut through it. This procedure reduces crevices and pockets on the tonsils and also eliminates tonsil stones. Compared to laser tonsil cryptolysis, coblation cryptolysis does not cause a burning sensation on the tonsils.
Antibiotics:
Sometimes, the ENT specialist may prescribe antibiotics to treat the infection. Usually, this mode of treatment gets rid of bacteria, which healthcare professionals believe have a major role in the formation and growth of tonsil stones.
Tonsillectomy:
Your doctor will never recommend tonsillectomy as a method to treat tonsil stones. However, when all other treatment procedures fail to get rid of the severe symptoms that you are experiencing, the ENT specialist will have no other alternative but to surgically remove your tonsils. This removal can be done with the help of a scalpel or laser. Sometimes, even a coblation medical device can be used.

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