The tonsils have white spots, why?

In some people, every time they open their mouth to look in the mirror, they see in the nooks and crannies of the tonsils small white grains like rice grains, with an unpleasant odor, sometimes even enlarged tonsils. What disease are these symptoms indicative of?

On the surface of the tonsils is not completely smooth, there are an average of 10 to 20 recesses that penetrate deep into the tonsils, These niches may contain granules made up of living lymphocytes or degenerated cells, together with sloughing epithelial cells and microorganisms.
When you have granulomatous tonsillitis, on the surface of the tonsils will appear a lot of white particles. The seeds are usually ivory-white, like a broken piece of peanut, often have a very bad smell, sometimes protruding into the crevices on the surface of the tonsils, making the patient feel uncomfortable swallowing, sometimes feeling Feeling like a bone, sharp pain spreads to the ear... Tonsillitis is one of the causes of bad breath.
When white spots appear on the tonsils, it is also when the tonsils are fighting an infection. The white spots, usually pus, form when white blood cells that kill bacteria and viruses attack the tissues in the throat. White streaks on the tonsils can be a sign of purulent tonsillitis, strep throat, infectious mononucleosis, or other infectious conditions.
White spots on the tonsils may appear only on or around the tonsils or spread throughout the mouth. Additionally, white streaks may appear in the back of the throat or on and around the tonsils. Symptoms associated with white streaks on tonsils include: sneezing, sore throat, cough, fever, pain when swallowing, stuffy nose, headache, body aches, swollen glands... difficulty breathing due to enlarged tonsils and partial blocking of the airway.

Tonsillitis When the tonsils become infected by a viral or bacterial attack, the tonsils begin to fight the infection by secreting white lumps of pus and forming multiple white streaks. In the early stages, tonsillitis can cause headaches, fever, or stiff neck.
Tonsillitis This is a symptom caused by debris in the tonsil fissure. Stones can contain bacteria, mucus, food particles, or dead cells that accumulate over time. These debris create the perfect environment for bacteria and viruses to grow, increasing the risk of infection. The inflammatory process causes debris to become entangled in the tonsils, making them harder and harder to grow, making it difficult to treat and causing discomfort to the patient.
Oral thrush White patches on the tonsils can be caused by a fungal infection. On our body, there is always a harmless amount of fungi, if favorable conditions are met, they will proliferate and cause adverse health effects. People with weak resistance or people who eat a lot of sugar are a group of people at high risk for fungal infections in the mouth. White patches caused by fungus appear not only on the tonsils, but also on the tongue, cheeks and palate. These white patches do not cause swelling but can change the taste buds
Sore throat Strep throat infection is one of the common causes of sore throat. When infected with strep bacteria, the tonsils and throat will appear white streaks. Patients often feel pain when chewing or feel a burning sensation in the throat. In addition, the lymph nodes in the neck and tonsils will swell with a high fever because these organs are fighting an infection.
Mononucleosis Disease also known as Mono disease - a rare disease caused by infection with the Epstein-Barr virus. Viral inflammation is associated with many of the flu-like symptoms: fatigue, fever, and headache. Adolescents with the disease often appear patches of pus in the throat, especially in the area around the tonsils, like purulent tonsillitis. Lymph nodes can become enlarged and, in some patients, cause a red rash on the body.

The way to treat white spots on tonsils is to regularly gargle with physiological saline daily. In acute infections, the patient needs appropriate antibiotics. For tonsil stones, stones can be removed around the 2 tonsil sacs in the nasopharynx by gently rubbing the stones with your hands or a cotton swab. If the disease is repeated and causes a lot of trouble for the patient, surgery to remove the tonsils is necessary.
Otolaryngology - Vinmec International General Hospital specializes in examining and treating common ENT diseases such as: tonsillitis, sore throat, tinnitus, non-allergic rhinitis, sinusitis, cancer throat letter; tumors of the head, face and neck, congenital malformations of the ear, nose and throat area by common surgical methods.