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A tonsillectomy is surgery to remove the tonsils. Tonsils are lumps of tissue on both sides of the back of the throat that help the immune system protect the body from infections. Tonsillectomy (pronounced: tahn-suh-LEK-tuh-mee) is one of the most common surgeries teens get. But they're done less often than in the past because large tonsils often
shrink on their own over time. Why Are Tonsillectomies Done? Teens usually have a tonsillectomy because: Their tonsils are so big they block the airway and make it hard to breathe. Swollen tonsils can make it hard to breathe, especially during sleep. Someone might snore and stop breathing for short periods while asleep when the tonsils get in the
way. This is called obstructive sleep apnea. Apnea can make someone miss out on healthy, restful sleep, and even lead to health problems. Their tonsils get infected often. A health care provider might recommend removing the tonsils if someone gets a lot of tonsil infections (called tonsillitis). Experts define "a lot" as when a doctor diagnoses the
person with at least 7 infections a year, more than 5 infections a year for 2 years in a row, or three infections a year for 3 years. What Happens Before a Tonsillectomy? Your health care provider will let you know if you should stop taking any medicine in the week or two before the surgery. You'll also be told when to stop eating and drinking because
your stomach must be empty on the day of the procedure. What Happens During a Tonsillectomy? An ear, nose, and throat (ENT) surgeon will do the surgery while you're under general anesthesia. This means an anesthesiologist will keep you safely and comfortably asleep during the procedure. The surgery is done through your open mouth. There
are no cuts through the skin and no visible scars. The two main types of tonsillectomy surgery are: Traditional tonsillectomy: Both tonsils are completely removed. Intracapsular tonsillectomy: The surgeon removes all the affected tonsil tissue, but leaves a small layer to protect the throat muscles underneath. There's a very slight chance that the
remaining tissue can re-grow or become infected and need more tonsil surgery, but this isn't common.If you have this type of surgery, you will: recover faster have less pain not need as much pain medicine have a lower risk of bleeding be better able to eat and drink after the procedure A tonsillectomy usually takes about 20 to 30 minutes, though it
can take a little longer. What Happens After the Tonsillectomy? You'll wake up in the recovery area, where your parents can join you. Many teens go home the same day, though some may stay overnight. Depending on the type of surgery done, recovery after a tonsillectomy may take a week or longer. Expect some pain and discomfort after the tonsils
are removed, which can make it hard to eat and drink. Are There Any Risks From Tonsillectomy? There are risks with any surgery, including infection and problems with anesthesia. Some people might get dehydrated from not drinking enough when they go home, and may need to come back to the hospital for fluids. Rarely, bleeding might happen
during the surgery, right after it, or up to 2 weeks later. Call the doctor right away if you cough up, throw up, or spit out bright red blood or blood clots. Doctors might need to do another procedure to stop the bleeding. How Can I Feel Better? Take pain medicine as directed by your health care provider. Rest at home for a few days following surgery
and take it easy for a couple of weeks. You can return to school when you can eat normally, are sleeping well, and don't need pain medicine. Get plenty to drink, and eat soft foods like pudding, soup, gelatin, or mashed potatoes until you're ready for solid foods. For 2 weeks after surgery, avoid blowing your nose and don't play contact sports. When
Should I Call the Doctor? Call the doctor if you: get a fever vomit after the first day or after taking medicine have a sore throat despite taking pain medicine can't drink enough liquids Call the doctor right away if you vomit blood or something that looks like coffee grounds, or have trouble breathing. What Else Should I Know? After tonsillectomy, you
can still get colds, sore throats, and throat infections. But you won't get tonsillitis unless the tonsils grow back, which is uncommon. Even though the tonsils are part of the immune system, removing them doesn't affect your body's ability to fight infections. The immune system has many other ways to fight germs. Tonsil stones, also called tonsilloliths,
are small lumps that form in your tonsils. The main symptom of tonsil stones is bad breath. Methods for tonsil stone removal at home include using a saltwater gargle or a water pick. If the tonsil stones keep coming back or bothering you, your provider may recommend surgery. Tonsil Stones Tonsil stones are small lumps of hard material that form in
the tonsils. Tonsil stones can cause bad breath though they’re usually not painful or harmful. They’re also called tonsilliths. You can usually treat tonsil stones at home. But in some cases, you may need surgery to remove the tonsils. What are tonsils? The tonsils are a pair of small, oval-shaped bits of tissue at the back of your throat. They have folds,
gaps and crevices called tonsillar crypts. Tonsils are part of your immune system, which helps protect against infection. Tonsils filter bacteria and viruses that enter your body through your mouth. Removing the tonsils does not affect your immune system. What do tonsil stones look like? Tonsil stones look like little white or yellow pebbles on your
tonsils. You may have one tonsil stone or many tonsil stones. They’re usually small, though sometimes people can get large tonsil stones. What’s the difference between tonsil stones and tonsillitis? Tonsillitis is a tonsil infection. Both conditions can cause bad breath and throat pain. Usually, if you have tonsillitis, you’ll also get red, inflamed tonsils
along with a sore throat, fever and headache. Who’s at risk of tonsil stones? People who have more tonsillar crypts tend to get more tonsil stones. These are also more commonly found in people who have had a lot of tonsil infections in their life. Tonsilliths tend to happen more often in teens. How common are tonsil stones? Tonsil stones are common.
Many people get them and may not even know they have them. Materials and debris can get trapped in the tonsillar crypts. The material can harden or calcify, forming stones. Trapped material could include: Minerals such as calcium. Food or debris. Bacteria or fungi. What are the symptoms of tonsil stones? Some tonsil stones don’t cause any
symptoms. If you do have symptoms, they may include: Bad breath (halitosis). Cough. Earache. Sore throat. Bad taste in your mouth. Small white or yellow stones that you may spit up. Other symptoms include: Difficulty swallowing. Feeling that something’s stuck in your throat. Small white patches on your tonsils. Throat infections that are hard to
treat with antibiotics. To diagnose tonsil stones, your provider may: Do a physical exam, looking inside your mouth and throat. Perform an imaging scan if they cannot see the stones easily. Dislodge the stones using a dental pick. Sometimes, a healthcare provider happens to notice tonsil stones during an exam. If you don’t have any symptoms, your
provider might notice a stone during a scan or X-ray for a different problem. Or your dentist may see them during a dental exam. Usually, treatment aims to manage tonsil stone symptoms. There isn’t a specific treatment method for stones. Make sure to: Brush teeth regularly. Gargle with warm salt water. You can try these at-home methods to get rid
of tonsil stones: Gargling: Vigorous gargling using salt water has a few advantages. It helps your throat feel better, plus it can dislodge the tonsil stones. It may even get rid of the bad odor. This is particularly helpful when you gargle after eating to prevent food and debris from getting caught in the tonsil crypts. Coughing: Some people find that a
strong cough can loosen stones and bring them up. Using an object: If gargling and coughing don’t dislodge the stones, it’s tempting to use your finger or a toothbrush to get rid of tonsil stones. But you can easily scratch your delicate tonsils. They can get infected. Instead, if you want to use an object, try a cotton swab. Are medications used to treat
tonsil stones? Your healthcare provider will tell you if you need antibiotics to treat tonsil stones. In most cases, providers don’t use antibiotics. These medicines don’t treat the underlying cause of tonsil stones. But you may need antibiotics if you develop a bacterial infection. If tonsil stone symptoms are bothering you, talk to your provider. They may
refer you to an ENT — an ear, nose and throat specialist. The ENT can discuss your surgical options with you. Healthcare providers may recommend surgical tonsil stone removal if tonsil stones are: Large. Causing pain or other problems. Causing recurrent tonsil infections or sore throats. Will I need a tonsillectomy because of tonsil stones? In some
cases, healthcare providers recommend a tonsillectomy — having your tonsils removed. This procedure may help if tonsil stones keep coming back or if they are causing repeated infections. You can take steps to prevent tonsil stones: Brush and floss regularly. Make sure to brush the front and back of your tongue, too. Quit smoking. Gargle with salt
water after eating. Use a water pick to clean your mouth and help dislodge any tonsil stones. Stay hydrated by drinking plenty of water. Tonsil stones are common. They rarely cause serious health problems. Many people have tonsil stones and don’t even know they have them. You can treat them at home. If tonsil stones keep coming back, you and
your healthcare provider can discuss a more permanent solution. If you have tonsil stones, these at-home remedies can help: A warm saltwater gargle helps with swelling and discomfort. Gargling can even help dislodge the stone. Try a gargle of 1 teaspoon salt mixed with 8 ounces of water. Use a cotton swab to remove a tonsil stone that’s bothering
you. Brush and floss regularly. When should I see a healthcare provider about tonsil stones? Talk to your provider if: At-home remedies aren’t working as they should. Tonsil stones keep coming back or are bothering you. You want to discuss other treatment options. What else should I ask my provider? If you have tonsil stones, ask your provider: How
can I get rid of tonsil stones at home? What can I do to improve my symptoms? What should I do if tonsil stones come back? Will I need surgery? A note from Cleveland Clinic Tonsil stones are small lumps of hardened material that form on your tonsils, in the back of your throat. They usually don’t cause serious health problems. The main sign of tonsil
stones is bad breath. You can usually try to get rid of tonsil stones using at-home methods, such as saltwater gargles. If home tonsil stone removal doesn’t work, or the stones keep coming back, talk to your provider. If the issue is recurring infections, you may need a tonsillectomy to remove your tonsils. Last reviewed by a Cleveland Clinic medical
professional on 05/11/2021. References Babu BB, Avinash TML,Avinash CKA, Chittaranjan B. (2013). . Journal of Clinical and Diagnostic Research. 7(10), 2378-2379. Accessed 5/12/2021.Tonsillolith: A Panoramic Radiograph Presentation ( Bamgbose BO, Ruprecht A, Hellstein J, Timmons S, Qian F. . ISRN Dentistry. 2014;2014:839635. Published 2014
Jan 22. Accessed 5/12/2021.The Prevalence of Tonsilloliths and Other Soft Tissue Calcifications in Patients Attending Oral and Maxillofacial Radiology Clinic of the University of Iowa ( HealthDirect. . Accessed 5/12/2021.Tonsil Stones ( Healthwise. . Accessed 5/12/2021. Tonsil Stones: Care Instructions ( Masters KG, Zezoff D, Lasrado S. . [Updated
2020 Aug 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan. Accessed 5/12/2021.Anatomy, Head and Neck, Tonsils ( Get useful, helpful and relevant health + wellness information enews Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-
Cleveland Clinic products or services. Policy Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
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