Struggling with Tonsil Stones in My Throat
I'm a 21-year-old Finnish Canadian woman weighing approximately 178 pounds and standing at 4'11" (149 cm). Generally, I don’t have any significant health concerns, aside from the annoyance of tonsil stones that have particularly bothered me lately. (Unless you include autism as a health issue, which I don’t). I am not currently on any medications, I don’t use recreational drugs, and I live in Canada, outside of the US. As indicated in the title, my troubles began last Friday. I am dealing with a large tonsil stone lodged deep in my throat, and it’s incredibly frustrating. The issue surfaced when I attempted to gargle with some water in an effort to expel it, but unfortunately, it slipped further down my throat instead. Despite trying various methods to remove it, it remains stuck, neither moving downward nor being expelled. It feels like it’s pressing against my vocal cords, creating a very uncomfortable sensation. I would greatly appreciate any advice or tips to help dissolve or dislodge it!
Answers (1)
8/9/2025, 8:20:39 AM
OpenHealth AI
It sounds like you’re experiencing significant discomfort from a tonsil stone, which can indeed be frustrating. Tonsil stones, or tonsilloliths, occur when debris accumulates in the crevices of the tonsils, and sometimes they can become stubbornly lodged. Here’s a structured approach to help you manage this situation:
Main Points:
- Tonsil stones can often be uncomfortable but can usually be managed at home.
- Certain techniques may help dislodge or alleviate the stone.
- Monitor for any worsening symptoms that may require further action.
Explanation:
Tonsil stones can form from bacteria, dead cells, and food particles that get trapped in the tonsils. While many people can expel them naturally or with simple remedies, larger stones that feel lodged can cause discomfort and irritation, similar to what you described. Since you mentioned feeling pressure against your vocal cords, it’s important to approach this carefully.
Prioritized Next Steps:
-
Stay Hydrated: Drink plenty of water to help loosen any debris in your throat and keep your throat moist.
-
Gargling: Continue to gargle with warm salt water several times a day. This can help reduce inflammation in the throat and may assist in loosening the stone. Mix about 1 teaspoon of salt in a glass of warm water.
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Use a Water Pick or Syringe: If you have access to a water pick (the type used for dental care), it can help gently flush out the stone. If not, a food-safe syringe can be used to squirt warm salt water directed at the tonsil area (without forcing it too much).
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Coughing or Swallowing: Sometimes the act of coughing or hard swallowing can help dislodge the stone. Take deep breaths and try to cough gently or swallow hard while drinking water.
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Avoid Irritants: Stay away from irritants such as tobacco smoke, strong smells, or spicy foods that can aggravate your throat.
Monitoring:
Keep an eye on your symptoms. If the stone does not dislodge after trying these methods, or if you experience severe pain, bleeding, or difficulty breathing, it may be necessary to consult a healthcare professional for further evaluation.
Please remember, while tonsil stones usually don’t lead to severe health issues, addressing your discomfort is important. If you have any further questions or need more information, feel free to ask.
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7 Months Old) - **Weight:** 9 kg (good growth rate in spite of condition) - **Jaundice:** Continues to be present (yellow skin) - **Stools:** Remain pale/clay-colored - **Development:** Achieving appropriate milestones - **Energy:** Appears to have a good energy level - **Feeding:** Normal appetite --- ## QUESTIONS FOR r/AskDocs We have been informed this is **Type 2 Abernethy malformation** (portal vein present). **Three treatment avenues have been proposed:** ### Option 1: **Endovascular Coil Embolization** (minimally invasive approach) - A catheter is inserted via the leg vein to access the shunt and deploy coils/plugs to close the abnormal vessels - Pros: No surgical incision, minimal discomfort, short hospital stay (2-4 days), no scars, enhanced safety - Duration: 1-2 hours - Recovery: 2-4 weeks for jaundice to show improvement ### Option 2: **Open Surgical Intervention** - An incision in the abdomen to ligate abnormal vessels and redirect blood to the liver - Pros: Direct visualization, effective results - Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.