tonsillolith or zenker's?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Status
Not open for further replies.

MedStudent2007

Full Member
10+ Year Member
15+ Year Member
Joined
Sep 28, 2006
Messages
43
Reaction score
1
hey guys,

i'm a 4th year med student and i'm not sure if you guys or the dental forum would be able to answer this question. i am seeing an ENT doc next week but wanted to see what your thoughts were on this.

this is pretty gross, but here it goes:

i'm 28 and about 6 months ago, randomly produced this white, spongy, extremely foul-smelling, tooth-sized "glob" from my throat. at first, i thought it was old food that somehow got stuck and forgot about it. then it happened again a few weeks later and now its been happening every few weeks. i now get this funny sensation in the back of my throat (the best description i can give is like popcorn kernel stuck to the back of my throat) and i cannot see it, just feel it. i try to cough or bring it up with the back of my tongue (like you're about to vomit or bring up phlegm), but it usually stays there. then a few days later, it comes up on its own.

its disturbing and to say the least, not very attractive to my boyfriend when i told him about it.

at first, i was convinced it was zenker's diverticulum - but i've researched it a bit and i've come across the term "tonsillolith" or tonsil stones. my symptoms seem to pretty much match this rather than zenker's. have you guys heard about it or had a pt with it?

PS. i do NOT have dysphagia, coughing, tonsillitis (although i get colds often and had horrible tonsillitis as a child). i don't regurgitate food i just ate.

so there...and yes, i am seeing an ENT next week...so we'll see what happens.

any thoughts? comments?

Members don't see this ad.
 
Tonsil stone.

You can work them out on your own with your fingers (don't if you have a strong gag reflex).

Options: 1. put up with it; 2. daily rinsing with peroxide; or 3. tonsillectomy.
 
I saw a case in clinic with a very similar presentation.
 
Members don't see this ad :)
Tonsil stone.

You can work them out on your own with your fingers (don't if you have a strong gag reflex).

Options: 1. put up with it; 2. daily rinsing with peroxide; or 3. tonsillectomy.

I concur, doctor.

Option #4: water-pik your tonsils everyday. (think of it like brushing your teeth)

Halitosis from tonsilliths is a recognized indication for tonsillectomy.
 
Has anyone ever heard of this type of resolution enlarged tonsil crypts? A new dentist recently brought this solution up to me when I spoke to him regarding the fact that I have suffered from tonsil stones for years. He suggested that they can spray ozone into the tonsils to kill any anaerobic bacteria that may be populating the crypts. He said this was a much preferred and less dangerous/invasive method than tonsil removal, especially for adults.

Anyone? :thumbup: :thumbdown:
 
Status
Not open for further replies.
Top