What could cause a white lump on the tonsil in someone with recurrent throat infections? (photo)

Doctor's Answer

From your photo, that white lump on your left tonsil looks like a mucous cyst (collection of trapped secretions from your tonsil glands). It may also be a tonsil stone. Both these conditions are commonly seen in people who suffer recurrent episodes of tonsil infections, such as yourself.

The fact that you have suffered from nasty tonsil infections for so many years puzzles me as to why you have chosen to continue to do so, when there is a relatively straightforward solution: remove those tonsils as they are the source of your infections! Repeat courses of antibiotics often fail to help as many cases of tonsillitis are virally-caused and instead only lead to growth of antibiotic-resistant organisms (“bugs”).

If you didn’t have such a turbulent history with tonsil infections, then these benign mucous cysts or tonsil stones may be left alone. But in your case, it sounds like it might be worth considering having your tonsils removed in a tonsillectomy procedure.

Many of my patients have experienced your situation, and gone on to have their tonsillectomy without problems. It may be done as a daycase though most patients prefer to stay overnight in hospital. The main risk of a tonsillectomy is postop bleeding due to secondary infection but in the right hands, this is rather low 1-2%. The other postop issue is sore throat but again, those patients who suffered from bad tonsil infections like yourself usually find their postop pain isn’t as bad as their pain caused by the tonsillitis episodes.

Take care and hope you recover soon.

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