Plaques in the throat: symptoms, causes and remedies

Plaques in the throat: symptoms, causes and remedies

Whitish formation in the tonsils, pain in the throat, difficulty in swallowing, may indicate plaque in the throat. Find out what remedies to take

Our body is a complex machine, but absolutely perfect. By virtue of this, it also has an immune system that is very efficient under normal conditions. What is its main task? That of protecting us from external attacks, that is from viruses, fungi and bacteria that are found in the air, on surfaces and in general, on everything around us.

These pathogens can enter the body via the respiratory tract (nose / mouth) and lead to infections, such as plaque in the throat. These are manifestations related to an infectious process that can be of viral, bacterial and sometimes fungal origin. Children are most exposed, but also adults when the immune defenses are low.

Plaques in the throat, known to be characterized by whitish vesicles, can however be of two different sizes. For this reason, to undertake an adequate therapy it is good to investigate the triggering causes.

So what are the symptoms and useful remedies in case of plaque in the throat? We talked about it with Dr. Giulia Gramellini, Specialist in Otolaryngology and Rhinoallergology.


  • Cause
  • Symptoms
  • Remedies
  • How to prevent them


«The term“ plaques in the throat ”could lead to misunderstandings as the presence of whitish formations at the level of the tonsils could basically be of two very different entities.

The first, the most frequent, is due to the presence of crypts (holes) in the tonsils, which tend to fill with chewed food, forming whitish, foul-smelling concretions, which are called “tonsilloliths”. They are therefore a paraphysiological phenomenon, they are not infectious, they are not contagious and they do not evolve into further pathology.

The tonsillar plaques, on the other hand, can also be the manifestation of an inflammation involving the tonsils, the so-called “tonsillitis”. However, typical of childhood, they can also occur in adults. They can be of viral or bacterial origin, in fact this disease is given by bacterial or viral colonization of the oral cavity. Patients with impaired nasal breathing are more predisposed. In fact, by breathing from the mouth instead of the nose, the air that reaches the airways is not heated, purified and humidified (nose job). It is therefore important to investigate the causes of nasal obstruction (anatomical and / or functional allergic) and treat them early ”, explains the doctor.

Among the infectious diseases that can particularly affect children there is also mononucleosis, often referred to as the “kissing disease”. In this case, the person directly responsible is a virus that is transmitted by direct contact through saliva droplets and / or the use of personal items of infected individuals.


“The presence of tonsillitis at the level of the tonsillar crypts is manifested by:

  • alitosi;
  • bad taste;
  • expulsion of whitish material from the mouth.

Infectious tonsillitis, on the other hand, manifests itself with:

  • pain in the throat;
  • difficulty and pain when swallowing;
  • fever;
  • presence of hypertrophic lymph nodes located in the neck;
  • exhaustion.

At the level of the tonsils, whitish lesions, plaques, cannot be removed. The tonsils appear swollen and red, “specifies Dr. Gramellini.


«Tonsillolites must absolutely not be removed manually: once the tonsils were squeezed but this method, in addition to being dangerous (there is the risk of creating lesions, causing inflammation) is useless. In fact, the tonsillar crypts tend to regress spontaneously. Useful is a thorough oral hygiene, rinses with water and bicarbonate after meals.

As for infectious tonsillitis, a specialist evaluation or your GP before starting any type of therapy is required. In the bacterial ones an antibiotic therapy is necessary, while for the viral ones an anti-inflammatory therapy is enough. In the acute phase it is also useful to follow a soft and cold diet, avoiding spicy or irritating foods. Also, it is necessary to quit smoking.

If, despite the prevention and adequate therapies, the symptoms persist, it is possible to evaluate together with the ENT specialist the possibility of surgical removal of the tonsils (tonsillectomy) associated or not with the removal of the adenoids (adenoidectomy) “, concludes the expert. .

How to prevent them

It is possible to prevent the development of plaque in the throat by first taking care of personal hygiene. This means washing your hands often with an antibacterial and delicate detergent, especially before starting to eat, or even if you have been in a public place or if you have come into contact with objects / surfaces that can be used by many people. For example door handles, but also banknotes and coins, electronic devices.

It is a good idea to take care of the cleaning of personal items that can be a real receptacle for bacteria such as smartphones, tablets, PCs, documents, credit cards, glasses.

To prevent plaque in the throat, it is also good to:

  • avoid close contact with people carrying infections;
  • do not use other people’s personal items;
  • do not bring your hands to your nose and mouth without first washing them well.

In general, therefore, plaques in the throat are common and can manifest themselves for different causes. When the symptoms described above appear, it is good to talk to your GP who will evaluate what to do.

Category: Health
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