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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Tonsils With White And Black Spots?

Because I was a Nurse my son has called concerned about a friends tonsils. Swollen with white and central black spots. I of course suggested she see a ear nose and throat specialist tomorrow. I ve never seen such prominent black spots before,should this be an additional concern?
Wed, 16 Sep 2015
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Dentist 's  Response
Hi Dear,

Welcome to HCM.

Understanding your concern.

As per your query your son's friend has white and black spots on his tonsils along with tonsillitis . Well the symptoms you mention in query are pointing towards a condition like upper respiratory track . It can be bacterial or viral . The white spot on tonsils represent two things it can be pus formation or tonsil stone . Black spot on tonsil represent blood clot on tonsils it sometimes also shows healing process going on . It seems to me that such symptoms occur when infection is left untreated for long time . I would suggest you to consult ENT specialist for proper examination . Doctor may order certain test to confirm that weather it is viral or bacterial . Doctor may prescribe antibacterial or antiviral like acyclovir depending upon the diagnosis . In some severe cases doctor may recommend tonsillectomy . For now doe betadine gargles twice a day .


Hope your concern has been resolved.

Get Well Soon.

Best Wishes,
Dr. Harry Maheshwari
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What Causes Swollen Tonsils With White And Black Spots?

Hi Dear, Welcome to HCM. Understanding your concern. As per your query your son s friend has white and black spots on his tonsils along with tonsillitis . Well the symptoms you mention in query are pointing towards a condition like upper respiratory track . It can be bacterial or viral . The white spot on tonsils represent two things it can be pus formation or tonsil stone . Black spot on tonsil represent blood clot on tonsils it sometimes also shows healing process going on . It seems to me that such symptoms occur when infection is left untreated for long time . I would suggest you to consult ENT specialist for proper examination . Doctor may order certain test to confirm that weather it is viral or bacterial . Doctor may prescribe antibacterial or antiviral like acyclovir depending upon the diagnosis . In some severe cases doctor may recommend tonsillectomy . For now doe betadine gargles twice a day . Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari