Thank you for your query.
1. Tonsilloliths are concretions of food particles and pus lodged in the natural crypts of the palatine tonsils. The white discharge is sometimes referred to as 'cheesy' or even 'toothpaste' like in consistency. The largest crypt is known as the crypta magna and is located near the upper pole of the palatine tonsil.
2. When we swallow, our palatine tonsils rub against the food bolus and pick up food particles. This food debris decays there while it is analysed for antigens, foreign bodies and organisms by the lymphoid tissue which forms the bulk of the tonsils. Below the age of five years, this is especially important in the deveopment of immunity.
3. Rarer still will be the possibilty of a recurrent small abscess
in the peritonsillar space. However this would be unusual without local inflammation and lymph node tenderness in the neck. The mucus may be due to a Post Nasal Drip
4. Minor, occasional Tonsilloliths may be left alone. For recurrent large tonsilloliths or peritonsillar abscesses, the only definitive treatment is tonsillectomy
. Use a medicated gargle, especially after the removal, to prevent re-accumulation. Get your doctor's examination done and ask for removal if you cannot remove it yourself.