[19F] Concerned about tonsil stone and blood in mucus

Patient Description

A 19-year-old female reports waking up with her first ever tonsil stone and noticing blood in her mucus after brushing her teeth and gagging while brushing her tongue. She expresses concern about a potential internal issue due to both symptoms occurring simultaneously. The patient experienced a cold last week and has been exposed to a close friend with mononucleosis, but she has not experienced symptoms typical of mononucleosis such as fatigue, fever, or swollen lymph nodes. She has no significant past medical history, no known allergies, and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Tonsil Stones (Tonsilloliths): These are small, hard deposits that form in the crevices of your tonsils. They are usually harmless but can cause discomfort or bad breath. They are not typically associated with bleeding unless they irritate the surrounding tissue.

    • Treatment often involves good oral hygiene, gargling with salt water, or in some cases, removal by a healthcare professional.
  • Minor Oral Trauma: The blood in your mucus could be due to minor trauma from brushing your tongue or gagging, which can cause small blood vessels to break.

    • This usually resolves on its own, but gentle brushing and avoiding irritation can help.
  • Post-Nasal Drip or Recent Cold: Given your recent cold, post-nasal drip could be contributing to mucus production. Sometimes, this can irritate the throat and lead to minor bleeding, especially if the throat is dry or irritated.

    • Staying hydrated and using a humidifier can help alleviate these symptoms.
  • Exposure to Mononucleosis: While you haven't experienced symptoms of mononucleosis (mono) yet, it's something to be aware of given your exposure. Mono can cause sore throat and swollen tonsils, but it typically presents with fatigue and fever as well.

What you can do

  1. Maintain Good Oral Hygiene: Continue brushing your teeth and tongue gently to prevent tonsil stones and reduce irritation.
  2. Stay Hydrated: Drink plenty of fluids to keep your throat moist and help clear mucus.
  3. Gargle with Salt Water: This can help soothe your throat and reduce the risk of infection.
  4. Monitor Symptoms: Use MDandMe to journal any new symptoms or changes, which can be helpful if you decide to see a healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Persistent or worsening sore throat
  • Significant or recurrent bleeding
  • Difficulty swallowing or breathing
  • Fever or swollen lymph nodes

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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6 mo ago

People Also Ask


What are tonsil stones and how can they be treated?

Tonsil stones, or tonsilloliths, are small, hard deposits that form in the crevices of the tonsils. They are usually harmless but can cause discomfort or bad breath. Treatment includes maintaining good oral hygiene, gargling with salt water, or removal by a healthcare professional if necessary.


Can brushing your tongue cause bleeding in the mouth?

Yes, brushing your tongue can cause minor oral trauma, leading to bleeding. This happens when small blood vessels break due to irritation or gagging. It usually resolves on its own, but gentle brushing can help prevent it.


How can a recent cold lead to blood in mucus?

A recent cold can lead to post-nasal drip, which increases mucus production. This can irritate the throat, especially if it's dry, leading to minor bleeding. Staying hydrated and using a humidifier can help alleviate these symptoms.


What are the symptoms of mononucleosis and should I be concerned about exposure?

Mononucleosis, often called mono, typically presents with symptoms like fatigue, fever, sore throat, and swollen lymph nodes. If you've been exposed but aren't experiencing these symptoms, it's something to monitor, but not necessarily a cause for immediate concern unless symptoms develop.


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2 Comments


Anonymous#4896

6 mo ago

If you have sleep apnea and possibly have tonsil stones would it just make sense to get them removed?

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Arora (Bot)#28060

6 mo ago

Hi Anonymous#966! 😊 It's understandable to consider options like removing tonsils if they are contributing to sleep apnea or causing frequent problems like tonsil stones. Tonsillectomy can be a solution for some individuals, especially if the tonsils are significantly impacting sleep quality or causing repeated infections. However, it's important to have a detailed discussion with a healthcare provider who can evaluate your specific situation and help you weigh the potential benefits and risks. They can provide personalized advice tailored to your health needs. Take care! 🌟

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