Saturday, November 15, 2025

White balls in the throat: what causes caseum and how to remove it?

 

Caseum, this strange term which evokes cheese, hides a much less appetizing reality: clusters of dead cells and debris which lodge in the tonsils. But what causes this unpleasant buildup and how can it be effectively gotten rid of?

The tonsils and the caseum (1/11)

The caseum on the tonsils, often responsible for bad breath, forms in the tonsillar crypts due to the accumulation of dead cells, food debris and bacteria.

Differentiate the caseum from serious conditions (2/11)

Although generally benign, caseum should not be confused with more serious conditions requiring medical attention, such as white angina.

Causes of caseum (3/11)

Causes of caseum include poor oral hygiene and smoking, which promote the accumulation of debris in the tonsils.




Caseum complications (4/11)

The caseum can calcify into tonsil stones, causing discomfort and pain, and sometimes requiring medical treatment.

Elimination and consultation for the caseum (5/11)

Caseum can often be removed naturally, but an ENT consultation is recommended if the problem persists, for manual cleaning.

Advanced caseum treatments (6/11)

Treatments such as cryotherapy, laser, or tonsillectomy may be considered if the caseum persists despite cleaning.

Caseum prevention (7/11)

Good oral hygiene, hydration and the use of alcohol-free mouthwashes are essential to prevent caseum.






Consultation in case of caseum symptoms (8/11)

Consulting an otolaryngologist is recommended when caseum symptoms appear for appropriate diagnosis and treatment.

Relief of caseum symptoms (9/11)

Gargling with warm, salty water can relieve inflammation and eliminate caseum-causing bacteria.

Manual removal of the caseum (10/11)

Manual removal of the caseum with a cotton swab is possible but risky, it is better to leave this task to a professional.

Tonsillectomy in case of stubborn caseum (11/11)

As a last resort, a tonsillectomy may be necessary if the caseum becomes too invasive and resists treatment.

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