I have a visible stone in the back of my throat with a thin, smelly wall that's causing pain. What could this be?
Possible causes of symptoms in 3 mins

Q. What is the reason for the painful stone in my throat that smells bad and has a thin wall over it?

Answered by  
Dr. Murari. M.
and medically reviewed by   iCliniq medical review  team.


Professional Bio:

Dr. Murari M, a skilled Otorhinolaryngologist, holds an MS from the West Bengal University of Health Sciences (2018). With 15 years of expertise, he serves at Royal United Hospital Bath (NHS), UK, ... 

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This is a premium question & answer published on Nov 08, 2023
Patient's Query

Hello doctor,

I have been having the problem of getting something stuck in my throat for a long time and a bad smell was also coming from time to time sores, etc. For the last 6 months pain and the stone is also visible on one side but the stone is not visible on the other side it hurts more there and for a few days I have tried to press with a finger but there is a thin skin wall next to the tonsil and it is like a tumor and the pain is also there so is it any serious problem?

Kindly help.

Answered by  Dr. Murari. M.


Welcome toicliniq.com.

I read your query and can understand your concern.

I am sorry to hear about your troubles. Thank you for the excellent image provided (attachments removed to protect the patient's identity); this reassuringly does not show anything grossly troublesome or suggestive of cancer. The main finding is that of an asymmetric tonsil with a more prominent tonsil on the left side, which otherwise appears normal. This can be persistent tonsilar tissue and can be found normally in up to 10 to 15 % of adults; however, a small percentage of this can also be due to a tonsilar malignancy or cancer, which can be ruled out only with further detailed evaluation and investigations. The rest of the symptoms can be secondary to laryngopharyngeal or silent reflux due to acid reflux into the throat.

  1. Do you have any other red-flag throat symptoms like difficulty swallowing, a change in voice, neck lumps, or nodes?

  2. Any reflux symptoms (heartburn, dyspepsia, sour reflux or fluid, dry cough)?

  3. Any history of cancer or radiation in the past?

  4. Smoking and alcohol history?

  5. Are there any other diseases or treatments for which you are undergoing treatment?

Revert with the answer to assist further.

Thank you and take care.

The Probable causes:

Asymmetric tonsils- inv ( To rule out cancer)

? Laryngopharyngeal reflux

Differential diagnosis:

Asymmetric tonsils- inv ( To rule out cancer)

? Laryngopharyngeal reflux

Probable diagnosis:

Asymmetric tonsils- inv ( To rule out cancer)

? Laryngopharyngeal reflux

Treatment plan:

Follow up with further details for a comprehensive management plan.

Preventive measures:

Warm water gargles ( no salt)

Dietary and lifestyle modifications to reduce reflux.

Observe the tonsils and if persisting for more than a week or two plan for further detailed assessment and management.

Regarding follow up:

Follow up in 2 weeks.

Observe the tonsils and if persisting for more than a week or two plan for further detailed assessment and management.

Review with more elaborate history for accurate diagnosis and management.

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