What causes white spots in the throat?

Dec 27, 2024 Source: Cainiu Health
Dr. Lu Cheng
Introduction
Under normal circumstances, the throat refers to the pharynx. White spots in the throat may be related to pharyngeal mucosal keratosis, food residue or oral secretion retention, acute pharyngitis with lymphoid follicular hyperplasia, chronic tonsillitis, oral candidiasis (thrush), and other causes. It is recommended to seek timely medical attention to determine the underlying cause and receive appropriate symptomatic treatment under the guidance of a qualified physician. It is also advised to maintain humid indoor air to alleviate throat discomfort.

Generally, the term "throat" refers to the pharynx. White spots in the throat may be related to pharyngeal mucosal keratosis, food residue or oral secretion retention, acute pharyngitis with lymphoid follicle hyperplasia, chronic tonsillitis, oral thrush, and other causes. It is recommended to seek timely medical consultation to determine the underlying cause and receive appropriate treatment under the guidance of a qualified physician. Detailed explanations are as follows:

1. Pharyngeal Mucosal Keratosis

Unhealthy habits such as smoking and alcohol consumption may lead to excessive proliferation and keratinization of pharyngeal mucosal epithelial cells, forming white or yellow-white punctate projections. It is advisable to quit smoking and limit alcohol consumption to reduce adverse irritation.

2. Food Residue or Oral Secretion Retention

Food residue or oral secretions may remain in the throat area, forming white punctate material. Maintaining good oral hygiene, including regular tooth brushing and mouth rinsing, is important to prevent food residue accumulation.

3. Acute Pharyngitis with Lymphoid Follicle Hyperplasia

Acute pharyngitis is usually caused by viral or bacterial infection. Pharyngeal mucosal congestion and edema lead to lymphoid follicle hyperplasia, forming white punctate projections. Symptoms commonly include fever, cough, and hoarseness. Treatment may include medications such as ribavirin granules, amoxicillin capsules, or roxithromycin tablets, as directed by a physician.

4. Chronic Tonsillitis

Chronic tonsillitis typically develops from recurrent episodes of acute tonsillitis or inadequate treatment. The tonsils remain enlarged and congested, with possible formation of white punctate secretions on the surface. Symptoms generally include bad breath, difficulty swallowing, and low-grade fever. Treatment may involve medications such as cefradine capsules, golden lotus capsules, or PudiLan anti-inflammatory tablets, as prescribed by a doctor.

5. Oral Thrush

Oral thrush is caused by infection with Candida albicans. White punctate, patchy, or membranous lesions may appear on the oral mucosa and throat. Symptoms may also include oral pain, drooling, and loss of appetite. Treatment options include antifungal medications such as fluconazole capsules, itraconazole capsules, or nystatin tablets, as recommended by a physician.

It is recommended to maintain humid indoor air and increase fluid intake appropriately to alleviate throat discomfort. Reducing consumption of spicy and irritating foods can also aid in recovery.