What does it mean when the tonsils turn yellow, and what should be done?

Under normal circumstances, yellowing of the tonsils may be caused by factors such as food debris accumulation, retained secretions, acute suppurative tonsillitis, tonsil stones, or acute exacerbation of chronic tonsillitis. Patients can choose appropriate management methods—such as general care, medication, or surgical treatment—based on their specific condition. Detailed analysis is as follows:

1. Food Debris Accumulation

After eating, food particles may remain in the tonsillar crypts. If not cleaned regularly, they can oxidize over time and cause yellow discoloration. Rinse the mouth with warm saline after meals, brush teeth thoroughly in the morning and evening, and use an oral irrigator to clean gaps in the mouth to reduce food residue.

2. Secretion Retention

Increased mucus secretion from the pharyngeal mucosa may adhere to the surface of the tonsils. As water evaporates, the mucus becomes thick and yellowish. Drink plenty of warm water to keep the throat moist, avoid spicy and irritating foods, and maintain a regular lifestyle to enhance mucosal metabolism.

3. Acute Suppurative Tonsillitis

Bacterial infection leads to inflammation and the formation of yellow-white pus spots within the tonsillar crypts. Follow medical advice to take medications such as amoxicillin capsules, cefradine dispersible tablets, or Pudilan Xiaoyan oral liquid. Rest in bed and consume mainly liquid diets.

4. Tonsil Stones

Long-term accumulation and calcification of food debris and bacteria form hard yellow stones. These can be removed under medical supervision using a curette or through a tonsil stone irrigation procedure. Maintain post-meal mouth rinsing in daily life to reduce contributing factors for stone formation.

5. Acute Exacerbation of Chronic Tonsillitis

An existing chronic inflammation worsens due to irritation, causing tonsil congestion, swelling, and yellow exudates. Take medications as directed by a physician, such as cefixime granules, roxithromycin capsules, or Yinhuang lozenges. For recurrent cases, tonsillectomy may be considered.

Maintaining tonsil health starts with daily habits. Oral hygiene is key—consistently practice good hygiene; eat a light, balanced diet and avoid tobacco and alcohol. Seek timely medical attention if persistent yellow discoloration or pain occurs, to identify the underlying cause early and promote prompt recovery.