Listen to what the doctor says about Holes in Tonsils

Functioning of Tonsils

Tonsils are glands that are present at the back of the throat. These glands secrete lymphocytes, cells that are important to fight off and prevent inflammations and infections. 

Glands prevent infections in another way. They trap bacteria and viruses that enter the throat through the mouth. This doesn’t allow the microorganisms to reach other body parts. 

Are Holes in Tonsils Normal?

Anatomy of the Tonsils 

What we see as holes in the tonsils are actually pockets or folds. These pockets or folds that occur in the tonsils form where two edges of folds meet. These holes or pockets are known as tonsillar crypts

These are a natural part of the anatomy that plays an important role in fighting off infections. The holes, present at the back of the throat, trap bacteria that can cause serious infections. 

The main function of these holes is to inform the immune system about what you are ingesting through the mouth.

Tonsillectomy / Tonsil disease are at a very high risk of developing infections. Sometimes, debris such as food particles or scar tissue can block the holes which can lead to infections. 

Conditions that can occur in the Holes in Tonsils


This is a very common condition in school-age children in which the tonsils swell. You are more likely to get tonsillitis if you are already suffering from a  viral or bacterial infection

Throat infection from pollution or smoking

Symptoms of Tonsillitis are –


Strep throat

runny nose due to tonsillitis

This is a type of tonsillitis. This develops due to group A bacteria Streptococcus. This is a communicable disease which means the germs can transmit through coughs and sneezes. Apart from this, it can also develop when you come in contact with the open sores of an infected person’s skin. Symptoms of strep throat are-

  • Pain and itchiness inside the throat
  • Difficulty while swallowing
  • Tonsils that are swollen and red with pus (Also Read: Peritonsillar abscess)
  • Swelling of the lymph nodes in the neck
  • Red spots inside the mouth
  • Fever 
  • Nausea
  • Pain in the stomach and head
  • Rash 

Also Read: Causes and Treatment for Sore Throat at Night


causes of peritonsillar abscess

Mononucleosis or ‘Mono’ develops due to the transmission of the Epstein-Barr virus (EBV) from one person to another. Also known as the kissing disease, this is another reason the tonsil holes can become blocked. This is very common amongst the young population, especially college students. Symptoms of mononucleosis-

  • Soreness in throat
  • Swelling of the tonsils with pus
  • Fatigue
  • Fever
  • Rashes
  • Headache
  • Body ache
  • Swelling of lymph nodes in the neck, armpits or both
  • In rare cases, swelling of liver or spleen 

Poor oral hygiene

If you don’t maintain healthy oral hygiene, bacteria can buildup on the tonsil holes which can lead to infections. Symptoms to look out for are-

  • Bad breath
  • Cavities occur regularly
  • Plaque on teeth
  • Coating over the tongue 


Commonly known as tonsil stones, these develop when food particles, dead cells, or bacteria get trapped in the tonsil holes and get calcified. People who develop recurrent tonsillitis are prone to developing tonsilloliths. These stones can grow which makes the holes larger and worsening the infection. Symptoms of tonsil stones are-


Quit smoking - Pristyn Care

When you smoke, the immune system takes a backseat. This leads to inflammation which makes you susceptible to bacterial and fungal infections. Due to smoking, the tonsil holes can become large which can cause various complications.

Oral and tonsil cancer

Oral cancer and tonsil cancer- both these types of cancer can spread which makes the back of the mouth that doesn’t heal. Symptoms of oral and tonsil cancers are-

  • Enlargement of one tonsil than the other
  • Blood in the saliva
  • Persistent soreness in the throat
  • Pain inside the mouth
  • Severe earache
  • Lump inside the neck
  • Pain while swallowing
  • Bad breath

Treatment for Holes in the Tonsils

The infection of holes in the tonsils is easily preventable. Below mentioned are a few tips that can be done-

  • Gargle with salt water to ease out the inflammation and reduce the discomfort.
  • Maintain good oral hygiene to prevent infection and additional holes from forming. 
  • Quit smoking or taking any tobacco products as soon as possible.
  • Rinse your mouth with mouthwash to reduce any infections 

Treatment Depending on the cause of holes in the tonsils-


Even after taking enough home remedies, if the problems in the tonsil holes persist then the person should visit the doctor. The doctor can also test for a strep infection and accordingly prescribe medicines.

Strep throat

If the holes in the tonsils are getting affected due to strep throat, visit a doctor. They would recommend antibiotics to fight off the infection. This also ensures that the disease doesn’t spread to others.


Depending on the severity of the condition, the person’s organs can inflame and cause other symptoms. Here are some tips to curb mononucleosis symptoms-

  • Drink lots of water and other clear fluids
  • Rest as much as possible
  • Take OTC medicines

If your tonsil holes are infected regularly or tonsil stones get formed more often, it is better to remove the tonsils surgically. This is a day-care procedure of tonsillectomy in which the doctors take out the tonsils. There won’t be any chances of infection neither in the glands nor the holes if these are completely taken out. 


Holes in the tonsils are a part of the anatomy of the tonsils. To avoid the risk of infection, follow simple tips such as maintaining good oral hygiene, stop smoking, and wash hands to avoid viruses and bacteria from going inside the system. 

It is time to visit the E.N.T doctor as soon as you notice any blisters, pus, or white spots on the tonsils. Still, have some queries? Drop your question in the comment section below!

Pristyn Care Provides Best Tonsillectomy Surgery in:


What do normal tonsils look like?

Tonsils are pink masses of tissues that are oval-shaped. These are found at the back of the throat.

Can the holes in the tonsils heal on its own?

The holes in the tonsils are part of the anatomy of a human body. Hence, it cannot be treated unless there is any other condition affecting these tonsil holes.

What are Cryptic Tonsils?

Tonsillar crypts is another name for holes in the tonsils that make up the human anatomy.