White spots on throat is the first sign of an inflammatory process. It can settle either immediately in the tonsils or affect the whole oropharynx (central part of the throat). Diseases that are accompanied by appearance of white spots on the mucous membrane of a sore throat, can be either acute or chronic, and be induced by viral agents, bacteria and fungi. The five basic causes of the development of such a visual phenomenon are acute pharyngitis, chronic pharyngitis, acute tonsillitis (quinsy), chronic tonsillitis and candidamycosis.
Acute pharyngitis and white discharge on the back wall of the throat
The most common case is acute infectious sore throat. It can appear as an independent disease or as one of the symptoms of such pathologies as flu, scarlet fever etc.
Isolated pharyngitis takes a relatively milder course in adults: body temperature ranges between 37-38°, while the general well-being is practically undisturbed. The only complaint the patient may have is sore throat. It can be explained by the increased sensitivity of the hyperaemic and swollen mucous membranes. Examining the throat one will notice not only reddening, but also the flow of white purulent discharge along the back of throat.
Acute pharyngitis can be treated through gargling, application of antiseptic sprays and general strengthening therapy. Nevertheless, in order to prevent advancement of the poorly treated infection into higher (e.g. paranasal sinuses) or lower segments (lungs), one should consult an otolaryngologist once experiencing signs of sore throat.
Sore throat with white spots as a sign of chronic pharyngitis
We distinguish between several types of chronic sore throat: catarrhal, atrophic and hypertrophic pharyngitis. The latter goes in line with white bumps on back of throat. They are actually follicles, filled with matter – lymphoid formations.
Etiology of chronic pharyngitis is usually multi-agent. Employees of chemical industries, as well as people, who have focuses of chronic infection in their organisms (matter in sinuses, chronic tonsillitis, etc.) are most exposed to this disease.
Hypertrophic pharyngitis is expressed in dull pain in the throat and the desire to constantly couch up the sticky mucus. The treatment of this disease should start with minimizing the harmful effect of etiological factors – underlying agent of the disease. The doctor can prescribe inhalations and local application of anti-inflammatory solutions for gargling.
Varieties of sore throat with white spots depending on the type of tonsillitis
Acute tonsillitis is classified into:
- Fusospirochetal (Vincent’s disease);
All these diseases are expressed in the form of sore throat and dysphagia (difficult swallowing). The types of tonsillitis, included in the list, appear according to their severity. Thus, catarrhal tonsillitis looks like reddening and swelling of tonsils in combination with flow-over with light matter.
Follicular tonsillitis displays a different picture – reddened tonsils, covered with white spots, i.e. purulent follicles.
Lacunar tonsillitis is characterized by thick white membranes in the folds of lymphadenoids, what makes it similar to diphtheria. However, the latter is much more dangerous and features a number of peculiarities:
- The disease takes a less acute and aggressive course;
- The most vulnerable group – children from 2 to 7 years (although people of all ages can be infected);
- Yellowish membranes, which appear to have closely adhered to the mucous lining, bleeding after intervention.
The external look of fusospirochetal and necrotic forms can be inferred from their names. These very types are the most severe ones, presenting ultimate threat to the life of the patient.
Types of tonsillitis are also classified according to their etiology:
- Non-specific tonsillitis;
- Specific tonsillitis (e.g. in case of typhoid fever, measles or mononucleosis);
- Tonsillitis, appeared at the setting of blood diseases (hypohemia, agranulocytic).
Externally such forms of tonsillitis are hardly different from the mentioned basic types, with the only difference of presence or absence of concomitant pathologies. All types of tonsillitis require massive antibiotic therapy. Treatment of tonsillitis should be carried out under strict supervision of an otolaryngologist, since this disease is fraught with complications, affecting the kidneys, heart and vessels. It can constitute a real threat to life.
White plugs on throat, as a result of chronic tonsillitis
A caseous mass is formed in case the inflammatory process persists and the matter in follicular caps starts to necrotize. This mass fills the plugs, which are typical for tonsillitis.
Chronic tonsillitis can be almost painless in the periods of remission, but it is a solid background for reoccurring acute tonsillitis. Just like chronic pharyngitis, it has multifactional (complex) etiology. Its treatment involves both conservative and surgical aspects.
Mycosis, which can cause white spots and sore throat
Several types of fungi can appear as the agents of sore throat. But it is only the Candida yeast, which normally makes part of the normal micro flora that can provoke sore throat and white spots on its mucous membranes in case favorable conditions (immune deficiency) are created.
The treatment of candidamycosis includes reconsidering of unsupervised intake of antibiotics, stimulation of the immune system, as well as local and general antimycotic medication. Pharyngomycosis, as well as other inflammatory diseases of the throat constitute a weighty reason for consulting a doctor and having a number of additional analysis. This can not only help in treating the already existent disease, but also prevent its future complications.