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Here are a few common causes of tonsil stone: Poor dental hygiene Chronic sinus problem Inflamed or large tonsils Allergies Signs & Symptoms The tonsil stone symptoms for tonsil stone include: Bad breath Sore throat Hoarseness Cough White debris Swallowing difficulty Ear pain Pus or white discharge from the tonsils Swelling in tonsils Sleep disorders breathing Diagnosis Small tonsil stone is not noticeable