What is this white pus on top of the tonsils?

White pus spots on top of the tonsils can be considered in the presence of acute or chronic suppurative tonsillitis, tonsillar keratosis (mistaken for pus spots) and other diseases.
1. Acute tonsillitis: in cold, tired, humid and other cases of human resistance is lowered, tonsil crypts and pharynx and other locations of the presence of pathogens can reproduce, when the destruction of crypt epithelium and invasion of the parenchyma, can lead to inflammation, examination of the palatine tonsils can be seen to be enlarged, the surface of the yellowish-white pus spots, crypts can be grayish-white or yellowish-white dotted beanstalk-like exudate.
2. Chronic tonsillitis: its occurrence can be caused by repeated episodes of acute tonsillitis, poor drainage of the crypt, gradually evolved into chronic inflammation, crypt mouth can be seen white or yellow cheese-like pitting overflow.
3. tonsillar keratosis: is caused by excessive keratinization of the epithelium of the tonsillar crypt mouth, can be seen white pointed gravel-like material, harder, not easy to wipe off, although not pus spots, but there may be mistaken for pus spots.
The tonsils appear pus spots or accompanied by discomfort, it is recommended to consult a doctor in a timely manner, after a clear diagnosis, in accordance with the doctor’s instructions for treatment.