Inflammation of tonsils with many white spots may be caused by acute suppurative tonsillitis, chronic tonsillitis. 1. Acute suppurative tonsillitis: beta-hemolytic streptococcus is the main causative organism, and a few cases can be caused by staphylococcus, pneumococcus and haemophilus influenzae. Patients will have severe pain in the throat, high fever, headache, loss of appetite, fatigue and other symptoms, and see yellowish-white pus spots on the surface of tonsils or yellowish-white or grayish-white dotted pea-like exudate at the mouth of crypts. 2. Chronic tonsillitis: the disease is mainly associated with pathogenic microbial infections, decreased immunity, resulting in inflammation of the tonsils and the appearance of many white spots, the patient is mainly manifested as pharyngeal pain, red and swollen tonsils and other symptoms. Examination of the tonsil crypts often have debris or purulent material, squeeze the palato-lingual arch, crypts can be seen in the mouth of the yellow-white cheese-like dots oozing. It is recommended that patients go to the hospital in time, under the diagnosis of the doctor, according to the patient’s specific condition, targeted treatment.