Four-year-old child tonsils have white spots may be due to food debris attached to the tonsils caused by the normal phenomenon, may also be caused by tonsil stones, there may be acute purulent tonsillitis caused by the need for targeted treatment according to the cause. 1. Physiological factors: chewed rice and other white food debris if attached to the tonsils, can lead to the phenomenon of four-year-old children with white spots on the tonsils, which is a normal phenomenon, you can let the child rinse his mouth in time after eating to clean the mouth, to alleviate this symptom. 2. Tonsil stones: tonsil stones are due to repeated episodes of tonsillitis, resulting in the shedding of oral epithelium and bacterial debris in the tonsil crypts of the formation of the disease, the disease can lead to the four-year-old child tonsils have white spots of the symptoms of the condition can be guided by the use of tweezers in the doctor to take out the stones, and if the stones are large, but also can be tonsillectomy to treat. 3. acute suppurative tonsillitis: acute suppurative tonsillitis is a bacterial infection caused by tonsil suppurative inflammatory disease, four-year-old children with the disease, can also appear tonsils have white spots of symptoms, the treatment can use the compound chlorhexidine gargle gargle, can also use penicillin and other drugs to treat. After excluding physiological factors, if the symptoms of four-year-old children with white spots on the tonsils continue to be unrelieved, it is recommended to consult a doctor in time to identify the cause and dispose of it. The above medications should be used under medical supervision.