The white stuff on top of the tonsils is related to tonsil stones, purulent tonsillitis, tonsillar keratosis, tonsillar fungal disease and other causes. 1. Tonsil stones: daily life, do not pay attention to hygiene, repeated episodes of tonsillitis may cause gland mouth obstruction, secretion drainage is not smooth, easy to cause calcium, magnesium and other inorganic salts deposits to form stones, can appear in the tonsil white cheese-like secretion manifestations, can be accompanied by pharyngeal pain, pharyngeal sensation of foreign body and other symptoms. 2. Partial acute tonsillitis: when suffering from acute follicular and cryptogenic tonsillitis, white secretion can appear in the tonsils due to the continuous appearance of pus. It is often accompanied by fever, sore throat and other symptoms. 3. Tonsillar keratosis: due to local infection, malnutrition, lack of oral hygiene or certain stimuli can cause lymphocyte reactive hyperplasia, epithelial surface keratinization and other changes, and then can be found on the surface of the tonsil gland white secretion. 4. Tonsillar fungal disease: common in candida and other fungal infections, after the occurrence of this disease, the surface of the tonsils can be seen white or gray-white pseudomembrane, crypts in the gray or white growth of superfluous organisms, such as warts, protruding from the surface of the tonsils, not easy to tear off. A white discharge will be found in the tonsils. White stuff on the surface of the tonsils can be caused by other factors, and you need to go to the hospital in time to check the specific cause, so as not to delay the condition.