There are white grains of rice on the tonsils that can be picked out. The so-called white grains of rice on the tonsils are also known as grayish-white secretions on the surface of the tonsils in the ENT clinic. It is usually seen in the following cases: First, it is the secretion from the crypt mouth on the tonsils, which is mostly a mixture of residual food residue and shed necrotic epithelial tissue. This condition can be picked out or cleaned up. Second, it is a tiny retention cyst on the surface of the tonsils, which is caused by glandular blockage and cannot be cleared unless it is surgically removed. Third, it is tonsillar keratosis, if forced to clean up, it is easy to ooze blood and needs to remove the tonsils at the same time. Fourth, it is acute purulent tonsillitis, which causes inflammatory secretions and requires the use of broad-spectrum sensitive antibiotics to control the infection.