Why do my tonsils get painful white patches when I am feeling overly exhausted?

Why do my tonsils get painful white patches when I am feeling overly exhausted?

1. Introduction Painful white patches develop on the tonsils during periods of extreme exhaustion because physical fatigue and prolonged stress elevate systemic cortisol levels, severely suppressing the local immune response in the oral cavity. This temporary state of immunosuppression allows opportunistic bacteria, viruses, or accumulating cellular debris to rapidly multiply within the deep crevices of … Read more