Hello,
When you say you do caseum, is it caseum in the tonsils?
If so, be aware that caseum can leave on its own, either by being expelled when coughing or swallowed when eating food. Also, in order to prevent caseum from appearing, it is important to maintain good oral hygiene: brushing teeth, rinsing the mouth after meals, avoiding eating directly before going to bed, etc.
Having caseum in the tonsils is not dangerous. It does, however, cause persistent bad breath which can be unpleasant over time. So, if the caesium doesn't go away on its own and persists, there are several ways to remove it. You could try gargling with saline water, but this method is often not very effective. Alternatively, a doctor or ENT specialist may use a variety of procedures (e.g., dental jet with a hydropulper, cotton swab curettage, laser treatment). Having the tonsils removed is the ultimate option if the caseus keeps coming back.
This way, you can talk to your family doctor who can refer you to an ENT specialist. If you ever have other symptoms like fever, persistent throat pain and others, at that time, you should consult more quickly.
Hopefully this answers your question!
Jonathan Fournier, pharmacy student, under the supervision of Alexandre Chagnon, pharmacist