<s>[INST] I have had tonsil stones for years but in the last couple years i could see something black and hard stuck in there. so yesterday it finally came out and was very hard and black like rock and pointed. then today another piece came out. What is it ? I saved them to show the doctor.I am 57 ,  170lbs , take blood pressure and colesterol med, but it is under control. [/INST] Thanks for using Health Care Magic.Read your query.The tonsil stones can get extruded  a few times which have had happened in your case.Do warm saline gargling  which will ease the discomfort caused due to tonsil stones.Please have it checked with your ENT surgeon if you may require a dose of antibiotics ,and to check whether the stones are still present.Hope this was of relevance to youThanks and regards. </s>