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Other symptoms that may accompany white spots in the throat include: Strep Throat Pain on swallowing Fever Headache Swollen or sore lymph nodes on the front of the neck Red and swollen tonsils Red spots on the roof of your mouth Rash (scarlet fever) Tiny, red spots on the roof of the mouth Tonsillitis Red tonsils Sore throat Sore or swollen lymph nodes on the side of your neck Hoarseness, changes in your voice, or laryngitis Fever Difficulty swallowing Stiff neck Cough Headache Feeling unwell (malaise) Earache Tiredness Bad breath Oral thrush Red spots and bleeding under the white patches Feels like cotton is in the mouth Unpleasant taste in mouth Pain or burning sensation on the tongue Difficulty eating, swallowing, speaking, or tasting foods and drinks Cracks at the corners of the mouth Not wanting to feed (in babies) Mononucleosis Extreme tiredness/fatigue Fever Sore throat Swollen and sore lymph nodes in the neck and armpits Head and muscle aches Swollen liver or spleen or both Rash Tonsil stones Bad breath Sore throat Difficulty swallowing Ear pain Swollen tonsils Cough Enlarged tonsils without signs of infection Tonsils may enlarge due to immune response in the body Round masses in the back of the throat Trouble swallowing Oral herpes Severe, flu-like symptoms, including swollen lymph nodes and headache Sores on and around the lips and mouth Leukoplakia Spots can be anywhere in the mouth Lichen Planus Burning or pain Bleeding and irritation with tooth brushing Sensitivity to hot, spicy, or acidic foods Gum inflammation (gingivitis) Painful, thick patches on the tongue Discomfort speaking, chewing, or swallowing What Is the Treatment for White Spots in Your Throat