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Introduction Harmful usage of tobacco ( Nicotiana spp.) is considered a public health problem of global concern, with 1.1 billion smokers worldwide (World Health Organization, 2017)

Poor oral hygiene and unusually large tonsils increase the risk of tonsil stones, but its important to note that plenty of people have tonsil stones with healthy oral hygiene

This population-based study demonstrates supportive evidence for positive association of tobacco smoke exposure with rhinitis, while the effect is mainly confined to non-allergic rhinitis and more pronounced in adolescents than in young children, highlighting the need for raising public health awareness about the detrimental effects of tobacco smoke exposure on childrens respiratory health

Also, be aware that exposure to second-hand smoke can contribute to worsening symptoms