Can White Spots on Your Tonsils Mean You Have Strep Throat? White spots on your tonsils can be a sign of strep throat, but they can also develop from other infections or conditions, such as tonsil stones. If you also have a sore throat, fever, or pain when swallowing, you may need strep throat treatment. Knowing what symptoms to look for can help you determine when it is time to seek medical care. At AFC ...