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Child's Healthcare Topics..

You are here : home > Child's Healthcare > Childhood illnesses and medical conditions > Mom's Guide to Adenoids

Mom's Guide to Adenoids

Adenoids are lumpy clusters of spongy tissue on the side of the throat behind the nose and the roof of the mouth. Read on.

Unlike tonsils which can easily be seen if you open your mouth wide, adenoids need a small mirror and a special scope.

Adenoids act as a barrier to infection. They trap bacteria and virus, and produce antibodies against possible infections. Adenoids get less important as the child grows older and the body builds other mechanisms to fight germs. Adenoids shrink and usually become insignificant by the late teens or early twenties.

When Adenoids Swell

If you notice your child often has green or yellow mucus, there may be an underlying problem (enlarged adenoids, for instance) that's causing recurring bacterial infections.

Sometimes adenoids get puffier and swell with all the bacteria. The swelling sometimes goes away by itself and sometimes it needs medical intervention. Swollen or infected adenoids can make it difficult for a child to breathe.

Enlarged Adenoids

When adenoids are enlarged, it may be hard to breathe through the nose. Other signs of constant enlargement are:

  • Breathing through the mouth instead of the nose most of the time
  • Nose sounds "blocked" when the person speaks
  • Noisy breathing during the day
  • Recurrent ear infections
  • Snoring at night
  • Breathing stops for a few seconds at night during snoring or loud breathing (sleep apnea)
Enlarged adenoid alone, or combined with tonsillar enlargement, can cause nasal obstruction, recurrent ear infections, or sinusitis. When these conditions cannot be helped through medication, doctors recommend surgery.

Tonsillectomy and adenoidectomy are indicated only when the child has repeated or persistent infections, particularly if they interfere with everyday activities. In general, repeated infections in children are defined as 6-7 episodes in one year, or 4-5 episodes in each of two years, or 3 episodes in each of three years. A significant episode of tonsillitis is defined by one or more of the following criteria: (1) a temperature greater than 101 F; (2) enlarged or tender neck lymph nodes; (3) pus material coating the tonsils; or (4) a positive strep test.


Carried out through the mouth under a general anaesthetic, adenoidectomy involves the adenoids being curetted, cauterised, lasered, or otherwise ablated.

The actual procedure is a day's work. Many patients are released after eight to 10 hours. Others are kept overnight.

Preparing for surgery

Talk to your child about her feelings. Reinforce the fact that this is being done to make her healthier. Tell her to expect a sore throat after surgery. Reassure your child that the operation will not remove anything important and her friends will not be able to notice anything different afterwards. If your child has a friend who has had this surgery, may be it would help to have the friend describe what happens (be present however, in case the friend's imagination gets too vivid).

After the Adenoidectomy

Your child may be sent home with a week's course of antibiotics to be taken by mouth. Usually moderate pain is felt at the back of the nose and throat, for which painkillers are given by the doctor. Normally, the pain disappears after a week.

Let the child take it easy for a week and bunk school to avoid possible infections at school. No swimming for at least 10 days after the operation.

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Rangadhar.2 weeks ago
Homeopathy has a cure for adenoid. You can avoid surgery. For details read the article - *****.com
Ramya.4 years ago
my son is having enlarged adenoids .he is 3.5yrs now.. ias per the Drs advice i am using the nasal spray for a mont now.. but he is frequently getting cold... the snoaring stopped now.he is not having his food becaus eof this.. could anybody sugesst any remedy for this??
ramya.4 years ago
My son is suffering with enlarged adenoids.. he is having cold frequently i ma using the nasalspray as per Dr advice for almost a month now... but the cold is disturbing him... his snoring is reduced.. if cold is there there will be a bit of snoaring.... Need advice from any ENT Drs..

Asia.5 years ago
My son is 4.9 yrs. old he has the problem of enlarged adenoids doc suggested go for surgery. Please suggest me any alternative for surgery.
farzana.6 years ago
my son is 5yrs old, he is suffering from enlarged adenoids, doc suggest for surgery is there any alternative for surgery, plz suggest wht to do?
.8 years ago
Hi, I am Dr Sonia S V. I am an ENT Surgeon[Specialist in diseases of the Ear ,Nose ,Throat and Head and Neck Surgery] practicing in Bangalore ,India.

Adenoids is a common condition in children and it is good to be aware of the health implications of adenoid problems.
Visit my website for details on the adenoids problme, treatment options
Dr Sonia Suprabha Venugopal
Consultant ENT & Head & Neck Surgery
ENT Specialist Bangalore
sona.8 years ago
is there any alternative for surgery, any kind of medication which can help to reduce it ?
mamata.8 years ago
my daughter is 8 years old and snoring loudly. when i go to ent specialist he suggest for x ray. the report shows the enlargement of adenoids. so the doctor suggest surgery.
pl. suggest me what to do?
naresh.8 years ago
my daughter is suffering from the same there any alternative for surgery, any kind of medication which can help to reduce it ? pl. infom me at 656 sestor 15 hisar
Sakshi.8 years ago
i had been looking for this artical from long time,only today i found is really nice to see the detail&to know 'bout treatment plan.
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