Enlarged adenoids

Answer 1

Definition

Enlarged adenoids refers to swollen lymphatic tissue that is found in the airway between your nose and the back of your throat. The tissue is similar to the tonsils.

Alternative Names

Adenoids - enlarged

Causes, incidence, and risk factors

Enlargement of the adenoids may occur naturally (beginning when the baby grows in the womb), or it may be caused by long-term inflammation. The adenoids normally shrink as children reach adolescence.

Symptoms

• Bad breath
• Cracked lips
• Dry mouth
• Mouth breathing (mostly at night)
• Mouth open during day (more severe obstruction)
• Persistent runny nose or nasal congestion
• Restlessness while sleeping
• Snoring

Signs and tests

The adenoids cannot be seen by looking in the mouth directly, but can be seen with a special mirror or using a flexible endoscope through the nose.

Tests may include:

• X-ray (side view of the throat)
• Sleep apnea studies (severe cases only)

Treatment

Antibiotics may be used to treat tonsil, adenoid, and sinus infections when they occur.

Surgery to remove the adenoids (adenoidectomy) may relieve symptoms or prevent complications in those with frequent ear or sinus infections or fluid behind the ears. It may also be done when ear tubes have not successfully reduced infections.

Expectations (prognosis)

Full recovery is expected.

Complications

• Frequent ear infections
• Intermittent sleep apnea

Calling your health care provider

Call your health care provider if your child has difficulty breathing through the nose or other symptoms of enlarged adenoids.

Prevention

Treating throat infections early may prevent the adenoids from becoming enlarged from long-term infection and inflammation. Removing the adenoids prevents long-term airway blockage.

References

Wetmore RF. Tonsils and adenoids. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics.18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 380.

Answer 2

Definition

Enlarged adenoids is swelling of the lymph tissue found in the airway between your nose and the back of your throat. The tissue is similar to the tonsils.

Alternative Names

Adenoids - enlarged

Causes, incidence, and risk factors

Enlarged adenoids may be a natural occurrence, beginning when the baby grows in the womb.

Long-term inflammation can also lead to englarged adenoids.

The adenoids normally shrink as a child grows older.

Symptoms

• Bad breath
• Cracked lips
• Dry mouth
• Mouth breathing (mostly at night)
• Mouth open during day (more severe obstruction)
• Persistent runny nose or nasal congestion
• Restlessness while sleeping
• Snoring

Signs and tests

The adenoids cannot be seen by looking in the mouth directly, but can be seen with a special mirror or using a flexible endoscope through the nose.

Tests may include:

• X-ray (side view of the throat)
• Sleep apnea studies (severe cases only)

Treatment

Antibiotics may be used to treat tonsil, adenoid, and sinus infections when they occur.

Surgery to remove the adenoids (adenoidectomy) may relieve symptoms or prevent complications in those with frequent ear or sinus infections or fluid behind the ears. It may also be done when ear tubes have not successfully reduced infections.

Expectations (prognosis)

Full recovery is expected.

Complications

• Frequent ear infections
• Intermittent sleep apnea

Calling your health care provider

Call your health care provider if your child has difficulty breathing through the nose or other symptoms of enlarged adenoids.

Prevention

Treating throat infections early may prevent the adenoids from becoming enlarged from long-term infection and inflammation. Removing the adenoids prevents long-term airway blockage.

References

Wetmore RF. Tonsils and adenoids. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics.18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 380.

Reviewed By

Review Date: 11/12/2010

Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Answer 3

Maybe your child snores a lot. Maybe your child gets a lot of ear infections or has a lot of sore throats. There's a good chance your child has a problem with his adenoids. Let's talk about enlarged adenoids.

The adenoids are glands located between the airway your child breathes into through their nose and the back of your child's throat. Like your child's tonsils, the adenoids can often become swollen. This may happen if the adenoids grow too large, instead of shrinking as your child gets older. If the adenoids continue to grow, your child may have bad breath, cracked lips, and a dry mouth. Your child might breathe a lot through his mouth. That's because his airway can become blocked, and he may have trouble breathing through his nose. Your child may even stop breathing at times during sleep.

Your child's doctor will use a special mirror to see if the adenoids are swollen. Your child may also need an x-ray.

Your child's doctor may try to treat the chronic swelling with medications such as antibiotics. If that doesn't work, your child may need surgery to remove the adenoids.

If your child needs surgery, he will be given general anesthesia and be asleep and unable to feel pain. The surgeon will prop your child's mouth open with a small instrument, then remove the adenoid glands, while probably removing the tonsils at the same time. Your child will probably go home the same day as surgery.

Surgery to remove the adenoids, called an adenoidectomy, is one of the most common reasons children have surgery. But surgery doesn't have to be all bad. Your child can look forward to a steady diet of pudding, ice cream, and other soft and fun foods, until they feel better. And hopefully your child can look forward to fewer sore throats and ear infections, and more normal breathing, in the future.

Reviewed By

Review Date: 10/25/2011

Alan Greene, MD, Author and Practicing Pediatrician; also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.