Tonsils and Adenoids
Tonsils and adenoids at a glance |
What are adenoids and tonsils?
Both are part of a ring of lymphoid tissue that surrounds the back of the throat and nose. The tonsils are visible in the back of the mouth, one on either side of the throat. The adenoids are clumps of tissue located high in the throat, behind the nose. They can only be examined using specialized tools or X-rays.
Tonsil and adenoids aid the body in fighting infection by producing antibodies to bacteria that enter the nose and mouth. Due to their big size, they can become inflamed or cause issues. Studies have shown that removing the tonsils and adenoids does not alter a child’s immunity.
What are the functions of tonsils and adenoids?
- Immune Defense: Both help fight off infections in children, though their role diminishes with age.
- Pathogen Filtering: They act as filters, trapping bacteria and viruses before they reach the respiratory tract.
- Antibody Production: Tonsils and adenoid help produce white blood cells and antibodies to combat infections.

Inflammation of the tonsils and adenoids is called?
When tonsil or adenoids become infected or inflamed, the condition is referred to as:
- Tonsillitis: Inflammation of the tonsils causes a fever, sore throat and difficulty swallowing.
- Adenoiditis: Swelling of the adenoids, leading to breathing difficulties, nasal congestion, and snoring.
- Tonsilloadenoiditis: A combined infection of both the tonsil and adenoid, often seen in children.
Symptoms of inflamed tonsil and adenoids
- Tonsillitis symptoms:
- Sore throat
- Swollen, red tonsils with white spots
- Fever
- Bad breath
- Difficulty swallowing
- Adenoiditis symptoms:
- Blocked nose
- Snoring and sleep apnea
- Ear infections
- Muffled speech
Also Read – Tonsil Stones: Symptoms, Causes, Removal & Treatment
When should you consider getting your tonsils and adenoids removed?
In some cases, chronic infections or enlarged tonsil and adenoids can cause serious complications, making removal necessary. Doctors may recommend a tonsillectomy and adenoidectomy (T&A) if a patient experiences:
- Recurring infections: More than 5-6 infections in a year
- Obstructive sleep apnea: Causing breathing difficulties during sleep
- Persistent snoring and nasal blockage
- Frequent ear infections due to adenoid enlargement
- Swallowing difficulties and voice changes

Tonsils and adenoids removed: What to expect from surgery?
Tonsillectomy and adenoidectomy are common procedures performed to remove problematic tonsil and adenoid.
- Procedure:
- Performed under general anesthesia
- Takes about 30-45 minutes
- Minimal incisions or bleeding
- Recovery:
- Sore throat and mild discomfort for about 10-14 days
- A soft food diet is advised for a few days
- Avoid strenuous activities for a couple of weeks
Risks during and after surgery include:
- Damage to the teeth, tongue, lips, and jaw.
- Bleeding may occur during or after surgery and last up to two weeks. This may necessitate readmission and surgery to control the bleeding.
- Not drinking enough fluids may cause dehydration.
- Fluids leak into the nose while drinking. This is generally only temporary.
- Grisel’s syndrome is an extremely rare illness that causes neck instability.
- Scarring behind the nose causes persistent middle ear fluid. This is quite rare.
Consult Dr. Mustafa Kapadia for Expert Care
If you or your child are experiencing recurrent tonsil or adenoid infections, it’s time to seek professional medical advice.
Dr. Mustafa Kapadia specializes in diagnosing and treating conditions related to tonsils and adenoids with expert care.
Book an appointment today and take the first step towards relief!
FAQ's
Tonsil and adenoid are part of the immune system, helping to trap harmful bacteria and viruses that enter through the mouth and nose. Tonsils are located at the back of the throat, while adenoids are positioned behind the nasal cavity.
Inflammation of the tonsils and adenoids is called tonsillitis (for tonsils) and adenoiditis (for adenoids). It is commonly caused by viral or bacterial infections and leads to symptoms like sore throat, difficulty swallowing, nasal congestion, and fever.
Doctors may recommend removing tonsil and adenoid if they cause frequent infections, breathing problems, sleep apnea, chronic ear infections, or difficulty swallowing. A tonsillectomy and adenoidectomy can help improve the quality of life for individuals suffering from recurrent issues.
After tonsils and adenoids removal, patients may experience a sore throat, mild swelling, and difficulty swallowing for a few days. Recovery typically takes about 10-14 days, with a soft food diet and rest recommended for healing.
Yes, while tonsil and adenoid play a more active immune role in children, adults can also suffer from chronic tonsillitis, sleep apnea, and breathing difficulties due to enlarged or infected tonsils and adenoids. In some cases, removal may be necessary for relief.
No, removing tonsil and adenoid does not significantly weaken the immune system. Other parts of the immune system continue to protect the body, and removal is only recommended when these structures cause more harm than good.