Tonsil and Adenoids

Most don’t realize it, but your tonsils and adenoids are part of your immune system. Both are tissues that help fight off viruses and bacteria. The tonsils are located at the back of the mouth, while adenoids are located behind the nasal cavity. They are the first line of defense for germs that enter through the nose and mouth. In most people, they are pretty good at what they do. However, the tonsils and adenoids can be overwhelmed with infection in some people.

When the tonsils or adenoids are infected, they appear large and red. This can also be accompanied by a sore throat. When bacteria hide in the deep crevices of the tonsils or adenoids, infection can be recurring.

Enlarged tonsils and adenoids can also occur in children for no particular medical cause. Tonsils and adenoids are more active during the growth and development phase and may become enlarged during that time.

Symptoms of Enlarged Tonsils or Adenoids

Individuals with enlarged tonsils or adenoids may experience:

  • Difficulty breathing
  • Difficulty swallowing
  • Poor quality of sleep, or difficulty staying asleep throughout the night
  • Snoring

Symptoms of enlarged tonsils or adenoids may make school, work or other daily activities more difficult. Your overall health can suffer, as well.

Recommended Treatment Options

When your tonsils or adenoids hurt you more than they help you, removal may be recommended. This involves two separate surgeries. They are often performed together, but depending on your symptoms, only one may be necessary.

  • Tonsillectomy refers to removal of the tonsils.
  • Adenoidectomy refers to removal of the adenoids.


While the tonsils and adenoids can be very helpful for the immune system in some individuals, if you experience symptoms from enlarged or infected tonsils or adenoids, you will likely benefit more from their removal. When the tonsils or adenoids are removed, other parts of the immune system take over their role so that there are no major health consequences. Removal of the tonsils or adenoids can lead to fewer infections and better sleep quality.

What is it Like to Have Your Tonsils or Adenoids Removed?

Both tonsillectomy and adenoidectomy are performed under general anesthesia. An overnight stay following the procedure may be recommended. Though generally safe, neither procedure is completely without risks. Tonsillectomy and adenoidectomy are only recommended for patients who experience significant symptoms due to enlarged tonsils or adenoids.

The recovery period following surgery typically lasts between 10 days and two weeks.

After surgery, you may temporarily experience a sore throat. Pain medicine is often prescribed to help with any soreness.

If you experience recurring infection or symptoms of enlarged tonsils or adenoids, arrange an appointment with an ear, nose and throat specialist. Call us today at 404.257.1589 (Atlanta) or 770.777.1100 (Alpharetta), or book an appointment with us online now.

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