Important: This page is general information, not medical advice. It does not recommend or prescribe any treatment. Always consult your doctor or pharmacist before starting, stopping or changing any medicine.
About Adenoids
Adenoids are a patch of tissue that is high up in the throat, just behind the nose. They, along with the tonsils, are part of the lymphatic system. The lymphatic system clears away infection and keeps body fluids in balance. The adenoids and tonsils work by trapping germs coming in through the mouth and nose.
Adenoids usually start to shrink after about age 5. By the teenage years, they are almost completely gone. By then, the body has other ways to fight germs.
Enlarged adenoids are adenoids that are swollen. It is a common problem in children.
Your child's adenoids can be enlarged, or swollen, for different reasons. It may just be that your child had enlarged adenoids at birth. Adenoids can also become enlarged when they are trying to fight off an infection. They might stay enlarged even after the infection is gone.
Enlarged adenoids can make it hard to breathe through the nose. Your child might end up breathing only through the mouth. This may cause:
- A dry mouth, which can also lead to bad breath
- Cracked lips
- A runny nose
Other problems that enlarged adenoids can cause include:
- Loud breathing
- Snoring
- Restless sleep
- Sleep apnea, a disorder that causes you to repeatedly stop breathing during sleep
- Ear infections
To find out if your child has enlarged adenoids, the health care provider will:
- Ask about your child's medical history, including asking about your child's symptoms
- Check your child's ears, throat, and mouth
- Feel your child's neck
Since the adenoids are higher up than the throat, the provider cannot see them just by looking through your child's mouth. To check the size of your child's adenoids, your provider may use:
- A special mirror in the mouth
- A long, flexible tube with a light (an endoscope)
- An x-ray
The treatment depends on what is causing the problem. If the symptoms are not too bad, your child may not need treatment. If treatment is needed, your child may get nasal spray to reduce the swelling or antibiotics if the provider thinks that there is a bacterial infection.
In some cases, your child may need an adenoidectomy.
An adenoidectomy is surgery to remove the adenoids. The provider may recommend this surgery if:
- Your child has repeated infections of the adenoids. Sometimes the infections can also cause ear infections and fluid buildup in the middle ear.
- Taking antibiotics doesn't get rid of a bacterial infection of the adenoids.
- The enlarged adenoids block the airways.
If there is also a problem with the tonsils, your child will probably have a tonsillectomy (removal of the tonsils) at the same time that the adenoids are removed.
After having the surgery, your child usually goes home the same day. Your child will probably have some throat pain, bad breath, and a runny nose. It can take several days to feel all better.
It sits within Children and Teenagers and Ear, Nose and Throat.
When to speak to someone. Reading about a topic cannot tell you whether it applies to you. Speak to a doctor or pharmacist if symptoms are severe, sudden, getting worse, or simply not going away — and seek emergency care immediately for chest pain, breathing difficulty, sudden weakness or confusion, or a serious allergic reaction.
Research on Adenoids
221 studies areregistered for this condition on ClinicalTrials.gov, the U.S. National Library of Medicine's public registry. A selection is below — the links go straight to the registry entry, not to a summary of ours.
What a registered study does and does not mean. Registration means a study exists and has been declared publicly. It says nothing about whether the treatment being tested works, is safe, or is available to you. Many studies find no benefit — that is what research is for. Never seek out an experimental treatment on the strength of a registry entry alone.
Research currently under way
- Docetaxel and SX-682 in Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma, Salivary Gland Carcinoma, and Advanced Prostate CancerNational Cancer Institute (NCI)
- A Study of Becotatug Vedotin (MRG003) Combined With Epirubicin as Neoadjuvant Therapy for EGFR-Positive, Unresectable Recurrent Sinonasal Adenoid Cystic CarcinomaEye & ENT Hospital of Fudan University
- Sacituzumab Tirumotecan in Recurrent/Metastatic Adenoid Cystic Carcinoma and Papillary Thyroid Carcinoma (STRAP)National Cancer Centre, Singapore
- APG-115 in Salivary Gland Cancer TrialUniversity of Michigan Rogel Cancer Center
- Full-wrap Versus Conventional Suspension for Reducing Soft Palate Injury Rate in Transoral SurgerySun Yat-sen University
- Study to Evaluate the Efficacy of Zanzalintinib in the Treatment of Relapsed or Metastatic Adenoid Cystic Carcinomas of the Head and NeckUNICANCER
Research already completed
- AL101 Before Surgery for the Treatment of Notch Activated Adenoid Cystic CancerM.D. Anderson Cancer Center
Study data from ClinicalTrials.gov, a service of the U.S. National Library of Medicine. Retrieved 2026-07-30. Registry entries are supplied by study sponsors and investigators; ClinicalTrials.gov does not verify their scientific validity. PocketsInfo is not affiliated with, and not endorsed by, the NLM or the NIH.
Where to read more
Rather than paraphrase, we point you to the primary sources. Every link below is to a government health agency, a national institute or a recognised medical body — grouped by what you are trying to find out.
Start Here
- Enlarged AdenoidsAmerican Academy of Family Physicians
- Tonsils and AdenoidsAmerican Academy of Otolaryngology--Head and Neck Surgery
Diagnosis and Tests
- X-Ray Exam: Neck (For Parents)Nemours Foundation
Treatments and Therapies
- Adenoid removal - seriesMedical Encyclopedia
Related Issues
- Obstructive Sleep ApneaMayo Foundation for Medical Education and Research
- Tonsillitis: MedlinePlus Health TopicNational Library of Medicine
Clinical Trials
- ClinicalTrials.gov: AdenoidectomyNational Institutes of Health
- ClinicalTrials.gov: AdenoidsNational Institutes of Health
- ClinicalTrials.gov: Enlarged AdenoidsNational Institutes of Health
Medical subject headings
Clinicians and researchers index this subject under Adenoidectomy, Adenoids. These are the terms to use when searching medical literature.
This page is built from the MedlinePlus health topic record for Adenoids, a service of the U.S. National Library of Medicine (NLM), National Institutes of Health. Information is from MedlinePlus.gov. PocketsInfo is not affiliated with, and is not endorsed by, the NLM or the NIH. Retrieved 30 July 2026.