Common ENT Problems

Adenoiditis and Enlarged Adenoids

Adenoids are a mass of lymphoid tissue situated on the posterior wall of the nasal cavity where the nose bends into the throat. Please see picture. Normally in children, they make a soft mound in the roof or posterior wall of the nasopharynx just above and behind the uvula. However, in many children enlargement or chronic infection of the adenoids leads to snoring, tossing and turning, pauses in breathing, waking up frequently at night, sleep walking, sleep talking, grinding of the teeth, nighttime cough, and hard to get up in the morning along with bed wetting. In younger children, you can see dark circles around the eyes, hyperactive behavior, poor attention span, slow growth, lack of weight gain, frequent allergy, cold, and sinus symptoms, problems swallowing. foods, sore throats, nasal speech, and frequent doctor visits. It is not uncommon to see asthma, bronchitis, pneumonia, and ADHD symptoms. In older children, you can see that the children have exercise intolerance that leads to the children being overweight and these are children over the age of 6. They are irritable, they are depressed, they are sleepy in class, and they lie around and avoid strenuous activity. They too have frequent runny nose, congestion, sinus, open mouth appearance, snoring, and a lot of the symptoms you see in younger children. It is not unusual to see nosebleeds and ear infections with the children getting frequently sick, but not responding to medication. For these children, the removal of the adenoids is a simple 7-minute outpatient surgical procedure. Please see our display on adenoidectomy and take the test on our web site for symptoms of children with enlarged adenoids and enlarged tonsils to see if your child may have a problem.