If your tonsils and adenoids aren’t causing serious health problems there are alternatives to tonsillectomy (and adenoidectomy).
Here are some you can consider with your doctor:
- Watchful waiting. Tonsils and adenoids usually get smaller as you get older. They’re at their maximum size when you’re six but by age 12 they’re usually much smaller. The important thing is the effect they’re having on your quality of life in the meantime.
- Antibiotics can be used to treat tonsillitis if its bacterial, but many infections are caused by viruses (which don’t respond to antibiotics).
- Nasal steroid sprays may help if the problem is mainly with inflammation in the adenoids. They’re not effective for enlarged tonsils.
Obstructive sleep apnoea
If your tonsils and adenoids are obstructing your airway at night it can cause a sleep disorder called obstructive sleep apnoea, which can have knock-on effects for your health and development. Surgery can be the best way forward, although it’s not always 100% effective especially in adults and where other risk factors are involved.
If you're obese, losing weight can help reduce airway obstruction that contributes to obstructive sleep apnoea.
Why your doctor may recommend tonsillectomy/adenoidectomy
They may recommend surgery if you have one or more of the following:
- 7 episodes of acute tonsillitis in the past year
- 5 episodes per year for 2 years
- 3 episodes per year for 3 years
- Recurrent quinsy (tonsil abscess)
- Sleep apnoea (in children)