Adenoiditis history and symptoms

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Adenoiditis Microchapters


Patient Information


Historical Perspective




Differentiating Adenoiditis from other Diseases

Epidemiology and Demographics

Risk Factors


Natural History, Complications and Prognosis


Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

X Ray



Other Imaging Findings

Other Diagnostic Studies


Medical Therapy


Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]


A positive history of fever and nasal obstruction and snoring are suggestive of adenoiditis. The most common symptoms of adenoiditis include nasal discharge which may be purulent, mouth breathing, nasal pain and sore throat.[1][2][3]

History and symptoms


Obtaining the history is one of the most important aspect of making a diagnosis of adenoiditis. Complete history will help determine the correct therapy. Adenoiditis patients are mostly young children who are not able to give a good history by themselves, therefore the patient interview may be difficult. In these cases history from the care givers or the family members may need to be obtained. Specific histories about the symptoms (duration, onset, progression), and associated symptoms have to be obtained. Specific areas of focus when obtaining the history, are outlined below:


The symptoms of adenoiditis can last for 10 or more days. Acute adenoiditis is usually presented with nasal symptoms:

  • Sore or dry throat from breathing through the mouth

Other symptoms that mainly observed during chronic inflammation are usually correlated to adenoiditis complications and include:[4]

Acute adenoiditis
Recurrent acute adenoiditis
  • Presence of at least 4 or more than 4 episodes of acute adenoiditis within a 6 months period
Chronic/persistent adenoiditis


  1. Kosikowska U, Korona-Głowniak I, Niedzielski A, Malm A (2015). "Nasopharyngeal and Adenoid Colonization by Haemophilus influenzae and Haemophilus parainfluenzae in Children Undergoing Adenoidectomy and the Ability of Bacterial Isolates to Biofilm Production". Medicine (Baltimore). 94 (18): e799. doi:10.1097/MD.0000000000000799. PMC 4602522. PMID 25950686.
  2. Kajan ZD, Sigaroudi AK, Mohebbi M (2016). "Prevalence and patterns of palatine and adenoid tonsilloliths in cone-beam computed tomography images of an Iranian population". Dent Res J (Isfahan). 13 (4): 315–21. PMC 4993058. PMID 27605988.
  3. Galli J, Calò L, Ardito F, Imperiali M, Bassotti E, Fadda G, Paludetti G (2007). "Biofilm formation by Haemophilus influenzae isolated from adeno-tonsil tissue samples, and its role in recurrent adenotonsillitis". Acta Otorhinolaryngol Ital. 27 (3): 134–8. PMC 2640046. PMID 17883191.
  4. Adedeji TO, Amusa YB, Aremu AA (2016). "Correlation between adenoidal nasopharyngeal ratio and symptoms of enlarged adenoids in children with adenoidal hypertrophy". Afr J Paediatr Surg. 13 (1): 14–9. doi:10.4103/0189-6725.181701. PMC 4955450. PMID 27251518.