Adenoids: Understanding, Managing, and Homeopathic Approach
- Dr. Sheetal Bidri
- Nov 4
- 4 min read

What are Adenoids?
Adenoids are small glands located at the back of the nasal passage. They are part of the immune system and help fight off germs in young children.
Adenoids are like superheroes in children, growing and fighting germs at its peak between ages 3 and 5. But, just like a retiring superhero, they start shrinking around age 7-8 and are practically gone by adulthood.
(Yes, your body just lets them fade away when they’re no longer needed!)
Prevalence of Enlarged Adenoids

Enlarged adenoids are a common condition among children worldwide.
In India, studies suggest that around 34% of children experience adenoid hypertrophy, leading to upper airway obstruction and related health concerns. This prevalence aligns with global trends, making it a significant health issue in young children.

Causes of Enlarged Adenoids
Adenoids can become enlarged due to:
Frequent infections (cold, flu, sinus infections)
Allergies
Passive smoking
Gastro-esophageal reflux disease (GERD)
Genetic factors
Symptoms of Enlarged Adenoids

When adenoids are enlarged, they may cause:
Blocked nose or stuffiness,
Snoring and sleep apnea,
Mouth breathing,
Frequent ear infections,
Sore throat and difficulty swallowing,
Hearing problems due to fluid buildup in the ear.
Grades of Adenoid Enlargement
Doctors often classify adenoid enlargement into Four Grades based on how much space the adenoid tissue occupies in the nasopharynx (the space behind the nose). This helps decide the severity and need for treatment.
Grade 1 (Mild Enlargement)
Adenoids occupy up to 25% of the nasopharyngeal space.
Usually causes no symptoms or very mild nasal blockage.
Often managed with observation, lifestyle care, and homeopathy.
Grade 2 (Moderate Enlargement)
Adenoids occupy 26–50% of the airway.
May cause mild snoring, occasional mouth breathing, or nasal speech.
Homeopathic and conservative management is very effective at this stage.
Grade 3 (Severe Enlargement)
Adenoids occupy 51–75% of the space.
Symptoms become more obvious like persistent mouth breathing, loud snoring, nasal blockage, and frequent ear infections.
Requires consistent treatment and monitoring.
Homeopathy can help reduce size and avoid surgery if addressed early.
Grade 4 (Very Severe Enlargement)
Adenoids occupy 76–100% of the nasopharyngeal airway.
The child may struggle to breathe through the nose, have sleep apnea, and chronic ear or sinus problems.
Surgical evaluation is often necessary, though homeopathy can support immunity and post-operative recovery.

Long-Term Effects of Untreated Adenoid Hypertrophy
When adenoid hypertrophy persists for a long time, it can significantly affect a child’s overall growth and well-being. Constant nasal blockage forces the child to breathe through the mouth, leading to disturbed sleep, fatigue, poor concentration, and sometimes delayed speech or learning issues. Chronic mouth breathing also alters facial growth, giving rise to the characteristic “Adenoid face”, a long, dull expression with an open mouth, narrowed nostrils, high-arched palate, crowded teeth, and sometimes even altered jaw alignment. Over time, this can affect not just appearance but also dental and respiratory health, making early intervention essential.
Lifestyle Changes for Better Adenoid Health
The good news? You don’t always need surgery. Here are some simple steps to keep your adenoids at check:

Healthy Diet: A balanced diet rich in vitamins A, C, and E can strengthen the immune system.
(Basically your yellows, orange or red coloured veggies and plenty of fruits. And NO! Oranges don't cause a cold, they are more of preventative sorts!)

Hydration: Drinking enough water helps keep mucus thin and prevents congestion. Water, soups, and herbal teas keep your throat and nose clear. Milk and milk products can be avoided to reduce the phlegm production as they tend to be more secretory in nature.

Breathing Exercises: Encourage nasal breathing and practice deep breathing techniques and mindful outdoor activities like running, swimming or any sport of choice.

Allergy Management: Avoid allergens like dust, smoke, and pet dander, or manage the response.
Proper Sleep: Ensure a good sleeping posture to reduce snoring and congestion.
Opt for the Homeopathic way!
How Homeopathy Helps?

Homeopathy doesn’t just focus on reducing the size of adenoids. It addresses the root cause, the child’s tendency to recurrent infections and targets the lowered immunity. The remedies gently stimulate the body’s healing power to restore normal adenoid size and function.
Here’s how homeopathy helps:
Optimises Immunity: Strengthens the child’s natural defence mechanism, reducing frequent colds and infections.
Reduces Inflammation: Gently reduces swelling and congestion in the nasopharyngeal area.
Improves Breathing and Sleep: Helps restore easy nasal breathing, leading to better sleep and overall growth.
Prevents Recurrence: Long-term homeopathic treatment breaks the cycle of repeated throat and ear infections, helping the adenoids heal naturally.
Avoids Surgery: Many children respond beautifully to Homeopathy, showing reduced symptoms and improved immunity, eliminating the need for Adenoidectomy.
Commonly Used Homeopathic Remedies for Adenoids
(Selection depends on each child’s unique symptoms and constitution, its always advisable to consult a qualified Homeopath before use.)
Baryta Carb: Great for kids who keep catching colds due to enlarged adenoids with delayed growth and shyness.
Calcarea Carb: For chubby, sweaty kids with slow development.
Hydrastis: Perfect for sticky, yellow nasal mucus.
Silicea: Best for children with pus formation in adenoids and a weak immune system.
Agraphis : Adenoids with enlarged tonsils along with deafness.
Tuberculinum: Indicated for children who frequently suffer from respiratory infections and have a family history of tuberculosis.
When to book your Happy Healing ?
The early signs like mouth breathing, recurrent colds and ear infections can be cue to start Homeopathy for your child. If your little one has Adenoid Enlargement and faces serious issues like sleep disturbances, trouble swallowing, or hearing problems, these too can be managed well with
Homeopathy.
Remember, the earlier you start, the lesser your little one will suffer.
When to plan for an Adenoidectomy?
If symptoms persist despite Lifestyle Changes and Homeopathic Treatment, consult an ENT Surgeon, especially if:
When you’ve tried Homeopathic Treatment for minimum of 4-6months, with no improvement.
There is difficulty breathing or severe sleep disturbances, more so in Grades 3 & 4.
Repeated ear infections lead to hearing loss.
The child shows signs of growth delay or constant fatigue.
Homeopathy offers a gentle, non-invasive solution for enlarged adenoids, treating not just the glands but the child as a whole. With the right constitutional remedy and supportive lifestyle, many children can avoid surgery altogether and enjoy healthy, natural growth, breathing freely once again!
Choose Homeopathy,
Choose Happiness!
Happy Healing!💚✨
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