Almonds, how about it all?

Your body protects itself against viruses and bacteria with various weapons. Think, for example, of tears, sebum and saliva, but the lymph node system also plays an important role. At a number of places, this lymph node tissue is thickened.

Nose almond

Breathing air can also contain harmful substances that must be stopped. Behind the nose, above the soft palate, there is a thickening; the nose almond. The nose almond is especially present in young children. The size decreases from about the eighth year of life.

Throat Almonds

The Eustachian tube begins on both sides of the nose almond, the connection through which air from the nasal pharynx must pass to the ears. At the back of the throat, left and right of the uvula, are your tonsils. The sole of the almond is on the back of the tongue. This only rarely causes complaints.


If the almonds can no longer handle the supply of bacteria, they become inflamed. For example, the tonsils can swell and cause problems with eating, swallowing and breathing. A swollen almond does not always give cause for complaints, actually the swelling is a sign that the almond pressure is at work. However, if the tonsils are chronically inflamed, it can manifest in sore throat, fatigue, suspicion, bad appetite and bad breath. In the neck, thickened lymph nodes can often be felt.

Enlarged nose almond

An enlarged nose almond can also be annoying, you can suffer from snoring (a lot of breathing through the mouth), in each case a cold with a dirty nose, gait and / or ear infection.
When the throat and nose almonds are inflamed simultaneously, the symptoms consist of a combination of the above.

Remove? Or not!

An ENT doctor (Throat-Nose-Ear) will decide to remove the tonsils on the basis of the severity and frequency of the complaints (how often do the symptoms occur?). If it is not possible to combat the complaints with medication, it may be wise to have the almonds removed.
In addition, age also plays an important role. There is no absolute age limit, however, the severity of the complaints is and remains the most important factor. The younger a child, the less quickly the tonsils will be removed.

Thickened part

Complete removal is not possible with the nose almond. This is the removal of the middle, most thickened part. The nose almond can grow from the edges and sometimes give symptoms after a while. The throat almonds can in principle be completely removed, but sometimes there is still a residue from the sole almond.
The tonsils are only a small part of the body's lymph node system. Any removal of the tonsils therefore has no noticeable consequences for the immune system.

The procedure

The procedure is done under a short-term but complete anesthetic. A special instrument is used to loosen the tonsils in one movement from the bottom layer.
When the operation is over, it is important that your child drink a lot to keep his throat clean. After the operation, there may still be old blood in the nose and throat. The cold drinking also numb the pain. Eating water ice creams achieves this same effect. Since your child has pain in his throat, some incentive to drink will be necessary.


Removing the tonsils often gives the most complaints. The first few days after the operation, your child will still feel a little sick. Talking and eating can be painful. The pain can even radiate to his ear but can possibly be reduced with some paracetamol (preferably a suppository).

Liquid food

Give your child the first few days only liquid food (not hot). Do not give him sour drinks or soft drinks with carbonic acid, no milk products and no fruit or bananas.
At the place of the removed almonds a gray-white horseshoe arises; that is normal and not a sign of inflammation and will disappear after about a week.
Keep your child in for a few days. In general, a child is sufficiently refreshed after a week to play outside and possibly go to school. Swimming is only allowed 3 weeks after the operation.

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