Earlier this month Adele was 'devastated' when she had to cancel her U.S. tour.
But it appears her throat problems have taken a turn for the worse as the singer has now pulled all remaining live dates in the UK and promotional appearances for the rest of the year.
The 23-year-old singer will undergo surgery on her throat and will have to spend weeks resting her voice after the operation.
Doctors expect the Someone Like You star will make a full recovery, but will need to fully recuperate before she can resuming her singing career.
A statement from her spokesperson said: 'It is with deep regret that Adele has been forced to cancel her remaining live dates and promotional appearances in 2011.
'She is to undergo surgery to alleviate the current issues with her throat and a full recovery is expected.
'As a result, doctors have ordered her to rest her voice and completely recuperate before looking to schedule any work commitments.Hope you're getting better: A vocal cord hemorrhage saw the 23-year-old axe a ten-date US tour just days before it was due to start
'Ticket holders for all cancelled live dates will receive a refund from the point of purchase. We apologise for any inconvenience and disappointment caused, and appreciate your understanding during this time.'
Adele's ongoing illness means she has cancelled six concerts in Wolverhampton, Blackpool, Bournemouth, Cardiff and Plymouth.
Her announcement comes after the ailing singer was photographed wrapped up near her London home yesterday.
She smartly wrapped up against the cool autumn weather in a tartan poncho and covered her face with a hat and dark sunglasses, still looking pale and drawn.
She clutched a much-needed bottle of water to keep her hydrated and a bag of nuts.
The star was still too sick to attend the Q Awards on Tuesday, but was still awarded two gongs in her absence.