Adenoids are a lymphatic tissue at the top of the throat, lying at the back of the nose, and extremely responsive to infections. In viral conditions, tonsils and adenoids expand to combat the infection. It grows with age and develops to their maximum size within 5-7 years. Body finds other ways to combat infection, as the child grows. By the teenage time, it’s almost gone or invisible. However, if it does not go away with time, you may have to consider removing it at the earliest.
What Could Possibly Happen With Adenoids?
There are a couple of issues linked with adenoiditis in children. One of them is ear infections, caused by blockage of the Eustachian tube by the enlarged adenoids. Since the tube is not fully developed in infancy stage, some fluid may be collected resulting in chronic ear infection.
Another problem is nasal obstruction, where the child faces trouble in breathing. One common indication is when a child breathes completely through his mouth during the sleep. If the enlarged adenoids continue to keep up their size, it can cause infections leading to poor flow of air through nasal passage.
How Is Adenoid Infection Diagnosed And Treated?
Breathing throughout the mouth, while sleeping or eating, snoring and wiping nose are some common signs that indicate adenoid infection. Symptoms of chronic or acute adenoid infection can include thick nasal discharge, mouth breathing, thick cough, excessive sinus drainage and fever.
Generally an x-ray of the neck side is taken out to detect the extent of inflammation in the adenoids. In some cases, a definitive diagnosis is done with a tube that can detect the adenoidal area. Before treating the problem, the ENT doctor may prescribe some sort of allergy medication or a nasal spray to rule out allergic rhinitis. Given the similar symptoms, this is a minimally invasive method to remove the chance that the child only has allergy issues, rather than adenoidal. If that doesn’t work, your child may be under dose of antibiotics. In case he/she does respond to the medication, however the symptoms return after the conclusion of the course, it may possibly be a chronic condition.
How Is Adenoid Removed?
In the worst condition, when the doctor diagnoses a child with a chronic infection or extra large adenoids, the best possible option is to completely remove the adenoids, since it can cause fatal breathing obstructions. In such a case, a simple surgery known as adenoidectomy is performed to prevent adenoid and ear infections that can help easy breathing for the child. A decision may also be taken to either insert ear tubes, remove the tonsils or perform both during the infection removal procedure. These combined procedures are an integral part of pediatric ENT care, which may come with discomfort for a few days, but a positive overall outcome. If you believe that your child has an infected or enlarged adenoids, which may require removal at the earliest, feel free to contact us for an appointment with Dr Daniel Samadi.