Chronic adenoiditis in children: symptoms and treatment

Each parent had to hear how his child "grunts" with a spout. The reason for this behavior can be anything: a cold, a bacterial infection, an allergic reaction, a congenital anomaly of the structure of the nose, and so on. To assess the state of the baby and take measures to eliminate these factors, the ENT doctor will help. One of the diagnoses that is on hearing from parents is chronic adenoiditis in children. Today you can find out about this disease a lot of useful information.

A few words about pathology

Chronic adenoiditis in children, the symptoms and treatment of which will be presented to your attention, is caused by a number of factors. The cause of its occurrence can be a viral disease, a bacterial infection, an allergy, or even a banal hypothermia of the body. As soon as the immunity decreases, chronic adenoiditis (in children) worsens. Therefore, often commonplace cold requires complex treatment.

In fact, adenoiditis is an inflammation of the nasopharyngeal tonsil. It is not visible to the ordinary eye, therefore it is possible to learn about the pathological process only for certain symptoms. However, the ENT doctor can easily examine the lymphoid tissue and tell you about its condition. In most cases, chronic adenoiditis is caused by improper or untimely treatment of the acute form of the disease.

How many parents see the disease: symptomatology

Chronic adenoiditis in children (photos of the amygdala is given for your reference) parents can easily miss. Many moms and dads mistakenly believe that inflammation of the nasopharyngeal tonsil is always accompanied by fever, coughing, green snot and other symptoms similar to cold symptoms. But this is far from the case.

Often, pathology can occur in a form that is hidden from parents. That is, the disease must be seen by the otolaryngologist. Even a pediatrician during a routine checkup can suspect pathology. Parents are waiting for some obvious signs of illness to begin treatment.

It also happens that the child has an acute adenoiditis. An incorrect treatment or lack thereof leads to the fact that the disease becomes chronic. The expressed symptomatology thus is eliminated, and parents erroneously believe, that the child has gone on the amendment. How can you tell if your child has chronic adenoiditis? In children, the symptoms can be obvious and hidden. Consider them.

What can you discover yourself?

Unfortunately, parents can not reliably put this diagnosis if they do not have medical education. But you must be alerted to the following symptoms:

• The baby does not breathe through the nose, his mouth is open all the time;
• In a dream, a child can make whistling sounds (from heavy breathing to snoring);
• Sleep becomes restless, anxious;
• The baby's ability to work decreases, the craving for new knowledge disappears;
• The child is apathetic, emotional, capricious;
• The voice acquires a hoarse note.

In acute form, chronic adenoiditis in children has the following symptoms: a runny nose with copious separation of thick mucus (sometimes it can produce an unpleasant smell), fever, headaches. A long absence of treatment forms the so-called adenoid face. In this case, you can observe the child with a flattened nasolabial folds, a change in the shape of the skull and deformity of the occlusion. At once it is necessary to calm agitated relatives: if to treat a chronic adenoiditis correctly, at children these signs will not appear.

Symptoms diagnosed by a doctor

As you already know, for certain the problem can only be determined by an experienced doctor. Show the baby to the otolaryngologist. During the examination, the specialist can see the following signs of the disease:

• A thick slime flows down the back wall of the pharynx (it may be cloudy, greenish or purulent);
• Nasal passages are hyperemic, inflamed and swollen;
• Reddening of the endocrine ring;
• Increased tonsils in the throat and lymph nodes located near the source of infection;
• Eczema at the base of the nasal passages.

At palpation, the doctor probes the enlarged amygdala. It can be slightly more than normal, average, or block the nasal breathing completely. In accordance with this diagnosis, the stage of the disease is established. Further the doctor takes a smear for laboratory research. Its result will show what microorganisms are caused by pathology and what drugs can eliminate it.

Do I need to treat chronic adenoiditis?

From some parents, you can hear that they do not want to treat chronic adenoiditis in children. Symptoms - say moms and dads - will go on their own with age. And in some cases this opinion is correct. But doctors do not recommend completely refusing therapy. It is necessary to treat an exacerbation of adenoiditis and regularly carry out its prevention. In fact, this pathology is indeed an age. Chronic adenoiditis affects children more often from 3 to 7 years. This is exactly the age when the child begins to enter large groups (kindergartens). It's not a secret for anyone that there kids often get sick. Thus, they acquire immunity. Despite all the reasoning and reasoning about the pathology, it will be useful for each parent to know how to treat chronic adenoiditis in a child.

Preparations for topical application

A disease like chronic adenoiditis in a child (3 years old or older) suggests a permanent cleansing of the tonsils. If you do not conduct such procedures, then the bacteria will multiply continuously. This process will lead to the fact that lymphoid tissue will become an independent source of the disease, the carrier of the infection. Now there is a mass of convenient means for washing the nasal passages and cleaning the adenoids in children (Aquamaris, Dolphin, Akvalor, Rinostop). All of them can be used without prescribing a doctor. In the latent course of the disease, it is sufficient to conduct hygiene procedures in the morning and in the evening. But the exacerbation of pathology involves washing the nasal passages up to 6-8 times a day with the subsequent use of medications.

Chronic suppurative adenoiditis in a child involves the use of antimicrobial agents, antiseptics and anti-inflammatory drugs.

• Isofra is an antibiotic for topical use. It is produced in the form of a spray, but, turning the bottle, you can use it as a drop.
• "Polidex" - a drug with antibacterial action, which has the ability to facilitate breathing (due to the content of phenylephrine in it). Allowed for children from 2.5 years.
• "Protargol" or "Sialor" - drops based on silver ions. They have drying, antiseptic effect. Applied from birth (if there are no contraindications).
• "Avamis" is a corticosteroid drug. Has anti-inflammatory, anti-edematous effect. Appointed from 2 years.
• "Pinosol" - vegetable oil medicine, which has a regenerating and anti-inflammatory effect. It is assigned to children from the age of 3.

Do not use vasoconstrictive drops in the treatment of chronic adenoiditis. They can be used no more than 3-5 days, and after this time all the symptoms of the disease will return. The use of such drugs in this case is useless.

Antibiotics - is there a need?

Exacerbation of chronic adenoiditis in children almost always requires the use of antibacterial drugs. Ideally, if before their appointment the doctor will send the child for analysis - a bacteriological culture. Thanks to this research, the drugs will be selected as accurately as possible. The result of the diagnosis will show which medicines are capable of eliminating the causative agent of the disease.

Often, doctors do without such problems. They just prescribe broad spectrum antibiotics, given the age of the child. Practice shows that macrolides ("Sumamed", "Asitrus", "Azithromycin") became effective drugs in the treatment of chronic inflammation of the pharyngeal tonsils . If the child has a high fever, then it is better to use penicillins ("Augmentin", "Amoxiclav", "Flemoxin"). Remember that all antibiotics should be prescribed by a doctor. By giving such funds to the kid yourself, you can hurt him.

Increase immunity to the child

In the treatment of chronic adenoiditis, a child needs vitamins. If possible, it is better to get them from natural products: vegetables and fruits. Vitamin C is found in many citrus, greens, cabbage. It helps to support immunity, strengthens the protective function. Vitamins of group B are involved in hematopoiesis, this is of no small importance during the regeneration of tissues. Vitamin E, present in fish and some nuts, will accelerate the healing of the amygdala. If you can not provide adequate nutrition, then you need to give your child vitamin complexes. Which are suitable for your child - the doctor will tell. It can be tablets Vitrum, Multitabs, Vitamishki, Pikovit or something else. It is important to choose a complex in accordance with age.

Disputes about the possibility of using immunomodulators in chronic adenoiditis do not subside to this day. Many modern physicians prefer to prescribe drugs such as Reaferon, Interferon, Likopid, or homeopathy Aflubin, Anaferon. Other specialists are inclined to believe that such drugs do not allow the immune system to recover independently. To give immunomodulators or not is a private matter for every parent.

Surgical interventions

Through the operation, chronic adenoiditis in children can be corrected. Treatment reviews are different. Some parents say that the child was removed adenoids, after which all problems were resolved. Others report that the operation was wasted, because after a while everything returned to normal. Perhaps this is the fault of the doctors who perform the operation?

Either way, adenotomy is performed under anesthesia. Using long forceps, tonsils are only partially removed. Manipulation is carried out without any cuts, access is through the throat and nostrils. Indication for surgical intervention is the final stage of the disease, when the baby's nasal breathing completely overlaps with inflamed adenoids.

Chronic adenoiditis in children: treatment (Komarovsky)

What can the famous pediatrician tell about the known illness? Many parents, grandparents listen to Yevgeny Komarovsky. The doctor tells that adenotomy is an extreme measure, which, to put it mildly, is not welcomed for several reasons:

• Adenoids are tonsils that perform an important protective function of the body;
• Surgical intervention is a serious stress for the child and his parents;
• There is no guarantee that after a while the tonsils will not grow again (and it will be only your fault, not a medical error).

It is impossible to completely cure chronic adenoiditis in children with the help of surgery. Komarovsky in his programs tells how to improve the condition of the child. The expert conducts a narrative about preventive methods that will help reduce the frequency of relapses. And after a while (with age) you can completely forget about what adenoiditis is.

Prevention of disease

Preventive measures should be carried out constantly. The main recommendations that doctors give are as follows.

• Hardening strengthens the body's resistance. Procedures can be very different: from walking on the floor barefoot to pouring cold water. Choose for your child individual activities.
• Full food and abundant drink. The whole body of vitamins and minerals must enter the body of the baby. Food should be useful and varied. Regular drinking prevents the colonization of the tonsils by pathogenic microorganisms.
• Treatment of the nose with bacterial lysates. The known preparation "Irs-19" contains in its composition microorganisms that will help prevent frequent colds and runny nose.
• Reception of bacteriophages. These remedies are viruses that effectively kill microbes and bacteria. Bacteriophages are an innovation, but they have already proved themselves on the good side.
• A trip to the resorts. It is good for a child to breathe the sea air. If possible, visit the sanatorium. Some children are given free vouchers for treatment for certain indications.

Dr. Komarovsky recommends organizing comfortable conditions for the baby. It is often necessary to ventilate the room in which the child is. Warm and dry air promotes the propagation of pathogenic microorganisms, so the temperature in the room should not be above 23 degrees, and humidity - not lower than 60%.

Additional recommendations for treatment of chronic adenoiditis and prevention of its worsening will be obtained from your doctor.