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Suggest treatment for adenoids in children

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Posted on Thu, 12 May 2016
Question: Hi sir my baby is 2.5 yr. She is active child.but has a problem of moderate andoids.she snores very light in nite for 2 to 5 mins only .she has not suffered from any ear infection yet.but recurrent cough n cold which v usually treat with normal stream n medicine not by antibiotics. Her doc is saying andoids vl shrink by age of 7 n rest it can be treated by medication .....he is also saying to take consults from ent......sir plz help v r not interested in surgery n scared of.
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Answered by Dr. Sumit Bhatti (44 minutes later)
Brief Answer:
There is no need to rush into surgery. Try medication first.

Detailed Answer:
Hi,

Thank you for your query.

1. To avoid surgery for adenoids, it is important to treat your daughter with medication if her symptoms are increasing and frequent.

2. While it is true that the the adenoids hypertrophy (enlarge) in all children between the ages of 3 to 7 years and then regress, most children do not require medication. They do tend to snore sometimes, with a few episodes of colds.

3. Children whose symptoms (snoring, mouth breathing, frequents colds, running nose, ear infections, adenoid facies, stunted groth and so on) keep worsening are considered for surgery only if medication fails to control their symptoms.

4. Medication includes an anti-allergic, mucolytic (such as Syp. Relent), a steroid nasal spray, supervised steam inhalation / nebulization and occasional use of decongestant nasal drops (0.05% Xylometazoline) at times of severe nasal obstruction. Any medication should be under the strict supervision of your doctor.

5. It is important to get a baseline X-ray done. A lateral skull X-ray for adenoids can be repeated after a couple of months to check the regression of the adenoids, if any. Sometimes, the obstruction may be in the nose.

6. In the last few years, adenoid surgeries have reduced by about 50% as compared to earlier decades in XXXXXXX due to better medical treatment options now available.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2654 Questions

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Suggest treatment for adenoids in children

Brief Answer: There is no need to rush into surgery. Try medication first. Detailed Answer: Hi, Thank you for your query. 1. To avoid surgery for adenoids, it is important to treat your daughter with medication if her symptoms are increasing and frequent. 2. While it is true that the the adenoids hypertrophy (enlarge) in all children between the ages of 3 to 7 years and then regress, most children do not require medication. They do tend to snore sometimes, with a few episodes of colds. 3. Children whose symptoms (snoring, mouth breathing, frequents colds, running nose, ear infections, adenoid facies, stunted groth and so on) keep worsening are considered for surgery only if medication fails to control their symptoms. 4. Medication includes an anti-allergic, mucolytic (such as Syp. Relent), a steroid nasal spray, supervised steam inhalation / nebulization and occasional use of decongestant nasal drops (0.05% Xylometazoline) at times of severe nasal obstruction. Any medication should be under the strict supervision of your doctor. 5. It is important to get a baseline X-ray done. A lateral skull X-ray for adenoids can be repeated after a couple of months to check the regression of the adenoids, if any. Sometimes, the obstruction may be in the nose. 6. In the last few years, adenoid surgeries have reduced by about 50% as compared to earlier decades in XXXXXXX due to better medical treatment options now available. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.