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Child done with adenoid removal, seems to be breathing through mouth, snores with open mouth. What should be done?

my son i 6yrs old.. about a 1yr ago he had his anoids removed due to enlargment. well recently i have been clearing his nose out from huge rock size boogers. i then asked him how does he breathe with those in there. he replied: they don t bother me. i replied: i wonder why? he says : because mommy i can t breathe through my nose i can only breathe through my mouth so they don t bother me. i asked him how long has he been doing this? he say s i don t know mommy along time. we noticed that he does indeed breathe through his mouth he seems as if he can t figure out how to breathe through his nose. he has been snoring with mouth open, he is always sleepy, or looks like he didn t recieve any sleep at all, he always sounds as if he is stuffed up,the list goes on. what should i do? im so nervous?
Asked On : Mon, 28 Jan 2013
Answers:  2 Views:  45
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ENT Specialist 's  Response
Aug 2013
hello and welcome to HCM,

Since you mentioned that he has undergone adenoid operation then it is understood that he underwent the same because he had nose block and recurrent infection.

Since he would have had nose block for many years, he would have naturally being breathing through the mouth. Now even if his nose block is gone or disappeared, he still may breath through the mouth because of habit.

In the first part of his treatment you need to get a complete ENT assessment including if possible endoscopy to confirm that he has no nose block at present.

Once it is confirmed that he has no nose block then you must vigorously instruct him to breathe only through the nose and not through the mouth.
This should be followed strictly throughout the day with someone strictly pointing out to close his mouth and breath only through the nose. This cannot be much forced when he is sleeping though but when he consciously starts breathing through the nose in the daytime or when he is awake, his body will tune itself to do so when he is asleep.

Also do steam inhalation especially in the night to help him in his breathing

Needless to say that if he has any nose block at present that should be first corrected

take care

Dr Sriram Nathan
Answered: Fri, 23 Aug 2013
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