Bulky Adenoids what to do

bulky adenoids in children create issues like poor sleep, added stress on the heart, snoring, altered face shape, and teeth alignment, and hearing disability. Meet nearby ENT surgeon to get evaluated. Lot of pediatricians are unaware of it.

Recent research suggested that topical steroids have no role in reduction of size of adenoids.

So if children are suffering with adenoids in two consecutive winters better to. goahead with surgery.

In addition classical western guidelines teaching indications include

Four or greater episodes of recurrent purulent rhinorrhea in prior 12 months in a child <12 years of age. One episode should be documented by intranasal examination or diagnostic imaging.

1. Persisting symptoms of adenoiditis after two courses of antibiotic therapy. One course of antibiotics should be with a B-lactamase stable antibiotic for at least two weeks.

2. Sleep disturbance with nasal airway obstruction persisting for at least 3 months.

3. Hyponasal speech.

4. Otitis media with effusion >3 months or associated with additional sets of tubes.

5. Dental malocclusion or orofacial growth disturbance documented by orthodontist or dentist.

6. Cardiopulmonary complications including cor pulmonale, pulmonary hypertension, right ventricular hypertrophy associated with upper airway obstruction.

7. Otitis media with effusion (age 4 or greater). For infectious conditions, it is recommended that documentation of infections be obtained. For hypertrophy and other noninfectious conditions documentation should include information regarding growth, weight gain, daytime performance issues such as behavior and attention, any medical condition necessitating removal of the adenoids. Adenoid size is immaterial when the indication is sinusitis, adenoiditis, or otitis media with effusion. Allergic symptoms should have been treated with an adequate trial of allergy therapy prior to evaluation for non-infectious conditions.