ENLARGED ADENOID TONSILLITIS | SYMPTOMS AND TREATMENT | CHILDREN



            Adenoid tonsillitis is a common pathology in newborns and children. The tonsils and adenoids work together, playing a role in the development and maintenance of the immune system of the child. When a child is born, adenoids are small, grow in childhood, reach their full size in childhood or adolescence, and then begin to shrink again.                    
            Adenoid tonsillitis is a disease characterized by inflammation or swelling of the lymph glands (a mass of lymphoid tissue near the nostrils) above and behind the mouth.

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             Adenoid tonsillitis has characteristic symptoms and is relatively common in children. However, when this condition is suspected, it is important to know when to consult your doctor for possible treatment. 

Who is prone to adenoid tonsillitis?

               Before moving on to the topic, let's talk about the population group most likely to suffer from this condition. Various health examinations provide the following data.
               The prevalence of baby adenoid tonsillitis is difficult to quantify as it is generally related to other clinical features such as sinusitis.
               Scientific studies have shown that the highest rates of disease infection (the probability of contracting the disease) are between the ages of 1 and 9.
               Adenoid tissues begin to atrophy at the age of 6 and 7 and continue to decrease in size during puberty. This is why adenoid tonsillitis is a characteristic disease in infants and young children.
               As you can see, this is a pathology that is biased towards a person's age. Adenoid tonsillitis is not one of the main causes of nasal congestion in adults.

Features of adenoid tonsillitis

            As mentioned above, this pathology manifests as swelling of the adenoid tissue just behind the nose, which is part of the lymphatic system. This structure traps germs and bacteria, preventing infection from progressing to the upper respiratory tract.

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           Adenoids also function in infants and toddlers, but according to the sources mentioned above, they reach their maximum growth at age 7. Since then, it begins to decline to the point that it almost disappears when the child reaches adulthood. This is because new immune mechanisms develop with age.

           Although this concept is not standardized in all literature sources, the difference between acute and chronic adenoid tonsillitis must be emphasized. Adenoid tissue can become inflamed during an expected infectious episode. However, if adenoids are infected, the clinical picture can become chronic.


 The most common cause is a bacterial infection. The bacteria most relevant to this clinical picture are-
  1. Haemophilus influenza
  2. Pyogenic streptococcus
  3. Staphylococcus aureus

Symptoms of baby adenoid tonsillitis

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The most common symptoms are:
  • Dry mouth and bad breath
  • Brittle lips
  • Nasal discharge i.e. recurring or prolonged runny nose
  • Ear problems
  • inability to breathe properly and the baby begins to breathe through the mouth.
  • Recurrent nose or sinus infection
  • snoring            

Treatment of baby adenoid tonsillitis

           Treatment depends mostly on the severity of the condition, and partly on its cause.
           The key to treating baby adenoid tonsillitis is to wait and watch the situation. It makes no sense to give antibiotics to newborns who have an allergic reaction. It is equally useless to diagnose the patient directly. Therefore, a pediatrician should be consulted, and a specialist can take various actions.
           Viral infections usually do not require treatment. In fact, this type of upper respiratory pathology usually resolves after 5 to 7 days, according to at least some scientific sources.
             This is why you should consult your doctor if you find any of these symptoms.
             Treatment of tonsillitis is possible, but it depends on what causes it. For example, if bacterial infections are suspected, antibiotics should be taken for the entire duration. The fever subsides for up to 48 hours after taking the antibiotic. Most importantly, antibiotics should not be intercepted, as bacteria may not be completely eliminated and tonsillitis is exposed again. If the child's throat is caused by a virus, then antibiotics will not help.
               After infection of tonsillitis in the child, only medical treatment is not enough, but parents should take special care of the child. 
               You can take the following measures-
1.The child gets plenty of rest.
2.To remove sore throat, give honey and lemon mixed with warm water to the child.
3 If you have a sore throat, give the child fluids.
4 Make the child gargle by adding salt to warm water.
5. If the fever is high, give paracetamol to the child.

         Finally, recurrent adenoid tonsillitis leads to lymphatic enlargement. In this case, the tissue may need to be surgically removed as the size of the tissue does not decrease even after infection.




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