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Registration No:946046 Karnataka Medical Council, 1997 Dr. Sreenivasa Murthy TM | Phone📞 : +917204449799, 41440208 (Online & in-person appointment can be booked online or by call) | Consultant ENT Surgeon | Srinivas speciality ENT & Dental clinic, Mathikere Bengaluru India Subscribe to / @doctors-circle World's Largest Health Platform / @doctorscirclehindi दुनिया का सबसे बड़ा हेल्थ प्लेटफार्म / @doctorscircle-knowyourdoctor Know Your Doctor So most often, parents would have taken the children to their paediatricians with the symptom of, say, a cold: "My child is having a cold." So basically, it would mean a runny nose, sniffing, and then having some difficulty in breathing. The paediatrician would treat it accordingly, based on whether it is an acute problem or a chronic problem. Now, most acute problems are self-limiting problems. We need to understand both the words "acute" and "self-limiting." Acute is anything which has happened in a very short duration of time. It has happened over the past few days to maybe a week or so. And self-limiting means whether we intervene or we don't intervene, the body can fight it off, which is called self-limiting. Now, most acute infections are self-limiting, but at the same time, in today's world, because nobody wants to have sick absenteeism, we will need to give medication so that the child will feel comfortable. Hence, some medication to that extent will be given in the form of fever control, runny nose control, decongestants, saline drops, and these are the usual things. Now, when does a paediatrician consider the possibility of adenoids being a cause? When the child tends to have a constant cold despite giving all these medications. Now, how do we confirm whether the child has adenoids or not? Most often, because the adenoid is at the back of the nose, in very young children, say at the age of 2 or 3, it would be difficult to do any outpatient-based procedures to confirm the diagnosis. In a slightly older child of around 7 or 8 years, we will be able to confirm the same by doing a simple outpatient procedure called nasal endoscopy, in which we will be able to identify the size of the adenoids. Whereas in very small children, what we rely upon is an X-ray, a simple X-ray of the nasopharynx (that means the back of the nose from the side view). It is called a lateral view. We will be able to identify the size of the adenoids. Now, when somebody has adenoidal hypertrophy, the first thing the doctor would do is give saline sprays. We get saline sprays in mist form for younger kids so that they can tolerate the nose being cleansed with saline. After the cleansing has happened, we will give a very mild dose of steroidal nasal sprays, which will tend to reduce the size of the adenoid. Now, the moment we use the word steroid, many parents get worried. But these steroids are made for action in the nasal cavity. They will not get absorbed into the body and will not have other effects on the body. They can safely be given for as long as about 2 months every day. When we give this for this long duration, we have seen a majority of patients or the children responding well to the medication, and the size of the adenoid actually reduces, and they become symptom-free. But the catchword is that we need to give it for a long duration, for as long as a month or more. Enlarged adenoids | enlarged adenoids in kids | enlarged adenoids in kids treatment | how to help a child sleep with enlarged adenoids | does my child have enlarged adenoids | adenoids symptoms in child | signs child needs adenoids removed #doctorscircle #adenoid #adenoids #childhealth #children