Adenoid hypertrophy


How to perform pediatric massage for adenoid hypertrophy
Children's adenoid hypertrophy does not respond to massage therapy. It is typically caused by an acute inflammatory response, leading to sudden congestion, edema, proliferation, and exudation of the glands. Symptoms include fever, nasal congestion, sneezing, and snoring during sleep; severe cases can also lead to a decrease in hearing, tinnitus, and a feeling of fullness in the ears. In treating acute adenoid hypertrophy, symptomatic anti-inflammatory treatment is required first. This includes oral or intravenous antibiotics, which are usually effective due to bacterial infections, with penicillin antibiotics often having good outcomes. Local treatments such as nebulization can also help to reduce gland congestion and swelling. A light diet, drinking more water, and resting can generally lead to improvement. However, if the condition recurs frequently, local surgical treatment may be necessary. (Medication should be used under the guidance of a doctor.)


Can adenoid hypertrophy heal itself?
The adenoids are normal lymphoepithelial tissue located in our nasopharynx. In young children, especially around the ages of 5-6, the adenoids become enlarged or hyperplastic. This can then easily lead to the obstruction of surrounding structures causing issues such as snoring, sinusitis, and otitis media. Generally, adenoid hypertrophy is self-resolving because, after the age of around ten, the adenoids gradually atrophy. However, there are a minority of patients in whom the adenoids do not atrophy. Although the adenoids of the vast majority of patients will atrophy around the age of ten, it is important to recognize that from hypertrophy to atrophy, there is a long duration during which if deformities or conditions that affect body development occur, they cannot be reversed to normal. Therefore, it is essential to treat and intervene timely in patients with adenoid hypertrophy.


Can adenoid hypertrophy be seen with the naked eye?
Adenoid hypertrophy is a common disease in otolaryngology, and it is not visible to the naked eye. The diagnosis of excessive growth and hypertrophy of adenoid tissue is mainly made through electronic nasopharyngoscopy and lateral nasopharyngeal radiograph examinations. Typically, if the adenoid tissue occupies more than 2/3 of the posterior nasal aperture, it can be diagnosed as adenoid hypertrophy. Patients mainly show symptoms such as snoring, breath-holding, and hypoxia during sleep at night, as well as daytime sleepiness and reduced memory. Patients with adenoid hypertrophy require surgical ablation of the hypertrophied adenoid tissue to improve their sleep conditions at night and achieve cure.


Adenoid hypertrophy should be seen by the ENT department.
The glandular body, located in the nasopharyngeal region, is an organ made up of lymphoepithelial tissue. Enlargement of the glandular body leads to an increase in its size, blocking the passage of the nasopharynx. Based on this explanation, it is understandable that glandular hypertrophy should be evaluated by an otolaryngologist. If a more detailed subdivision of specialization is necessary, it can be divided into rhinology, laryngology, and otology, with the main focus being on rhinology or laryngology depending on the specific regulations of different hospitals. In summary, glandular hypertrophy should be assessed by an otolaryngologist. Additionally, it is important to note that glandular hypertrophy can lead to developmental abnormalities, especially in dental development. If these complications occur, consultation with the relevant departments, such as dentistry, may be necessary.


Is adenoid hypertrophy massage effective?
Adenoid hypertrophy generally does not respond well to massage therapy, as the affected area is in the nasopharyngeal region and primarily occurs in children. Typically, children reach the peak of adenoid growth around six or seven years of age, and then the adenoids usually begin to shrink after the age of eight. If the adenoid hypertrophy is severe and blocks the posterior nasal passages, it can lead to nasal congestion, snoring, and mouth breathing while sleeping. If severe and left untreated for a long period, it can result in a condition known as "adenoid facies," which causes abnormal development or deformities of the jaw and facial bones. Treatment generally focuses on medication. If medication is ineffective, surgery may be considered. Massage therapy does not have a direct effect on adenoid hypertrophy.


Can you eat bird's nest with adenoid hypertrophy?
Adenoid hypertrophy is permissible for consumption of bird's nest, which is considered a health supplement that can enhance the body's immunity and resistance, offering significant assistance in the recovery from adenoid hypertrophy. Generally, adenoid hypertrophy is caused by repeated inflammatory stimulation following decreased immunity and resistance. Adenoid hypertrophy most commonly occurs in children aged three to eight. The adenoid is a lymphoid mass located on the posterior wall of the nasopharynx, and long-term inflammatory irritation can lead to congestion, swelling, and hyperplasia of the adenoids, causing symptoms such as nasal congestion, snoring during sleep, decreased hearing, and tinnitus. It's advisable to visit a hospital for a check-up with an electronic laryngoscope or nasopharyngoscope to confirm a diagnosis. During the acute phase of treatment, symptomatic anti-inflammatory treatment is required, followed by a bland diet and consumption of health supplements to enhance immunity and resistance when symptoms alleviate. If adenoid hypertrophy persists for a long time and conservative treatment is ineffective, local surgical removal may be necessary.


What foods are good to eat for enlarged adenoids?
For adenoid hypertrophy, it is advisable to eat more fresh vegetables and fruits in daily life, such as apples, oranges, grapefruits, and tomatoes. Try to avoid spicy and irritating foods as they can cause the adenoids to become congested and swollen, worsening the condition. Clinically, adenoid hypertrophy is generally caused by repeated inflammatory stimuli and the irritation from spicy foods, leading to diffuse congestion, edema, and hyperplasia of the adenoids. This condition can cause the patient to experience persistent nasal congestion in both nostrils, accompanied by snoring during sleep. In severe cases, it can lead to tinnitus and hearing loss, necessitating a hospital examination where a digital nasopharyngoscope can confirm the diagnosis. In terms of treatment, acute adenoid hypertrophy requires symptomatic anti-inflammatory treatment combined with a light diet. If the patient has been suffering for a long time and conservative treatment is ineffective, adenoidectomy may be necessary to completely cure the condition.


Can you eat fish with enlarged adenoids?
Patients with adenoid hypertrophy can eat fish, as fish is a common type of meat and does not have side effects on the condition of adenoid hypertrophy, nor does it affect the treatment outcome of adenoid hypertrophy. There is also no direct conflict with the medications used to treat adenoid hypertrophy. For patients with significant adenoid enlargement accompanied by related clinical symptoms, such as nasal congestion, mouth breathing, and snoring during sleep, timely treatment is necessary. Most patients can opt for treatment with oral medications combined with nasal spray medications. If conservative medical treatment is ineffective and the condition is severe, surgical removal might be considered.


Can you get vaccinated if you have enlarged adenoids?
Adenoid hypertrophy needs to be distinguished first between acute and chronic hypertrophy. If it is acute adenoid hypertrophy, vaccination should not be administered. Acute adenoid hypertrophy is most often caused by an acute inflammatory infection, usually secondary to acute rhinitis or sinusitis. When the inflammation affects the adenoids, it leads to congestion, edema, enlargement, and hyperplasia, resulting in clinical symptoms such as nasal congestion, ear stuffiness, and ear pain. The treatment primarily involves symptomatic anti-inflammatory treatment, along with nebulized inhalation to alleviate local congestion and edema, which can lead to gradual improvement. Vaccination can be administered once the inflammation has subsided. However, if it is chronic hypertrophy, patients can be vaccinated. Chronic hypertrophy is mostly due to continuous slow enlargement and hyperplasia of the adenoids caused by chronic inflammatory stimulation, leading to symptoms like snoring during sleep and mouth breathing. In such cases, adenoidectomy can be curative.


Does a baby snoring mean that the adenoids are enlarged?
Baby snoring cannot necessarily be attributed to enlarged adenoids; it might also be due to a cold, nasal congestion, enlarged tonsils, or the position of the tongue falling back while sleeping. Therefore, the specific cause of a baby's snoring needs to be determined by a professional physician's examination, and appropriate treatment should be given based on the specific cause. If the snoring is due to enlarged adenoids or tonsils, a professional evaluation may be required to decide whether surgery is necessary to alleviate the symptoms of snoring. If the cause is nasal congestion, oral antihistamines or local nasal sprays can be used to relieve the symptoms of snoring. (If medication is required, please proceed under the guidance of a doctor.)