Is adenoid hypertrophy more severe in winter?

Written by Zhang Jun
Otolaryngology
Updated on October 26, 2024
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Adenoid hypertrophy tends to be more severe in the winter due to the weather changes which can lead to significant adenoid hyperplasia. Adenoid hypertrophy is generally more common in children aged three to eight. It is caused by repeated stimulation from acute inflammation, leading to congestion, edema, and growth of the adenoids. This condition can cause patients to experience persistent bilateral nasal congestion, snoring during sleep, and episodes of breath-holding. Additionally, patients may also experience tinnitus, hearing loss, and other related symptoms. Diagnosis can be confirmed through an electronic nasopharyngoscope and adenoid CT scans. For treatment, patients can initially opt for conservative treatments such as oral antibiotics. Additionally, localized nebulizer inhalation can be used to reduce congestion and swelling of the adenoids. If conservative treatments are ineffective, adenoidectomy may be necessary for recovery. (Medication should be taken under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
1min 10sec home-news-image

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.

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Written by Deng Bang Yu
Otolaryngology
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Can people with adenoid hypertrophy eat mangoes?

The adenoids are lymphoepithelial tissue located in the nasopharyngeal area, with adenoid hypertrophy mainly occurring in children, though it occasionally occurs in adults at a lower incidence rate. Clinically, adenoid hypertrophy is primarily caused by adverse stimulations such as allergic factors and repeated bacterial infections, with symptoms commonly including nasal congestion, snoring during sleep, and mouth breathing. For children, surgical removal is often necessary, currently performed mainly through plasma ablation. Generally, patients with adenoid hypertrophy can consume mangoes, as there are no absolute contraindications. However, if the patient also has a mango allergy, then they must avoid eating mangoes. Therefore, it is necessary to analyze each patient's specific situation.

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Written by Deng Bang Yu
Otolaryngology
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What medicine is good for adenoid hypertrophy?

The adenoids are lymphatic tissue located in the nasopharynx, and adenoid hypertrophy can be treated with some medications. Adenoid hypertrophy is often related to allergic factors or stimulation from bacterial infections. Therefore, for the treatment of adenoid hypertrophy, some medications can be used for nasal administration, such as mometasone furoate nasal spray, as well as anti-allergy medications like montelukast sodium. Additionally, some traditional Chinese medicines with aromatic properties, such as Bi Yuan Tong Qiao granules, can be used as adjunct therapy. In summary, the pharmaceutical treatment for adenoid hypertrophy is not directly targeted, and the effectiveness of medication is relatively poor, so a comprehensive evaluation of the condition should be considered when contemplating medication treatment.

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Written by Zhang Jun
Otolaryngology
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Can adenoid hypertrophy be felt by touch?

Adenoid hypertrophy is palpable, as the adenoids are a cluster of lymphoid tissue located at the top of the nasopharynx. If there is localized hypertrophy, it can be directly felt through the mouth. Adenoid hypertrophy most commonly occurs in children, especially those between the ages of three and six, and often follows acute colds, rhinitis, and adenoid hypertrophy, eventually leading to persistent bilateral nasal obstruction. Additionally, it may be accompanied by symptoms such as snoring during sleep, decreased hearing, tinnitus, and a feeling of ear fullness. In severe cases, it may lead to a facial appearance characteristic of adenoid hypertrophy. It is necessary to first visit a hospital for a thorough examination, which can include an electronic nasopharyngoscopy, nasopharyngeal CT, and nasopharyngeal palpation to confirm the diagnosis. In terms of treatment, acute adenoid hypertrophy requires symptomatic anti-inflammatory treatment, along with nebulized inhalation. If conservative treatment is ineffective, adenoidectomy may be necessary for cure.

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Written by Li Rui
Otolaryngology
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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.