When a child has enlarged tonsils, nasal polyps, mouth breathing and snoring sounds during sleep for many months, it does not happen suddenly and it also does not resolve suddenly. This condition usually develops slowly due to repeated cold, cough, blocked nose, weak local immunity and long-standing congestion in the throat and nose. Because the nose remains blocked, the child starts breathing through the mouth, and over time this becomes a habit.
What you are doing now is in the right direction. Talisadi churna supports cough, throat congestion and digestion. Garlic with honey helps local immunity. Neer kovai is often used for nasal and lymphatic congestion. Two days is still very early to judge its effect.
For a child of 5 years, improvement usually comes in stages. In the first 2 to 3 weeks, you should notice reduction in cough, less throat irritation and slightly better sleep. In about 4 to 6 weeks, nasal blockage should start reducing and snoring sound during sleep should become less intense. Mouth breathing improves only after the nose stays open consistently, so that may take 6 to 8 weeks or sometimes a little longer, depending on how big the tonsils and polyps are and how regularly medicines and diet are followed.
continue Talisadi churna usually a pinch to 1/4 th teaspoon mixed with honey, twice daily after food. Garlic honey paste should be mild, small quantity once daily, Neer kovai tablets as advised
Along with medicines, Avoid cold foods, ice cream, curd at night, refrigerated water and packaged snacks. Give warm water frequently in small sips. Prefer warm, freshly cooked food. Do not allow the child to drink water immediately after coming from outside play. Keep the chest, throat and feet protected from cold.
Steam inhalation with plain water once daily, can help clear nasal blockage. Avoid forcing the child to breathe through the nose once congestion reduces, breathing pattern will slowly correct itself.
mouth breathing stops only when the nose remains clear both day and night. Consistency is more important than changing medicines frequently. Give this for atleast least 6 to 8 weeks while observing gradual changes.
If after 2 months there is no clear improvement in sleep sound, nasal blockage or mouth breathing, then reassessment is required
Continue with Talisadi churan Also add Yastimadhu churan 10 gms + sitopaladi churan 10 gms+ Giloy satva -5 gms = Mix, take 1/4tsp twice daily with honey Give 1 cup of warm haldi doodh with mishri at at bedtime. Avoid citrus fruits,fried snacks,& food, too sugary foods, like chocolate sweets icecream. Rub eucalyptus oil on both soles of feet.
Hello I totally get why you’re worried. It’s tough seeing your 5-year-old dealing with big tonsils, nasal polyps, mouth breathing, and snoring. You’ve started treatment, which is great, but these things take time and the right approach, especially with kids.
YOUR CONCERN
Patient: Boy Age: 5 years old Main issues: –Big tonsils (always inflamed) –Nasal polyps –Breathing through his mouth (for over 6 months) – Snoring/gurgling sounds when he sleeps –Lots of coughing Current meds: Talisadi Churna – 1 month Neer Kovai tablets – 2 days Garlic + honey paste – for tonsils
AYURVEDIC PERSPECTIVE
This all looks like a mix of: * Excess Kapha causing nasal issues * Chronic tonsil inflammation * Growths like adenoids or polyps from Kapha buildup
With kids, Kapha is naturally high. Things like frequent colds, coughs, bad food choices, and poor digestion make it worse. These growths don’t just disappear overnight.
The main idea here is to slowly bring down Kapha and boost immunity, not hit it with strong meds.
HOW LONG THIS TAKES?
Listen, it’s really important to know: –1 month isn’t enough for tonsils and polyps to shrink. –Two days on Neer Kovai tablets is way too soon to see anything.
Tonsil size: 6–8 weeks minimum, sometimes up to 3 months for long-standing issues.
Nasal polyps: Expect 8–12 weeks of steady treatment. Smaller ones go quicker; bigger ones need more time.
Mouth breathing: This only gets better once the nose clears up. It usually starts improving after 4–6 weeks and can stop completely in 2–3 months if treatment is working well. Don’t expect it to stop right away.
ABOUT THE MEDICINE
1.Talisadi Churna: Good pick for cough, Kapha, and tonsils. But it’s not enough for polyps by itself
2.Garlic + Honey: Garlic is warm, and for some kids, it can make their throat more irritated. If your child gets a burning throat, acid reflux, or loose stools, stop the garlic.
What to add or change (things safe for a 5-year-old):
INTERNAL MEDICATION
1.Sitopaladi (child dose)- ½ tsp with honey twice daily
❌ Stay away from: Strong guggulu meds Adult nasal sprays High doses of warming medicines
EXTERNAL and HOME CARE (super important)
Steam:- Just plain steam, or with a tiny bit of ajwain. Once a day, for 3–4 minutes.
DIET MODIFICATION (this really makes a difference)
❌ AVOID COMPLETELY
* Cold milk * Ice cream * Chocolates * Baked goods * Cold water * Curd at night
✅ INCLUDE:
* Warm, fresh home-cooked meals * Rice and dal * Vegetable soups * Turmeric in food * Sipping warm water
–Ayurveda can definitely help your child. –Surgery isn’t the first move at this age. –Sticking with it for 2–3 months is key. –What he eats is just as important as the medicine.
Don’t lose hope—you’re doing great
Warm Regards Dr. Snehal Vidhate
Thanku snehal mam for your warm response.it means a lot.thanku
Hello, For nasal polyp please meet a nearby ayurveda doctor who has postgradutaion in shalya(ayurveda surgery). As the recurrence is high with just internal medicines. For tonsilitis you can give him- 1. Tonsari capsules 1–0–1 for 90 days.
In the meantine- 1. Please avoid cold food, reheated food-canned and processed food, refrigerated food, out side junk food. 2. Let him drink hot water 3. No direct exposure to dry breeze, mist, dust, air conditioning, fan. Take care, Kind regards.
Hello, Thank you for explaining your child’s condition clearly. Based on what you described, your 5-year-old child has chronic adenotonsillar enlargement with nasal polyps, leading to mouth breathing, snoring (“ghor ghor” sound), and frequent cough. Since this has been present for more than 6 months, it is a chronic condition, not an acute one—so improvement will be gradual, not immediate. It is good that you have started treatment early and have not used repeated antibiotics.
* Understanding the Problem (in simple terms) Enlarged tonsils + nasal polyps block the nose Child is forced to breathe through the mouth During sleep, airway becomes narrow → snoring sound Post-nasal drip → frequent cough Long-standing mouth breathing takes time to reverse because the habit and swelling both need to reduce
⏳ How long will it take to see improvement? With regular and correct treatment: First 3–4 weeks Reduction in throat irritation Cough frequency starts reducing Tonsils may look slightly less inflamed Sleep may become a little quieter 6–8 weeks Nasal blockage reduces Child starts breathing through nose during daytime Snoring sound reduces gradually Mouth breathing during sleep becomes less frequent 3–4 months Significant reduction in tonsil size Nasal polyps shrink slowly Mouth breathing mostly stops Sleep quality improves
* Since this is the first treatment and the problem is chronic, minimum 2–3 months of consistent therapy is usually required.
💊 About the medicines you are using 1.Talisadi Churna – helps cough, throat mucus, digestion ✔️ Safe and appropriate, but improvement is slow 2.Neer Kovai tablets – useful for nasal growths ✔️ Too early to judge effect (only 2 days taken) Garlic + honey paste – helps immunity and infection
In some children, garlic can be irritating or heating 👉 If cough increases, throat burning, or acidity occurs, reduce quantity or stop
🌿 Important supportive measures (very important) 1️⃣ Nasal care Anu taila 2 drops in each nostril, 2 times daily Helps reduce polyp swelling and nasal blockage
2️⃣ Steam inhalation Plain steam (no strong herbs) Once daily in the evening, 5 minutes (with supervision)
3️⃣ Sleeping position Head slightly elevated Avoid sleeping flat on the back if snoring is severe
🥗 Diet & lifestyle (very important in children) ❌ Avoid Cold water, ice creams Chocolates, bakery items Packed snacks Night-time curd Exposure to dust, smoke, cold air
✅ Include Warm home food Turmeric milk (small quantity, if tolerated) Fruits like apple, pomegranate Adequate fluids
When to re-evaluate urgently Please consult an ENT doctor if: Snoring becomes very loud with pauses in breathing Child seems very tired or sleepy during the day No improvement at all after 3 months Repeated ear pain or hearing issues start Sometimes, very large adenoids/tonsils may still need ENT opinion, but many children improve with proper conservative treatment, especially at this age.
🌸 Reassurance You have started treatment at the right time. Mouth breathing will not stop immediately, but with consistent care, most children show clear improvement within 2–3 months.
If you want, you can tell me: Does he get fever frequently? Any ear pain or hearing issues? Is snoring every night or occasional? I can further fine-tune the guidance for your child
Warm regards, Dr.Sumi MS(Ayu)
also give kanchanar gugulu 1 bd sitopaladi churna 1/2 tsp bd with honey tab yashti madhu churna 1/2 tsp 2 times with honey godhani bhasma 60 mg with honey ( if fevar) warm salt water gargle one times polyps - kanchanagr gugulu tab 1 at after noon haridra khanda 5 gm at warm warer bed times
AS YOUR CHILD IS 5 YEARS OLD AND HAS BIG TONSILLITIS ,NASAL POLYPS ,MOUTH BREATHING AND GHOOR GHOOR SOUNDS WHILE SLEEPING YOU ARE USING TALISADI CHURNA FOR ONE MONTH NEER KOVAI TABLETS FOR TWO DAYS AND GARLIC HONEY PASTE FOR TONSILLITIS. IN AYURVEDA THESE SYMPTOMS INDICATE VATA KAPHA PRADHAN SROTO ROGA INVOLVEMENT ESPECIALLY PRANAVAH SROTAS NASAL CHANNELS AND SHVASA MARGA IMBALANCE MOUTH BREATHING OCCURS DUE TO BLOCKED NASAL PASSAGES ENLARGED TONSILS AND POLYPS IT CAN ALSO LEAD TO FREQUENT COUGH DUE TO DRYNESS AND POOR FILTERING OF AIR
FOR INTERNAL MANAGEMENT CONTINUE TALISADI CHURNA ONE FOURTH TEASPOON WITH WARM MILK TWICE DAILY IT HELPS REDUCE NASAL AND THROAT INFLAMMATION AND SUPPORTS IMMUNITY. NEER KOVAI TABLETS 1/4 TH TABLET TWICE DAILY WILL HELP SHRINK POLYPS AND CLEAR NASAL PASSAGE FOR TONSILLITIS USE PINCH OF GARLIC HONEY PASTE TWO TIMES DAILY TO REDUCE INFECTION AND STRENGTHEN THROAT MUCOSA YOU CAN ALSO GIVE DASHAMOOL KWATH ONE TEASPOON WITH WARM WATER TWICE DAILY TO REDUCE VATA-L KAPHA AND SUPPORT RESPIRATORY HEALTH TRIPHALA GUGGUL HALF TABLET WITH WARM WATER AT NIGHT CAN HELP WITH DETOX AND REDUCE INFLAMMATION
OIL MASSAGE WITH SESAME OR MEDICATED TAILA AROUND NOSE AND CHEEKS CAN HELP REDUCE BLOCKAGE AND SUPPORT BREATHING HUMIDIFYING BEDROOM AIR AND KEEPING CHILD HYDRATED WILL REDUCE DRYNESS AND COUGH
DIET SHOULD INCLUDE FRESH FRUITS VEGETABLES WHOLE GRAINS LUKEWARM MILK AND LIGHT EASY TO DIGEST FOOD AVOID COLD DRINKS ICES AND FRIED SPICY FOOD TO REDUCE KAPHA ACCUMULATION INCLUDE AMLA PAPAYA AND CITRUS FOR IMMUNITY
IMPROVEMENT IN BREATHING AND REDUCTION IN MOUTH BREATHING DEPENDS ON SIZE OF TONSILS AND POLYPS AND CHILD’S RESPONSE TO HERBS USUALLY NOTICEABLE IMPROVEMENT TAKES THREE TO FOUR WEEKS WITH REGULAR INTERNAL AND EXTERNAL CARE COMPLETE RESOLUTION MAY TAKE TWO TO THREE MONTHS CONSISTENT FOLLOW-UP IS IMPORTANT TO MONITOR POLYPS AND TONSIL SIZE REGULAR PRACTICE OF BREATHING EXERCISES AND KEEPING NASAL PASSAGE CLEAR WILL HELP MOUTH BREATHING REDUCE GRADUALLY OVER THIS PERIOD
Hi this is Dr soukhya as considering your problem…see I want clear and clarify you 1 thing… Your child is just 5yr old you can’t try too much on him just trial and error… Sometime what happens if nasal polyps are really hurting and creating issues to your child You have to go with panchakarma procedure like nasya and kshara application there…I don’t think I will tolerate in this age… I suggest best go to ayurvedic shalakya specialist had conversation face to face to get better results…
Your current treatment is good but incomplete – polyps & tonsils need stronger anti-inflammatory + immunity support.
Continue + Add Talisadi Churna – continue 500 mg + honey 3 times daily Sitopaladi Churna – 500 mg + honey 3 times daily Laxmivilas Ras (Nardiya) – ¼ tablet morning + night with honey Haridrakhandam – 3 gm morning + night with warm water Swasari Pravahi OR Kasari Syrup – 2.5 ml + equal warm water 3 times daily (opens airways)
Nasya Anu Taila – 1–1 drops each nostril morning & night and lie down 2 min (clears polyps & nasal blockage, stops mouth breathing)
Daily Steam Plain warm water + 3–4 Tulsi leaves for 5 min twice daily
Diet Give only: warm moong khichdi + ½ tsp ghee, pomegranate juice 50 ml, warm goat milk if tolerated Avoid completely: curd, banana, cold milk/drinks, biscuits, packaged snacks
Regards Dr Gursimran Jeet Singh MD Panchakarma
1.Sitopladi churna 1/4 tsp twice daily with honey 2.Chyawanprash 1 tsp with warm milk in the morning 30-60 min before breakfast 3.Haridra khand 1/4 tsp twice daily with warm milk 4.Anu taila- 1 drop in each nostril inn the morning
🍲 Supportive Diet - Warm soups (moong dal, vegetable broth). - Amla or pomegranate juice for immunity. - Avoid cold drinks, ice creams, and fried foods. - Use turmeric milk at night for cough and throat soothing
🧘 Home Remedies - Warm saline gargles (if child can manage). - Steam inhalation with tulsi leaves or ajwain seeds. - Gentle massage with warm sesame oil on chest and back.
