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Will my son's adenoid hypertrophy resolve with medication or need surgery?
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Ear, Nose, and Throat Disorders
Question #48493
26 days ago
306

Will my son's adenoid hypertrophy resolve with medication or need surgery? - #48493

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Hello, My 6 year old son have grade 4 adenoid hypertrophy. Doctor have prescribed medicines Furamist nasal spray, cefabest 200, Lewdef 6, and MonteLC tablets for a week. After that they will give steroid nasal drops for a month. Will he require surgery or it can resolve with these medicines only? He does not have any symptom, except a bit mouth breathing only at night. No ear infections, no sleep disorders, nothing wrong with concentration or anything else.

How long has your son been experiencing mouth breathing?:

- More than 6 months

Has your son had any recent illnesses or allergies?:

- Yes, frequent colds or allergies

What is your son's overall health like?:

- Frequent illnesses
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Doctor-recommended remedies for this condition

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Doctors' responses

IN A SIX YEAR OLD CHILD GRADE FOUR ADENOID ENLARGEMENT SOUNDS ALARMING ON PAPER BUT DECISION FOR SURGERY IS NEVER BASED ONLY ON GRADE IT IS BASED ON SYMPTOMS FUNCTION AND COMPLICATIONS ADENOIDS ARE IMMUNE TISSUE AND IN CHILDREN THEY COMMONLY ENLARGE DUE TO RECURRENT COLDS ALLERGIES AND IMMATURE IMMUNITY

YOUR CHILD HAVING MILD MOUTH BREATHING AT NIGHT IS A GOOD SIGN AND IN SUCH CASES SURGERY IS NOT AN EMERGENCY AND CAN DEFINITELY BE AVOIDED OR POSTPONED

THE ALLOPATHIC MEDICINES GIVEN ARE TO REDUCE INFECTION ALLERGY AND INFLAMMATION AND NASAL STEROIDS ARE GIVEN TO SHRINK ADENOID SIZE TEMPORARILY CHILDREN WILL IMPROVE WITH THIS APPROACH AND ADENOIDS NATURALLY START REDUCING

FROM AYURVEDIC VIEW THIS CONDITION IS DUE TO KAPHA ACCUMULATION AMA FORMATION AND IMMATURE AGNI WITH PRONE ALLERGIC RESPIRATORY TRACT ADENOIDS REPRESENT LOCAL KAPHA GRANULAR GROWTH DUE TO REPEATED COLD AND MUCUS STAGNATION

AT THIS STAGE SINCE SYMPTOMS ARE MINIMAL THERE IS NO STRONG INDICATION FOR SURGERY

GIVE SITOPALADI CHURNA ONE FOURTH TEASPOON TWICE DAILY WITH HONEY AFTER FOOD THIS REDUCES ALLERGIC COUGH MUCUS AND SUPPORTS RESPIRATORY IMMUNITY

TALISADI CHURNA ONE FOURTH TEASPOON ONCE DAILY WITH HONEY FOR KAPHA REDUCTION

BALA VILVALEHA HALF TEASPOON AT NIGHT THIS STRENGTHENS LUNG IMMUNITY AND REDUCES RECURRENT COLD

AVOID COLD FOOD ICE CREAM CURD AT NIGHT CHOCOLATES AND BAKERY ITEMS KEEP CHILD WARM ENSURE PROPER SLEEP AND STEAM INHALATION WITH WATER TWO TO THREE TIMES A WEEK

IF AFTER THREE TO FOUR MONTHS THE CHILD DEVELOPS LOUD SNORING PAUSES IN BREATH DAYTIME TIREDNESS POOR SCHOOL PERFORMANCE FREQUENT EAR PAIN OR HEARING LOSS THEN SURGERY MAY BE DISCUSSED OTHERWISE MANY CHILDREN OUTGROW THIS WITH MEDICAL AND AYURVEDIC SUPPORT

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Hello I get why you’re worried about the grade 4 adenoid hypertrophy thing. But honestly, what matters most is how your son is actually doing, not just what the scan says.

The good news is: * He only breathes through his mouth a little at night. * He hasn’t had any ear infections. * He sleeps fine and isn’t having trouble learning. * He feels fine during the day.

So, even with the grade 4 thing, he probably doesn’t need surgery.

Do Big Adenoids Always Mean Surgery? No, Not at all.

Surgery is really only needed if your child: * Snores super loud and stops breathing while sleeping. * Keeps getting ear infections or can’t hear well. * Has sinus infections that won’t go away. * Isn’t growing well, sleeping well, or able to focus.

Your son isn’t dealing with any of that. Right now, it sounds like he just needs medicine, not surgery.

Can Medicine Help Shrink Adenoids? Yeah, it can for lots of kids.

The meds he’s taking (Furamist, Montelukast, antihistamines, a bit of antibiotics, then steroid drops) are supposed to: * Calm down any swelling. * Make the adenoids smaller. * Keep allergies in check. * Stop them from getting bigger.

Adenoids in kids usually respond pretty well to medicine, especially when allergies are part of the problem (which your son has).

What Usually Happens

If the treatment works: * He’ll stop breathing through his mouth as much in a few weeks. * He’ll be able to breathe better through his nose. * The adenoids will slowly get smaller. * He’ll grow and his immune system will get stronger.

For many kids, adenoids just shrink on their own after they turn 7 or 8.

When to Think About Surgery Only if, after about 2 months of using the medicine: * He starts breathing through his mouth more. * He snores really loudly. * He’s not sleeping well. * He starts having ear problems. * Or he keeps getting infections.

Then you can talk about surgery. But not before then.

What You Should Do To get the best results:

* Keep using the nasal spray exactly as you were told. * Try to avoid dust, smoke, and strong smells. * Give him a saline nasal wash once a day. * Keep his room humid at night. * Take his allergies seriously (that’s really important).

Important Thing to Remember

The size of the adenoids on the scan doesn’t decide whether he needs surgery. It’s about his symptoms, not the numbers.

Right now, your son is: Doing okay, has only a few symptoms, and is a good fit for treatment with medicine.

The Truth He doesn’t need surgery right now. There’s a good chance the medicine will work and his adenoids will get smaller.

Just check back in a month to see how he’s doing

Warm Regards Dr. Snehal Vidhate

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Through Ayurveda we can relieve the symptoms caused due to this and not the hypertrophy completely.

Vara-brihatyadi Kashayam 2 times daily as 5ml kashayam with 45ml luke warm water before food. Rasnadi Churna for external application over throat with tender-coconut juice i.e. take the husk of the tender coconut and boil then strain the water and use it to mix the churna , once daily , prolong till it dry then wipe off.

Continue this for 1 month Avoid cold intake such as ice-cream, chocolates, over playing, sleeping direct under the fan, head bath at evening.

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Consulting the AYURVEDIC shalakya ENT SPECIALIST u ll get results

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