What are Tonsils and Adenoids? Infants have developing protection system called nodes or glands that drain lymph, a fluid that is excreted from capillaries and tissues.These glands are like watch dogs of entry point of respiratory and alimentary gut system which is often the commonest route of entry of most infections in the body. They are the protective pillars at the entry point of infection that is throat and nose respectively. Dominant in children below 5 years age as they are weak, By age 10 yr age, most children have very small tonsils and adenoids and practically not serving any purpose When there are infections, these are the ones who sense it first and try to tackle at local level, that makes them grow larger in size, depending on severity or chronicity of infection or pathology.
When the security gets too tight, body faces problems in day to day activities like breathing or eating; and thatswhy most kids suffering from it have these symptoms..
How does a doctor make out a child having tonsils and adenoids?
from their symptom profile. In case of adenoids, the kids have nose block on throat side.. and kids often present with runny nose lasting 2 weeks or more.As the nose is almost blocked , these kids may have mouth breathing. fever, growth failure and reduced diet can be off and on. often there is bad breath, snoring and speech issues. rising pressure in ears may also cause ear pain and discharge as adenoids are close to ear openings in throat.
Tonsils often present with fever throat pain or fever cough or fever vomiting episodes. Often get cured with symptomatic therapy. there may be bad breath, hot potato speech or reduced solid intake. Children often look thin short and active. there are often nodes seen just around angle of jaw. Tonsils and house of tonsils often looks inflammed red in acute infections and may get sticky to uvula or other tonsils.
Reduced diet and growth failure is very common and may necessitate surgery.
And many more questions on tonsil adenoid infections,answers will soon be posted at www.kondekar.com If you have any query regarding tonsil or adenoid issues about your child, do write back at www.kondekar.com symptoms and therapy.. will be discussed in next few days.
Why only kids? Kids being raw, are not exposed to such foreign (Infection like) issues, so the protective force of body senses them as new. With passage of time over years, the body grows larger in size, the protection is no longer needed as adults can easily take care of what comes in, these glands shrink in size, and usually arenot a major problem in adults. Adults develop protective immunity by more mature mechanisms of generating antibodies, and other protective chemicals to tackle these issues. When the problem remains persistent, kids can get recurrent issues, often cause growth failure, otitis and bad mouth with reactive cough and or wheeze, mimicking an asthma like illness. detected in time, there is a definite complete cure to these.
What age children get affected? adults? Usual age is 2 to 7 years. Those kids who have chronic symptoms may have it persistent in adults. How do tonsils and adenoids get infected? As they are the first pass gaurds, any infection entering from food or breath/aerosol can affect them respectively. Is it infection or allergy? Not allergy for sure. tonsils infections are easy to confuse with asthma while adenoid infections are easy to confuse with allergic rhinitis. As symptoms are overlapping to large extent. डॉं कोंडेकर संतोष वेंकटरमण@मुंबई Dr Santosh Kondekar is now also available at Shushrusha hospital Dadar West . Mumbai India. Monday to Friday at 7 to 9 PM. www.kondekar.com Follow @9869405747
Any investigations needed? Adenoid examination by IDL test, Xray nasopharynx (digital) often shows adenoids blocking nose from throat side. Often it may block Eustachian tube.. the openings of ear inside throat. For tonsils, a throat examination is enough. A blood count or strept test for throat may decide the course of antiniotic therapy.... but if there is any suspicion of TB, one may need node biopsy. Does it cause growth failure? As both these cases cause reduced intake, and frequent symptoms poor weight and eventually porr height gain is not uncommon. Do all kids need surgery for tonsils? No, unless growth failure or 7-8 episodes in a year affecting quality of life. Does it cause bad breath, disfigurement of face or teeth? possible. Is it due to bottle feeding?possible. Does it cause leaky ear or ear infection? possible. Is there any permanent cure? yes.. surgery but not needed in all cases. Even natural cure at times. Are there any medicines? yes. often symptomatic. Intermittent antibiotic courses and decongestants. When and how to take these medicines? Please visit a doctor for prescription. Is this viral? possible, but not all cases are viral. Is this asthma? It can cause asthma like symptoms so much so that sometimes these cases do need asthma like medicines, Why do some children worsen? due to neglect... due to large tonsils, frequent symptoms, inadequate therapy, and in some cases parents refusal to give antibiotics despite need.
Pediatric consultations and advice in difficult cases and diseases affecting children upto age 18 years.
Second opinion clinic, pediatric respiratory and neurology consultation clinic
Dr Kondekar's Postulates
Every disease often presents in typical bookish picture... cos these books are written with decades of observations and research. if not so, either we havent read the books or may be its time to go.. read.. or write about
If a disease doesnot improve with therapy; any of following is likely that...
1. If diagnosis is right .. we are surely missing some complications
2. If not so then the treatment of choice is either wrong,inadequate, and incomplete in drugs or dose or duration.
3. If not so..then most likely diagnosis is wrong or incomplete. A twist in diagnosis can bring dramatic results.
4. if not so.. then we need some patience and time for same or new treatment and its effect.
All diseases do not have complete cure; but there is lot more to do in almost every case to improve quality of care and therapy.