Adenoid is a mass of lymphatic tissue in the region where the nose blend into throat, the exact position is in the posterior aspect of nasal cavity. When these ‘hypertrophied naso pharyngeal tonsil’ starts producing symptoms, then the condition is referred as adenoid.
Etiology
Usually between the age of 3 and 10
Hypertrophy of nasopharyngeal tonsil-adenoid- is normal unless and until it produces symptoms
Clinical features
A) Associated with obstruction-
1) Nasal obstruction- leads to mouth breathing, snoring, and drooling of saliva from the mouth, difficulty in eating particularly in infants.
ADENOID FACIES- may develop gradually, nose becomes pinched and narrow mouth becomes open especially at night, the teeth starts protruding and irregular and crowded, while the lower jaw becomes undershot, high arched palate, drooling of saliva. The face becomes expressionless.
There is a chronic nasal discharge.
Voice becomes flat and toneless.
2) Eustachian tube obstruction may occur which leads to middle ear disease like eustachian catarrh, serous otitis media, acute otitis media and chronic otitis media, this leads in deafness or discharge from ear.
B) Associated with infection
There is thick yellow pussy discharge from the nose due to rhinitis and sinusitis may occur.
Recurrent upper respiratory tract infection, postnasal discharge, pharyngitis, tonsillitis, and cough
Recurrent eustachian catarrh, acute otitis media, chronic otitis media or serous otitis media.
Upper deep cervical nodes and the nodes in the upper part of the posterior triangle of the neck get infected.
Bronchial asthma and bronchitis, if present may get aggravated.
General features nocturnal enuresis and night terrors due to suffocation.
MENTAL BACKWARDNESS is not real, but the child may become backward in studies because of deafness.
Diagnosis of adenoid
1-from clinical feature
2-x ray
3-posterior rhinoscopy
Treatment
In allopathy surgery is the treatment of choice in well established case. But the drawback of surgery is that the adenoid may enlarge again.
Homeopathic treatment- homeopathic medicines are very effective in the treatment of adenoid even in advanced cases. Homeopathic treatment not only prevents the complications but also avoid surgery in majority of the cases. Patient can breathe very comfortably through the nose and the formation of adenoid facies is thus prevented. Usual medicines are Calc carb, Baryta carb, Hydrastis, Tuberculinum, Nat mur, etc.
Along with medication breathing exercise under the observation of doctor should be practiced.
For treatment contact dr Akbar through www.onlinehomeocure.com
Mail to mail@doctorakbarkp.com
