How to treat a runny nose with adenoids in children?

Adenoiditis is a common pathology in children. Preschoolers and children of primary school age are most susceptible to it. In the natural process of developing immunity, quite often the tonsils located on the wall of the nasopharynx become enlarged and inflamed. In medicine, tonsils with this pathology are called adenoids. Viral and bacterial infections of the respiratory tract contribute to the occurrence of adenoiditis.

Untreated adenoids can lead to complications such as hearing and speech impairment. The course of adenoiditis is often accompanied by a cough, painful sensations in the nasopharynx, difficulty breathing and discharge of various types from the nasal passages, popularly called snot. Snot from adenoids can be green or yellow. But more often, transparent snot is observed with adenoids.

Why does snot appear with adenoids?

Snot is secreted by the nasal mucosa and is present to varying degrees in any healthy person, as it performs several important actions:

• Protection from mechanical damage.
• Protection against microorganisms.
• Moisturizing the mucous membrane.

Normally, mucous secretions contain 95% water and 5% mucoproteins, special proteins that provide snot with the consistency of mucus. In addition, the substances have antiviral and antibacterial effects. When an infection occurs, snot, in addition to the main components, contains killed microorganisms.

With the development of adenoiditis, the production of snot increases to cleanse and protect the mucous membrane from microorganisms and their toxins. The mucus moves through the tissues of the enlarged adenoid, settling in the nasopharynx and thereby provoking new foci of infection, which quickly become chronic, increasing the secretion of snot to an even greater extent.

Adenoids and runny nose - what is the relationship?

The tonsils play the role of the first protective barrier that prevents pathogens from entering the body . Genetic predisposition, frequent acute respiratory viral infections, rhinitis, poor environmental conditions, weak immune defense - provoke the growth of adenoids .

A runny nose accompanies many infectious diseases in childhood. Viral pathogens enter the body through the upper respiratory tract , and upon contact with the nasal mucosa, the disease develops.

Adenoids and a runny nose in a child are interrelated phenomena, since viruses and bacteria that enter through the nose migrate and linger in the adenoid tissue located in the nasopharynx .

In turn, the proliferation of adenoid tissue (adenoiditis) can cause a long runny nose (more than 10-12 days) . Regardless of the cause, rhinitis requires mandatory treatment, as does tonsil hypertrophy.

The hard-to-reach area of ​​the inflammatory process makes therapy difficult, so contacting an ENT specialist should be done immediately.

A runny nose with adenoids lasts 3–4 weeks

A runny nose with adenoids can manifest itself in different forms, depending on the location of the inflammatory process, the causative agent and concomitant diseases .

For reference! Children aged 5-12 years are more susceptible to adenoid growths. During adulthood, the size of the tonsil decreases significantly. In mature people, lymphoid tissue is in the stage of atrophy.

What does the color of the discharge indicate?

In the absence of diseases, snot should be transparent and colorless. Transparent snot with adenoids indicates that the runny nose is either allergic in nature or caused by ARVI. If the color of the discharge turns yellow, we can talk about a bacterial infection. An advanced disease is characterized by a change in color from yellow to green.

This coloration of snot is due to the presence of dead microorganisms and leukocytes that fought viruses and bacteria. Sometimes blood may be found in the snot. Yellow or green coloring of snot may be a sign of diseases such as sinusitis, bronchitis, tracheitis or meningitis. If you have yellow and green discharge accompanying the adenoids, you must visit your doctor and undergo the necessary examination.

Runny nose in children with adenoids: effective treatment

A runny nose and adenoids are two inseparable companions of childhood.
In one child the disease is short-lived and without consequences, while in another it becomes more complicated and often recurs. To understand the reasons for the different trends and eliminate the consequences, let’s look at the following questions. Why do adenoids accompany a runny nose? What are the signs of adenoids in children? What is treatment for a runny nose in a child with adenoids ? What happens if you don’t treat the disease or take drops for a runny nose yourself? How to properly use medications prescribed by a doctor so that they work? Below we will answer all the questions.

Adenoids as a cause of runny nose in children

All people have 6 tonsils in the nasopharynx, of which 2 are paired - tubal and palatine. The lingual and pharyngeal tonsil are an unpaired formation. Adenoids or adenoid vegetations are an overly enlarged nasopharyngeal tonsil.

It is located in the upper part of the pharynx and is therefore not visible during visual inspection. Adenoids are lymphoid tissue that grows rapidly until the age of 6, and by the age of 14 undergoes reverse development.

All tonsils of the pharyngeal ring are designed to protect the body from viruses and bacteria.

During the cold season, the risk of children becoming infected with ARVI increases. Viruses and bacteria settle on the tonsil, causing inflammation. At the same time, the adenoids enlarge. Children aged 3 to 7 years are most often infected. An unformed immune system cannot cope with the attack of viruses and bacteria.

After repeated infection in nurseries and kindergartens, the adenoids do not have time to return to normal and begin to grow. They retain a source of infection that causes a runny nose. Important! Adenoids and snot constantly accompany each other. Due to the fact that a child constantly breathes through his mouth, the risk of colds increases.

In turn, acute respiratory infections maintain the infection in the adenoids. A runny nose with adenoids lasts 3–4 weeks.

What does the color of snot indicate about adenoids?

With allergic rhinitis and ARVI, nasal discharge is light and transparent. The color of snot turns yellow if bacteria are associated with a viral infection. In advanced forms of the disease, the discharge becomes green or brown. Important! The more intense the shade of snot, the more massive the infection.

The color of nasal discharge changes as a result of the fight between immune cells and white blood cells against viruses and bacteria. As a result of the “battle,” both leukocytes and infectious agents die. The accumulation of dead cells causes the snot to appear green, yellow or brown. This fact indicates the addition of one of the bacterial infections:

• sinusitis – sinusitis, ethmoiditis;
• tracheitis;
• bronchitis;
• meningitis.

In addition to green discharge, the baby develops general symptoms of the disease:

• headache;
• conjunctivitis;
• nasal congestion;
• temperature rise to 38 °C;
• burning, dryness, tickling in the nasal passages;
• cough with phlegm;
• unpleasant odor of discharge;
• redness around the nose;
• With sinusitis, there is pain in the sinuses of the upper jaw.

If green or brown snot appears, contact an otolaryngologist to make a diagnosis. To do this, you may need an instrumental examination.

You may be interested in: Treatment of a runny nose in a 2-year-old child.

Treatment of runny nose with adenoids and ARVI

To choose the right treatment for a runny nose in a child with adenoids, you can first be guided by the color of the nasal discharge. If the snot is light, then this is a sign of acute respiratory viral infection or allergic rhinitis. Important! For a viral infection, the doctor does not prescribe antibiotics for treatment or prevention.

Mucus discharge in the nose is a protective reaction of the body in the fight against infection. The secretions contain protective substances that neutralize viruses. If the mucous membranes of the nasal cavity dry out, the baby begins to breathe through the mouth, and this creates conditions for the development of pneumonia and bronchitis. To prevent drying out, you only need to follow the following therapeutic measures:

• Adjust the temperature and humidity in the baby's room. The optimal temperature is 18–20 °C. Viruses live long in dry air, but die quickly in a damp environment. To create the required humidity of 50–70% in the room, do a wet cleaning and spray water from a spray bottle.
• When a child has rhinitis, frequent ventilation of the bedroom reduces the concentration of viruses and bacteria in the room.
• If the baby has a temperature above 38.0 °C, give syrup based on Paracetamol or Ibuprofen. Light a candle at night. Important! Small children should not be given medications containing aspirin - they damage the liver.
• To replenish fluid, in addition to drinking plenty of fluids, give pharmaceutical products Regidron, Gastrolit. They relieve intoxication, remove viruses and bacteria from the body, and speed up recovery.
• For a runny nose and adenoids, drops of a 1% Protargol solution are used in the nose. The silver-based drug has anti-inflammatory, antiseptic and drying effects. Silver ions, capturing proteins on the surface of the tonsil, form a film that prevents the proliferation of bacteria and viruses. As a result, inflammation is reduced. The vasoconstrictor property reduces swelling of the adenoids. For children under 6 years old, 1 drop is instilled into each nasal passage, and at an older age - 2-3 drops in the morning and evening. The course of treatment is 7 days. Protargol is instilled in a lying position with the head slightly tilted back so that the adenoids are exposed to the drug. After instillation, you need to lie on your back for 10 minutes.

To increase the child's defenses, proper nutrition and sleep are important. Walking in the fresh air in green areas is of great benefit. It is not recommended to stay in crowded places where there is a risk of contracting a new infection.

Treatment of runny nose with adenoids and bacterial infection

If your nasal discharge is green or brown, there is a possibility of a bacterial infection. In such cases , only an ENT doctor should treat He prescribes a set of therapeutic measures:

• To treat a runny nose with adenoids, the child is prescribed one of the antibacterial drugs - Isofra, Fusafungin or Polydexa. The new generation nasal spray Polydex contains Polymyxin, Neomycin and Phenylephrine. It is prescribed for a prolonged runny nose with copious green discharge. It has anti-inflammatory and vasoconstrictor effects. The drug copes with pathogenic microflora in the nose in 7 days. Children from 2.5 to 12 years old receive 3 injections per day. For the smallest children, use 1 time per day. Important! The drug has a complex composition and has contraindications. It cannot be used independently.
• Ectericide is a product of the oxidation of fish oil in a solution of sodium chloride. The oil solution has an anti-inflammatory and softening effect. The product is instilled in 2-3 drops or lubricated in the nasal passages three times a day. Olive oil or vitamins are used as an alternative to Ectericide.
• For mild cases of the disease, Isofra nasal spray is used. It contains the antibacterial substance framycetin sulfate, which belongs to the aminoglycoside antibiotics. It is injected into children three times a day. The course of treatment is 7 days. Important! Like any antibiotic, Isofra has individual contraindications. Do not use the medicine on your own.
• To thin out thick discharge, it is recommended to drink a large amount of liquid - compote, weakly brewed tea or fruit drink at room temperature. Green and brown discharge in the nasal passages makes it difficult for the baby to breathe. You can help your child with moisturizing solutions that thin out mucus. For this, pharmaceutical sprays based on sea water from the Adriatic Sea are used - AquaMaris, Salin, Aqualor, Physiomer, Dolphin, Goodvada. They are sprayed into the nose or mouth 3 times a day.
• In the absence of ready-made preparations, ready-made 0.9% Natriichlorate (saline solution) is used to rinse the nasopharynx. You can prepare it at home. To do this, stir 1 tsp in 1 liter of cooled boiled water. salt. It is poured into a bottle of a vasoconstrictor and sprayed 5-6 times a day. Rinsing with saline solutions removes bacteria and viruses from the nasopharynx. Medicines on cleansed mucous membranes are much more effective. Washing speeds up the recovery of a sick baby.
• Course intake of multivitamins and immunomodulators.

We recommend reading: Isofra instructions for use and a list of cheap analogues.

The doctor selects the medicine, taking into account contraindications for use and the age of the child . Antibacterial drugs are produced with different compositions .

Some drugs contain hormones that are contraindicated at an early age. In addition, children have individual characteristics that only a specialist can take into account.

Important! Self-medication of a runny nose with adenoids leads to complications of difficult-to-treat adenoiditis or sinusitis.

Vasoconstrictors for runny nose with adenoids

The doctor prescribes vasoconstrictor drops and sprays individually for each child in a short course of no more than 5–7 days. Use Tizin, Vibrocil, Galazolin. These drugs reduce swelling of the lymphoid tissue of the adenoids and eliminate a runny nose. However, addiction to them quickly develops. With prolonged use, they cause nasal congestion, and in some cases, drug-induced rhinitis.

How to use medications correctly

The success of treating a runny nose with adenoids depends on the correct use of drugs. To do this, follow the following sequence of procedures:

1. In order for drops and ointments to come into contact with the mucous membrane, the nasal passages are first cleared of mucus. For young children, mucus is sucked out with a bulb from a children's enema.
2. Rinse the nose with any saline solution - AquaMaris, Aqualor.
3. In order for the medicine to reach the tonsils, it is instilled in a lying position with a slight instillation
   into both nostrils. The baby is left in this position for 1 minute for the medication to take effect. Important! In a sitting position, the medicine slips through the upper sections, where the adenoids are located, without having a therapeutic effect. If instilled incorrectly, you can use the most expensive medicine without getting any benefit from it.

The course of treatment should not be interrupted after visible improvement. Medicines are used until complete recovery.

Other treatments

Along with medications, other types of conservative treatment are used. Physiotherapy shows good results:

• cryotherapy - cold treatment when adenoid tissue is exposed to liquid nitrogen;
• UHF (ultra high frequencies);
• endonasal laser treatment;
• ozone therapy;
• UFO lamps (ultraviolet irradiation);
• electrophoresis.

Holidays at sea climate resorts reduce the recurrence of a runny nose with adenoids.

How to soothe your child’s feet with a runny nose, read this article.

Adenoid removal surgery

The operation of removing the nasopharyngeal tonsil is resorted to in stage III, when the child does not have nasal breathing. The baby snores in his sleep, and life-threatening apneas are periodically observed. The child is lethargic and irritable. A runny nose appears 3–4 times a year and lasts more than 1 month.

Modern clinics are equipped with high-precision endoscopic equipment. With its help, surgeons quickly and accurately excise the overgrown tonsil without damaging the surrounding tissue. The recovery period is faster than after classical surgery. Surgical treatment for bronchial asthma is contraindicated.

What are the signs to tell if a child has adenoids?

Adenoid vegetations in children initially manifest themselves with symptoms that concerned parents notice:

• frequent exacerbations of ARVI with runny nose;
• sore throat, which causes frequent mild coughing;
• snoring in sleep;
• nasal congestion does not allow the baby to sleep, as a result of which he becomes lethargic and irritable;

If children are not treated, the adenoids become moderately developed. The vegetation grows even more, and the infection spreads to neighboring organs - the larynx, maxillary sinuses, Eustachian tube, middle ear. The child has the following signs:

• snoring during sleep;
• hearing loss;
• frequent otitis media;
• sinusitis;
• pharyngitis;

The child breathes only through his mouth. If left untreated, the disease progresses to a severe stage.

What are the dangers of untreated adenoids?

Children with grade III adenoids do not have nasal breathing - they breathe only through their mouths. Important! At night, a child with adenoids sleeps with his mouth open and snores in his sleep, and a dangerous symptom appears - short-term pauses in breathing (apnea). They can cause death in your sleep. Apnea is an absolute indication for adenoid removal surgery.

In children with adenoids, the timbre of their voice changes - it becomes nasal. Mucus from the maxillary sinus cannot leave in a timely manner, so it accumulates and provokes inflammation of its cavity - sinusitis.

Over time, the skeleton of the facial skull develops incorrectly. The child develops a typical “adenoid face” - a sagging jaw, a blank look. Memory noticeably decreases and school performance deteriorates. This happens due to a lack of oxygen supply to the brain due to improper breathing.

Analyzing the above, we emphasize: Frequent recurrences of a runny nose with adenoids are a reason to consult a doctor. In stages I and II, conservative treatments are used - medications and physical therapy.

In order for medications to have a therapeutic effect, they must be used correctly. Self-medication or lack of treatment measures lead to complications, and advanced forms can cause death.

In stage III, when snoring with pauses in breathing and decreased hearing, they resort to removing the tonsil.

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Symptoms

In addition to increased nasal discharge, inflammation of the adenoids is accompanied by other symptoms:

• Difficulty in nasal breathing. This is evidenced by the baby's constantly open mouth, snoring, and sleep disturbances.
• Voice change. Due to the growth of adenoids and difficulty breathing, the voice becomes nasal.
• Deterioration of pronunciation.
• Persistent runny nose. With adenoids, a runny nose can last for quite a long time. Due to the enlarged tonsil obstructing the outflow of secretions, snot does not come out of the nasal cavity. If a bacterial infection is associated with the disease, yellow or green mucus may appear in the adenoids.
• Adenoid cough. A dry barking cough often accompanies the course of adenoiditis.
• Sore and dry throat. Due to the disruption of the outflow of snot, it does not enter the throat and does not moisturize the mucous membrane.
• Weakness, drowsiness. Mild nasal breathing disorders can provoke oxygen starvation of brain cells, which increases fatigue.
• Changes in facial features. Untreated adenoiditis provokes a stretching of the chin and smoothing of the nasolabial fold due to the fact that the child’s mouth is always open. The incisors protrude forward, the hard palate changes its shape.
• An increase in temperature is observed in the acute form of adenoiditis and is caused by an immune response to inflammation.

The course of the disease in any case is accompanied by difficulty in nasal breathing. The presence of the other listed symptoms is not necessary for adenoids. Adenoiditis often occurs without snot or cough.

What can lead to an untreated runny nose with adenoids?

The lack of adequate treatment for a runny nose with adenoiditis leads to the progression of the disease, as a result of which the lymphoid tissue will grow more and more. Blockage of the choanae leads to the fact that the child constantly does not receive enough oxygen, as a result of which well-being, memory, concentration of attention deteriorate, and, finally, mental and physical development is delayed.

Due to a constant runny nose and impaired nasal breathing, the baby is forced to breathe through the mouth, which subsequently leads to changes in the facial skull - drooping of the lower jaw, absent-mindedness and general lethargy.

A terrible complication of a prolonged runny nose and constant nasal congestion is apnea (short-term cessation of breathing at night), which in some cases leads to the death of children, and the younger the child’s age, the higher this risk.

Diagnostics

For persistent snot and suspected inflammation of the adenoids, the otolaryngologist prescribes several types of examinations:

• Rhinoscopy. The method involves visual inspection of the adenoids through the oral cavity with a special mirror. Since examination with an instrument can cause a gag reflex, the method is not used in small children.
• Endoscopy. Examination of the tonsils using a medical device - an endoscope through the mouth or nose. The doctor receives an enlarged image of the adenoids on a monitor and analyzes it for pathology.
• Radiography. The method shows how enlarged the adenoids are, but due to the layer of mucus on them, the indicators obtained by this method may differ from the actual ones.
• Lab tests. To identify the type of pathogen in case of inflammation and green snot with adenoids, a swab from the nasopharynx is taken and analyzed in a child. General and specific urine and blood tests are also prescribed.

Runny nose due to adenoids in a child: is it possible to remove them, how to treat a constant runny nose

Endocrinologist of the highest category Anna Valerievna

50136

Update date: April 2020

Doctors can diagnose a runny nose due to adenoids in a child. A painful symptom is considered a contraindication to surgical intervention, which in some cases is required for such a diagnosis. If you do not treat a runny nose, it will complicate the treatment of adenoids, which can lead to health problems for the patient.

Therapy methods

The attending physician should advise whether a child’s adenoids can be removed if he has a runny nose. Experts recommend against surgical intervention until nasal congestion goes away. Otherwise, the patient may develop complications in the future.

A runny nose can be cured in various ways, which are offered by modern and alternative medicine. If the child is also diagnosed with adenoids, then parents should not try to cope with nasal congestion on their own. Wrong actions on their part can aggravate the patient's condition. Therefore, in such a situation, you need to immediately contact a specialist.

The choice of treatment for a runny nose with adenoids depends on a number of factors. The doctor takes into account the duration of the disease and the child’s complaints.

It is customary to treat children for a runny nose with adenoids using conservative methods. These measures are sufficient to suppress the symptoms of rhinitis.

Wash solutions

The medicine helps with sinusitis and rhinitis

A doctor who knows how to treat a runny nose due to adenoids in young children will recommend rinsing the nose. To carry out the procedure, you will need special solutions that can combat pathogenic microflora in the nasopharynx. They are characterized by the following action:

1. Cleansing the mucous membrane from bacteria and viruses.
2. Liquefaction of mucus.
3. Relieving swelling.
4. Facilitation of nasal breathing.

In pharmacies you can buy a suitable drug for rinsing the nose. Doctors recommend giving preference to medications that have anti-inflammatory, bactericidal and antiseptic properties. These include:

• "Aquamaris".
• "Humer."
• "Aqualor".

Treatment of a runny nose with inflamed adenoids can be carried out not only with solutions, but also with drops and sprays. The first form of medication for rinsing the nasal passages is more suitable for young children. They need to instill 1-2 drops into each nostril. Afterwards, the aspirator removes the accumulated mucus, which prevents the child from breathing fully.

Children over 4 years old can use sprays during treatment. It is necessary to inject 2 doses of the drug into each nostril.

If parents decide to rinse their nose exclusively with solutions, then they should turn their attention to saline formulations. They can be purchased at a pharmacy or prepared at home.

Nasal rinsing is recommended not only during exacerbation of the pathological process. The procedure is also useful during remission and for the prevention of the disease.

Vasoconstrictor drugs

Vasoconstrictors that help cure a persistent runny nose are presented in the form of drops. Their treatment is carried out strictly under the supervision of the attending physician.

We must remember! It is forbidden to use the drug for more than 7 days, as this can lead to the body becoming accustomed to the active components of the drops.

Vasoconstrictor drops treat a runny nose before and after adenoid removal. They help reduce swelling and improve breathing through the nose. Children are usually prescribed the following drugs from this drug group:

• "Nasonex".
• "Galazolin."
• "Vibrocil."

The nasal instillation procedure must be carried out in accordance with the rules. First of all, it is necessary to clear the nasal passages of mucus. To do this, just wash them with a solution or spray. Next, you should take a lying position and instill the nasal sinuses. Upon completion of the procedure, you need to lie down for a while for the medicine to work on the adenoids.

Products with antibacterial effect

Nasal passages must be clean before use

If removal of the adenoids is inevitable due to a runny nose, then first of all the patient needs to get rid of nasal congestion. Drugs that have a pronounced antibacterial effect help eliminate its root cause.

In case of exacerbation of the pathology, local and systemic antibiotics are prescribed. The doctor determines the optimal duration of taking the medicine and its dosage. On average, this treatment lasts about a week.

Most often, doctors prescribe topical antibiotics to children, including:

• "Bioparox".
• "Protargol".

Antibiotics are combined with antibacterial drugs if the child’s runny nose does not go away.

Immunomodulatory drugs

Immunomodulating agents help strengthen the body's defenses. The doctor who monitors the child’s illness will tell you how to cure a runny nose with them.

Note! Drugs of this drug group are aimed at increasing the resistance of the child’s body to attacks by bacteria and viruses. They are often prescribed for prevention.

For a runny nose and adenoids, doctors recommend taking the following immunomodulators:

• "Anaferon".
• "Derinat."
• "Nasonex".

Drug treatment should be combined with physiotherapeutic procedures to increase its effectiveness.

Traditional methods

Aloe juice is very good for clearing the nose

At an early stage of development, a runny nose can be treated before and after removal of the adenoids with folk remedies. But parents must agree on this point with their child’s attending physician.

Folk remedies for the treatment of a runny nose, which accompanies the course of the inflammatory process in the area of ​​the adenoids, do not allow obtaining a lasting therapeutic effect in a short time.

Their main advantage is the minimal number of side effects, which make themselves felt in rare cases. It is impossible to completely cure a patient using folk methods alone.

They will definitely need to be combined with traditional medications and procedures prescribed by an otolaryngologist.

In most cases, doctors include non-traditional remedies as part of complex therapy, the action of which is aimed at eliminating nasal congestion. They are also effective in preventing runny nose.

Treatment of a runny nose with inflamed adenoids, which does not go away, is carried out on the basis of the following traditional methods:

1. Nasal instillation using natural drops. In this case, the medicine is usually made from medicinal plants and vegetables. For example, it is obtained from the leaves of aloe, kalanchoe and beetroot. To get a portion for instillation, you need to squeeze out the juice and mix it with drinking water in a 1:1 ratio. If Kalanchoe is used, then the proportion is 1:2.
2. Carrying out inhalations with oils. Before removing the adenoids, it is worth trying to cure nasal congestion using these procedures. It will require the use of fir, tea tree, eucalyptus or thuja oils. Place a couple of drops of the product on a handkerchief and breathe through it for about 5-7 minutes. It is also permissible to use an aroma lamp.
3. Application of phytocollections. A runny nose goes away faster when treated with herbal infusions. It is highly recommended to purchase them from pharmacies. The doctor and pharmacist will tell you which composition should be preferred. Herbal infusions are subsequently used for hot inhalations, rinsing of the nasal cavity and oral administration. The pediatrician determines for how long the folk remedy should be used and in what quantities.

The main danger of folk remedies when treating a child for nasal congestion due to adenoids is that their components can cause a severe allergic reaction. Therefore, before starting a treatment course, you need to make sure that there are no contraindications to the use of a particular herbal collection or product such as individual intolerance.

Washing

Before and after removal of inflamed adenoids in children, nasal rinses are prescribed. This procedure is mandatory if the doctor has recommended instillation of the nasal cavity. If washing is not carried out, the active components of the drug will not be able to penetrate the lesion. Therefore, therapy will be ineffective.

Important! Nasal rinsing should not be performed on children who have contraindications to such treatment. We are talking about injuries to the nose and bleeding from its cavity.

Before starting the procedure, you need to prepare a solution. It can be purchased at a pharmacy or made at home with your own hands. For simple rinsing before nasal instillation, a solution based on water and salt is quite suitable. You need to take 1 cup of the first component and ½ tbsp. l. second.

The finished solution should be filtered, after which you can begin washing. At this point, you are allowed to use a syringe or syringe.

An alternative to saline solution is propolis infusion. It is also suitable for a procedure that removes accumulated mucus from the nose. The remedy is prepared from 20 drops of infusion, 1 glass of water and 1/8 tbsp. l. soda It is recommended to rinse with the resulting solution no more than 3 times a day during treatment.

Treatment

The treatment of runny nose and adenoiditis is carried out by an otolaryngologist; he is the one who can choose the appropriate treatment tactics and tell parents how to properly treat snot with adenoids. In the early stages, adenoiditis is treated with conservative methods, in later stages - surgically.

Treatment with medications

Treatment of green snot and adenoids in a child requires the use of antibiotics to destroy pathogenic bacteria. For clear snot, antiviral and antihistamine (antiallergic) drugs are prescribed.

For the symptomatic treatment of snot, drugs that have a vasoconstrictor effect (Snoop, Nazivin), drying and local antiseptic effect (Protargol) are used. Therapeutic therapy for runny nose and adenoids also allows for the use of homeopathy (Thuya Edas 801) and highly effective herbal remedies (Sinupret). They allow you to improve the discharge of mucus from the sinuses and speed up the disappearance of yellow and green snot in adenoids. How long snot will be present with adenoids largely depends on the adequacy of treatment.

In addition to treating snot for adenoids in a child, you can also use folk remedies:

• Inhalations with thuja and eucalyptus oils;
• Sanitation of the nose with herbal decoctions (St. John's wort, chamomile) and saline solution.

Surgery

Adenotomy (surgery to remove adenoids in a child) is performed in the final stages of adenoiditis. The doctor uses a special knife to excise the inflamed parts of the adenoid. The operation is usually performed under local anesthesia, lasts several minutes and is generally well tolerated by children. For two days, the child is given a quiet lifestyle and soft, non-hot food. The baby goes home a couple of hours after the operation. Snot after adenoid removal may bother the child for some time. But if you have a runny nose for a long time, you should make an appointment with your doctor again.

Why do you have a runny nose after adenoid removal?

If after removal of the adenoids all the symptoms of adenoiditis disappear, then we can say that the operation was successful.
However, parents should remember that snot may persist for another 10 days after adenoid removal and this is absolutely normal. The reason for a runny nose immediately after removal of the adenoids is quite clear. After the operation, severe swelling is observed in the nasal cavity, and mucus production is increased. That’s why so often after removal of the adenoids, a nasal voice is observed and sniffing is heard, although the baby’s general condition is getting better day by day. Normally, all these symptoms gradually decrease and eventually disappear altogether.

A runny nose may temporarily intensify due to the fact that after removal of the adenoids, the outflow of mucus from the paranasal sinuses improves. Stagnant mucus begins to flow out of the nasal appendages and the swelling gradually subsides.

Normally, a runny nose after adenoid removal can last up to 2 weeks. But at the same time, positive dynamics should be observed.

Clinic

In children with adenoids, nasal breathing becomes difficult, the voice becomes nasal, and speech is unintelligible. A sore throat, snoring during sleep and a reflexive, dry cough appear. Sick children do not sleep well at night and often suffer from acute respiratory infections, sore throat and otitis media. They quickly get tired, become lethargic and apathetic. When the adenoids become inflamed, intoxication occurs with severe sweating, headache, heart and joint pain, persistent low-grade fever, and loss of appetite. A sick child's mouth is constantly open; he is often bothered by a runny nose and mucopurulent discharge from the nose.

Adenoids can change the shape of the face. At the same time, the nasolabial folds are smoothed out, the hard palate becomes roof-shaped, and the incisors protrude forward. “External adenoidism” becomes the reason for regular ridicule from peers. Such children usually have few friends. Over time, they withdraw into themselves and stop communicating with others. This factor affects the child’s psyche and the rest of his life. It is necessary to eliminate the problem at this stage, rather than later deal with a protracted disease and developed deficiencies and complexes.

In sick children, bite and speech are impaired: it is difficult for them to speak, their voice changes and loses its sonority. Often there is a change in the cellular composition of the blood, disruption of the intestines and stomach, gall bladder and digestive glands. In patients, the spine is curved, the chest is deformed, the shoulders become narrow, and the chest becomes sunken. Subsequently, renal dysfunction and bedwetting develop. Symptoms of adenoids in children also include anemia, burning in the nasopharynx, lack of appetite, diarrhea or constipation. When the pituitary gland is damaged, the child's growth and sexual development are delayed.

A runny nose, night cough and sharp pain in the ears are clinical signs of adenoids. The nose breathes poorly and often remains stuffy, despite the use of vasoconstrictor medications. Touching the lymph nodes becomes painful, the skin becomes pale, and mild exophthalmos appears.

If the adenoids become inflamed, children develop a fever, vomit after each meal, pus runs down the back of the throat, a sudden and severe cough occurs, and breathing and swallowing become difficult.

Clinical signs depending on the degree of enlargement of the adenoids:

1. Small adenoids. The first degree is manifested by discomfort, wheezing and difficulty breathing during sleep. The lumen of the nasopharynx is closed by 30% of the adenoids. Treatment of first degree adenoids is non-surgical.
2. Adenoids are medium size. The second degree is manifested by night snoring. During the day, the child breathes through his mouth more and more often. The lumen of the nasopharynx is closed by 60-70%. At this stage, problems with speech arise: it becomes illegible, nasal. Second degree adenoids are not an absolute indication for surgery.
3. Large adenoids. The third degree is characterized by the fact that the adenoids completely block the nose and the air supply stops. The child breathes through his mouth both day and night. He is in real pain. Third degree adenoids are removed.

Not all children have adenoid symptoms that correspond to the degree of lymphoid tissue hyperplasia. In some patients with adenoids of the first and second degrees, nasal breathing becomes very difficult and hearing decreases sharply. In others, even with severe third degree, there are no visible disorders. The size of growths is not always an indication for their removal.

Symptoms of pathology in adults are in many ways similar to those in children. Patients are concerned about: nasal congestion, headache, snoring at night, restless, shallow sleep.

Other treatments

Along with medications, other types of conservative treatment are used. Physiotherapy shows good results:

• cryotherapy - cold treatment when adenoid tissue is exposed to liquid nitrogen;
• UHF (ultra high frequencies);
• endonasal laser treatment;
• ozone therapy;
• UFO lamps (ultraviolet irradiation);
• electrophoresis.

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Causes and mechanisms

Adenoids are, according to medical terminology, hypertrophy of the pharyngeal tonsil. It consists of lymphoid tissue, which grows under the influence of various factors. This is facilitated by:

• Constitutional anomalies (diathesis).
• Tendency to allergic reactions.
• Inflammatory pathology of the nasopharynx.
• Air pollution and dryness.
• Immune system defects.
• Errors in nutrition.
• Heredity.

The mechanism for the appearance of nasal discharge, called snot, is simple. The pharyngeal tonsil is located in the upper part of the pharynx, where the nasal cavity opens through the choanae. When lymphoid tissue grows, the passage of air through the initial parts of the respiratory tract is disrupted, and the lack of ventilation entails other changes:

• Swelling of the mucous membrane.
• Increased secretion.
• Attachment of infection.

Thus, adenoids and snot in children have a very close relationship, and it can be both direct and inverse. Not only hypertrophied tonsils induce a runny nose, but also frequent rhinitis creates favorable conditions for the proliferation of lymphoid tissue.

In addition, it is necessary to consider other reasons for what is happening. Green snot can occur with sinusitis, and clear discharge often indicates an allergic reaction. Both one and the other condition are often associated with adenoids. However, there is also a combined pathology, for example, when a child develops ARVI due to adenoids.

Constant discharge from adenoids in a child is a natural consequence of the primary process leading to impaired ventilation of the nasal cavity. But there are other conditions that require attention.

What are adenoids - their function in the body

A peculiar accumulation of lymphoid tissue that forms the nasopharyngeal tonsil - adenoids. Takes an active part in protecting the child’s body from the penetration of various pathogenic agents from the outside. That is why snot due to adenoids is often a problem for an ENT doctor in a pediatric practice.

The main reason for the increase in lymphoid tissue is the attack of viral or bacterial agents that affect the structures of the hypopharynx and nasopharynx. Lymphocytes produced in response to the penetration of pathogenic flora destroy the detected microorganisms, while the volume of the adenoids increases - this is an absolutely normal reaction of a growing organism.

Their return to their normal state sometimes occurs very slowly in the baby, and can last up to several weeks after getting rid of the acute pathology.

As a person gets older, the amount of lymphoid tissue volume decreases significantly, and the function of the adenoids fades - by adolescence, they become tiny, and in adults they can even atrophy. Rhinitis caused by adenoids in older patients is extremely rare.