Since grade 3 adenoids can lead to respiratory issues and recurrent infections in kids, they are a common source of concern for many parents. Renowned pediatrician Dr. Komarovsky provides helpful guidance on managing adenoids without surgery.
When adenoids reach this stage, many parents fear that surgery is the only option available, but Dr. Komarovsky stresses that surgery isn’t always required. Parents can help their children breathe easier and lessen symptoms like snoring and persistent nasal congestion by looking into non-surgical treatments.
This post will examine Dr. Komarovsky’s suggestions for treating grade 3 adenoids and how they can be relieved without the need for invasive procedures.
- Help
- What is it?
- Symptoms
- Causes
- Degrees of the disease
- Difficulties in diagnosis
- Treatment
- Alternative methods
- When surgery is inevitable?
- Video on the topic
- Can enlarged adenoids be cured or is it better to remove them immediately?
- 5 main questions about adenoids
- When adenoids need to be removed? – Dr. Komarovsky
- Adenoids. Treat or remove.
- How can adenoiditis be cured? | Dr. Komarovsky
- CURED ADENOIDS WITHOUT SURGERY. OUR EXPERIENCE.
- How to cure a child"s adenoids in a month and save them from surgery.
Help
A well-known pediatrician with the highest qualification level is Evgeny Komarovsky. originated in the USSR. Well-known in Russia and the former Soviet states, they rose to prominence in the field of pediatrics as a result of a number of scientific publications and an unconventional—and occasionally counterintuitive—opinion on how best to treat children.
Komarovsky is a published author of multiple parenting-focused books on children’s health. He is the host of the well-liked television series "School of Dr. Komarovsky" and the "Mixture Show" radio project on "Russian Radio." Two fathers: he has two grown sons. Additionally, Komarovsky is a grandfather twice over; he has a granddaughter and a grandson.
What is it?
This upper respiratory tract inflammatory disease is prevalent in children. The nasopharynx undergoes a protracted pathogenic process that causes the adenoid tonsil to grow significantly. On the back of the pharyngeal wall, lymphatic tissue has grown excessively (hypertrophy).
Children between the ages of 4 and 7 are most likely to experience adenoinflamation. Since the adenoid tissue no longer grows as rapidly as it once did, the likelihood of the palatine tonsil expanding decreases with age.
Medical statistics indicate that between 10 and 12 percent of children have adenoids, varying in severity.
Symptoms
Any mother can recognize an adenoid in her child, even if she lives far away from a pharmacy. Upon close inspection, it is evident that the infant breathes primarily through his mouth due to nasal breathing difficulties. A discharge that is gray-green in color and occasionally contains pus can come from the nose and nasopharynx. The infant has hearing loss, starts to snore at night, starts to ask again, and his hearing gets worse. He also frequently complains of headaches. All of this is definitely a good reason to see a doctor.
A child with adenoid also frequently experiences otitis, malfunctioning speech apparatus, and enlarged lymph nodes. A sick child’s face takes on a unique expression that medical professionals refer to as a "adenoid mask." It is distinguished by a deformed facial skeleton, malocclusion, an absent expression, and a mouth that is half-open all the time.
A child who has advanced adenoidal inflammation experiences cognitive impairment, poor attention, memory, and learning difficulties. He also becomes fatigued easily and frequently feels "broken" for no apparent reason.
The temperature may increase if you have acute adenoid. Laboratory blood tests will inevitably reveal a drop in hemoglobin, or anemia, since breathing through the mouth alone quickly causes the body to become oxygen-starved.
Causes
- A complicated viral infection, as well as frequent colds of a viral nature.
- A severe infection (scarlet fever, rubella, measles).
- Hereditary factor. If one of the baby"s parents suffered from adenoid in childhood, the probability that he will also develop this disease is more than 70%.
- Bronchial asthma.
- Allergic respiratory diseases.
- Congenital problems and birth injuries. If the child experienced hypoxia during intrauterine development, or this condition accompanied him during birth.
- Unfavorable living conditions of the child. This includes poorly ventilated rooms, insufficient nutrition rich in vitamins, minerals, proteins and fatty acids, rare walks, a sedentary lifestyle.
- Long-term toxic exposure – excess household chemicals, unsafe toxic (usually cheap of dubious origin) toys.
- Unfavorable environmental factors of the area in which the child lives (heavy air pollution, industrial "emissions", increased radioactive background).
Degrees of the disease
Three levels of adenoid exist:
- First. In the initial stage, the child’s nose is insignificant, especially at night, during sleep, when the nasopharynx is completely relaxed. At this stage, the adenoids are inflamed, but only slightly, they cover the nasal passages only a little, by a third.
- Second. The inflammatory process in the adenoids is expressed significantly, the baby begins to snore during sleep. During the day, the baby notices a rather serious violation of nasal breathing. Enlarged and inflamed adenoids already cover more than half of the lumen of the nasal passages.
- Third. At this stage, the child"s nose almost constantly "does not breathe", the baby begins to breathe through the mouth around the clock, even in sleep. His voice changes, it becomes nasal. The palatine tonsil has quite impressive dimensions and almost completely, more than two-thirds, and sometimes completely blocks the nasal passages.
- There is also a conditional fourth stage, it is recognized so far only by doctors in Western countries, Europe. They talk about it if the nasal lumen is 100% closed, and the auditory tube is at least 50% closed by enlarged adenoids.
A child may lose their hearing at any point during the illness.
Difficulties in diagnosis
An otolaryngologist makes the diagnosis of adenoid cysts (ENT). He employs both manual and instrumental methods. Initially, he will put a special tool inside your mouth so you can see the palatine tonsil, which is located far inside. He will then manually examine the nasopharynx after that. Although this process is very uncomfortable, it doesn’t take very long.
Adenoids, which are made up of lymphatic tissue, carry out a crucial immune task. They shield the oral cavity, pharynx, and nasopharynx from a variety of infections. Tonsils in good health handle this well. However, irritated tonsils themselves may harm a number of different organs and systems. For this reason, a child with adenoids frequently develops sinusitis, tonsillitis, bronchitis, and otitis.
Parents and doctors diligently treat each of these illnesses several times a year, and they are shocked when the illnesses recur. The adenoids are frequently the real culprit.
Treatment
When the disease is still in its early stages, conservative treatment approaches are effective. For children with third-degree adenoids, doctors typically advise surgery. The conservative approaches involve administering antihistamines, anti-inflammatory drops, washing the nasopharynx with specific solutions, and occasionally using antibiotics. If the therapy has failed, surgical intervention becomes necessary. The procedure is known as an adenotomy.
Komarovsky emphasizes in particular that the disease’s symptomatic features—rather than the disease’s stage or the size of the adenoids’ growth—will determine the indications for surgical intervention.
Therefore, you may be able to avoid surgery in some situations if you have a third-degree adenoid with impaired nasal breathing, but you will need to take drastic measures if you have a first-degree disease with persistent hearing loss. This also takes place. Therefore, Evgeniy Olegovich suggests paying closer attention to the attending physician’s advice and asking questions—including whether surgery to remove the adnoid tonsil is wise.
The enlarged pharyngeal tonsil is to be removed during the procedure, which is carried out under local or general anesthesia. Such an operation is not life-threatening, and the child can be routinely and carefully prepared for it. He needs to be symptomatically well at the time of the surgery. Even though an adenotomy only lasts two to three minutes—and never longer than five—it cannot be regarded as safe and harmless.
Complications include bleeding, damage to the palate, and adverse effects of anesthesia on the child’s body, though these days, ENT hospitals attempt to use more contemporary anesthetic techniques for such procedures, which are known for their comparatively mild and gentle effects.
Komarovsky highlights the fact that there is always a genuine chance that the tonsil will regrow because it is anatomically impossible to remove the pharyngeal tonsil entirely and that only a tiny portion of it is left. This is not something that should be the doctor’s fault. A well-known pediatrician believes that parents should take responsibility for their own relapse. The baby’s lifestyle has a big impact on recurrent hypertrophy of the palatine tonsil.
Evgeny Olegovich highlights in his suggestions the need to avoid passive leisure time spent in front of the television. After having adenoids once, a child needs to play sports, take long walks, and breathe clean air. There shouldn’t be a lot of dust, "stale" air, or stuffiness in the apartment. The infant shouldn’t be "force-fed" or overindulged in candy.
Furthermore, as we’ve already established, adenoids serve a critical protective role, and removing them may have a negative impact on the child by increasing his susceptibility to illness and lowering his immune system. Therefore, contrary to what most doctors who follow the traditional fundamental medical school advise, Evgeny Komarovsky does not advise heading straight to the operating room; instead, removing the palatine tonsil should only be a last resort. The doctor notes that even third-degree adenoids can usually be treated conservatively.
Komarovsky typically advises parents to treat third-degree adenoids holistically, which includes combining physiotherapy with prescription medication, undergoing laser therapy, and taking the child to the sea more frequently because sea air has a remarkable healing and restorative effect on a child with diseased adenoids. Only choose for surgical intervention if none of these remedies work.
Alternative methods
- Laser therapy. This method is used both after surgery to remove the tonsil, and instead of it. Non-invasive laser therapy allows you to relieve swelling in the area of inflammation, eliminate the inflammation itself, stimulate the immune system. This method is perfect for children with the first and second degree of adenoids, but it can also have a quite beneficial effect on the third. The forecasts, however, in this case, are not too optimistic – laser therapy cannot reduce the advanced stage of adenoid to a normal state, and you will have to undergo quite a lot of procedures, but the child"s condition will stabilize.
- Folk remedies. When treating adenoids, according to parents, the most effective are instillation of drops based on anise tincture, oil infusion of St. John"s wort, beetroot juice, a solution of alcohol tincture of propolis, rinsing the nose with a solution of sea pharmacy salt. Evgeny Komarovsky does not object to folk methods of treating adenoids, but at the third stage of the disease he does not advise relying entirely on "grandmother"s" recipes. Since some forms of adenoid, and the third degree of diagnosis, in particular, require more serious treatment. And folk remedies can be a good "accompaniment" to traditional treatment.
When surgery is inevitable?
Komarovsky identifies the following circumstances where surgery is unavoidable:
- If the third degree of inflammation of the adenoids is accompanied by deformation of the facial skeleton. If the baby"s "adenoid mask" no longer leaves the face, surgical intervention cannot be avoided.
- If nasal breathing is completely impaired for a long time.
- If the child has begun to experience hearing loss. When enlarged adenoids block the auditory tube. You can verify hearing loss by visiting a pediatric audiologist, who will perform a simple and fairly accurate audiometry procedure. If hearing is reduced by more than 20 dB from normal values, you will have to do an operation to remove the adenoid tonsil.
- If the child often has recurring otitis media against the background of inflamed adenoids of the third degree. Doctors usually consider 2-3 episodes in six months to be frequent.
Advice | Description |
Medication | Dr. Komarovsky recommends using nasal sprays and anti-inflammatory medications to reduce swelling and inflammation in the adenoids. |
Proper Hygiene | He stresses the importance of maintaining nasal hygiene by regularly rinsing the nose with saline solutions. |
Healthy Lifestyle | Encouraging children to stay active, eat healthy, and spend time outdoors to strengthen their immune system is key to reducing adenoid issues. |
Avoid Allergens | Komarovsky advises minimizing exposure to allergens, like dust and pet dander, which can worsen symptoms. |
Patience | In some cases, adenoids can decrease in size as children grow, so Dr. Komarovsky suggests giving the body time to heal naturally. |
Dr. Komarovsky stresses that treating grade 3 adenoids non-surgically is feasible but necessitates a thorough strategy. He counsels parents to concentrate on making their child’s surroundings better, including preserving clean air, appropriate humidity, and reducing allergens.
Apart from alterations in surroundings, consistent nasal irrigation and prescription drugs can aid in mitigating the signs and symptoms of enlarging adenoids. Adhering to a treatment plan customized for the individual needs of the child is crucial.
Even though surgery may not always be necessary, Dr. Komarovsky advises parents that regular care and observation are essential. Surgery can still be required to protect the child’s health if conservative measures fail to improve the situation.
Dr. Komarovsky thinks that by concentrating on lowering inflammation, enhancing nasal breathing, and improving the child’s general health, grade 3 adenoids can be treated without surgery. He stresses the need for a comprehensive strategy that goes beyond surgery as the only course of action and involves good hygiene, medication, and immune system strengthening.