My children can eat, drink, run and jump, which seems to be very healthy, but in one case, they usually sleep with heavy breathing. Occasionally, I have a cold and fever, and I like to "go to my nose", and my nose is very stuffy.

even a few times, the child choked up and cried in the middle of the night. I couldn't sit still and was taken to the hospital at once. The doctor only took a look at the lesion and said with certainty that the adenoids were enlarged and blocked by 2/3. Please apply for surgery and general anesthesia.

at that time, I was puzzled. I couldn't believe it was true. Is stuffy nose such a big problem? !

My children are not alone. Every day, my mother asks about adenoidal hypertrophy in the background of the Academy. I can feel the urgency, anxiety, anxiety and confusion through the screen, so I will tell you everything I have found.

Mothers who are not worried about this for the time being should not leave in a hurry. Children with physiological adenoid hypertrophy are very easy to turn into pathological hypertrophy, and the incidence rate is increasing year by year. You should be careful before the age of 7.

If the child often snores and breathes with his mouth open. Old mother, don't be too busy feeling "sleeping soundly" and "being worthy of her own, following her father". At this moment, the alarm in her heart should go off: abnormal!

then what?

Experience tells me that it is best to pick up the mobile phone, record and video the sleeping state of the child, and then look down.

Sometimes a child doesn't necessarily snore, but breathes hard, with a heavy nose and a small chest that heaves hard, making him feel suffocated and deprived of oxygen.

Because of holding your breath, the child can't sleep steadily, tossing and turning, and always waking up. Older children should not wet the bed and still wet it. Some children also have foaming at the mouth, and like to lie prone/lean back/sit up/stretch their necks.

The baby's lack of sleep leads to irritability and crying during the day, and he is always sleepy. Older children are inattentive during the day, fidgety and hyperactive, and their academic performance drops.

These manifestations are probably a series of consequences derived from nasal congestion and suffocation caused by adenoid hypertrophy at the back of the nasal cavity.

If you feel that the baby meets many points, you can go to the hospital and show the audio and video to the doctor when describing it.

If you still have doubts, don't worry, here's the answer ~

It mainly depends on the duration of nasal congestion and snoring.

Nasal congestion caused by a cold usually lasts for a week or two, and allergic rhinitis may last longer. For a month or two, or when encountering allergens, breathing is relaxed and comfortable in the rest of the time.

With adenoid hypertrophy, snoring and nasal congestion are almost normal, especially snoring more than 3 nights a week.

colds and allergic rhinitis generally have runny nose, and adenoids are not runny nose, but also stuffy nose and snoring.

Some children's breathing with their mouths open may be just a habit of sleeping, or they may have a wrong sleeping posture. Temporary breathing with their mouths open may not be due to nasal congestion.

Whether the child is breathing through the mouth or not, you can get up in the middle of the night and whisper:

1. Cotton wool test method

When the child is asleep, take a piece of cotton wool and put it in front of the child's nostrils and next to his mouth in turn.

stick it as close as possible, and then observe the cotton wool fluttering in two cases.

of course, if the cotton wool is hard to find, it can be replaced by a slender paper strip, which is almost 5cm long and 5mm wide.

2, fog mirror test method

Or when the child is asleep, find a mirror, the mirror is facing the nostrils, and observe the fog on the mirror. Then put the mirror under the child's mouth in the same way.

observe and compare the fog generated on the mirror twice.

3. Lip-closing test

You can still close your child's lips for a few minutes while the child is asleep. If the child struggles, it means that the child is breathing with his mouth open because he is holding his breath.

If the child sleeps smoothly, it means that sleeping with his mouth open is only temporary.

4. Water-containing test

This test was done during the day. Let the child contain 15ml of water in his mouth, which is almost a sip. Make sure that the child can keep his mouth shut.

Observe the child's breathing condition after the child contains water.

let me say, my old mother was so busy at night!

adenoidal hypertrophy lasts for a long time, and children may have symptoms in the ears, nose, pharynx, larynx and teeth.

Because of the special position of adenoids, hypertrophy can block the posterior nostril and pharyngeal orifice of eustachian tube, causing secretory otitis media.

It is often complicated with rhinitis and sinusitis, with symptoms such as stuffy nose and runny nose, and often has stuffy nasal sounds when speaking.

It is easy to be complicated with tonsillitis and tracheitis.

The most terrible thing is that long-term mouth breathing leads to adenoid face, buck teeth, protruding mouth and thick lips, commonly known as "dementia face". The whole person is not as smart and lively as before, and some children will become obese.

To sum up, children's bad temper, weak physique, stupid performance and ugly appearance really have a far-reaching impact.

At the hospital, doctors are most likely to take lateral X-ray photos of the nasopharynx or polysomnography (PSG) for their children. Some hospitals are more advanced and look at the lesions directly with fiberoptic laryngoscope.

Then the doctor will tell you to what extent the blockage is, and suggest conservative treatment or surgery.

Under normal circumstances, adenoids are hypertrophy in childhood, reaching the peak at 6-8 years old (blocking the nostrils by 5%-6%), and gradually shrinking with age, generally degenerating at 12 years old.

Hypertrophy can disappear without surgery, so do it or not?

1. Look at your age.

Adenoids have a great immune defense function in infants, so children under 3 years old generally don't consider surgery easily, and mainly take medicine and observation for conservative treatment.

2. Look at the degree of respiratory obstruction caused by hypertrophy

If it has caused severe hypoxia and open mouth breathing, even adenoid face appears, ear, nose and throat are often inflamed.

or frequent tonsillar enlargement, such as more than 7 times a year; In two years, it will be more than five times a year, and in three years, it will be more than three times a year.

The damage caused by adenoids is greater than the protective effect, so the operation is needed.

3. Conservative treatment

For children with mild and moderate nasal congestion, especially those with nasal congestion, runny nose, sneezing and nasal obstruction, nasal corticosteroids such as beclomethasone, fluticasone propionate and mometasone furoate are recommended.

and leukotriene receptor antagonist montelukast sodium.

the use of hormones must be accurate and standardized, so that there will be no side effects that everyone is worried about. So I won't introduce it in detail here, and I will follow the doctor's advice.

Parents can do a good job in daily nasal cleaning, and rinse the nasal cavity before each medication, which is also helpful for the nasal spray to give full play to its efficacy.

There is no specific prevention method for adenoidal hypertrophy, and it is usually to enhance immunity to avoid repeated irritation of nasal cavity by cold.

In addition, early detection and early treatment are also important. For example, forward this article to a circle of friends and consult the comparison when you are in doubt. (crazy express ~ ~)