Which department should I visit for adenoid hypertrophy?

Written by Li Rui
Otolaryngology
Updated on November 16, 2024
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Enlarged adenoids should be examined by an otolaryngologist. Enlarged adenoids are a relatively common condition, usually seen in children, though a small portion of adults may experience it as well. The main symptoms of enlarged adenoids include nasal congestion and snoring during sleep. In severe cases, it can lead to mouth breathing or a distinctive "adenoid facies". These symptoms are usually more apparent in children around the ages of 5 to 6, and the adenoids generally begin to shrink after the age of 8. However, if the symptoms are pronounced during childhood, timely treatment is necessary. Prolonged lack of treatment or ineffective medication can potentially lead to abnormal development of the facial bones. Therefore, timely medical treatment is crucial, and in severe cases, surgery might be required.

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Written by Li Rui
Otolaryngology
45sec home-news-image

Can you eat fish with enlarged adenoids?

Patients with adenoid hypertrophy can eat fish, as fish is a common type of meat and does not have side effects on the condition of adenoid hypertrophy, nor does it affect the treatment outcome of adenoid hypertrophy. There is also no direct conflict with the medications used to treat adenoid hypertrophy. For patients with significant adenoid enlargement accompanied by related clinical symptoms, such as nasal congestion, mouth breathing, and snoring during sleep, timely treatment is necessary. Most patients can opt for treatment with oral medications combined with nasal spray medications. If conservative medical treatment is ineffective and the condition is severe, surgical removal might be considered.

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Written by Zhang Jun
Otolaryngology
1min 19sec home-news-image

Is nasal discharge a sign of improvement in adenoid hypertrophy?

Enlargement of the adenoids accompanied by a runny nose is not a sign of improvement but a symptom of worsening. Enlargement of the adenoids is primarily due to symptoms caused by acute viral or bacterial infections following a decrease in the body’s immunity and resistance. This can lead to diffuse congestion and edema of the glands, causing the patient to experience persistent nasal congestion and discharge of yellow nasal mucus. In severe cases, it can cause nocturnal suffocation. Initially, a detailed examination at the hospital is necessary. Diagnosis can be confirmed with an electronic nasopharyngoscope and a nasopharyngeal CT. During the examination, granular masses can be found on the posterior wall of the nasopharynx; these are soft in texture and not painful. In terms of treatment, during the acute phase of adenoid hypertrophy, symptomatic anti-inflammatory treatment is required, including the use of antibiotics and concurrent nebulizer inhalation to reduce congestion and edema of the adenoids. If the enlargement persists and conservative treatment is ineffective, adenoidectomy may be necessary to achieve a complete cure.

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Written by Li Rui
Otolaryngology
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Is adenoid hypertrophy massage effective?

Adenoid hypertrophy generally does not respond well to massage therapy, as the affected area is in the nasopharyngeal region and primarily occurs in children. Typically, children reach the peak of adenoid growth around six or seven years of age, and then the adenoids usually begin to shrink after the age of eight. If the adenoid hypertrophy is severe and blocks the posterior nasal passages, it can lead to nasal congestion, snoring, and mouth breathing while sleeping. If severe and left untreated for a long period, it can result in a condition known as "adenoid facies," which causes abnormal development or deformities of the jaw and facial bones. Treatment generally focuses on medication. If medication is ineffective, surgery may be considered. Massage therapy does not have a direct effect on adenoid hypertrophy.

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Written by Zhang Jun
Otolaryngology
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Is adenoid hypertrophy more severe in winter?

Adenoid hypertrophy tends to be more severe in the winter due to the weather changes which can lead to significant adenoid hyperplasia. Adenoid hypertrophy is generally more common in children aged three to eight. It is caused by repeated stimulation from acute inflammation, leading to congestion, edema, and growth of the adenoids. This condition can cause patients to experience persistent bilateral nasal congestion, snoring during sleep, and episodes of breath-holding. Additionally, patients may also experience tinnitus, hearing loss, and other related symptoms. Diagnosis can be confirmed through an electronic nasopharyngoscope and adenoid CT scans. For treatment, patients can initially opt for conservative treatments such as oral antibiotics. Additionally, localized nebulizer inhalation can be used to reduce congestion and swelling of the adenoids. If conservative treatments are ineffective, adenoidectomy may be necessary for recovery. (Medication should be taken under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
1min 8sec home-news-image

The difference between adenoid hypertrophy and rhinitis.

Adenoid hypertrophy and rhinitis certainly have their differences. The adenoid is a lymphoepithelial tissue located in the nasopharynx, and its enlargement can block the posterior nasal aperture, leading to nasal congestion. Rhinitis refers to the inflammation of the nasal mucosa, where the mucosa becomes congested and swollen, leading to narrowing and obstruction of the nasal cavity. There are fundamental differences between them. The clinical treatment for rhinitis primarily involves medication, while the treatment for adenoid hypertrophy mainly involves surgical removal. In the early stages of adenoid hypertrophy, some medications can be used, but the effectiveness of medical treatment is often relatively poor and rarely controls the progression of the condition, so surgery is primarily used. Clinically, it is often seen that rhinitis and adenoid hypertrophy coexist, which requires doctors to differentiate and determine whether the nasal congestion is caused by adenoid hypertrophy or rhinitis.