Do adenoids cause coughing?

Written by Xu Qing Tian
Otolaryngology
Updated on November 11, 2024
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Children with adenoid hypertrophy may exhibit symptoms of coughing. The reason for the aforementioned symptoms primarily stems from excessive growth and enlargement of adenoid tissues, resulting in obstruction of the posterior nasal aperture. This causes chronic sinusitis in children and postnasal drip, leading to reflex cough. Therefore, for patients with adenoid hypertrophy, it is crucial to first conduct thorough examinations such as paranasal sinus CT and electronic nasopharyngoscopy to definitively diagnose the patient's condition, enabling early detection and timely surgical treatment. This involves removing the enlarged adenoid tissues to restore normal nasal ventilation and overall physical condition. Additionally, relevant examinations should be promptly completed before and during surgery to rule out surgical contraindications. After surgery, it is advisable to avoid hot baths, foot baths, and strenuous exercise to prevent postoperative bleeding from the surgical site.

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Written by Deng Bang Yu
Otolaryngology
1min 9sec home-news-image

The difference between adenoid hypertrophy and tonsil hypertrophy.

There is a fundamental difference between adenoid hypertrophy and tonsil hypertrophy, yet there are certain connections between them. The adenoids are located in the nasopharynx and are also a lymphoepithelial organ. The nature of adenoid hypertrophy leads to an increase in size, causing obstruction of the posterior nasal apertures and the Eustachian tubes, resulting in symptoms such as snoring and otitis media. Tonsils, on the other hand, are located in the oropharynx and their enlargement can block the oropharynx, leading to rapid breathing and obstructed breathing. It is common for tonsil hypertrophy to occur physiologically in children; clinically, it is often observed that children with tonsil hypertrophy also have adenoid hypertrophy. Both generally occur together because they are part of the internal ring of the pharyngeal lymphatic ring, which establishes a link between them. In summary, while adenoid hypertrophy and tonsil hypertrophy differ fundamentally in location and the manner of pathological changes, they are connected in certain ways.

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Written by Deng Bang Yu
Otolaryngology
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Does adenoid hypertrophy cause yellow nasal discharge?

The glands located in our nasopharyngeal area are immune tissues. Enlargement of these glands can lead to an increase in their size, which may block our posterior nasal apertures. Consequently, the secretions in our nasal cavity cannot be properly discharged. This may eventually lead to spontaneous infections causing sinusitis, characterized by the discharge of yellow nasal mucus. Thus, there is a direct relationship between the occurrence of sinusitis in children and the enlargement of these glands. Clinically, it can be observed that after surgery for gland enlargement, the symptoms of sinusitis and the discharge of yellow nasal mucus are significantly reduced or even completely cured. Therefore, it can be said that there is a direct relationship between gland enlargement and conditions such as rhinitis, sinusitis, and the discharge of yellow nasal mucus.

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Written by Deng Bang Yu
Otolaryngology
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Treatment methods for adenoid hypertrophy

Adenoid hypertrophy refers to the hyperplasia and enlargement of the adenoid tissue in the nasopharynx, blocking the local upper airway passages, leading to conditions such as rhinitis, sinusitis, otitis media, and snoring during sleep. Clinically, there are two treatment methods: conservative medication and surgery. Currently, there are no specific drugs aimed at adenoid hypertrophy. Typically, treatments involve the use of nasal corticosteroids such as mometasone furoate nasal spray and anti-allergic medications like montelukast. However, the effectiveness of the treatment may vary from person to person or be unpredictable. Generally, medication is first tried for one to three months, or depending on the severity of the adenoid hypertrophy, treatment can last about two weeks to four weeks. If the medication is not effective, or shows no results, surgical intervention to remove the enlarged adenoids and facilitate airway clearance is necessary. (Please use medication under the guidance of a clinical doctor and do not self-medicate.)

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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How to treat adenoid hypertrophy?

Adenoid hypertrophy mainly occurs in infants and children. It is a congenital disease, meaning that most children are born with varying degrees of adenoid hypertrophy. However, in many children, the adenoids begin to shrink after six months and generally do not cause symptoms. If the adenoids are enlarged, it can lead to the child breathing through their mouth, snoring, and gasping, which may cause facial changes, brain hypoxia, and delayed brain development. In such cases, adenoidectomy might be considered, generally performed under general anesthesia. However, some children with adenoid hypertrophy also have enlarged tonsils, so both surgeries are often performed together. Otherwise, if only the adenoid hypertrophy is treated without addressing enlarged tonsils, problems such as mouth breathing and snoring may not improve.

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Written by Xu Qing Tian
Otolaryngology
1min 6sec home-news-image

Do adenoids cause coughing?

Children with adenoid hypertrophy may exhibit symptoms of coughing. The reason for the aforementioned symptoms primarily stems from excessive growth and enlargement of adenoid tissues, resulting in obstruction of the posterior nasal aperture. This causes chronic sinusitis in children and postnasal drip, leading to reflex cough. Therefore, for patients with adenoid hypertrophy, it is crucial to first conduct thorough examinations such as paranasal sinus CT and electronic nasopharyngoscopy to definitively diagnose the patient's condition, enabling early detection and timely surgical treatment. This involves removing the enlarged adenoid tissues to restore normal nasal ventilation and overall physical condition. Additionally, relevant examinations should be promptly completed before and during surgery to rule out surgical contraindications. After surgery, it is advisable to avoid hot baths, foot baths, and strenuous exercise to prevent postoperative bleeding from the surgical site.