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Consequences after removal of adenoids in children

 
, medical expert
Last reviewed: 18.10.2021
 
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Adenotomy, like any surgical intervention can cause serious consequences. After adenoids, children often have such problems:

  • Decreased immunity - this consequence is temporary. With a full recovery period, the immune system returns to normal within 1-3 months.
  • Snoring and runny nose - such symptoms are considered normal within 1-2 weeks after the operation. As soon as swelling comes, snoring will pass. If symptoms persist for an extended period of time, you should consult your otolaryngologist.
  • Secondary infections - their development is possible in the event that after surgery in the nasopharynx remains wound. Also, a weakened immune system leads to infection.

In addition to the above consequences, more serious problems are possible: aspiration of the respiratory tract, trauma to the sky, intensive bleeding after the operation or during its operation.

Temperature after removal of adenoids in children

Any surgical intervention is a stress for the body. Therefore, the temperature after removal of adenoids in children is a normal reaction. As a rule, there is an insignificant hyperthermia from 37 to 38 ° C. The temperature rises late in the evening, but it is not recommended to bring down with drugs that contain aspirin. Such medications affect the structure of the blood, diluting it. Even one tablet can cause severe bleeding.

To reduce the temperature after adenotomy, such drugs are recommended:

  • Ibuprofen is the safest antipyretic agent for children.
  • Paracetamol - effectively removes heat, but has a hepatotoxic effect.
  • Metamizol - used to reduce fever and stop the pain.

If the fever persists longer than three days, you should immediately consult a doctor. In this case, hyperthermia may indicate the development of an infectious disease / complication.

The temperature after the operation can indicate problems not related to the respiratory tract: pathology of the endocrine system, infectious and viral diseases, inflammatory reactions. An unpleasant condition can be caused by such childhood diseases as scarlet fever or whooping cough.

Cough after removal of adenoids in the child

The period after adenotomy is dangerous for the development of various clinical symptoms. Cough after removal of adenoids is associated primarily with the outflow of purulent fluid from the paranasal sinuses after the release of the nasal passage. As a rule, coughing attacks go off on their own for 10-14 days.

A prolonged postoperative cough may indicate a relapse, that is, a new proliferation of tonsils and swelling of surrounding tissues. To prevent this condition, you should consult an otolaryngologist for a thorough examination.

trusted-source[1], [2], [3]

Snoring after removal of adenoids in the child

Such a symptom as snoring in a child after an adenotomy is normal. As a rule, it persists for 1-2 weeks. An unpleasant condition is associated with swelling of the nasopharynx and narrowing of the nasal passages due to surgical intervention. But if discomfort is observed within 3-4 weeks, then it is necessary to show the baby to the otolaryngologist.

In some cases, after the operation, children develop secondary snoring, consider its causes:

  • Overgrowth of tonsils (relapse).
  • With prolonged exposure in the horizontal position, the mucus secretions drain to the back wall of the larynx, causing snoring.
  • Inflammatory processes during the recovery period.
  • Allergic reactions.
  • Nasal obstruction and chronic pathology of the nasopharynx.
  • Anatomical features of the structure of the organs: an uneven nasal septum, a suspended tongue of the sky, narrow airways.
  • Violation of hygiene of the nasopharynx.

In addition to the above factors, snoring can be associated with the surviving habit of breathing through the mouth. This significantly disturbs the quality of sleep, negatively affects mental abilities and physical activity. In some cases, night snoring causes short-term stops of breathing. If such a condition persists for an extended period of time, there is a risk of oxygen starvation of the brain and a malfunction in the CNS.

Recommendations for preventing night snoring in children:

  • The last meal should consist of soft food, which does not irritate the laryngeal mucosa.
  • Daily breathing exercises normalizes nasal breathing and strengthens the walls of the larynx.
  • Vasodilating drops reduce mucosal edema, and sprays in the nose with an antibiotic are also recommended.
  • For disinfection of the oral and nasal cavities, rinsings with hypertonic solutions and herbal infusions are used.

In addition to the above recommendations, children should be protected from hypothermia, which can lead to catarrhal and viral infections. It is also necessary to spend more time wet cleaning and to air a children's room.

Runny nose after removal of adenoids in the baby

The most common signs of adenoids are a prolonged runny nose and a permanent nasal congestion. With the growth of the nasopharyngeal tonsil, these symptoms are aggravated. If conservative therapy is ineffective, the patient is prescribed surgical treatment.

Many parents mistakenly believe that the runny nose after removal of the adenoids in the child passes. But this is far from the case, since mucosal discharge can persist for 10 days, and this is the norm. It should also be noted that the runny nose is directly related to postoperative edema of the nasal cavity.

Poor mucus discharge from the paranasal sinuses may indicate the attachment of a secondary infection. In this case, in addition to the snot, there is an additional symptomatology:

  • Increased body temperature.
  • Unpleasant odor from the mouth.
  • Green thick snot.
  • General weakness.

If pathological symptoms persist for 2 or more weeks, it is a clear sign of a serious bacterial infection, a manifestation of a viral or exacerbation of a chronic disease that requires treatment.

The appearance of a runny nose after an adenotomy can be associated with such pathologies:

  • Deformation of the nasal septum.
  • Hypertrophic processes in the nasopharynx.
  • Immunological reactivity of the body.
  • Bronchopulmonary disorders.

In order to mucous discharge from the nasal cavity in the postoperative period did not persist for a long time, it is necessary to follow the medical recommendations. First of all, it is forbidden to abuse tablets with antiseptic and antibacterial substances that are able to dilute the mucous membrane of the nasopharynx and cause the resistance of the infection. It is also not recommended to perform steam inhalations with alkaline agents or use concentrated saline solutions for washing the nose and throat.

Sore throat after removal of adenoids in children

Removal of hypertrophic adenoid tissue of the pharyngeal tonsils can cause a number of painful symptoms in the postoperative period. Many parents face such a problem when a baby has a sore throat after an adenotomy.

Discomfort can be associated with such factors:

  • Traumatization of the throat during surgery.
  • Infectious and inflammatory process.
  • Relapse of chronic diseases of the oropharynx.
  • Complications after anesthesia.

Pain in the throat can give in the ears and in the temples, also often stiffness when moving the lower jaw. Typically, a similar problem occurs within 1-2 weeks. To ease the painful condition, the doctor prescribes medicinal aerosols, inhalations and oral medications. If the pathological condition progresses or persists for an extended period of time, then it is worthwhile to consult an otolaryngologist.

After removal of adenoids, the child has a headache

Another possible complication arising after the removal of adenoids in children is headaches and dizziness. The painful condition is temporary and most often occurs in such cases:

  • Adverse reaction of the applied anesthesia.
  • Reduction of arterial and intracranial pressure during surgery.
  • Dehydration of the body.

Discomfort appears in the first day after the operation and can persist for 2-3 days. Also, on waking after anesthesia, mild dizziness is possible. Headaches are noisy, bursting and intensified with loud sounds, sharp turns of the head.

For treatment, there is a lot of drinking and a good rest. With painful pains, the doctor prescribes safe painkillers.

trusted-source[4], [5], [6], [7], [8]

Vomiting after removal of adenoids in children

One of the side effects of adenotomy is vomiting. After removal of adenoids, it acts as a reaction to the used anesthesia and most often proceeds with such a symptom complex:

  • Attacks of nausea.
  • Stomach ache.
  • Deterioration of general well-being.

Sometimes in vomit masses there are blood impurities that disappear after 20 minutes after surgery with normal blood coagulation in the patient.

In addition to emetic attacks, children may have fever. Hyperthermia with abdominal pain should not last more than 24 hours. If the symptoms persist for a longer time, then an urgent consultation of the otolaryngologist and pediatrician is indicated.

After the removal of adenoids, the child's voice changed

Many doctors note that after the removal of adenoids, children may have a voice change. Such changes are temporary and persist for the first days after the operation. In some babies, the voice becomes nasal, hoarse and can resemble a cartoon.

With the recovery of nasal breathing (about 10 days), the voice also normalizes. He becomes pure and sonorous. If the pathological symptoms persist for more than 2 weeks, you should show the baby to the doctor.

trusted-source[9], [10], [11]

The child after removal of adenoids nasal voice

Postoperative period in the surgical treatment of hypertrophied tissues of the pharyngeal tonsils is very often accompanied by changes in the voice. This symptom is caused by edema of the nasopharynx and the sky, is temporary. But if, after removal of adenoids, a nasal voice persists for a long period of time, this may indicate the development of a serious complication.

According to medical statistics, in 5 out of 1000 patients, changes in the voice are such a pathology as a non-ganglion insufficiency. It manifests itself in a deaf, nasal voice, indistinct pronunciation of words, especially consonant sounds.

This complication develops due to the fact that the soft palate does not fully cover the nasal passages. When talking, air gets into the nasal cavity, the sound resonates and becomes nasal. For treatment, respiratory gymnastics and a complex of physiotherapy are used. In especially severe cases, soft palate surgery is possible.

Neural tic in a child after removal of adenoids

As a rule, the nervous tic in a child after adenotomy is associated with such factors:

  • Psychoemotional trauma.
  • Complications of general anesthesia.
  • Pronounced postoperative pain.
  • Traumatization of nervous tissues during surgery.

Complications can occur due to the removal of adenoids with local anesthesia. In this case, a nervous tic is associated with the fright of a small patient who has observed all the surgical procedures.

Another possible reason for the violation is related to the fact that the movements that the patient committed were fixed in the form of a tick. Due to impaired nasal breathing, runny nose or sore throat, children often swallow saliva, severely straining the muscles of the neck of the pharynx. After the operation, swallowing manifests itself in ticks and persists for a certain time.

If the disorder persists for a long period of time, you should consult your pediatrician. In especially severe cases, a neurologist should be consulted. For treatment, anticonvulsant and psychotropic drugs can be prescribed.

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