Cough with adenoids in children: treatment with conservative methods

Adenoids (adenoid vegetations) are the growth of the pharyngeal tonsil in the vault of the nasopharynx. Treatment of cough with adenoids in children is aimed at eliminating inflammation and swelling in the respiratory tract.

If the enlarged tonsil covers only 1/3 of the vomer in the nasal cavity, conservative methods of therapy are sufficient.

If drug treatment is ineffective, for grade 2 and 3 adenoids, they resort to adenotomy - removal of the pharyngeal tonsil.

Why does cough occur with enlarged tonsils?

Adenoids are hypertrophy (proliferation) of the tissue of the nasopharyngeal tonsil, which is located in the area of ​​the nasopharynx. Together with the lingual, tubal and palatine tonsils, it protects the ENT organs from respiratory infections. But with frequent allergic, viral and bacterial diseases, lymphadenoid tissue grows.

Causes of coughing during adenoid vegetations in a child:

• Swelling of the nasopharyngeal mucosa. With adenoids against the background of chronic inflammation - nasopharyngitis, tonsillitis - the nasopharynx swells. As a result, the outflow of mucus is disrupted, which can flow into the throat and cause a cough.
• Drying of the mucous membrane. When the tonsil covers 50% of the nasopharynx and vomer, the child begins to breathe through the mouth. Due to dryness, the mucous membrane becomes irritated, which causes coughing.
• Irritation of the nerve endings of the nasopharynx. When breathing through the nose, the adenoids touch the nasal mucosa. Due to irritation of the nerve endings, the child begins to cough. With adenoid vegetations of 2-3 degrees, night cough bothers you. When the child takes a horizontal position, the lymphoid tissue touches the walls of the pharynx, provoking coughing attacks.

A child's cough from adenoids can be dry and wet. The discharge of viscous light yellow sputum often indicates adenoiditis - inflammation of the adenoid vegetations.

A significant increase in the pharyngeal tonsil in a child is accompanied by a disorder of mucociliary clearance - the natural removal of mucus along with allergens and microbes from the nasal cavity. Due to the disorder of free breathing, a dry cough occurs with adenoids.

Additional symptoms

Adenoid cough is often confused with symptoms of acute respiratory infections. If treated incorrectly, the tonsil enlarges, so the child’s well-being only worsens. Adenoid vegetations are indicated by:

• difficulty breathing through the nose;
• persistent runny nose;
• snoring during sleep;
• drooping of the lower jaw;
• nasal and quiet voice;
• decreased hearing acuity;
• dyspnea;
• pale skin;
• headache;
• otitis media;
• apathy;
• fast fatiguability;
• frequent relapses of tonsillitis;
• seizures similar to epilepsy.

Adenoids in an infant cause difficulty sucking.

Due to systematic underfeeding, body weight decreases and anemia occurs. In the absence of treatment, the face changes - the lower jaw stretches, the bite is disrupted, the nasolabial fold is smoothed, and the eyeballs protrude.

Cough with adenoiditis is paroxysmal in nature. It intensifies at night or in the morning.

In case of inflammation of the adenoids, new symptoms appear:

• superficial sleep;
• increased body temperature;
• mucous discharge from the nose;
• decreased sense of smell;
• unproductive cough;
• general weakness;
• lack of appetite;
• pressing sensation in the nasopharynx.

Adenoiditis in a child under 5 years of age is dangerous due to complications - blistering rashes in the vestibule of the nose, mental retardation, inflammation of the eustachian tube, and retropharyngeal abscess.

How and how to treat cough with adenoids

If you suspect adenoiditis in a child, contact a pediatric ENT specialist. To confirm the diagnosis, he will prescribe endoscopic rhinoscopy and x-ray of the nasopharynx. Treatment of cough with adenoids is carried out using conservative and surgical methods. If the lymphoid tissue covers the vomer by only 30%, they are limited to medicinal methods.

Tablets and syrups

Non-productive cough from adenoids is treated with antitussives.

Drugs are selected taking into account the age of the child. If he is not yet 3 years old, syrups are suitable. Tablets are recommended for older children.

Medicines that suppress cough in children

Drug name	Release form	At what age are they used, in years
Terpincode	pills	2
Codelac Neo	syrup, tablets	3
Bronchocin	syrup	3
Tusuprex	pills	2
Omnitus	syrup, tablets	3
Libexin	pills	3
Tussin plus	syrup	6
Stoptussin	pills	12
Sinekod	syrup	3
Paxeladine	syrup, tablets	3 (syrup), 5 (tablets)

Antitussive medications should not be taken for a wet cough or together with mucolytics.

If adenoids are combined with bronchopulmonary diseases, syrups or tablets can be taken for no more than 3 days in a row.

If you have a wet cough with adenoids, use two groups of medications:

• mucolytics (secretolytic) - reduce the density and density of sputum;
• expectorants (secretomotor) - stimulate the excretion of liquefied mucus.

Mucolytics and expectorants for adenoids in children

Name of medicine	Release form	At what age are they used, in years
Ambroxol	pills	6
ACC	effervescent tablets, syrup	2
Mukaltin	pills	12
Lazolvan	pills	3
Pertussin	syrup	3
Mukodin	syrup	2
Bromhexine	pills	3
Ascoril	pills	6
Sinupret	pills	6
overslept	syrup	1
Bronchipret	syrup	from 3 months
Bronkatar	syrup	4
Tussin	syrup	2
Dr. Theiss with plantain	syrup	1

With a productive cough, the nasal cavity is cleared of accumulated mucus, which makes breathing easier.

Phytotherapy

A severe cough with adenoid vegetations in a child leads to umbilical and inguinal hernias. To eliminate the symptom, you must:

• reduce the sensitivity of nerve endings in the nasopharynx;
• relieve swelling from the mucous membrane;
• prevent excessive mucus formation.

To combat the symptoms of adenoids in children, they resort to herbal medicine. For spastic cough, nasal drops based on medicinal plants are effective:

• Kalanchoe. Several leaves are grated or passed through a meat grinder. The squeezed juice is instilled into each nostril, 2 drops 3-5 times a day.
• Celandine. 1 tbsp. l. Boil the herbs in 300 ml of water. Warm filtered decoction is instilled into the nose, 2-3 drops up to 5 times a day.
• Beet. 1 tsp. beet juice mixed with ½ tsp. boiled water. Pipette the solution. Place 2-3 drops into each nostril every 2 hours.

Preschool children are prone to allergic reactions. Therefore, before using the drops, an allergy test is carried out: the solution is applied to the wrist for 1 hour. If there is no redness or rash, herbal remedies are used as directed.

If you don’t have herbs on hand, buy herbal-based nasal drops at the pharmacy - Pinosol, Pinovit, Eucasept. They not only relieve irritation, but also fight a runny nose.

Rubbing and compresses

The triggering factor for hypertrophy of the pharyngeal tonsil is often bronchopulmonary diseases. If a child has a wet cough and a stuffy nose, rubbing is effective. The following are used as warming ointments and balms:

• Vicks Active;
• Roztiran;
• Golden Star;
• Turpentine ointment;
• Dr. Theiss eucalyptus;
• Pulmex baby;
• Badger;
• Propolis ointment;
• Doctor Mom.

In accordance with the instructions, the ointments are applied to the upper chest, wings of the nose, intercostal area, and upper back. Perform the procedure up to 4 times a day. After rubbing, the child should lie under a warm blanket for at least 1-1.5 hours.

For infectious coughs, warming compresses made with the following ingredients are no less effective:

• Dimexide. The drug is diluted with water in a ratio of 1:4. Gauze is soaked in the liquid and applied to the back at the level of the shoulder blades, covered with film and a towel. Remove after 1.5 hours. The procedure is performed up to 4 times a day.
• Potato. Boiled potatoes are crushed in a blender along with the peel. 5-6 tbsp. l. puree mixed with 1 tsp. dry mustard, 15 ml vegetable oil. The cake is placed on the upper back for half an hour.

Heat treatment for adenoids is recommended only if the body temperature is normal and there is no bacterial bronchitis or pneumonia.

Inhalations

Persistent cough in children with adenoids is treated with inhaled medications:

• Sinupret;
• Mukaltin;
• Ambrohexal;
• Fluimucil;
• Bronchosan.

If it is necessary to reduce the viscosity of mucus, then use:

• Borjomi (Smirnov water, Dilijan);
• isotonic sodium chloride solution;
• boiled water with eucalyptus oil.

To prevent burns, pediatric ENT specialists advise using only aerosol inhalers - nebulizers. The procedure is performed 1 hour after eating. For nasal congestion, pre-use vasoconstrictor nasal drops - Otrivin, Tizin Xylo, Farmazolin.

Irrigation of the nasal cavity

A nasal shower is one of the most effective ways to cleanse the nasopharynx of mucus and pathogens. To eliminate rhinitis and cough in a child, use:

• Aqualor;
• Miramistin;
• No-Sol;
• Eludril;
• Physiometer;
• Dolphin;
• Humer;
• Malavit;
• Stopangin;
• LinAqua;
• Marimer;
• Salin.

To irrigate the nasal cavity, try using a neti pot - an Ayurvedic teapot with a long spout.

The procedure is performed up to 4 times a day. It is not recommended to inhale solutions through the nose, as this may cause liquid to enter the respiratory tract.

Nasal douche is contraindicated in children of preschool age, with acute or chronic otitis media.

Additional measures

If your child coughs a lot at night, instill vasoconstrictor nasal drops before bed - Quix, Salin, Otrivin. They reduce swelling of the nasal cavity, as a result of which breathing through the nose becomes easier and cough disappears.

Very often, adenoids become a consequence of constant exacerbations of acute respiratory infections. To prevent them, immunotherapy is performed:

• vitamins – Pikovit, Supradin Kids, Doppelhertz Kinder, Vitrum Kids;
• immunostimulants - Vilozen, Immunal, Ribomunil, Anaferon, Amiksin.

To alleviate a child’s condition with adenoids, it is recommended:

• take walks in the fresh air;
• temporarily avoid spicy foods;
• protect your baby from strong odors;
• maintain air humidity at 70%;
• regularly carry out wet cleaning in the house.

If adenoid cough is associated with hay fever, antiallergic medication therapy is performed:

• H2-histamine receptor blockers - Nizatidine, Ornistat, Zantac, Roxatidine;
• antihistamines - Suprastin, Omeril, Zyrtec, Fenistil.

Physiotherapeutic procedures are useful for adenoids - EHF therapy, climatotherapy, magnetotherapy, laser therapy.

Surgical intervention

Adenotomy is an operation to remove an enlarged nasopharyngeal tonsil. Performed when conservative therapy is ineffective, adenoid vegetations of 2 and 3 degrees. In 80% of cases, the operation is performed under local anesthesia in several ways:

• laser adenoidectomy – excision of adenoids with a laser while simultaneously sealing damaged vessels;
• cryodestruction of adenoids - destruction of the tonsil under the influence of ultra-low temperatures;
• classic adenotomy - removal of adenoids with a scalpel under endoscopic control.

To prevent nosebleeds, you should temporarily limit physical activity and not eat spicy foods after surgery.

Why does the cough persist after adenoid removal?

Swelling of the mucous membrane after adenotomy persists for another 5-7 days. Therefore, the child continues to cough.

But if symptoms do not disappear within a week, you should contact your otolaryngologist again. The doctor will determine the nature of the cough, conduct a re-examination, and then prescribe treatment.

Reasons why cough persists in children after adenoid removal:

• infectious inflammation of the nasopharynx;
• cough out of habit (psychogenic);
• severe swelling of the mucous membrane;
• pharynx neurosis;
• re-growth of adenoids;
• allergic reaction to drugs.

Adenoid cough is a consequence of irritation of the nerve endings in the nasal mucosa. If the nasopharyngeal tonsil is enlarged by only 15-30%, conservative treatment is resorted to. If it is ineffective and nasal breathing is impaired, surgery – adenotomy – is recommended.

Source: https://tden.ru/health/kashel-pri-adenoidah-u-detey-lechenie

Cough with adenoids: proper therapy

This unpleasant symptom indicates inflammation of the lymphoid tissue in the nasopharynx; with adenoids, it often occurs as a result of irritation of the mucous membrane due to drainage of secretions. It is not dangerous to health, but it worsens the quality of life, especially at night - it irritates and interferes with sleep. That’s why it’s so important to understand what means will help get rid of it.

The relationship between adenoids and cough

Many people are interested in whether adenoids can cause a cough. With the enlargement of the nasopharyngeal tonsils, when their innervation increases, strong sensitivity to any irritants appears. That is, it is a reflex reaction.

In addition, the inflammatory process in the nasopharynx area leads to various pathologies, for example, colds and acute respiratory viral infections. With adenoiditis, the child will cough, he will be tormented by a runny nose, weakness from headaches, and high fever.

Causes of cough with adenoids

Many people do not know whether adenoids can cause a cough and for what reason it appears. This unpleasant symptom is a clinical sign of a disease resulting from direct irritation due to pus or mucus of the nerve roots of the nasopharynx. A similar symptom appears during infectious processes.

• Adenoiditis is more characterized by a rapid onset of the disease, which is accompanied by a cough, especially at night.
• If we are talking about chronic pathologies that cause coughing (more often develops with hypertrophy of the adenoids), in children and adults it becomes constant and intensifies when a person takes a horizontal position.
• There are several reasons for this:

1. Reflex reaction to irritants from the nasopharynx. Most often it begins when mucus drips down the back of the throat. The reason is impaired nasal breathing.
2. Swelling of the mucous membrane. With adenoiditis, the vessels become inflamed and become permeable, which leads to the formation of edema.
3. Toxins produced by bacteria. Tonsils are a kind of shield that prevents bacteria from entering the body. With a cold, frequent “attacks” from microorganisms, the tonsils begin to grow - their tissue is a place for bacteria to multiply. In turn, they release toxins that irritate the nerve endings, which leads to coughing.
4. The air is too cold or dry. Overgrowth of adenoids interferes with normal breathing. When cold air enters, irritation of the nasopharynx occurs, which is the cause of coughing.

The symptom itself is not dangerous and will not cause inflammatory processes, but it worsens the patient’s condition.

Characteristic features of adenoid cough

Characterized by:

• disappears immediately after treatment;
• most often has a reflex origin;
• barking, begins with coughing, intensifies over time;
• becomes stronger towards night.

Daytime cough

Rare, dry. This is due to the fact that during this period a person spends more time in an upright position. Due to this, purulent or mucous discharge does not stagnate in the nasopharynx.

Thanks to this, the nerve endings are less irritated; for this reason, prolonged attacks are rarely observed during daylight hours.

Cough while sleeping

At night it gets worse due to lack of movement and being in a horizontal position. This often leads to insomnia and irritation. And due to the accumulation of secretions, the cough becomes wet.

Cough therapy for adenoids

Many people are interested in how to treat dry cough with adenoids. Any treatment methods should be coordinated with your doctor to avoid complications. Much depends on the type of cough, the condition of the adenoids themselves, the patient’s condition, and accompanying symptoms.

Treatment with medications

The use of medications is effective in the first stage of the disease. Immunomodulators, for example, Imudon and ascorbic acid, are more often prescribed. These drugs strengthen the walls of blood vessels and normalize the acid-base ratio.

Additionally, cough medicines that have an expectorant effect may be prescribed. They are aimed at facilitating breathing, reducing irritation, and removing phlegm.

To quickly stop night attacks and alleviate the patient’s condition, use cough suppressants for adenoiditis such as Amoxiclav or Flemoklav. These drugs must be taken under the supervision of a doctor.

Herbal medicine also helps with coughs:

• to get rid of dry cough with adenoids, it is better to use Sinekod;
• to relieve wet or dry cough from adenoids at night, syrups based on licorice, marshmallow root, and ACC help;
• to quickly remove sputum, Sinupret or Euphorbium is prescribed;
• if the inflammatory process is caused by allergens, antihistamines are prescribed - Zodak or Zyrtec;
• for infections, you should take Miramistin or Albucid.

Inhalation procedures

Such procedures have a positive effect on the treatment of adenoid cough, but inhalations should be used as an auxiliary and not the main treatment.

It is better to do this using a nebulizer - a special device. However, when using it, you should not use oil compounds that can break it. Herbal infusions are effective. When coughing, it is best to use the following medicinal plants:

• thyme:
• raspberry leaves;
• rose hip;
• St. John's wort;
• calendula;
• elecampane;
• coltsfoot.

To enhance the effect, you can add a little propolis. And to avoid unpleasant sensations during inhalation, a simple saline solution is additionally added to the decoction.

You can perform inhalations using oils:

1. Pour 0.3 liters of water into the pan and bring to a boil.
2. Remove from heat and add 2 drops of oil.
3. Inhale the steam for 10-15 minutes without covering your head with a towel.
4. It is most effective to use eucalyptus or thuja oil.

It is worth considering the presence of allergies to the formulations used. Also, exposure to hot steam can lead to complications, so you should consult a doctor before inhalation.

Washing

This procedure eliminates inflammation and removes bacteria from the mucous membrane. Also, rinsing is a mandatory step before performing any other nasal procedures, for example, nasal drops.

Sanitation is carried out using saline solution. You can make it from a glass of water and 1 tsp. salt or buy a ready-made composition at the pharmacy. Special preparations with an injection nozzle are convenient for children - Aquamaris, Dolphin.

For washing, you can take herbal poisons, Furacilin, Miramistin.

Physiotherapy

Many people are interested in how to treat adenoid cough with physical therapy. These methods effectively complement drug therapy, accelerate the body’s recovery, and strengthen the body’s defenses.

If a child coughs with adenoiditis, the following procedures are recommended:

1. UV (ultraviolet). Dries the mucous membrane, reduces swelling, has an antibacterial effect, and helps to eliminate cough more quickly.
2. Laser therapy. This is one of the most modern techniques. Such procedures improve blood circulation, stimulate local immunity, and reduce the risk of relapse.
3. Electrophoresis. It is the administration of drugs under the influence of electrical impulses through the skin and mucous membranes. Solutions of novocaine and silver nitrate are used. Electrophoresis relieves inflammation and swelling.
4. Magnetotherapy. This procedure involves the use of high-frequency current, which warms up the tissue. This procedure improves metabolism inside cells, relieves swelling, and relieves pain.
5. UHF - therapy. Allows you to get rid of swelling, cough, relieves inflammation.
6. Darsonvalization. This technique is based on the influence of pulsed current. It has an antimicrobial effect, relieves swelling, and eliminates an unpleasant symptom.

Operation

Surgery is the main method of treatment if conservative therapy does not bring the desired result. Most often, surgery is offered at the last stage of the disease, but much depends on the growth of the adenoids.

It is also prescribed in emergency cases - if the tonsils block the throat so much that it threatens suffocation.

Adenoids are removed under local or general anesthesia. The process itself takes no more than 5 minutes. Recovery after surgery is rapid, and the patient's condition is stable immediately after the procedure.

After the operation you should:

• strengthen immunity:
• restore salt balance.

Children will stop coughing faster if you provide them with the following:

• create the right microclimate - the room should be warm, but not dry;
• It is worth frequently ventilating the room to clear the air of dust.

Cough after adenoid removal

Many patients are interested in whether there is a cough after adenoid removal. This happens, often due to the presence of chronic pathologies: sinusitis, sinusitis, sinusitis.

If the attacks do not go away for more than a month, then the reason may be that the tonsils were not completely removed during the operation. This can lead to their new growth.

In this case, you should not self-medicate - only a doctor will be able to determine the exact cause of the cough. This symptom may indicate other pathologies: bronchitis, pneumonia.

Preventive measures

To prevent coughing, you should take all necessary preventive measures to avoid infection. These include:

1. Having cured an unpleasant symptom, you need to beware of relapses.
2. If it is definitely determined that a night cough is caused by problems with the adenoids, you should not abuse antitussive drugs in the form of lozenges. They can cause listening to the nasopharynx or the formation of drug-resistant forms.
3. This disease can be caused by allergies, so it is important to monitor your diet and eliminate any allergens.
4. You should not eat foods that have an irritating effect - this can lead to worsening cough.

With a responsible approach, maintaining immunity at the proper level, with a balanced diet, sufficient rest and activity, and following all the doctor’s recommendations, a therapeutic effect will be achieved.

Source: https://nosoved.ru/zabolevanija-nosa/drugie/terapija-kashlja-pri-adenoide.html

Dry cough with adenoids in children: treatment of persistent adenoid cough at night

Remember! Adenoid cough does not pose a threat to the child’s health, but it can cause discomfort to the child and his parents.

What causes cough with adenoids

Cough with adenoiditis is triggered by the secretion of mucus in the nasopharynx, which irritates the nerve endings. Otolaryngologists call it reflex and attribute it to signs of the formation of adenoid vegetations.

How to understand that a child is coughing from adenoids:

• previous persistent runny nose;
• constantly slightly open mouth;
• There is no nasal discharge, but there is congestion.

Most often, adenoiditis acquires a chronic, sluggish form of the disease, in which attacks of dry cough at night are a regular occurrence. There are several reasons for this cough:

1. prolonged inflammation leads to swelling of the walls of the larynx, and as a result, increased permeability;
2. impaired nasal breathing and a constantly open mouth leads to drying out of the oral mucosa, resulting in a dry night cough;
3. mucus flowing down the back wall of the throat irritates the receptors and coughing is a reflex reaction to the irritant.

It occurs mainly during sleep, since in a horizontal position, mucus accumulates in the nasopharynx and irritation of the mucous membrane occurs. Against this background, the child’s day and night sleep is disrupted.

After infections occur, the cough becomes moist and more productive. Coughs up cloudy yellow-green sputum. If you do not consult a doctor and do not start timely treatment, then the inflammation spreads to the lower organs of the respiratory system.

Cough after adenoid removal

The cause is an incompletely removed area of ​​inflamed lymphoid tissue. If after a month or later signs of the disease reappear, then the adenoids begin to grow again.

There is another reason for coughing after adenoid removal: surgery improves the drainage of mucus from the sinuses. With the release of mucus, the inflammatory process ends.

Accordingly, with the outflow of mucus, irritation of the larynx occurs and, as a result, a cough appears.

This is an absolutely normal phenomenon, but if it does not stop for several days, then you need to show the child to a doctor to listen to the bronchi.

How and what to treat dry cough with adenoids

Treatment methods depend on the general condition of the child. If the cough is not painful and does not cause the child much discomfort, then it is enough to provide the baby with longer walks in the fresh air, optimal indoor air parameters (18-20° and humidity 50-70%), as well as plenty of drinking.

In cases where a child suffers from coughing attacks or has difficulty breathing, it is necessary to consult a doctor. In the most severe forms, with serious disorders of the respiratory system, the inflamed tonsils must be removed.

It is important to learn to distinguish an adenoid cough from a viral one. If a child has a high body temperature, a runny nose, or nasal congestion, then most likely the cough is infectious. If the cough reflex occurs without other symptoms, then most likely the cough is adenoid.

Remember! Self-medication can have negative consequences.

Treatment of dry cough with adenoids includes:

• Taking vitamin C to strengthen the immune system and increase the elasticity of capillary walls;
• Carrying out inhalations with eucalyptus oil;
• Magnetic laser therapy;
• Taking antihistamines to relieve swelling;
• Vasoconstrictor drugs;
• Mucolic drugs.

Treatment will be effective if it is comprehensive. In addition to taking medications and inhalations, it is necessary to lead a healthy lifestyle, which includes:

• Daily long walks in the fresh air;
• Regular rinsing of the nose with saline solution;
• Hardening;
• Adequate fluid intake.

It is with the implementation of these points that treatment of adenoids should begin, and only if it turns out to be ineffective, therapy should be supplemented with medications and physical procedures.

Surgery

If conservative treatment does not produce results in the fight against cough, the adenoids continue to grow, in which case surgical removal of the tonsils is necessary.

There are several other factors when surgery is needed:

1. The child's hearing decreases;
2. Regular snoring;
3. Shortness of breath during sleep;
4. Deformation of the facial skeleton;
5. Sinusitis;
6. Prolonged absence of nasal breathing.

Doctors often try to delay surgery as much as possible and use any conservative methods. They explain this by saying that if you operate on a child under the age of 4, there is a high probability that the adenoids will grow back. Experts recommend waiting until 7-8 years, and only then the adenoids will begin to shrink on their own. At this age, the risk of re-proliferation of lymphoid tissue is minimal.

Adenoid removal is performed under local or general anesthesia using a laser or endoscope.

After the operation, most often there are no painful sensations, and at the slightest manifestation it is recommended to give the child Paracetamol or Ibuprofen.

Prevention of adenoid cough

Preventing adenoid cough means preventing the growth of adenoids in a child:

• Regular ventilation of the room;
• Humidifying the air in a child's bedroom;
• Hardening, including visiting the pool;
• Rinse your nose daily with saline solution;
• Avoid overheating your baby.

Remember! Overheating a child is much more dangerous than hypothermia. Never dress your child warmer than yourself!

Pay special attention to regular walks in the fresh air and active games outside.
Remember, no matter what the cough is (adenoid, viral, bacterial, allergic), it is important to drink enough fluid. Thanks to plenty of drinking, the cough becomes moist, more productive and will not irritate the mucous membranes.

Source: https://uhogorlor.ru/kashel-pri-adenoidah/

Cough With Adenoids in Children

Frequent respiratory diseases in children contribute to the growth of nasopharyngeal tonsils (adenoids) at the junction of the pharynx and nasal cavity. It is quite understandable that parents are often interested in the question: could a child’s cough be caused by adenoids?

This pathology does not arise on its own. It manifests itself, as a rule, against the background of acute and chronic ailments of the respiratory tract. And if your baby coughs for a long time, then very often the adenoids may be the cause.

At the same time, the child becomes irritated and sleeps poorly. This condition is quite common and brings a lot of trouble.

For this reason, cough with adenoids in children seeks immediate treatment, because this condition is fraught with various complications that harm the child’s body.

External manifestation of enlarged adenoids

Any ailments of inflammatory etiology (ARVI, scarlet fever, influenza, measles, etc.) can cause the growth of tonsil tissue.

The adenoids grow and the enlarged tissue becomes visible to the naked eye. This happens mainly in children from one year to 14 years of age. In infants and older schoolchildren, adenoids rarely form.

The main symptoms that cause cough with adenoids in children are:

• the mouth is always slightly open due to the inability to breathe well through the nose (the main sign of inflammation of the adenoids, in addition to such manifestations as coughing);
• a slight cough in the initial stage of this ailment, then the cough itself, which gets worse at night;
• the presence of inflammatory phenomena accompanied by fever, prolonged runny nose and headaches;
• swelling in the nose, with such manifestations as adenoid mucus, sputum;
• constant feeling of exhaustion and unwillingness to sleep;
• hearing problems (occurs when the opening of the Eustachian tube is blocked).

A constantly slightly open mouth, decreased hearing and a hoarse voice create a characteristic facial appearance for everyone with adenoid formations.

There are 3 degrees of adenoiditis (inflammation of the pharyngeal tonsil). In the third, the tonsils grow so large that they block breathing. The child may suffocate. But here it is necessary to mention that with such a pathology, the child practically does not have nasal discharge.

Cough with adenoiditis in a child is a clinical symptom. Children especially choke on phlegm at night. For this reason, adenoiditis is characterized by an acute onset, which in addition causes the development of cough syndrome.

Therefore, coughing with adenoids indicates the presence of such a formation.

Why does a child cough with adenoiditis?

A cough in a child with adenoids is formed as a result of the irritating effect of purulent and mucus secretions on the nasopharynx.

Doctors define it as involuntary and classify it as one of the main signs of tonsil enlargement. Although it happens that inexperienced specialists do not attach importance to such tissue changes and classify such a cough as a symptom of colds.

However, adenoids and cough are “friends and comrades” in this pathology. Cough due to adenoids especially torments the child at night when he is lying down.

But despite all its seemingly complexity and troubles, such a symptom does not harm health. It in no way causes pathology of the lungs and bronchi.

Treatment methods

Cough with adenoids is a sign of the formation of overgrown almond tissue in the nasopharynx and the resulting inflammatory process. Therefore, taking timely measures helps prevent the development of illness, as well as relieve its manifestations.

At the same time, you should know that the treatment of cough with adenoids in children does not involve the use of symptomatic antitussive drugs.

All therapy and its methods are carried out with the aim of reducing the size of enlarged tonsils. First, conservative treatment is used; if it does not help, the issue of operating surgery is decided.

Treatment methods are chosen by the doctor after examining the small patient.

Medication

Typically, non-surgical therapy is used at stage 1 of the disease. While the inflammatory process is in its initial form, it is treated with medications. Among the drugs in first place are ascorbic acid, as well as the immunomodulator - Lizobact, Imudon. They allow you to normalize the acid-base ratio in the body and strengthen the walls of blood vessels.

Cough and expectorant medications are also prescribed, which will relieve irritation in the throat, allow you to cough up phlegm and make breathing easier:

• Libexin or Sinekod will help overcome dry cough with adenoids;
• in its wet form, syrups with licorice extract, as well as marshmallow root, or Bronchipret, Ambrobene, ACC, Linkas, are indicated, which make it possible to get rid of phlegm;
• Secretolytics will help improve this process - Sinupret, Umkalor, Euphorbium compositum;
• for inflammation in the pharynx of an allergic nature, antihistamine medications are prescribed - Fenistil, Zodak, or Loratadine, Zyrtec;
• the infection can be controlled using Miramistin, Protargol, Isofra and Albucid.

But as for night cough with adenoids, it can be quickly stopped (literally on the 3rd day) with Flemoclav or Amoxiclav. But these anti-inflammatory drugs, like others in the treatment of this pathology, must be strictly as prescribed by the doctor.

Treatment with folk remedies

Herbal medicine is an excellent way to get rid of coughs due to adenoids. Here are some tips:

• A decoction prepared from 1 tbsp will help relieve inflammation. l. celandine and 300 ml of milk. The solution is boiled for 5 minutes, squeezed,
• filter and apply in the form of nasal drops (5 injections into each nostril three times a day);
• prepared solution consisting of a glass of water, a pinch of salt, half a tsp. soda and iodine drops, use to rinse the nose in the morning and evening to reduce mucus discharge;
• Brew identical parts of eucalyptus, chamomile, birch leaves with a glass of water. Use the solution to gargle three times a day (you can also rinse your nose with it);
• For good immunity, mumiyo is suitable if you take 1 g of it per 100 ml of water. The composition should be drunk 2 tbsp. l. three times a day.

Treatment with traditional methods should be used after prior agreement with the treating doctor. You need to be especially careful about the allergic cause of the disease.

Nasal rinsing

You can slow down the development of adenoids at the first stage of the disease by washing the nasal passages or choanae (openings connecting the nasal cavity with the pharynx). For this purpose, decoctions of medicinal herbs are used, as well as salt solutions (the composition is usually determined by the attending physician). This procedure helps to improve breathing through the nose, and snoring will stop.

Inhalation procedures

They can be done at home if you have a nebulizer. This procedure is particularly effective at the onset of illness.

In the absence of allergies, the use of decoctions of individual herbs or mixtures thereof is indicated. The nebulizer is also perfect for inhaling the components of sea salt, Protargol (2%), which is poured into warm water.

Physiotherapy

It often perfectly complements medication treatment: it reduces inflammation, accelerates regenerative processes, and promotes the development of immunity. However, he does not conduct independent therapy.

For adenoid pathology, various physiotherapeutic methods are used, including:

• electrophoresis,
• diathermy,
• laser and magnetic therapy therapy,
• tube quartzing, etc.

This procedure is prescribed by a doctor, because each method has certain contraindications.

Surgical treatment and recovery

This method of getting rid of the pathology in question is used when the conservative method has not brought a positive effect. Typically, surgery is offered in the middle and last stages of the disease, depending on the extent of the growth, or in emergency cases when enlarged tonsils block breathing to such an extent that they cause suffocation in the baby.

Adenoids are removed using general or local anesthesia. This literally takes a few minutes. True, such a seemingly simple operation is fraught with increased bleeding, which can be caused for a number of reasons.

The postoperative recovery period proceeds quickly. The patient's general condition stabilizes immediately. But at the same time, no one can guarantee that the disease will not return and the adenoids will not grow again.

Cough after adenoid removal

As already mentioned, adenoid cough goes away after surgical treatment, since there is no source that caused it. But this doesn't always happen.

Cough after removal of adenoids in a child can also manifest itself in the postoperative period, although this happens infrequently. The reason is the use of a “blind” method of surgical intervention.

When such a pathology arose several months after adenotomy, then we can talk about the re-occurrence of the pathology.

Cough with adenoiditis after surgery is also possible as a result of improved outflow of mucus secretions inside the nasopharynx, which, while still irritating, provoke its occurrence.

Thus, removing the adenoids when coughing does not always completely eliminate this symptom. Therefore, its continuation for more than 2-3 weeks after surgery requires consultation with a specialist.

How to prevent adenoiditis?

In order to get rid of this sore, as well as prevent adenoid cough in a child, it is necessary to avoid infection of the nasopharynx. Its inflammation successfully affects neighboring tissues.

Preventive measures help prevent this entire process, including:

• maintaining vitamin balance in the baby’s body;
• his balanced feeding;
• activity;
• adequate rest.

Parents, having cured a cough caused by adenoids, need to be careful in order to prevent the recurrence of this pathology.

What not to do

If a cough occurs after adenotomy, you should not abuse a cough remedy such as lozenge-type antitussive tablets, which usually contain antibiotics, antiseptics, and menthol. The syndrome caused by them can provoke both drying of the nasopharynx and cause the formation of resistant infectious forms. In this case, the adenoids will begin to grow.

Coughing attacks with this disease can also be caused by allergies. In this case, you need to monitor the child’s diet - food that causes an allergic reaction must be excluded. You should not consume foods that have an irritating effect. These foods may make your cough worse.

In the initial stage, if there is a suspicion of adenoids, it is necessary to study the nature of the cough and only then begin action. Only with a responsible attitude towards such a pathology in a child and strict compliance with all prescriptions and recommendations of the treating doctor can one hope for therapeutic success.

Video Non-surgical treatment of adenoids



Source: https://kashlya-net.ru/kashel/kashel-pri-adenoidah-u-detej

Cough with adenoids in children

Cough in a child with adenoids causes severe discomfort to the little patient and his parents, and therefore requires mandatory treatment

Frequent colds and respiratory viral infections in children cause long-term inflammation, and then compensatory growth of the nasopharyngeal tonsils, located at the junction of the pharynx and the nasal cavity.

The common name for this rather large accumulation of lymphoid tissue high in the nasopharynx is “adenoids.” Their increase due to acute or chronic inflammation (adenoiditis) or hypertrophy with gradual proliferation (adenoid vegetations) is quite common.

Adenoiditis aggravates and prolongs the course of a viral infection; these lymphoid growths become infected, which increase compensatoryly with each episode of infection and cause the appearance of characteristic symptoms:

• prolonged or constant runny nose with difficulty breathing through the nose;
• wheezing or snoring during sleep;
• prolonged dry, irritating cough - traditional antitussive medications do not change its frequency and intensity;
• hearing loss;
• voice changes and speech defects.

A pediatrician cannot always determine and identify the cause of a prolonged runny nose and cough due to a cold or viral disease.

This is due to the peculiarities of the localization of the nasopharyngeal tonsils.

Enlarged adenoids are located on the posterior-superior wall of the nasopharynx - they are not visible during a normal examination of the pharynx, and only an otolaryngologist can clarify their structure and size

A child’s cough and adenoids are interconnected, so timely referral to an ENT doctor, diagnosis and proper treatment of adenoid growths can relieve the child of the symptoms of chronic adenoiditis, including an irritating cough.

Causes and nature of cough with enlarged adenoids

A prolonged obsessive cough is considered one of the signs of the presence of enlarged adenoids in a child due to constant irritation of the nerve endings of the nasopharynx.

Unpleasant symptoms of adenoids in a child are associated with:

• with prolonged or constant presence of inflamed and edematous lymphoid tissue in the nasopharynx;
• its progressive increase in size;
• closing the posterior opening of the nasal passages and/or choanae, depending on the degree of proliferation.

Why does cough occur with adenoids?

Cough with adenoiditis in a child occurs as a result of:

• direct irritation of the nerve endings of the nasopharynx by inflamed tonsils;
• abundant discharge and accumulation of mucus and/or pus in the nasopharynx, which appear due to the development of an infectious and inflammatory process.

Adenoiditis is characterized by an acute onset of the disease with the rapid development of a dry, obsessive cough and a long, often complicated course of a viral infection or cold.

With the progressive growth of adenoid vegetations, a child’s cough from adenoids appears due to:

• with constant overstimulation of nerve receptors by growing lymphoid tissue;
• with swelling of the pharyngeal tissues caused by chronic inflammation and increased vascular permeability;
• with mucus flowing down the back wall of the throat, especially if the child is in a horizontal position - night cough with adenoids in a child;
• with constant drying of the mucous membrane of the nasopharynx and oral cavity due to impaired nasal breathing during daytime and night sleep.

Features of cough with adenoids

Cough with adenoiditis and adenoid hypertrophy has characteristic features, and the presence of additional symptoms greatly facilitates the diagnosis of the pathological process.

It is important to remember that in a child with adenoids, the cough is of a reflex nature and does not affect the lower respiratory tract - the trachea and bronchi.

A dry, obsessive cough in children with adenoids in combination with other symptoms allows for timely diagnosis of the disease.

Time of cough onset and characteristic features

Daytime cough

Appears in the form:

• unproductive cough attacks;

• the frequency of occurrence directly depends on the size of the adenoids;
• has a throaty character;
• Auscultation of the bronchopulmonary system reveals no pathological changes.

Additional symptoms are:

• constant serous nasal discharge and accumulation of mucus in the nasopharynx;
• periodic or constant nasal congestion;
• headaches, lethargy, weakness;
• nasal voice, speech disorders;
• hearing loss and/or pain in the ears, frequent otitis media, eustachitis with a protracted course.

• Night cough
•  At night, adenoid cough intensifies significantly and becomes permanent.
• This is due to the flow of viscous mucus and its stagnation in the nasopharynx, drying out of the edematous mucosa, which causes the feeling of a foreign object in the throat, constant tickling and rawness in the nasopharynx.
• Cough with adenoids at night in most cases is dry, sometimes acquires a barking tone, strong, periodic coughing is noted, which interferes with the child’s normal sleep.
• Additional symptoms:

• there are disturbances in breathing through the nose of varying degrees depending on the size of the adenoids;
• During sleep, the baby loudly sniffles and snores;
• with a pronounced degree of adenoid growths, short-term pauses in breathing are observed - attacks of apnea

Proper treatment of cough with adenoids

A child’s cough is only a symptom of inflammation or progressive proliferation of lymphoid tissue in the nasopharynx, therefore, with proper and timely treatment, enlarged adenoids and a child’s cough, as well as other unpleasant symptoms, are eliminated much faster.

Adenoid cough in a child: treatment with symptomatic antitussive drugs is not carried out; therapy is aimed at reducing the size of the tonsils, if this is possible using conservative methods, or a decision is made to surgically remove the adenoids.

Treatment methods are determined by an otolaryngologist after a comprehensive examination of the child.

1. Endoscopic examination of the structures of the nasopharynx is considered the most informative diagnostic technique, allowing one to accurately determine the condition of the adenoids
2. Cough in a child with adenoid growths of 1-2 degrees - be treated like a common cold or a viral infection using procedures to reduce inflammation and swelling of the nasopharyngeal tonsils.

3. For this, additionally use:

• rinsing the nose with disinfectant and anti-inflammatory solutions, essential oils or decoctions of medicinal herbs;
• inhalations (only after appointment by a specialist);
• antihistamines;
• vasoconstrictor drops and nasal sprays;
• immunomodulators, vitamins and herbal adaptogens;
• homeopathic medicines (thuja oil, lymphomyosot);
• physiotherapeutic procedures;
• breathing exercises;
• Spa treatment.

• For purulent adenoiditis, local antibiotics are prescribed after examination by an otolaryngologist.
• It is important to know:
• the high price of these drugs is not an indication for replacing them with cheaper antibacterial agents in tablets and suspensions - the prescription of local medications is most effective in the treatment of purulent inflammation of the adenoids.
• If there is no effect from conservative treatment, progressive growth of the adenoids, or the appearance of health-threatening symptoms, surgical intervention is prescribed.

Cough in a child after adenoid removal

After removal of the adenoids, the cough in most cases stops due to the elimination of both the source of irritation of the nasopharynx and the stagnation of mucus.

But there are still situations when a cough torments a child even after adenotomy

The reason for increased coughing after removal of the adenoids is the improvement in the outflow of mucus (drainage) from the paranasal sinuses, this is due to the opening of the nasal passages and/or choanae. Stagnant mucus leaves the sinuses, and inflammation gradually decreases.

Also, the reasons for the appearance of cough after a certain period of time after surgery may be:

• incomplete removal of adenoid growths - leaving a section of inflamed tissue, which is possible when adenotomy is performed in a “blind” manner without endoscopic control of the nasopharynx during and after surgery;
• re-proliferation of lymphoid tissue in the nasopharynx.

pediatrician Sazonova Olga Ivanovna

Source: https://zen.yandex.ru/media/id/5d3aa980b96cfd00adb0bf09/5dc3caf734808200b20fc062