Cough for Adenoids in Children: Causes and Treatment Scheme
Adenoiditis is a disease that often occurs in children against a background of hypertrophy of the pharyngeal tonsil. The ailment is a chronic, subacute and acute inflammatory process. Adenoiditis can also bother an adult. Most often, this phenomenon occurs because of an enlarged and not removed in time tonsil.
It is worth noting that with such a disease inflammation is infectious-allergic, since it is caused not only by bacteria, but also occurs with the violation of immunological reactions. The most common symptom is a cough with adenoids. Treatment is a long and complex process.
Why there is an adenoiditis
Most often there is a cough for adenoids in children aged 1.5 to 14 years. In adults this symptom is extremely rare. In this case, the inflammatory process may be a complication of acute respiratory viral infections or colds. Often, adenoiditis occurs when there are such diseases as sinusitis, pharyngitis, tonsillitis and other ENT pathologies. Acute inflammation of the pharyngeal tonsil is an unpleasant disease that is accompanied by a cough.
Causes of a cough
Cough in adenoids is a clinical sign of a disease that arises from direct irritation with mucous secretion or pus of nasal root nasopharynx. A similar symptom develops during the course of the infectious process. Adenoiditis is characterized by a rapid and acute onset, accompanied by an obsessive cough. Most often, the symptom worries at night.
With a slow chronic disease, which develops with hypertrophy of the pharyngeal tonsil 2 or 3 degrees, often there is a cough that is permanent in nature (adenoid cough). The symptom worries the patient at night, when the child or adult takes a horizontal position. The causes of coughing in adenoids in children are several:
- Reflex response, which occurs when the stimulus is applied to receptors located in the oropharynx and nasopharynx, and also on the pharyngeal tonsil itself. It is activated at night. Most often, the cough is disturbed by the flow of mucus down the back wall of the pharynx.
- Drying of the mucous tissue of the throat and mouth at night. This unpleasant phenomenon occurs due to violations of nasal breathing.
- Swelling of the pharyngeal mucosa and its tissues. In adenoids, the vessels are constantly in an inflamed condition and become permeable.
It should be noted that day and night coughing with adenoids, as well as other disorders and changes do not cause complications and are not dangerous for the health of the child. Such seizures can not cause the development of inflammatory processes in the bronchi or in the lungs. Against the backdrop of cough serious consequences do not arise. However, exceptions are those cases when the inflammatory process flows from the upper respiratory tract to the lower ones.
What happens after removal of adenoids
If coughing with adenoids often bothers the child, interferes with sleeping at night and does not go on for a long time, then an adenotomy is performed. The procedure is the removal of hypertrophied tonsils. Most often after such an operation, the cough ceases to bother the child, since the main source of infection disappears. However, this does not always happen. Cough can also occur after elimination of the body. Symptom arises from the left small area of inflammatory tissue. This often occurs when performing a blind operation. If the cough occurs several months after surgery, this indicates a repeated proliferation of adenoids.
In addition, coughing can disturb the child after removing the tonsils because of better outflow from the paranasal sinuses, as the stagnant mucus begins to depart. At the same time, the inflammatory process gradually decreases. Cough can be reflex, as mucus irritates the back wall of the pharynx. If the symptom persists for 3 weeks, it is recommended to visit a doctor to listen to the lungs.
Cough due to allergies
Cough in adenoids is often caused by an allergic reaction. This disease affects the severity of the symptom. Otolaryngologists and pediatricians conditionally classify adenoiditis as an ailment without an allergic component or with it. In this case, it has its own characteristics. As practice shows, in allergic adenoids grow much faster. As a result, to perform surgical intervention and remove them more often.
Dry cough with adenoids can be observed not only because of the stimulus, but also because of pronounced edema of the tissues. A similar symptom develops as a result of an allergy. This is due to the immunological reaction that occurs in the body of the patient. At the local level, the process of lymphoid tissue growth is significantly accelerated. Therefore, allergy sufferers often remove adenoids - coughing is constant and often dry. This can lead to swelling of the tissues. Treatment in this case is radical.
Features of a cough
It is worth noting that cough for adenoids in children, whose treatment is not recommended to be postponed, has some peculiarities. However, not every doctor is able to identify it. Many experts confuse cough with adenoids with the one that occurs against the background of catarrhal diseases. As a result, antiseptics and antiviral agents are used to treat the disease and associated symptoms. It is worth noting that cough treatment for adenoids can last for several months. When the tonsils are running, the problem can only be solved by removing them.
Physicians with sufficient experience can immediately determine the cause of the cough. With adenoiditis, the symptom has its own characteristics. Cough with such a disease, as a rule, dry, paroxysmal, throat, often alternating with moist. Time of the day also matters. During the day the child can just cough, and at night the attacks become stronger and can cause vomiting. This phenomenon is accompanied by the draining of the mucous-purulent or mucous secretion along the posterior wall of the pharynx.
If you can not determine the disease by cough, then you need to watch the baby. The ailment has other signs:
- Increased fatigue and insomnia.
- A protracted cold that practically does not respond to treatment.
- Edema of the mucous membranes of the nose. Thus there can be characteristic allocation.
- Disturbance of nasal breathing. As a result, the child breathes his mouth.
- Intensification of night cough.
Can I be cured with drugs?
Do I always need to remove adenoids? Cough at night can strongly disturb the child. However, in some cases, therapy of this symptom with medicines is allowed. If the growth of the amygdala does not reach the third degree, then one can resort to conservative methods of treatment. At the same time, the frequency of respiratory diseases increases significantly. In addition, a year requires 6 to 10 courses of therapy. If the treatment does not give results, then an adenotomy is performed.
So, what is the cure for adenoids? If the child has symptoms of pathology, then it is worth immediately contacting specialists. Only a doctor is able to prescribe adequate treatment in accordance with the type of illness. If an acute adenoiditis is diagnosed, then only a local or systemic antibiotic will cope with the disease. However, such drugs are prescribed only in cases when the disease develops against the background of ARVI, and also is not caused by the virus.
Cure with a cough in adenoids is helped by drugs "Amoxiclav" and "Flemoklav". These drugs can quickly stop the inflammatory process, and also calm the cough as early as the 3rd day of treatment. Strictly prohibited without notice to the doctor to reduce the course of therapy, because the infection can erupt in the body with renewed vigor.
Dry cough with adenoids in children can be treated not only with medicines. In some cases, an integrated approach is required. To combat the disease and its symptoms, it is permitted:
- Conduct inhalation with mucolytics, eucalyptus oil, saline, mineral water.
- Take ascorbic acid. Vitamin C is considered a general restorative and is needed to improve immunity.
- Rinse your nose with saline or preparations based on sea water.
- Gargle with alkaline solutions and saline solution.
- Take dry cough antitussives, for example, "Libexin", "Sinekod", and when wet - mucolytics, among which are "Linkas", "ATSTS", "Ambrobene", "Bronchopritt", syrup of licorice root or althae.
- Bury vasoconstrictive drops in the nose, for example, "Nazivin", "Tizin", "For Nos." You can also use drugs with antiseptic and antibacterial effect: Miramistin, Polidexa, Protorgol, Isofra, Albucid.
- Irrigate the oral cavity with glucocorticosteroid agents for a long time. It is best to use preparations "Nasobek" and "Nazoneks."
- Take antihistamines, which can eliminate tissue swelling: "Loratadin", "Zodak", "Zirtek".
- Take homeopathic remedies that eliminate edema and dilute sputum: Umkalor, Compositum, Euphorbium, Sinupret.
- To dissolve tablets to strengthen local immunity: "Lizobakt", "Imudon".
What not to do
With a strong cough, it is not recommended to abuse tablets for resorption, which have antiseptic and antibacterial effect, contain menthol. Often such preparations dry the mucous membrane and lead to the development of an infection of a more stable form. It is not recommended to use solutions with a high concentration of salt, and also often rinse the throat with alkaline preparations.
If the child is disturbed by a cough caused by a disease such as adenoiditis, then it is necessary to strictly observe the regime of the day. In this case, it is recommended to walk in the fresh air. In addition, the child should consume large amounts of warm liquid. Some experts recommend combining medication with physiotherapy. With such a disease, it is often prescribed electrophoresis, diathermy, laser exposure, tube quartz and so on. If prolonged treatment does not give results and dry cough persists, then an additional examination is required, as a result of which the doctor can prescribe an operation intervention.