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Recovery period after adenoid removal. What to eat after adenoid removal in children? III

If conservative treatment of adenoiditis does not bring results, resort to adenoid removal surgically.

Surgery to remove adenoid growths (adenoids) in children is called adenotomy.

In order for recovery after surgery to be successful, you should know how it proceeds. postoperative period.

After leaving the operating room, the child should immediately be placed in bed on his side. He is given a towel into which he can spit his saliva. It is necessary to ensure that there are no blood impurities in the saliva.

An hour or two after the operation, the doctor performs a pharyngoscopy to prevent blood from flowing down the back wall of the pharynx. Pieces of adenoid tissue visible in the nasopharynx are removed with forceps. The scalped strips of the mucous membrane are carefully cut off with scissors.

On the day of surgery, any solid food should be excluded from the child’s diet.

Parents should know that the child's throat will hurt in the first days. If the temperature does not rise above 38 C, no antipyretics should be given.

Since after surgery there is swelling of the mucous membranes, nasal breathing may be difficult for several days. If necessary, use vasoconstrictor drops or sprays, and instill saline solution into the nose 3-4 times a day.

The postoperative period after adenotomy can be complicated by bleeding, since parts of adenoid tissue usually remain in the nasopharynx. If this is observed, the doctor performs repeated curettage of the nasopharynx.

Since with enlarged adenoids (adenoiditis) the child often breathes through the mouth, this habit may remain after surgery.

Academician Sergei Bezshapochny (Ukraine) and co-authors proposed a certain set of exercises to restore nasal breathing after adenotomy.

Exercises should be performed in the morning and evening in a well-ventilated room, before breakfast and after dinner, respectively, for 20-25 minutes.

Initially, the exercise is repeated 3-4 times, every 4-6 days the load increases to 10-15 times each in total.

There are several general rules for this complex. If the child leans forward, to the side, or squats, exhale. When he raises his arms up in front of him, spreading them to the sides, inhale. If you raise your hands up in front of you and lower them, exhale.

I. Preparatory exercises

Feet shoulder width apart. The child tilts his head back slightly and places his hands on his belt. Inhale slowly through the mouth - the lower jaw drops, exhale through the nose - the lower jaw rises. Inhale for 4 counts, exhale for 2. Repeat 5-6 times.
Put your feet together, rise on your toes, arms up - inhale, lower your arms - exhale. Repeat 10-15 times.

II. Exercises for the muscles of the neck and shoulder girdle

Starting position: keep your head and torso straight, shoulders slightly back and down, feet shoulder-width apart. Hands at your sides, head tilted to your chest. Arms to the sides - head tilts back. Repeat 10-15 times.
Moving the head from the left shoulder to the right and vice versa. Inhale through the nose, exhale through the mouth. Repeated 10-15 times.
Hands clasped behind your back, head slowly tilts back, gradual opening of the mouth - inhale, exhale through the nose. Repeat 10-15 times.
Circular movement of the head. Repeated 10-15 times.

III. Correct breathing training

Starting position: the same.

1. Full breathing. A long breath is taken through the nose. While inhaling, stick out your stomach, then expand your chest. When exhaling (through the nose), it’s the other way around: first, the volume of the chest decreases, then the stomach is pulled in. Repeated 10-15 times.

2. Chest breathing. Exhale, then take a long breath through your nose. At this time, the chest expands and the stomach retracts. When exhaling (through the nose) - vice versa. Repeated 10-15 times.

3. Abdominal breathing. Exhale, then take a long breath through your nose. At this moment, stick out your stomach. When you exhale through the nose, the anterior abdominal wall retracts. Repeat 10-15 times.

IV. Nasal breathing training

The child stands, legs to the sides, arms along the body. Slowly raise your straight arms up with your palms inward (inhale), lower your arms down through your sides (exhale). You need to breathe only through your nose. In this case, you need to bend well in the lumbar and thoracic spine. Repeat 10-15 times.
Feet together, arms along the body, perform deep squats at a fast pace. While squatting, extend your arms straight forward, palms down (exhale); when straightening, inhale. Repeat 5-6 times.
Spread your legs to the sides. Slowly alternately inhale and exhale air through one nostril and press the other with your finger. The mouth is tightly closed. Repeated 5-6 times.
Standing, bring your legs together. Pinch your nose with your fingers. Slowly and loudly count to 10, then take a deep breath and exhale completely through your nose, while closing your mouth tightly. Repeat 5-6 times.
Run on your toes in place, while raising your knees high. Breathing is voluntary. Perform for 2-3 minutes.

V. Exercises for training the facial muscles of the perioral area.

Close your lips, stretch the corners of your mouth and inhale through your mouth, teeth closed, exhale through your nose. Repeated 5-6 times.
Close your lips, stretch the corners of your mouth and inhale through your mouth, exhale through your pursed lips. Repeat 7-10 times.
Close your lips, stretch the corners of your mouth and inhale through your mouth, exhale alternately through the right and left corners of your mouth. Repeat 7-10 times.
Place bent little fingers in the corners of your mouth and, stretching them slightly, compress your lips, making sure that your lips do not turn out.
Close your lips and puff out your cheeks, then press your fists to your cheeks, slowly squeeze out the air through pursed lips. Repeated 7-10 times.
Blow air under your upper lip. Repeat 5-6 times.

To develop the orbicularis oris muscle in a child, teach him to whistle with his lips folded into a tube. It is also useful to blow on a special children's turntable or make one yourself.

If you regularly carry out this set of exercises for 1.5 - 2 months, then nasal breathing will improve and the orbicularis oris muscle will begin to work better.

Parents think that after removal(adenotomy) adenoids their children have all their problems, their suffering is over. We would like it that way, but, unfortunately, sometimes the situation turns for the worse. Because after surgery, a lot of dangers await the operated baby. In medical terms, painful symptoms are called “postoperative complications.”

This includes a cough, a fever, and incessant snot. And, after some time, it turns out that in place of the removed purulently decomposed adenoid locations, new adenoids suddenly form. What to do parents in such situations? What medicinal techniques are used by otolaryngologists? after adenoid removal, if such an abnormal picture is observed.

Interesting and important to know? Then we read carefully, remember and draw the right conclusions.

Dangerous postoperative symptoms: description in order of priority

Temperature: bio clinic and etiopathogenesis

The first “pitfall” of the postoperative period of adenotomy in children is temperature after adenoid removal. Why is the physiological reaction to the appearance of any inflammatory, pathogenic process in the body, temperature, given such paramount importance? Moreover, precisely in such a period - immediately after ENT surgery.

The answer lies in the clinical factor - the enormous importance of temperature for the normal functioning of the human body. Not to mention what it's like for children's homeostasis! After all, every biological cell, every biochemical process (fermentation, metabolism, reproduction) is accompanied by the release of thermal energy. The normal indicator of favorable temperature balance is 36.6. Below or above numbers (up to the limit of vital levels) indicate pathological changes in the visceral sphere.

With adenotomy:

partial/complete cutting using a conservative surgical method (adenotome-knife, curette-loop);
cryofreezing with an extreme “burn” (-196 degrees liquid nitrogen), which leaves crusty scabs in the area of the surgical field;
drying of a pathogenic adenoid neoplasm using laser irradiation (bloodless method), but the treated epidermis has the appearance of a wrinkled surface –

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– there is a direct holistic violation of the nasopharyngeal epidermis: incisions, bleeding from small and large vessels, necrosis of cellular tissue after cryo-freezing, drainage-irrigation after laser exposure. The appearance of temperature (slight, slightly elevated, not exceeding 37.0 degrees) is regarded as a natural response signal from the body.

Please note ! There is no reason for special concern in the insignificant and temporary appearance of temperature in the first hours of adenotomy. But, signs appeared and changed, sometimes chills, sometimes fever in children. A temperature that is steadily creeping up (approaching 38.0 and 39.0) is a clear symptom of the onset of a postoperative complication. In such a situation, urgent drug therapy is required - antiseptic (preventing sepsis)!

Medicines

Due to the fact that almost all antipyretic drugs contain acetyl salicyl (aspirin derivatives), and this substance actively thins the blood, increasing its fluidity, drug therapy is prescribed in a strictly personalized manner. And, each child has an individual admission program! Reducing high fever in children, without the consultation consent of the ENT doctor (who performed the operation), can cause severe bleeding from the nasopharynx!

Cough: types of postoperative complications

Just like fever, runny nose, nausea, cough is a physiological normal manifestation of the invasion of surgical operations. Bloody discharge from unclosed vascular incisions, infected exudate from purulent-furunculous adenoids flows down the posterior wall of the nasopharynx for some time.

Partially – the child spits it out through the mouth and blows his nose. But, a certain amount enters the upper respiratory tract, accumulates in the form of sputum and, sticking to the visceral broncho mucosa, provokes reflux peristalsis (convulsive contractions). In combination with air masses passing through the bronchial ducts at this time, a sound phenomenon occurs - coughing.

It can be observed in the form of wet (wet) with a good expectoration effect. And a dry cough, hysterical, sometimes reminiscent of whooping cough. The child goes into a coughing fit, sometimes his face turns blue, and the veins on his temples, forehead, and neck swell due to strain.

Articles on the topic Inflammation of the adenoids in a child: symptoms, treatment

Such clearly pathological “coughs” immediately after adenoid surgery are not always a necessary manifestation. It all depends on the quality of the operation performed: thorough sanitation, drying and laser cupping of bleeding vessels and blood vessels, vacuum treatment - suction of purulent foci. The reason may be hypersensitivity to medicinal anesthetics and analgesics used during surgery. But the cough, in response to medications, is of the nature of a “sore throat” or coughing.

Severe cough formats described above (wet, dry, hysterical) most often indicate infection of the surgical field, with further penetration of intoxication into the catarrhal-bronchial sectors. Not uncommon:

postoperative pneumonia;
bronchitis;
pleurisy;
Qatar of the upper respiratory tract.

And, all of them have one unifying feature - cough. But, different types of cough are treated with different anti-inflammatory, antiviral, antibacterial and antimicrobial antibiotics, mucolytics, and corticosteroids.

CAREFULLY! EXTREMELY CAUTION ! Don’t even try, parents, to treat your children’s cough that appears after surgery on your own! The prescription is made by the surgeon who performed the adenotomy. And, then, after thorough laboratory tests for a pathogenic tank, culture from the nasopharynx!

Snot after adenotomy, is it dangerous?

Snot(light, transparent or viscous, viscous, cloudy green color, with blood streaks, venous clots) after adenoid removal, in the same way join the list of “protective-refluxes”. Rhinorrhea (snotty discharge from a runny nose) will continue, if everything went well, for no more than 4-5 days, decreasing in number.

But, if the snot and runny nose along with it continue, do not decrease, and acquire additional suspicious signs (accompanied by severe pain when blowing your nose), this requires urgent intervention by an otolaryngologist-surgeon. After an endoscopic examination and the results of laboratory smears (tank culture for sowing pathogenic strains), the doctor will determine the cause of rhinorrhea. Accordingly, he will choose the right treatment regimen for rhinitis, rhinorrhea, or, more simply, snot.

Articles on the topic Adenoids and tonsils: what is the difference?

Can adenoids grow again after adenotomy?

Is this possible? Yes, such phenomena in operating otolaryngology are not so rare. This means, not in its full understanding, that is, “resurrected” adenoid formations that were completely removed. It is understood that, after some time, new adenoid lymphatic tissue begins to form in place of the surgical area.

This repeated reduction is associated with the body’s amazing ability to rehabilitate itself and restore lost areas of the epidermis. But this does not apply to all organic systems, but only to the lymphoid epidermis. Unfortunately, not all children have newly appeared lymphoid nasal glandular epithelium (adenoid locations).
In the final words and sentences of the afterword. We hope that the article informed parents of children who are about to undergo surgery (or have already undergone surgery) not only with an interesting informational text. But also timely advice and warnings. And, for parents - the right conclusion in the treatment of adenoid pathogenesis in their children!

After the operation to remove the adenoids has been performed, the patient is discharged from the hospital. The time after discharge is as important as the surgery itself. The main thing is further timely compliance with recommendations for carrying out activities, which are based on monitoring the child’s health and proper prevention of the disease.

Adenoids are the most common disease in children aged 3 to 7 years.

Particular attention should be paid to diet, daily routine and hardening.

Depending on the type of surgery, the recovery period will proceed differently for each child. Minor operations (for example, adenotomy) are special in that further bed rest is not provided. However, one of the adults (mother, grandmother or the person who cares) must maintain constant control. It is important to create conditions at home so that the child can follow a strict regime.

When the child is home after the hospital, he needs to make clean bed linen, ventilate the room and let it warm up a little, and if necessary, turn down the bright lights. If a doctor has prescribed temperature measurement, this should be done in the morning from 7 to 9, and in the evening from 18 to 20. All temperature readings must be recorded. If the temperature exceeds 38C, then you should resort to an antipyretic agent.

After several outpatient operations, relatives often rush to pick up the child from the hospital. But you need to remember that in order to prevent swelling, a compress of cold water or an ice pack should be applied to the site of the surgical wound. In the first days of the postoperative period, swelling of the upper eyelid may form in the sinuses, so you need to monitor the child’s eyes. if swelling occurs, you need to rinse your eyes with a warm solution of albucid (20%). The procedure is performed at home and is safe.

What should the patient remember after surgery?

After the operation, the patient should be monitored by a pediatrician.

After the operation, the patient should be monitored by a pediatrician.
You should not overexert yourself physically, stay in sunlight for a long time and swim. You need to follow a daily routine and include daytime sleep (about 2 hours).
The diet should also be observed: limit the consumption of spicy, fried and meat dishes.
It is allowed to eat carrot juice (half a glass in the morning), kefir (1 glass in the morning and evening); cereals: buckwheat, semolina, oatmeal; eggs (1 piece per day), cottage cheese, vegetable dishes.
7 days after the operation, you can eat steamed cutlets, boiled liver, meat soups and fish.
You can eat fruits in unlimited quantities.
After some time, you can begin hardening the body and visiting a sanatorium.

If the operation to remove adenoids was performed in a clinic, then you can pick up the child a couple of hours after the procedure in the ENT doctor’s office. But this is allowed when there is a medical aid station in the locality.

In order to prevent bleeding that may occur after surgery, the child must remain in bed during the first day, and in the next few days limit physical activity (physical education, outdoor games, etc.). You cannot overheat, take a shared bath or stay in a bathhouse. You should instill your nose with vasoconstrictor drops (1-2% ephedrine solution, 2% protargol solution or 0.05% naphthyzine solution) twice or thrice a day. In the first couple of days, you need to exclude spicy and hot foods from your diet.

The room where the child is located must be clean, well ventilated, and cleaned using a wet method. If bleeding occurs, immediate hospitalization will be required, preferably to the ENT department where the operation was performed.

If nasal sounds appear after surgery, you should seek help from a speech therapist. In case of prolonged difficulty breathing through the nose after adenotomy, you need to show the child to the surgeon who operated on him. After removal of the adenoids, many children breathe through their mouths, but there is no difficulty breathing through their nose. In this case, there are some special exercises that help strengthen the respiratory muscles and free the child from the habit of mouth breathing. Such gymnastics is performed under the supervision of a doctor or physical therapy specialist, or at home after certain recommendations.

Breathing exercises in the postoperative period

Breathing exercises are a very important part of the body’s recovery process.

First, the exercises are carried out 3-4 times each for 5-6 days. Next, you should increase the load to 12-15 times.

When performing, you should take into account the following rules: when the child bends to the side, forward, or squats, you need to exhale. When your arms are raised in front of you or spread to the side, you inhale. When raising your arms in front of you, up and down, exhale.

Initial exercises

Position your feet shoulder-width apart, head tilted back, hands on your waist. Inhale slowly through your mouth, lowering your lower jaw, then exhale through your nose (raise your lower jaw). Repeat the exercise 5-6 times.
Position your feet together. Rise on your toes, raise your arms up - inhale, lower your arms - exhale. Do the exercise up to 12-15 times.

Exercises for the shoulder girdle and neck muscles

The head and torso are held straight, the shoulders are slightly pulled back and lowered, the position of the legs is shoulder-width apart. Hands along the body, tilt your head to your chest. Spread your arms to the side and tilt your head back. Repeat the exercise 10-15 times.
Place your head on your right shoulder, then move it to your left. Inhale through your nose and exhale through your mouth. Repeat 12 times.
Clasp your hands behind your back, slowly tilt your head back and gradually open your mouth, inhale and exhale through your nose. Perform the exercise 10-15 times.
Make circular movements with your head alternately in both directions 12-15 times.

Breathing training

For complete breathing. Take the starting position as in the previous group of exercises. Take a long breath through your nose, while protruding your stomach and then expanding your chest. Exhaling through your nose, do the opposite: reduce your chest, and then draw in your stomach. Number of repetitions – 10-15 times.
For chest breathing. Exhale, and then take a long nasal inhale. In this case, the chest will increase, and the stomach will retract. When exhaling through the nose, everything will happen in the opposite order. Repeat up to 15 times.
For abdominal breathing. Exhale, and then take a long nasal inhale. At this time you need to stick out your stomach. As you exhale, the front of the abdominal wall will retract. Carry out the exercise up to 15 times.

Nose breathing exercises

Take a standing position, legs slightly apart, hands at your sides. Slowly raise your arms with your palms facing upwards, while inhaling, then lower your arms to the sides, exhaling. Breathing is done only through the nose. During the exercise you need to bend in the lower back and chest. Do the exercise 10-15 times.
Place your feet together, place your arms along your body, and do quick deep squats. In this case, you need to stretch your arms forward with your palms facing down and exhale, and while straightening, inhale. Repeat the exercise 5-6 times.
Spread your legs to the sides. Slowly take turns inhaling and exhaling through one nostril, and press the other with your finger. The mouth is closed during execution. Do this 5-6 times.
Take a standing position with your feet together. Pinch your nose with your fingers. Count loudly to 10, then take a deep breath and exhale completely through your nose, while closing your mouth. Do the exercise 5-6 times.
Run in place on your toes, raising your knees high. Breathing may be arbitrary. “Run” for several minutes.

Carrying out all the above exercises for one and a half to two months helps improve nasal breathing and quickly restore the child’s body.

The key task of postoperative therapy is to create optimal conditions for the rapid regeneration of the mucous epithelium at the site of the operated tissue. To speed up recovery after adenoid removal in children, it is necessary to strictly follow all medical instructions for the postoperative period.

Otherwise, it is possible that complications will develop, leading to a deterioration in the child’s well-being. After adenotomy, the main attention is paid to drug treatment, hardening procedures, breathing exercises and nutrition. Already 2-3 hours after excision of the hypertrophied pharyngeal tonsil, the child is discharged home. But in order to prevent postoperative bleeding and septic inflammation of the nasopharynx, parents should monitor compliance with a gentle regimen over the next two to three weeks.

The first hours after adenotomy

Adenotomy is a surgical procedure during which an ENT doctor removes hyperplastic lymphoid tissue in the nasopharynx vault. Despite the fact that the operation takes little time, after excision of adenoid vegetations the risk of septic inflammation of the mucous membranes and postoperative bleeding increases many times. Immediately after adenotomy, patients are transferred to the general ward, where a specialist monitors their health for 2-3 hours.

To prevent aspiration of blood, the following must be done after surgery:

put the patient on the bed and turn him on his side;
place a towel under the head into which the patient will cough up mucus and blood;
Apply gauze soaked in cold water to your face.

3 hours after surgery, the otolaryngologist should conduct a pharyngoscopy examination to assess the condition of the nasopharyngeal mucosa. In the absence of bleeding and severe swelling of the tissue on the posterior wall of the hypopharynx, the patient is discharged from the hospital.

Important! Over the next 2 weeks, the operated child must be taken to an ENT doctor for examination.

Note to parents

In the postoperative period, you need to carefully monitor the child’s condition and listen to his complaints about his health. Timely contact with a specialist can prevent the development of serious postoperative complications. During the half-month, parents should monitor not only the patient’s nutrition, but also adherence to a gentle regimen:

exclude from the diet foods that irritate the mucous membranes of the ENT organs;
limit physical activity, as this can lead to bleeding;
strictly follow drug therapy and use vasoconstrictor drugs recommended by a specialist;
Avoid using antipyretics that contain acetylsalicylic acid;
Ventilate the room regularly and use humidifiers.

Important! After surgery, you should not give your child Aspirin to lower the temperature, as it thins the blood and can cause bleeding.

During the day after adenotomy, it is possible that the temperature may rise to subfebrile levels. It is undesirable to use antipyretics to eliminate hyperthermia, since this is a completely normal reaction of the body to surgery. But if low-grade fever persists for the next 3-4 days, seek help from a doctor. This may indicate the development of inflammation in the operated tissues.

Nutrition

A gentle diet is one of the key components of the postoperative rehabilitation period. Removal of adenoids leads to tissue swelling, which increases the risk of injury to the mucosa. To prevent damage to the ciliated epithelium in the hypopharynx, you should avoid eating spicy and solid foods for at least 2 weeks.

In the first days after adenotomy, you should limit the consumption of spicy and hot foods, as they can cause irritation of the oropharyngeal mucosa.

The following foods should be included in the diet:

fruit and vegetable purees;
meat broths and herbal infusions;
oatmeal and semolina porridge;
steamed soups and cutlets.

After each meal, it is recommended to rinse the oropharynx with decoctions based on medicinal chamomile, oak bark or sage. They contain phytoncides that suppress the development of pathogenic bacteria, which prevents the development of septic inflammation in the operated tissues.

Prohibited Products

Poor nutrition can not only cause inflammation, but also provoke the development of an abscess in the peritonsillar and retropharyngeal region. Even if the child demands the usual diet, you should not indulge his whims, as this can lead to undesirable consequences. It is recommended to exclude hot spices, hot dishes, carbonated drinks and unnatural juices from the menu.

Food dyes cause allergic reactions in the operated tissues, which leads to a decrease in local immunity and swelling of the mucous membranes.

Within 10 days after adenotomy, it is undesirable to consume the following foods:

canned and pickled vegetables;
confectionery products (sweets, pastries, cakes);
canned fish and stew;
sour fruits and vegetables.

Confectionery products pose the greatest danger to a child's health. They contain a large amount of sugars, which are a suitable substrate for the development of pyogenic bacteria.

Breathing exercises

Breathing exercises are one of the most effective ways to restore normal nasal breathing after adenotomy. Classes should be carried out daily for 1-2 weeks after surgery. During gymnastics, you need to consider several important recommendations:

at the moment of increasing load on the respiratory system (bending, squats), the child should exhale deeply;
when relaxing your muscles and spreading your arms to the sides, you need to inhale;
exhalations and inhalations should not be sharp.

Breathing exercises begin 5-6 days after adenotomy. Over time, the load is increased to speed up the restoration of the functional activity of the nasopharynx. What exercises can you do after adenoid removal?

for abdominal breathing: stand straight with your arms along your body; exhale slowly so that the upper part of the abdominal wall is drawn into the stomach;
for chest breathing: take a deep breath through your nose so that your chest rises up and your stomach retracts; holding your breath for 2-3 seconds, exhale slowly through your nose;
for full breathing: take a slow breath through your nose, sticking your stomach forward; As you exhale, pull in your stomach, “squeezing” your chest as much as possible.

Breathing exercises should not be performed if respiratory diseases develop, as this will only worsen the child’s well-being.

Each exercise must be performed at least 10-15 times in a row in three approaches. If your child complains of dizziness, postpone classes for 2-3 days.

Possible consequences of adenotomy

Having decided on surgical intervention, parents should be aware of the possible consequences of adenotomy. Failure to comply with the rules of rehabilitation therapy leads to the development of local complications. Common postoperative complications include:

During surgery, the surgeon is not always able to completely remove hyperplastic adenoid tissue. For this reason, relapses of ENT disease and re-growth of the pharyngeal tonsil often occur. In this case, repeated surgical treatment is required.

Preventive measures include complete abstinence from physical activity for a month after surgery. Throughout the postoperative period, it is not recommended to bathe children in hot water, as this can lead to dilation of blood vessels and nosebleeds. In addition, it is necessary to minimize the patient's exposure to the sun.

To reduce the likelihood of developing respiratory diseases, in the first 10 days after adenotomy it is recommended to limit the child’s contact with others.

You can speed up the healing process of wounds in the nasal cavity with the help of nasal drops that have an antiphlogistic and regenerating effect. If you have allergic reactions to the components of medications, you should contact your doctor and replace the vasoconstrictor drops with more gentle ones that do not irritate the nasopharyngeal mucosa.

Adenotomy, like any surgical intervention, can cause serious consequences. After adenoids, children most often experience the following 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 – these symptoms are considered normal for 1-2 weeks after surgery. As soon as the swelling goes down, the snoring will go away. If symptoms persist for an extended period of time, you should consult an otolaryngologist.
Secondary infections - their development is possible if after surgery a wound remains in the nasopharynx. Also, a weakened immune system leads to the development of infection.

In addition to the above consequences, more serious problems are possible: aspiration of the respiratory tract, trauma to the palate, intense bleeding after or during surgery.

Temperature after adenoid removal in children

Any surgical intervention is stressful for the body. Therefore, temperature after removal of the adenoids in children is a normal reaction. As a rule, slight hyperthermia is observed from 37 to 38˚C. The temperature rises in the evening, but it is not recommended to bring it down with medications that include aspirin. Such medications affect the structure of the blood, thinning it. Even one tablet can cause severe bleeding.

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

Ibuprofen is the safest antipyretic for children.
Paracetamol - effectively relieves fever, but has a hepatotoxic effect.
Metamizole - used to reduce fever and relieve pain.

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

Temperature after surgery may indicate problems not related to the respiratory tract: pathologies of the endocrine system, infectious viral diseases, inflammatory reactions. This unpleasant condition may be caused by childhood diseases such as scarlet fever or whooping cough.

Cough after adenoid removal in a child

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

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

Snoring after adenoid removal in a child

A symptom such as snoring in a child after adenotomy is normal. As a rule, it lasts for 1-2 weeks. This unpleasant condition is associated with swelling of the nasopharynx and narrowing of the nasal passages due to surgery. But if discomfort is observed for 3-4 weeks, then the baby should be shown to an otolaryngologist.

In some cases, secondary snoring occurs in children after surgery; let’s look at its causes:

Proliferation of tonsils (relapse).
When lying in a horizontal position for a long time, mucous secretions flow to the back wall of the larynx, causing snoring.
Inflammatory processes during the recovery period.
Allergic reactions.
Nasal congestion and chronic pathologies of the nasopharynx.
Anatomical features of the structure of the organs: uneven nasal septum, suspended uvula of the palate, narrow airways.
Poor nasopharyngeal hygiene.

In addition to the above factors, snoring may be associated with the persistence of the habit of breathing through the mouth. This significantly disrupts the quality of sleep and negatively affects mental abilities and physical activity. In some cases, nighttime snoring causes short-term cessation of breathing. If this condition persists for a long period of time, then there is a risk of oxygen starvation of the brain and dysfunction of the central nervous system.

The last meal should consist of soft food that does not irritate the laryngeal mucosa.
Daily breathing exercises normalize nasal breathing and strengthen the walls of the larynx.
Vasoconstrictor drops reduce swelling of the mucous membrane, and nasal sprays with an antibiotic are also recommended.
To disinfect the oral and nasal cavities, rinses with hypertonic solutions and herbal infusions are used.

Runny nose after adenoid removal in a child

The most common signs of adenoids are a prolonged runny nose and constant nasal congestion. As the nasopharyngeal tonsil grows, these symptoms worsen. If conservative therapy is ineffective, the patient is prescribed surgical treatment.

Many parents mistakenly believe that a runny nose goes away after the child’s adenoids are removed. But this is far from true, since mucous discharge can persist for 10 days, and this is the norm. It should also be taken into account that a runny nose is directly related to postoperative swelling of the nasal cavity.

Poor discharge of mucus from the paranasal sinuses may indicate a secondary infection. In this case, in addition to snot, additional symptoms appear:

Increased body temperature.
Bad breath.
Green thick snot.
General weakness.

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

The appearance of a runny nose after adenotomy may be associated with the following pathologies:

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

To ensure that mucous discharge from the nasal cavity does not persist for a long time in the postoperative period, it is necessary to follow medical recommendations. First of all, it is forbidden to abuse tablets with antiseptic and antibacterial substances, which can thin the nasopharyngeal mucosa and cause persistent infection. It is also not recommended to perform steam inhalations with alkaline agents or use concentrated saline solutions to rinse the nose and throat.

Sore throat after adenoid removal in children

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

Discomfort may be associated with the following factors:

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

Sore throat can radiate to the ears and temples, and stiffness when moving the lower jaw is also often observed. As a rule, this problem goes away within 1-2 weeks. To relieve the painful condition, the doctor prescribes medicinal aerosols, inhalations and oral medications. If the pathological condition progresses or persists for a long period of time, then you should consult an otolaryngologist.

After removal of adenoids, a child has a headache

Another possible complication that occurs after adenoid removal in children is headaches and dizziness. The painful condition is temporary and most often occurs in the following cases:

Adverse reaction of the anesthesia used.
Reducing arterial and intracranial pressure during surgery.
Dehydration of the body.

Discomfort appears on the first day after surgery and may persist for 2-3 days. You may also feel slightly dizzy when waking up after anesthesia. Headaches are aching, bursting in nature and intensify with loud sounds and sudden turns of the head.

For treatment, drinking plenty of fluids and getting proper rest is indicated. For excruciating pain, the doctor prescribes safe painkillers.

Vomiting after adenoid removal in children

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

Attacks of nausea.
Stomach ache.
Deterioration in general health.

Sometimes there are blood impurities in the vomit, which disappear 20 minutes after surgery if the patient’s blood clotting is normal.

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

After removal of adenoids, the child's voice changed

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

As nasal breathing is restored (about 10 days), the voice also normalizes. It becomes clear and sonorous. If pathological symptoms persist for more than 2 weeks, then the baby should be shown to a doctor.

A child has a nasal voice after adenoid removal

The postoperative period during surgical treatment of hypertrophied tissue of the pharyngeal tonsils is very often accompanied by changes in voice. This symptom is caused by swelling of the nasopharynx and palate and is temporary. But if, after removal of the adenoids, a nasal voice persists for a long period of time, then this may indicate the development of a serious complication.

According to medical statistics, in 5 out of 1000 patients, voice changes are a pathology such as velopharyngeal insufficiency. It manifests itself in a dull, nasal voice, slurred pronunciation of words, especially consonants.

This complication develops due to the fact that the soft palate does not completely cover the nasal passages. When speaking, air enters the nasal cavity, the sound resonates and becomes nasal. For treatment, breathing exercises and a complex of physiotherapy procedures are used. In particularly severe cases, surgery of the soft palate is possible.

Nervous tic in a child after adenoid removal

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

Psycho-emotional trauma.
Complications of general anesthesia.
Severe postoperative pain.
Trauma to nerve tissue during surgery.

Complications may arise due to the removal of adenoids under local anesthesia. In this case, the nervous tic is associated with the fear of the little patient who observed all the surgical procedures.

Another possible cause of the disorder is due to the fact that the movements that the patient made were fixed in the form of a tic. Due to impaired nasal breathing, runny nose or sore throat, children often swallow saliva, strongly straining the muscles of the neck and pharynx. After the operation, swallowing appears as tics and persists for a certain time.

If the disorder persists for a long period of time, you should contact your pediatrician. In especially severe cases, consultation with a neurologist is necessary. Anticonvulsants and psychotropic drugs may be prescribed for treatment.