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Recovery period after adenoid removal in children. Regimen after adenoid removal

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:

when the load on the respiratory system increases (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:

nosebleeds - refusal to use vasoconstrictor drugs leads to nosebleeds, which increases the risk of aspiration of bloody discharge and pulmonary obstruction; inflammation of the laryngopharynx - irregular sanitation of the oropharynx with antiseptic solutions entails the development of purulent inflammation, untimely relief of which leads to the development of a retropharyngeal or peritonsillar abscess; allergic swelling of soft tissues - abuse of medications often leads to allergic reactions and severe swelling of the mucous membranes of the ENT organs, which makes nasal breathing difficult; palate paresis - surgical intervention negatively affects the elasticity of epithelial tissues, which can cause the development of open rhinophony.

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.

The operation to remove adenoids in children is not difficult. Most often, it is performed under general anesthesia not because of physical pain, but to prevent strong emotional distress for the small patient: the type of instruments, a large amount of blood, and a prolonged uncomfortable position can cause psychological trauma or stress. And this, in turn, can provoke complications during the intervention or in the early postoperative period.

In the hospital

Surgeons never cease to repeat that rehabilitation time for future health is no less important than the operation itself. Therefore, you should know the features of managing the postoperative period in children at home, because After removal of the adenoids, in the absence of obvious complications, inpatient treatment is not provided.

A few hours after removal of the adenoids, the child is discharged for outpatient observation. Before leaving the hospital, he is examined by a surgeon and a pediatrician to ensure that there are no complications in the operated area and the effects of anesthesia.

Home rehabilitation

In the postoperative period, children are provided with suitable conditions:

a clean house where wet cleaning is carried out daily; a calm environment without emphasizing the worries experienced, but with confidence in a full recovery; lack of physical activity, excessive activity - exercise can cause a rush of blood to the operated part of the nasopharynx, causing bleeding; the opportunity to rest, especially on the first day – anesthesia is tiring; natural care from loved ones, attention on their part to any non-standard phenomena of recovery.

Remember! In most cases, removal of adenoids in children is carried out in the cold season, but the following warning will not be superfluous: at first, sunbathing, swimming in open water, taking warm baths, or visiting a bathhouse is not recommended. Flights and travel are prohibited - home regime during the postoperative period is a mandatory stage of recovery even if you are feeling well.

Diet restrictions

Healing of the mucous membranes in children after removal of the adenoids occurs quite quickly and, in the absence of factors provoking complications in the postoperative period, is mostly painless.

exclusion of hard, rough foods that require considerable effort to chew; prohibition of foods and seasonings that cause irritation of the mucous membranes or their hyperemia - spicy, sour and salty dishes; eating food at room and cold temperature, exclusion of very warm and hot dishes - prevention of bleeding.

Removing adenoids is a reason to treat children to ice cream, more than once. Preference is given to hard types, fruit ice, rather than soft balls - excess fat lines the mucous membranes of the oral cavity and is difficult to rinse out. Microbes easily settle on this cling film and actively multiply.

Regime and lifestyle

At home, to narrow blood vessels, sometimes the doctor recommends nasal drops during the postoperative period.

In the first days of the postoperative period, it is recommended to limit the child’s contact with strangers, including friends, acquaintances, and classmates. After any surgical intervention, the immune system directs its forces to healing the damage. Foreign microbes and viruses that are not familiar can cause disease after removal of the adenoids.

Daily hygiene procedures, especially brushing teeth, are carried out carefully to reduce the pathogenic components of the oral flora. But during processing, be careful: avoid rough touching the mucous membranes, as well as rinsing too vigorously.

Body temperature is measured twice a day. Normally, in the postoperative period it may slightly increase (on days 1–2), but this is not necessary: soreness in the throat after removal of the adenoids is not always accompanied by fever. Temperatures above 38°C demonstrate a violent reaction of the body; the use of antipyretic drugs is allowed to prevent bleeding. Paracetamol-based products are predominantly used (Panadol, Nurofen, etc.)

Important! The use of acetylsalicylic acid (aspirin) in pediatrics is not recommended at all, and especially in the postoperative period: the drug thins the blood, i.e. prevents the healing of open wounds.

In general, a speedy recovery after adenoid removal, as in any other postoperative period, is facilitated by:

an orderly lifestyle - quiet wakefulness and sufficient rest, including sleep; good hygienic conditions; careful compliance with the doctor’s instructions upon discharge; postoperative observation by an otorhinolaryngologist (ENT).

Special conditions for recovery

Excessively overgrown glandular tissue, which leads to surgery, forms a special type of breathing, swallowing and speech in the child. After removal of the adenoids, “nasality,” difficulty breathing, and tinnitus persist for some time. However, this is not the norm, and as the surgical field heals, such phenomena disappear without a trace. If limited functions persist in the long-term postoperative period, this is a reason to consult a doctor.

Some children who grow up with adenoids require adjustments to their breathing and pronunciation. At home, it is necessary to start speech therapy classes as early as possible, which include special breathing exercises to strengthen the muscles of the palate and pharynx, including speech training.

There are several points to consider when conducting classes:

do not exercise in the first days, during the acute postoperative period; ensure sufficient air humidification in the exercise room (useful for everyone, and especially after removal of the adenoids) - excessive dryness of the inhaled air can provoke soreness and cough, which is not useful; observe the principle of gradualness - each exercise is carried out 3 times, with a gradual increase in number every other day by 1 - 2 times and bringing up to 12 times; new options are also introduced gradually, 1 - 2 per day, with a gradual increase in the number of repetitions; if the condition of the operated organ worsens reduce or cancel the load until healing stabilizes, restore from low loads; ensure that each exercise is performed thoroughly before adding new ones, do not rush into volumes, the priority is the correct position of the organs and achieving goals; create a positive psychological attitude during exercise, or better yet, transform them into a game with rhymes and characters - then such special exercises will become a good habit and will be performed by the child with pleasure for a long time on his own.

Important advice! Later, you can use walks to do exercises. Fresh air is one of the factors for a patient’s successful recovery after adenoid removal.

Set of exercises

Slowly raise your outstretched arms upward from your sides while inhaling through your nose. Hold your breath at the height of the rise, exhale through your mouth when lowering your arms. Options: regulate the strength and speed of inhalation and exhalation, the period of breath holding, the number of repetitions and approaches during gymnastics. Recommended as an initial and final exercise. Chest breathing: when inhaling, the chest expands and the stomach is drawn in; when exhaling, the volume of the abdomen increases and the chest collapses. Inhale and exhale through the nose. Abdominal breathing: when inhaling, the stomach expands, when exhaling, the stomach tightens. Inhale and exhale through the nose. Alternate breathing through 1 nostril: press the wing of the nose against the septum with your finger, inhale and exhale through the free nostril. Can be combined with exercise No. 3, but not instead, but after it. Activation of the oral cavity: inhale through the nose, before exhaling, direct the air into the mouth, puff out the cheeks. Roll it from cheek to cheek, from top to bottom and in a circle, then exhale slowly under pressure through a small hole between the lips. Sound exercises after inhaling through the nose and while exhaling through the mouth: pronouncing sounds (smooth vowels and hissing, intermittent consonants). They alternate sounds, quantities and achieve high-quality pronunciation. Speech exercises: pronouncing short phrases, rhymes, sayings, proverbs, tongue twisters with elements of finger gymnastics or using toys. A measured but constant increase in the range of sounds is very important. You should strive for purity of pronunciation and increase the speed of the exercise. Options: rhythmic reading while walking, adjusting the speed of movement.

These and many other exercises will help to significantly improve speech, normalize breathing, and restore brain activity.

Gymnastics serves as an excellent means of preventing colds after removal of the adenoids: active breathing through the nose activates not only metabolic processes, but also the immune system.

Thus, the postoperative period after removal of the adenoids does not involve major problems. Following the regimen will help you avoid complications and recover quickly.

Video tutorial: How adenoids are removed in children

After surgery to remove the adenoids is 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.

Postoperative period

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 in 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, the following rules should be taken into account: when the child bends to the side, forward, or squats, then 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 first hours after adenotomy

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.

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

Note to parents

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.

Nutrition

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.

Prohibited Products

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

when the load on the respiratory system increases (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.

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

nosebleeds - refusal to use vasoconstrictor drugs leads to nosebleeds, which increases the risk of aspiration of bloody discharge and pulmonary obstruction;
inflammation of the laryngopharynx - irregular sanitation of the oropharynx with antiseptic solutions entails the development of purulent inflammation, untimely relief of which leads to the development of a retropharyngeal or peritonsillar abscess;
allergic swelling of soft tissues - abuse of medications often leads to allergic reactions and severe swelling of the mucous membranes of the ENT organs, which makes nasal breathing difficult;
palate paresis - surgical intervention negatively affects the elasticity of epithelial tissues, which can cause the development of open rhinophony.

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.

Postoperative period

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

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

What should the patient remember after surgery?

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.

Breathing exercises in the postoperative period

Breathing exercises are a very important part in 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.

Initial exercises

Position your feet shoulder-width apart, head tilted back, hands on your belt. 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.

In the hospital

Home rehabilitation

In the postoperative period, children are provided with suitable conditions:

a clean house where wet cleaning is carried out daily;
a calm environment without emphasizing the worries experienced, but with confidence in a complete recovery;
lack of physical activity, excessive activity - exercise can cause a rush of blood to the operated part of the nasopharynx and provoke bleeding;
the opportunity to rest, especially on the first day - anesthesia is tiring;
natural care of loved ones, attention on their part to any non-standard phenomena of recovery.

Remember! In most cases, removal of adenoids in children is carried out in the cold season, but the following warning will not be superfluous: at first, sunbathing, swimming in open water, taking warm baths, or visiting a bathhouse is not recommended. Flights and travel are prohibited - home regime during the postoperative period is a mandatory stage of recovery even if you are feeling well.

Diet restrictions

Healing of the mucous membranes in children after removal of the adenoids occurs quite quickly and, in the absence of factors provoking complications in the postoperative period, is mostly painless.

exclusion of hard, rough foods that require significant effort to chew;
a ban on foods and seasonings that cause irritation of the mucous membranes or their hyperemia - spicy, sour and salty dishes;
Eating food at room temperature and cold, excluding very warm and hot dishes - prevent bleeding.

Regime and lifestyle

At home, to narrow blood vessels, sometimes the doctor recommends nasal drops during the postoperative period.

Important! The use of acetylsalicylic acid (aspirin) in pediatrics is not recommended at all, and especially in the postoperative period: the drug thins the blood, i.e. prevents the healing of open wounds.

In general, a speedy recovery after adenoid removal, as in any other postoperative period, is facilitated by:

an orderly lifestyle - quiet wakefulness and sufficient rest, including sleep;
good hygienic conditions;
carefully following the doctor’s instructions upon discharge;
postoperative observation by an otorhinolaryngologist (ENT).

Special conditions for recovery

There are several points to consider when conducting classes:

do not exercise in the first days, during the acute postoperative period;
ensure sufficient air humidification in the practice room (useful for everyone, and especially after removal of the adenoids) - excessive dryness of the inhaled air can cause tickling and coughing, which is not beneficial;
observe the principle of gradualness - each exercise is carried out 3 times, with a gradual increase in quantity every other day by 1 - 2 times and bringing up to 12 times;
new options should also be introduced gradually, 1 – 2 per day, with a gradual increase in the number of repetitions;
if the condition of the operated organ worsens, reduce or cancel the load until healing stabilizes, restore from low loads;
ensure that each exercise is performed thoroughly before adding new ones, do not rush into volumes, the priority is the correct position of the organs and achieving goals;
create a positive psychological mood during classes, or better yet, turn them into a game with rhymes and characters - then such special exercises will become a good habit and will be performed by the child with pleasure for a long time on their own.

Important advice! Later, you can use walks to do exercises. Fresh air is one of the factors for a patient’s successful recovery after adenoid removal.

Set of exercises

Slowly raise your outstretched arms upward from your sides while inhaling through your nose. Hold your breath at the height of the rise, exhale through your mouth when lowering your arms. Options: regulate the strength and speed of inhalation and exhalation, the period of breath holding, the number of repetitions and approaches during gymnastics. Recommended as an initial and final exercise.
Chest breathing: when inhaling, the chest expands and the stomach is drawn in; when exhaling, the volume of the abdomen increases and the chest collapses. Inhale and exhale through the nose.
Abdominal breathing: when inhaling, the stomach expands, when exhaling, the stomach tightens. Inhale and exhale through the nose.
Alternate breathing through 1 nostril: press the wing of the nose against the septum with your finger, inhale and exhale through the free nostril. You can combine it with exercise No. 3, but not instead, but after it.
Activation of the oral cavity: inhale through the nose, before exhaling, direct the air into the mouth, puff out the cheeks. Roll it from cheek to cheek, from top to bottom and in a circle, then exhale slowly under pressure through a small hole between the lips.
Sound exercises after inhaling through the nose and exhaling through the mouth: pronouncing sounds (smooth vowels and hissing, intermittent consonants). They alternate sounds, quantities and achieve high-quality pronunciation.
Speech exercises: pronouncing short phrases, rhymes, sayings, proverbs, tongue twisters with elements of finger gymnastics or using toys. A measured but constant increase in the range of sounds is very important. You should strive for purity of pronunciation and increase the speed of the exercise. Options: rhythmic reading while walking, adjusting the speed of movement.

These and many other exercises will help to significantly improve speech, normalize breathing, and restore brain activity.

Gymnastics serves as an excellent means of preventing colds after removal of the adenoids: active breathing through the nose activates not only metabolic processes, but also the immune system.

Thus, the postoperative period after removal of the adenoids does not involve major problems. Following the regimen will help you avoid complications and recover quickly.

Video tutorial: How adenoids are removed in children

» Adenoids in children

Child after surgery to remove adenoids

Many children have problems with inflamed adenoids. Removing hypertrophied pharyngeal tonsils in some cases is a more effective way to solve the problem. Adenotomy is a simple operation, but it should be treated as a serious surgical intervention that requires careful preparation for removal and compliance with postoperative instructions. The main task of postoperative therapy is to monitor well-being, strictly follow instructions, and prevent diseases.

Removing the consequences of the operation

The main attention is paid to the regime, proper diet, and hardening procedures. The postoperative period varies among patients and depends on the nature of the surgical procedure. A special feature of adenoid surgery is the absence of bed rest.

Parents should ensure constant monitoring and care of the child. Try to avoid violations of the regime.

Having removed the adenoids in the clinic, the child goes to his home 2 hours after the operation. The main task of parents is to provide a gentle home regime. During the first 24 hours, strict adherence to bed rest is necessary. Be sure to take a nap during the day, at least 2 hours.

The subsequent period is characterized by the absence of physical overstrain. Outdoor games, physical education, and visits to clubs should be limited. A quiet regime will ensure a uniform wound healing process, without additional infection. During postoperative treatment, overheating of the baby is contraindicated; avoid taking a bath or going to the bathhouse. The child’s room must be ventilated and wet cleaned.

Nutrition

Dad and mom are preparing for the fact that at first the baby who has undergone surgery will have a sore throat, so it’s worth sticking to a certain diet. After removal, you should not feed your child solid or hot foods. In the following days, you should not eat fried or spicy foods; you should limit meat foods. We list the foods that a child eats without fear of damaging the operated areas:

The first week - you are allowed to drink half a glass of carrot juice in the morning. Taking kefir in the morning and evening is beneficial. Feed your baby buckwheat, oatmeal, and semolina porridge. Cottage cheese, vegetables, eggs diversify a child's diet.
After a week, introduce soups into the diet, feed steamed meat, boiled liver, and fish.
It is permissible to eat fruits in unlimited quantities.

After removal of the adenoids, the temperature in children rises on the first day. It does not rise above 38 degrees - the use of antipyretic drugs is not necessary. It is important to know that the use of antipyretic medications containing aspirin is limited. Medicines containing aspirin can cause bleeding.

After the operation, it is difficult to breathe through the nose, and swelling of the mucous membrane occurs. The treatment is as follows: we instill vasoconstrictor drops to help remove swelling, then we use drugs that dry out the mucous membrane.

A complex postoperative condition may be accompanied by bleeding, depending on the accumulation of parts of tissue remaining in the nasopharynx. If you find bleeding, consult a doctor immediately. It is worth highlighting several situations; if you find them, consult your doctor:

the appearance of nasality;
difficulty breathing through the nose for two weeks or more.

Many children continue to breathe through their mouth after surgery, despite clear nasal passages and no breathing difficulties. Special gymnastics that strengthens the breathing muscles, recommended by doctors, will correct the situation.

Special breathing exercises

Simple, effective exercises are performed in the morning and evening. The duration of the gymnastics is 20-25 minutes, in a ventilated room. The number of exercises done gradually increases. First, the child begins to perform 3–4 exercises. A week of gymnastics - the number of repetitions gradually increases, becoming 10 -15.

The exercises are performed under the supervision of a physiotherapist, then at home, after receiving detailed advice. There are general rules that must be followed when performing exercises. Leaning forward, to the side, squatting, exhale. Raising your hands - inhale. Raising your arms up, lowering them down, exhale. A set of special exercises is divided into several stages. Monitor the exercises and see how the baby feels.

Preparatory stage

The head is thrown back. Legs spread. The lower jaw works, inhale through the mouth - the jaw goes down, exhale through the nose - the jaw goes up.
The child rises on his toes. Raises your hands up - inhale, lowers them down - exhale.

Strengthening the muscles of the neck and shoulder girdle, number of repetitions 10 -15

Legs apart, back straight. The head smoothly falls forward and leans back.
Tilt the head onto the right and left shoulders in turn.
The head is thrown back, the hands are behind the back. In a tilted position, open your mouth, inhale through your nose, exhale through your mouth.
Circular rotation of the head.

We train correct breathing, number of repetitions 10

General breath. Inhale deeply through your nose, protrude your stomach, filling the volume of your chest. We exhale through the nose, the order of exhalation is reversed: reduce the volume of the chest, deflate the stomach.
Chest inhalation. First, exhale completely, take a long breath through your nose. The volume of the chest increases, the stomach is pulled in. We exhale, reducing the volume of the chest, protruding the stomach.
We breathe from the abdominal cavity. Exhale completely, inhale through your nose, sticking out your stomach. The upper part of the peritoneum is retracted.
We breathe through our nose, the number of repetitions is 6.
Legs are spread, arms are lowered along the body. Raise your palms down, inhale through your nose, lower - exhale through your nose.
A squat is performed. Legs are straight. Squat - exhale, rise - inhale.
Alternately inhale air through the nostrils.
Let's hold our breath. Inhale through the nose, exhale through the mouth.
Run in place, with high knees.

In addition to this gymnastics, your child should train his facial muscles. Smiling, blowing a straw, simulating a whistle are exercises that strengthen the muscles of the mouth.

By performing the complex for several months, inhaling air through the nose improves and the facial muscles of the mouth are strengthened.

Conclusion

In addition to performing a set of exercises, you need to constantly remind your child to breathe through his nose. If the diet and doctor's instructions are correctly followed, after a couple of weeks of treatment the child will not remember the unpleasant surgical moment.

During childhood, virtually everyone is exposed to a surprising number of illnesses. Among these there are both less dangerous ones and those that can cause maximum inconvenience. The latter include adenoid vegetations, leading to adenoiditis.

Manifestations of adenoiditis

It is not surprising that parents often panic as soon as they see their young child has a runny nose. Unlike adults, it is much more difficult for a child to determine what the discomfort of his condition is. Adenoiditis is visible to the naked eye. Firstly, with this disease, it becomes quite difficult for a child to breathe through the nose, and therefore his mouth is constantly slightly open. Secondly, the baby may snore at night. Thirdly, children who are susceptible to adenoiditis have frequent pharyngitis and rhinitis.

Do I need to remove the adenoids?

As soon as the doctor detects inflamed adenoids in the baby, he recommends immediately starting treatment. It may seem to some parents that all doctors send young patients for surgery to remove adenoids without first trying to solve the problem with conservative treatment. Actually this is not true. Removal is prescribed only if taking medications and other measures do not bring any results at all.

By the way, if a child is scheduled for adenotomy (surgery to remove adenoids), do not panic too much. Thanks to modern equipment and experienced professionals working in children's clinics, the operation is quick and safe!

After removal of adenoids from a child

Preparation for the operation and the removal process itself fall on the shoulders of doctors. But postoperative rehabilitation is a matter for parents. Firstly, after removal of the adenoids, it is pointless for a child to remain under the supervision of a specialist in a hospital for a long time. Secondly, the rehabilitation period is not that difficult, especially if you correctly follow all the doctor’s orders.

Immediately after surgery

As soon as the surgery to remove the adenoids is completed, the child will be transferred from the operating room to the general ward.

After the child is laid on the bed, he needs to be turned on his side and a towel placed under his face, onto which he will spit saliva. This is necessary to monitor the baby's saliva. If there are no blood impurities in it, everything is fine.

A little later (several hours after the removal of the child’s adenoids), the doctor examines the patient and performs pharyngoscopy. The latter helps to observe the absence of blood at the back of the throat.

Note to parents!

On the day when the child had surgery to remove the adenoids, it is worth excluding from his diet foods that can damage soft tissues. In other words, it is better not to feed your child rough or solid foods. In addition, in the first days after surgery, the child will complain of a sore throat, so it is unlikely that he will want to treat himself to foods that can cause even greater discomfort.

Of course, it cannot be said that all children after surgery to remove adenoids behave the same and feel identical. Since each child’s body is individual, and the nature of the operation varies, parents should follow the recommendations of doctors and listen to their own child.

So, for several days after the child returns home from the hospital, you should not leave your home. Let the child rest for these 2-3 days, lie down, and sleep more often. Despite the fact that after this type of operation children are not prescribed bed rest, it will be better if an adult is constantly with the child at this time.

Among the most important rules that should be followed by patients of all ages are:

Refusal to visit the bathhouse and sauna (even if you want to bathe your child in a hot bath, you should not experiment!);

Limiting physical activity (in the first days after surgery, the child is not allowed to be too active);

Compliance with drug treatment (use of vasoconstrictor drops prescribed by a doctor);

Avoidance of antipyretics containing aspirin.

Surely many parents will find the last point strange. In fact, aspirin can cause bleeding, which is unacceptable after removing adenoids from a child. Why do you need to take antipyretics? The fact is that, as a rule, on the second day after surgery, many children are attacked by elevated body temperature, so parents should be alert and use a thermometer as often as possible.

Possible consequences

It is rare, but it happens that after removal of the adenoids a child develops a nasal tone. If it disappears without a trace 10 days after the operation, there is nothing to worry about, but if it lingers, it is better to visit a speech therapist!

If parents notice an admixture of blood in the saliva of a child who is at home, or bleeding occurs, they should immediately call an ambulance!

Postoperative period after adenoid removal in children

Hypertrophy of the pharyngeal tonsil, otherwise called adenoid vegetations, is a serious health problem observed in childhood. The result of this pathology is:

Difficulty in nasal breathing;
Frequent rhinitis;
Adenoiditis;
Pharyngitis.

Traditionally, therapeutic treatment is prescribed and only in some cases surgical treatment. Operation. During which adenoid growths are removed, it is called adenotomy. The effectiveness of treatment and the period of rehabilitation completely depend on the course of the postoperative period.

After leaving the operating room, you should strictly follow medical instructions:

The child is placed in bed on his side;
The separated saliva must be spit into a towel, and there should be no blood in it;
A few hours later, pharyngoscopy is indicated to prevent blood from entering the back wall of the pharynx;
Adenoid tissue present in the nasopharynx requires removal with forceps;
On the first postoperative day, the child is shown only warm liquid food;
Home mode is maintained for 3-5 days;
Hot and solid foods are excluded for 2-3 weeks.

Parents receive consultation from a doctor to maintain the correct regimen for the child. Parents should be aware of sore throat in the first few days after surgery. An increase in body temperature is often observed. This phenomenon is considered acceptable. Antipyretic drugs should be given only if the temperature rises above 38 C.

During the rehabilitation period, swelling of the mucous membranes occurs. In this regard, the child feels difficulty breathing for 2-3 days. On the recommendation of a doctor, vasoconstrictor drugs can be used. They are presented in the form of a spray or drops. Instillation of saline solution into the nose is often prescribed. Frequency of use: 3-4 times a day. If there is bleeding after surgery, you should consult a doctor. The remaining parts of the adenoid tissue require repeated curettage of the nasopharynx.

The child’s habit of breathing through the mouth, which has developed due to adenoids. persists even after they are removed. To correct this, a set of exercises developed by academician Sergei Besshapochny is provided.

Exercises for training nasal breathing after removal of adenoids

It is recommended to perform the training in the morning and evening for 20-25 minutes. The room must be ventilated and fresh. The load should be constantly increased, starting with 3-4 repetitions of the exercise. Every 5 days the number of repetitions is increased, eventually reaching 10-15.

The complex includes exercises:

Preparatory type;
Developing the shoulder girdle and neck muscles;
Trains correct breathing;
Allowing you to restore breathing through the nose;
Training the muscles of the perioral area.

Proper organization of the postoperative period after removal of adenoids in children allows you to speed up the recovery of the body and correct improper breathing.

Thank you for reading. Receive a gift!

Children often suffer from various infectious diseases, since the immune system is not fully developed. As a result, the child develops health complications. For example, adenoids are the most common disease in children aged 3 to 7 years. If the disease is not treated in time, deterioration in other organs may occur. However, babies need help even during the period of recovery of the body, when the adenoids were surgically removed.

The first thing to remember in the postoperative period is to create comfortable conditions for a quick recovery. After all, the operated tissues can become inflamed if you do not follow the instructions from the doctor. It is possible that after the removal of the child’s adenoids, the doctor may prescribe a special course of rehabilitation, depending on the situation. Most often, the specialist requires parents to continue drug treatment of the child, as well as perform gymnastics and hardening. If the operation is successful, the child is discharged home and continues treatment at home. Therefore, parents should monitor the child’s optimal regimen to prevent bleeding and septic inflammation of the nasopharynx after surgery.

Immediately after surgery

In medicine there is such a thing as adenotomy, which means surgical intervention. This procedure is performed by an experienced specialist who uses medical instruments to cut off excess lymphoid tissue. It is worth noting that the operation takes place very quickly, however, the inflammatory process may still be present after the doctor’s manipulations. The main thing is to avoid inflammation of the mucous membranes and postoperative bleeding. The operation itself lasts only 30 minutes, after which the patient is transferred to the general ward, where he must lie for a certain time under the supervision of doctors.

To avoid postoperative problems, you should adhere to the following rules:

The child should lie on the bed, turned on his side.
It is better to place a towel under the head to make it easier for the baby to cough up mucus and blood.
Place wet gauze on your forehead and face.

After a pharyngoscopy examination, the baby returns home, where he continues treatment of the nasopharyngeal mucosa. In the first days after surgery, the child may have a sore throat. At this very moment, it is necessary to quickly eliminate inflammation of the larynx. Swelling of the mucous membrane may also occur, in which case the doctor prescribes vasoconstrictors. According to doctors, restoration of health proceeds differently for all babies.

Every parent must understand that adults are responsible for the child’s recovery, so the process must be constantly monitored. Adenoiditis after removal in children goes away if parents regulate physical activity, nutrition, taking medications and maintaining temperature conditions in the house.

Home rehabilitation

After a child has surgery, parents should closely monitor for signs, symptoms and complaints. If any complications are identified, you should definitely contact a specialist for help. For 30 days you must follow a daily routine and diet. In other words, pay close attention to the following recommendations at home:

Eliminate foods from your diet that can irritate your nasopharynx. We are talking about sweets, canned food, salty dishes. It is also worth eating food when it is heated.
It is necessary to temporarily protect the child from physical activity so as not to provoke bleeding.
You only need to act on the advice of a doctor - medications, physiotherapy, special drugs for narrowing blood vessels.
The room where the baby is located must be regularly ventilated to provide fresh air.
It is prohibited to take medications containing acetylsalicylic acid after surgery.

Also, you should not give your child aspirin, as this drug thins the blood and affects severe bleeding.

It is possible that after excision of the adenoids the baby may experience an elevated temperature. In this regard, you can take antipyretic drugs. However, if the temperature lasts more than 2 days, it is better to inform your doctor.

Nutrition

During the postoperative period, it is also important to follow a gentle diet, which is prescribed by the doctor. The fact is that during this period of time the risk of swelling of the throat mucosa and injury to the body increases. In this regard, the doctor draws up a detailed diet plan that does not contain solid food.

For clarity, the following food products can be cited as examples:

Puree of fruits and vegetables.
Light chicken and meat broths.
Decoctions of herbs and vegetables.
Porridge with milk.
Soups.
steamed cutlets.

To increase the effect of conservative treatment after surgery to remove adenoids, you need to regularly gargle with plant decoctions. It is best to do this after eating. The fact is that herbs contain phytoncides, which have a beneficial effect on the child’s recovery process.

You can eat six hours after surgery. Usually, the baby is first given chicken broth, and then after a few hours fruit is added to the diet. It is not recommended to salt food.

Parents should remember that an unbalanced diet can worsen the child's condition and lead to an abscess on the back of the throat. It often happens that the baby refuses to eat healthy and proper food, but parents should not give in to the child’s tantrums. First of all, you need to exclude all carbonated and sweet drinks, spicy and canned foods, and low-quality juices. According to doctors, any flavors or dyes are detrimental to the immune system, moreover. They cause irritation of the mucous membrane and swelling of the larynx.

Canned fish and meat.
Sweets, including confectionery.
Canned vegetables.
Sour fruits and vegetables.

During treatment, you should not spoil your baby with sweets, pastries and cakes, as these products contain large amounts of sugar, which creates conditions for the proliferation of pathogenic bacteria. Applesauce or banana puree are suitable as a substitute for sweets.

After adenotomy, the doctor not only prescribes medications, but also recommends adhering to certain rules so that the child can recover faster. For a month, it is better for your baby to avoid physical activity, hot water and long periods of time in the scorching sun. All these factors can lead to dilation of blood vessels and nosebleeds.

To protect your baby from infectious diseases, it is recommended to limit contact with sick people. Experts also advise putting nasal drops in your nose, as they have an antiphlogistic and regenerating effect. If a child has allergic reactions, it is worth contacting your doctor to prescribe gentler medications.

Breathing exercises

Any doctor will confirm the fact that breathing exercises developed by doctors of medical sciences help with adenoids. As a rule, it is done within two weeks after removal of the lymphoid tissue. However, it is still worth remembering the following things:

When squatting or bending, the baby should take a deep breath.
Inhalation is also done when spreading your arms to the sides.
In this case, movements, inhalations/exhalations are done smoothly, slowly.

It is best to do therapeutic exercises a week after surgery. Over time, the load can be increased so that the body feels the pressure. Parents are often interested in questions about exercises, we will try to answer them:

Abdominal breathing - you need to lower your arms along the body and stand straight, then exhale, intentionally drawing in your stomach.
Chest breathing - in order for the chest to rise up, you need to inhale through the nose, drawing in the stomach. Breathing should be held for a few seconds and exhaled slowly through the nose.
Full breathing - Inhale through the nose while protruding the abdomen. Exhalation is done with the abdomen drawn in and the chest pressed.

If your baby has respiratory diseases, you should not do breathing exercises, otherwise your health may worsen. Doctors advise performing the exercise 10 times in 2-3 approaches. Classes can be postponed for two days if the child suddenly becomes ill.

Possible consequences of adenotomy

Parents should understand that there may be certain consequences after surgery. Some of them can lead to serious complications, so it is better to know the consequences:

Nosebleeds. To avoid these problems, it is better to regularly use vasoconstrictor drugs.
Swelling of the Nasopharynx. Some medications can trigger an allergic reaction.
Inflammatory process. Sometimes purulent inflammation develops in the nasopharynx.
Trauma to the palate during surgery.

Note that even a highly qualified doctor is not always able to completely remove lymphoid tissue. In this regard, the child may experience a relapse and recurrent disease of the adenoids. In this case, a re-examination by a doctor is required.

Conclusion

Practice shows that after removal of the adenoids, the child’s body quickly recovers. The main thing is to do everything as prescribed by the doctor. However, parents should remember that it is not worth going for a walk with such a disease, otherwise it can lead to disastrous consequences.

Many doctors believe that it is very beneficial for children to engage in athletics, hockey and swimming. But sports are only available when the body has fully recovered. After all, each child has his own health parameters and stages of recovery. By following a diet and pastel regime, the baby will again feel comfortable breathing through the nose.

If your child is undergoing adenotomy, the postoperative period will require maximum attention, serious attitude, care, care and, of course, knowledge from you. Only in this case is a quick and painless rehabilitation of the child guaranteed. Immediately after removal of the adenoids, the child may develop a fever - this is a natural reaction of the body to gross outside interference. The temperature should not be reduced to 38 °C. Some time after removal, the patient may begin to vomit.

What kind of care will your child need immediately after surgery?

Immediately after removal of the adenoids, the patient must be placed in bed on his side. You will spend the next 3-4 hours in the hospital. Before doctors can send you home, they must make sure that the operation was successful, the bleeding has stopped, and there are no remnants of adenoids in the nasopharynx. Why will a follow-up examination be performed some time after the operation?

What should you be aware of and what should you not be afraid of?

All this time, the parent’s task is to stay close to the child, monitor whether symptoms of bleeding appear, such as ichor or blood from the nose, saliva with blood, the child’s complaints about the feeling of liquid flowing down the palate (normally, bleeding should stop after 10-15 minutes after the procedure). The child should be given a towel on which to spit saliva. All this time, the adult must remain calm and reasonable. It is associated with the stomach’s reaction to the blood that many children manage to swallow while their adenoids are being removed. Adenotomy is usually done on an empty stomach and, most likely, after a couple of hours, when the shock from the operation passes, the child will ask to eat.

Take your time with feeding. Even if the baby gets a little hungry, nothing bad will happen. Under no circumstances should you force-feed your child; wait until he asks for food.

The food you take with you to the hospital should be neutral in taste; too salty or sour food will irritate the open wound of the nasopharynx. Food should not be hot or cold. After surgery, you can eat fairly soft foods. If possible, this should be the baby's favorite food. Semi-liquid porridge, mashed potatoes, meat pates, baked apple or banana puree will restore children's strength. As for the subsequent diet, depending on the doctor’s recommendations, it will last from 1 to 2 weeks and will include soft foods that are gentle on the nasopharynx. But caring for a child after the procedure includes not only gentle nutrition, but a whole range of measures.

After the operation, you will return home on the same day, after adenotonsillotomy (complete removal of the adenoids and partial removal of the tonsils) - 1-2 days after the operation. The next two weeks will require parents to take a responsible and attentive approach to the child’s adaptation. During the period when recovery occurs after the procedure, it is necessary to limit any physical activity. Do not allow your child to run, jump, or play too actively. After the procedure, schoolchildren are exempt from physical education for a month or 2 weeks. In the first days after removal, it is advisable to limit the circle of people entering the house in order to reduce the risk of contracting ARVI or acute respiratory infections. Under no circumstances should you let a cold run its course if you do get sick. It can trigger bleeding. If a child sneezes after adenotomy and his temperature remains above 38 °C, then this is a reason to contact an ENT specialist or pediatrician.

To avoid bleeding, the child should not steam or bathe in a bath with too hot water. It is also highly advisable not to go to the sea or be in the sun for the next 2 weeks. There is no need to worry if your child has a sore throat at first, because he has an open wound in his nasopharynx, the healing of which will occur at a natural pace. If the child is small, you may be advised to give him a painkiller such as Nurofen in the first days after surgery. Often, several hours after the procedure, children experience difficulty breathing, the reason for this is swelling in the nasopharynx. The doctor may prescribe vasoconstrictor drops, such as children's Nazivin, Protargol, etc., which will help relieve swelling and make inhalation easier. In some cases, the doctor may also prescribe drops containing an antibiotic to prevent the risk of inflammation. Often, improvements after surgery are not immediately noticeable.

The reason for this common phenomenon is habit. Even if the adenoids no longer prevent the child from breathing through his nose, he cannot quickly readjust and start using his breathing apparatus correctly. In order to help him, there are special breathing exercises. It can be done 10-15 days after returning home. Exercises should be performed in a well-ventilated room in the mornings and evenings. It will take approximately 20-25 minutes to complete the entire complex. The load should increase gradually. So, when starting gymnastics, you should repeat each exercise 3-4 times. Every 6 days you need to gradually increase the load so that in the end the number of repetitions for each exercise is 10-15 times.

It is imperative to monitor proper breathing during gymnastics. Please note that when bending, squatting, raising your arms up in front of you, the child should exhale. If he raises his arms up and then spreads them to the sides, inhale. Gymnastics includes the following exercises:

Feet shoulder-width apart, the child throws his head back a little, hands on his belt. He inhales slowly through his mouth while lowering his lower jaw. Exhale through your nose while raising your lower jaw. Inhalation should be divided into 4 counts, exhalation into 2 counts.
From a standing position on full feet, legs together, ask the child to rise on his toes and, while inhaling, raise his arms up, and while exhaling, lower them.
Starting position: the child stands, feet shoulder-width apart, back and shoulders straight, arms along the body, head slightly tilted towards the chest. Raise your arms, spread them to the sides, tilt your head slightly back.
The starting position is the same as in the previous exercise. Tilt your head to your right shoulder, and while exhaling, move it to your left shoulder.
In the starting position, make circular movements with your head. Breathing is calm and even.
Ask your child to clasp his hands behind his back and move them back, slowly tilt his head back, gradually opening his mouth. You need to inhale through your mouth, exhale through your nose.
Hands along the body. Feet shoulder width apart. Slowly inhale air, protruding your stomach, followed by expanding your chest. Exhale, reducing the chest, and then contracting the stomach (training full breathing).
The starting position is the same as in the previous exercise. Inhale, the chest expanded, and the stomach, on the contrary, retracted. Exhale - the stomach has increased, the chest has contracted (we train the chest).
The starting position is the same. Take a long nasal breath, sticking out your stomach (we train abdominal breathing).
The starting position is the same. Slowly raise your hands, palms up, while taking a deep breath. Exhaling, lower your arms to your sides. Breathing only through the nose.
Do quick, energetic squats. At the same time, extend your arms with your palms down. When squatting, you need to exhale, when standing up, inhale.
In a standing position, slightly spread your legs to the sides, press one nostril with your hand, inhale and exhale with the other.
Let the child hold his nose with his hands and count loudly to 10. Opening his nose, inhale and exhale through his nose.
Run in place on your toes, raising your knees high. Breathing - nasal, voluntary.

In addition to the described set of exercises, it is also necessary to regularly remind the child about proper breathing.

If during the postoperative period the diet and precise recommendations of the doctors were followed, then after 2 weeks the operation will not remind you of itself.

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 adenoid removal, 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 is 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 has normal blood clotting.

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.