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When Are Big Tonsils a Problem in Children? London & Essex ENT

  When Are Big Tonsils a Problem? A Guide for Parents in London and Essex It is incredibly common for a parent to glance into their child’s mouth during a yawn or while checking a sore throat and feel a sudden wave of panic. At the back of the throat, two large, round mounds of tissue seem to be practically touching in the middle. When parents across East London and Essex see this, they frequently search for answers online or contact their local GPs, wondering if their child’s tonsils are dangerously large. However, the most important rule in pediatric ENT is that the absolute size of the tonsils matters far less than how they function . Some children naturally have large tonsils that cause no issues whatsoever, while others experience severe airway blockages that require specialist treatment. This guide explains exactly when big tonsils shift from being a harmless anatomical feature to a clinical problem. Understanding Tonsil Sizes: Naturally Big vs. Obstructive Tonsils are compos...

Is your child having adenoid surgery?


 When is adenoid surgery required?

Adenoids are part of the immune system like our tonsils. If your child has an enlarged adenoid, he/she can have the following symptoms.

  • Enlarged adenoids can lead to a blocked nose. This can lead to thick secretions in the nose and bad breath. A child with a blocked nose may be mouth-breathing most of the time and can lead to prominent upper teeth.
  • Enlarged adenoids can affect a child's sleep quality, leading to sleep apnoea and snoring. They may breathe like "Darth Vader".
  • Enlarged adenoids can block the Eustachian Tube. The Eustachian Tube is responsible for maintaining air pressure in the middle ear. Enlarged adenoids can contribute to a glue ear and frequent ear infections.



How is adenoid surgery done?


Adenoid surgery is done as a day-case procedure under general anaesthesia. The procedure itself takes 20-30 minutes. ENT doctors can perform adenoid surgery through the mouth or the nose with the help of an endoscope. The child should be able to go home the same day with regular painkiller medications.



What are the side effects of having your adenoids removed?


In general, adenoid surgery is a safe procedure. Adenoid surgery is commonly performed on children between the ages of 1 -8 years old. The primary complications of adenoid surgery are bleeding, infection, recurrence and anaesthetic risk. Some children complain of nasal congestion for a few days to weeks. In some cases, the child may complain of earache as the throat and ear have the same nerve supply. This earache can be managed well with painkillers.



Can adenoid removal affect speech?


Having adenoid surgery tends to improve airflow through the nose. After adenoid surgery, the child will move towards more natural speech.


What if I decide for my child not to have adenoid surgery?


The great news is adenoids shrink relatively with age. In most cases, symptoms can be managed using a saline nasal spray, with or without nasal steroid drops. Other factors which can help your child's symptoms are hydration and humidification of room air.


When should I contact the hospital after my child's adenoid surgery?


You should contact your doctor or emergency contact number if you notice that the child is spitting fresh blood, complains about neck stiffness, or has a temperature that is not getting better with Paracetamol, or if the child is not passing enough urine.



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Disclaimer: 
For general information only, always seek medical advice from your treating consultant



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