Adenoids and adenoidectomy – signs , symptoms and treatment!

Adenoids and adenoidectomy

Adenoids and adenoidectomy

 

An adenoidectomy is a quick operation to remove the adenoids – small lumps of tissue at the back of the nose, behind the palate.

What are adenoids?

Adenoids are part of the immune system, which helps fight infection and protects the body from bacteria and viruses.

Adenoids are only present in children. They start to grow from birth and are biggest when your child is approximately three to five years old.

But by age seven to eight they start to shrink and by the late teens, are barely visible. By adulthood, the adenoids will have disappeared completely.

The adenoids disappear because – although they may be helpful in young children – they’re not an essential part of an adult’s immune system.

You will not be able to see your child’s adenoids by looking in their mouth.

When do adenoids need removing?

It may be necessary to remove the adenoids if they become swollen or enlarged due to:

infection with bacteria or a virus (adenoiditis) – although the infection will eventually clear up, the adenoids may remain enlarged
allergies – allergens (substances that trigger an allergic reaction) can sometimes irritate the adenoids, making them swell up

Adenoids can also be removed to treat recurrent ear infections or glue ear.

Read more about why adenoids need to be removed.

What is an adenoidectomy?

An adenoidectomy is a quick operation to remove the adenoids. It takes about 30 minutes to perform and is carried out in hospital by an ear, nose and throat (ENT) surgeon.

In most cases your child can go home on the same day once the effects of the anaesthetic have worn off.

Read more about how an adenoidectomy is performed and recovering from an adenoidectomy.

Are there any risks?

The operation carries very few risks. Removing the adenoids will not put your child at greater risk of developing infection. The body’s immune system is perfectly able to cope with bacteria and viruses without the adenoids.

However, as with all surgery, there is a small risk of complications such as infection, bleeding, nasal discharge, or an allergic reaction to the anaesthetic.

There may also be some temporary minor health problems such as a sore throat, earache or a blocked nose for a few weeks.

Read more information about the risks of an adenoidectomy.




Glandular fever! What is glandular fever and what are your experiences with glandular fever? And more on the Epstein-Barr virus

Glandular Fever

Glandular Fever

“Your glands are up!”

How many of us can remember that phrase from our childhoods.  Indeed in each year, according to the UK’s National Health Service 1 in 200 people will contract glandular fever.  That being said, most people who get glandular fever are in their late teens and early twenties.

When I was at school one of my fellow students had a bout of glandular fever resulting in weeks if not months off sick.

So I felt that it could well be useful to produce a brief guide to glandular fever as part of our series of informational blogs.  As with all our blogs your participation is most welcome.  It would be great to hear about your experiences of glandular fever and its impact upon your life and health.  This will, we hope, provide support for others in a similar situation.

The majority of people who develop glandular fever do so in a period of around two months after contracting the Epstein-Barr virus.  This is perhaps the most common virus which has been covered in a previous blog here https://patienttalk.org/calling-everyone-with-an-autoimmune-condition-have-you-ever-been-infected-with-the-epstein-barr-virus/.  I think the comments section is of particular value.

The main symptoms  of glandular fever are:-

1)                       Fever.  As the name suggests of course.  In this case it is likely to be over 38ºC or                           100.4ºF (in old money).

2)                       Swollen nodes or glands in the neck.  Hence the name glandular fever.

3)                       Sore throat.

4)                       Fatigue.  You can read more about the impact of fatigue by checking out our recent patient experience blog.  https://patienttalk.org/fatigue-like-wet-cement-exploring-the-difference-between-tiredness-and-fatigue/

In some cases there are a number of rarer symptoms.  These can include jaundice and swollen adenoids.  Jaundice is more common with people in the older age brackets who contract glandular fever.

Normally the infection lasts about two or three weeks, starting to get better after around one week albeit slowly.  That being said the fatigue may last for up to six months after the other symptoms have disappeared.

In milder forms of the fever treatments are normally painkillers which also help fight the inflammation.  In more serious cases hospitalisation may be required.

It is worth noting that there does seem to be a link between Epstein–Barr viral infection and contracting a number autoimmune conditions and other illnesses.   In particular Parkinson’s disease,  Lupus (https://patienttalk.org/?tag=lupus), rheumatoid arthritis (https://patienttalk.org/?tag=rheumatoid-arthritis), and multiple sclerosis (https://patienttalk.org/?tag=multiple-sclerosis).

So over to you.  We are always really interested in the experiences of our readers of their medical conditions.  It would be great if you could share your glandular fever story in the comments box below.

You might care to consider the following questions while sharing your story:-

a)                        At what age did you develop glandular fever?

b)                       What were your symptoms?

c)                       Do you know what the cause was?

d)                       How you were treated and how successful were the treatments?

e)                       Finally, if you contracted the Epstein–Barr virus did you have any complications afterwards such as an autoimmune condition?

Please just think of these questions as a guideline.  It would be great if you could share anything you think may be of interest about glandular fever.

Thanks very much in advance.