{"id":518,"date":"2021-04-23T09:42:18","date_gmt":"2021-04-23T16:42:18","guid":{"rendered":"https:\/\/nesilv.fm1.dev\/ent\/tonsils-and-adenoids\/"},"modified":"2021-07-06T14:29:18","modified_gmt":"2021-07-06T21:29:18","slug":"tonsils-and-adenoids","status":"publish","type":"page","link":"https:\/\/nesilv.com\/ent\/tonsils-and-adenoids\/","title":{"rendered":"Tonsils and Adenoids"},"content":{"rendered":"\n<p><strong>Tonsils and adenoids<\/strong>&nbsp;are the body\u2019s first line of defense as part of the immune system. They \u201csample\u201d bacteria and viruses that enter the body through the mouth or nose, but they sometimes become infected. At times, they become more of a liability than an asset and may even cause airway obstruction or repeated bacterial infections. Your ear, nose, and throat (ENT) specialist can suggest the best treatment options.<\/p>\n\n\n\n<h2>What are tonsils and adenoids?<\/h2>\n\n\n\n<p>Tonsils and adenoids are similar to the lymph nodes or \u201cglands\u201d found in the neck, groin, and armpits. Tonsils are the two round lumps in the back of the throat. Adenoids are high in the throat behind the nose and the roof of the mouth (soft palate) and are not visible through the mouth or nose without special instruments.<\/p>\n\n\n\n<h2>What affects tonsils and adenoids?<\/h2>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-large\"><img decoding=\"async\" width=\"1280\" height=\"853\" src=\"https:\/\/nesilv.com\/wp-content\/uploads\/2021\/04\/iStock-184956723-1280x853.jpg\" alt=\"\" class=\"wp-image-605\" srcset=\"https:\/\/nesilv.com\/wp-content\/uploads\/2021\/04\/iStock-184956723-1280x853.jpg 1280w, https:\/\/nesilv.com\/wp-content\/uploads\/2021\/04\/iStock-184956723-768x512.jpg 768w, https:\/\/nesilv.com\/wp-content\/uploads\/2021\/04\/iStock-184956723-1536x1024.jpg 1536w, https:\/\/nesilv.com\/wp-content\/uploads\/2021\/04\/iStock-184956723.jpg 2048w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><\/figure><\/div>\n\n\n\n<p>The two most common problems affecting the tonsils and adenoids are recurrent infections of the nose and throat, and significant enlargement that causes nasal obstruction and\/or breathing, swallowing, and sleep problems. Abscesses around the tonsils, chronic tonsillitis, and infections of small pockets within the tonsils that produce foul-smelling white deposits can also affect the tonsils and adenoids, making them sore and swollen. Cancers of the tonsil, while uncommon, require early diagnosis and aggressive treatment.<\/p>\n\n\n\n<h2>When should I see a doctor?<\/h2>\n\n\n\n<p>You should see your doctor when you or your child experience the common symptoms of infected or enlarged tonsils or adenoids. Your physician will ask about problems of the ear, nose, and throat and examine the head and neck. He or she may use a small mirror or a flexible lighted instrument to see these areas. Other methods used to check tonsils and adenoids are:<\/p>\n\n\n\n<ul><li>Medical history<\/li><li>Physical examination<\/li><li>Throat cultures\/Strep tests \u2013 helpful in determining infections in the throat<\/li><li>X-rays \u2013 helpful in determining the size and shape of the adenoids<\/li><li>Blood tests \u2013 helpful in diagnosing infections such as mononucleosis<\/li><li>Sleep study, or polysomnogram-helpful in determining whether sleep disturbance is occurring because of large tonsils and adenoids.<\/li><\/ul>\n\n\n\n<h2>Tonsillitis and its symptoms<\/h2>\n\n\n\n<p>Tonsillitis is an infection of the tonsils. One sign is swelling of the tonsils. Other symptoms are:<\/p>\n\n\n\n<ul><li>Redder than normal tonsils<\/li><li>A white or yellow coating on the tonsils<\/li><li>A slight voice change due to swelling<\/li><li>Sore throat, sometimes accompanied by ear pain.<\/li><li>Uncomfortable or painful swallowing<\/li><li>Swollen lymph nodes (glands) in the neck<\/li><li>Fever<\/li><li>Bad breath<\/li><\/ul>\n\n\n\n<h3>Enlarged tonsils and\/or adenoids and their symptoms<\/h3>\n\n\n\n<p>If your or your child\u2019s adenoids are enlarged, it may be hard to breathe through the nose. If the tonsils and adenoids are enlarged, breathing during sleep may be disturbed. Other signs of adenoid and or tonsil enlargement are:<\/p>\n\n\n\n<ul><li>Breathing through the mouth instead of the nose most of the time<\/li><li>Nose sounds \u201cblocked\u201d when the person speaks<\/li><li>Chronic runny nose<\/li><li>Noisy breathing during the day<\/li><li>Recurrent ear infections<\/li><li>Snoring at night<\/li><li>Restlessness during sleep, pauses in breathing for a few seconds at night(may indicate sleep apnea).<\/li><\/ul>\n\n\n\n<h3>How are tonsil and adenoid diseases treated?<\/h3>\n\n\n\n<p>Bacterial infections of the tonsils, especially those caused by streptococcus, are first treated with antibiotics. Removal of the tonsils (tonsillectomy) and\/or adenoids (adenoidectomy) may be recommended if there are recurrent infections despite antibiotic therapy, and\/or difficulty breathing due to enlarged tonsils and\/or adenoids. Such obstruction to breathing causes snoring and disturbed sleep that leads to daytime sleepiness, and may even cause behavioral or school performance problems in some children. Chronic infections of the adenoids can affect other areas such as the eustachian tube\u2013the passage between the back of the nose and the inside of the ear. This can lead to frequent ear infections and buildup of fluid in the middle ear that may cause temporary hearing loss. Studies also find that removal of the adenoids may help some children with chronic earaches accompanied by fluid in the middle ear (otitis media with effusion). In adults, the possibility of cancer or a tumor may be another reason for removing the tonsils and adenoids. In some patients, especially those with infectious mononucleosis, severe enlargement may obstruct the airway. For those patients, treatment with steroids (e.g., prednisone) is sometimes helpful.<\/p>\n\n\n\n<h2>How to Prepare for Surgery<\/h2>\n\n\n\n<h3>Children<\/h3>\n\n\n\n<ul><li>Talk to your child about his\/her feelings and provide strong reassurance and support<\/li><li>Encourage the idea that the procedure will make him\/her healthier.<\/li><li>Be with your child as much as possible before and after the surgery.<\/li><li>Tell him\/her to expect a sore throat after surgery, and that medicines will be used to help the soreness.<\/li><li>Reassure your child that the operation does not remove any important parts of the body, and that he\/she will not look any different afterward.<\/li><li>It may be helpful to talk about the surgery with a friend who has had a tonsillectomy or adenoidectomy.<\/li><li>Your otolaryngologist can answer questions about the surgical procedure.<\/li><\/ul>\n\n\n\n<h3>Adults and Children<\/h3>\n\n\n\n<p>For at least two weeks before any surgery, the patient should refrain from taking aspirin or other medications containing aspirin. (WARNING: Children should never be given aspirin because of the risk of developing Reye\u2019s syndrome). Your doctor may ask to you to stop taking other medications that may interfere with clotting.<\/p>\n\n\n\n<ul><li>Tell your surgeon if the patient or patient\u2019s family has had any problems with anesthesia or clotting of blood. If the patient is taking medications, has sickle cell anemia, has a bleeding disorder, is pregnant, or has concerns about the transfusion of blood, the surgeon should be informed.<\/li><li>A blood test may be required prior to surgery.<\/li><li>A visit to the primary care doctor may be needed to make sure the patient is in good health at surgery.<\/li><li>You will be given specific instructions on when to stop eating food and drinking liquids before surgery. These instructions are extremely important, as anything in the stomach may be vomited when anesthesia is induced.<\/li><\/ul>\n\n\n\n<p>When the patient arrives at the hospital or surgery center, the anesthesiologist and nursing staff may meet with the patient and family to review the patient\u2019s history. The patient will then be taken to the operating room and given an anesthetic. Intravenous fluids are usually given during and after surgery. After the operation, the patient will be taken to the recovery area. Recovery room staff will observe the patient closely until discharge. Every patient is unique, and recovery time may vary. Your ENT specialist will provide you with the details of preoperative and postoperative care and answer your questions.<\/p>\n\n\n\n<h2>After Surgery<\/h2>\n\n\n\n<p>There are several postoperative problems that may arise. These include swallowing problems, vomiting, fever, throat pain, and ear pain. Occasionally, bleeding from the mouth or nose may occur after surgery. If the patient has any bleeding, your surgeon should be notified immediately. It is also important to drink liquids after surgery to avoid dehydration. Any questions or concerns you have should be discussed openly with your surgeon.<\/p>\n\n\n\n<p>\u201cInformation from the American Academy of Otolaryngology-Head and Neck Surgery.\u201d<\/p>\n\n\n\n<p><p class=\"site-cta\">Call <span class=\"company-name \">Nevada Ear + Sinus Institute<\/span> at <a href=\"tel:+17027357668\" class=\"phone \"> <span class=\"phNum\">(702) 735-7668<\/span><\/a> for more information or to schedule an appointment. <div class=\"nvd-cutout-icon-wrapper\"><span class=\"cut-out\"><svg class=\"logo-icon\" aria-hidden=\"true\" role=\"img\" width=\"24px\" height=\"24px\" viewbox=\"0 0 121 121\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n  <path d=\"M60.0224 5.0457e-05C37.1446 -0.0295484 16.2448 12.9653 6.15073 33.4959C-3.94338 54.0265 -1.47144 78.5124 12.5224 96.6112L34.1336 96.6112C44.3342 96.4594 52.5236 88.1463 52.5224 77.9445L52.5224 71.6667C49.1495 74.5534 44.8509 76.1309 40.4113 76.1112C32.8184 76.0795 25.9871 71.4913 23.0857 64.4745C20.1843 57.4577 21.7803 49.3849 27.1335 44L28.1336 43.0556C27.4181 42.5614 26.7487 42.0036 26.1336 41.3889C21.4572 36.2934 21.543 28.4418 26.3295 23.4497C31.1161 18.4576 38.9572 18.042 44.2447 22.5C45.371 20.0063 46.9537 17.7452 48.9113 15.8334C53.2872 11.457 59.2225 8.99837 65.4113 8.99837C71.6001 8.99837 77.5354 11.457 81.9113 15.8334C88.5853 22.5067 90.582 32.5434 86.9701 41.2629C83.3583 49.9824 74.8493 55.6674 65.4113 55.6667C63.3457 55.6701 61.2895 55.3897 59.3002 54.8334L59.3002 77.9445C59.8425 87.9037 68.0762 95.7013 78.0502 95.7013C88.0242 95.7013 96.2579 87.9037 96.8002 77.9445C97.1195 73.0262 94.6768 68.3386 90.4628 65.7826C86.2487 63.2267 80.9628 63.2267 76.7488 65.7826C72.5347 68.3386 70.092 73.0262 70.4113 77.9445C70.4113 82.1787 73.8438 85.6112 78.078 85.6112C82.3122 85.6112 85.7447 82.1787 85.7447 77.9445C85.7154 76.7602 84.7623 75.8071 83.578 75.7778C82.4031 75.808 81.4665 76.7692 81.4669 77.9445C81.4669 79.8161 79.9496 81.3334 78.078 81.3334C77.1696 81.3483 76.2933 80.9978 75.6457 80.3607C74.9981 79.7235 74.6334 78.853 74.6336 77.9445C74.6336 73.0046 78.6381 69 83.578 69C88.5179 69 92.5224 73.0046 92.5224 77.9445C92.0485 85.5896 85.71 91.5474 78.0502 91.5474C70.3904 91.5474 64.0519 85.5896 63.578 77.9445C63.1878 70.5376 66.9174 63.52 73.2748 59.6993C79.6322 55.8786 87.5793 55.8786 93.9367 59.6993C100.294 63.52 104.024 70.5376 103.634 77.9445C103.625 89.4792 95.8898 99.5781 84.7558 102.592C73.6219 105.606 61.849 100.788 56.0224 90.8334L55.9113 90.6667C55.9113 90.7223 55.8558 90.7778 55.8002 90.8334C51.3707 98.3853 43.3835 103.144 34.6335 103.444L18.6891 103.444C38.2261 122.055 67.7826 125.334 90.9243 111.46C114.066 97.5862 125.1 69.9712 117.891 43.97C110.683 17.9687 87.0045 -0.0224246 60.0224 5.0457e-05\" fill=\"currentColor\" stroke=\"none\" \/>\r\n  <path d=\"M3.45297 20.5C5.69579 22.7351 8.73107 23.9931 11.8974 24C16.7358 23.9896 21.0945 21.0745 22.952 16.6069C24.8095 12.1392 23.8022 6.99317 20.3974 3.55556L20.3974 3.55556C18.1536 1.2813 15.0922 0.000728379 11.8974 0C7.07087 0.0634513 2.74747 2.99972 0.909001 7.46284C-0.929469 11.926 0.0714571 17.0555 3.45297 20.5\" transform=\"translate(28.513916 45.277832)\" fill=\"currentColor\" stroke=\"none\" \/>\r\n  <path d=\"M10.7222 10.7222C11.8887 9.53596 12.5464 7.94146 12.5556 6.27778C12.5524 4.61291 11.8937 3.01626 10.7222 1.83333C9.53596 0.666853 7.94146 0.00912196 6.27778 0C2.81066 0 0 2.81066 0 6.27778C0 9.7449 2.81066 12.5556 6.27778 12.5556C7.94146 12.5464 9.53596 11.8887 10.7222 10.7222\" transform=\"translate(29.133545 25.888916)\" fill=\"currentColor\" stroke=\"none\" \/>\r\n  <path d=\"M4.83335 28.2481L4.83335 28.2481C10.4138 33.8435 19.171 34.7148 25.7445 30.3285C32.3181 25.9423 34.8751 17.5216 31.8505 10.2207C28.8259 2.91987 21.0629 -1.2254 13.3134 0.322223C5.5638 1.86984 -0.0115332 8.67882 1.79156e-05 16.5814C0.00641242 20.9561 1.74408 25.1505 4.83335 28.2481L4.83335 28.2481\" transform=\"translate(48.855713 15.751953)\" fill=\"currentColor\" stroke=\"none\" \/>\r\n<\/svg>\r\n<\/span><\/div><\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tonsils and adenoids&nbsp;are the body\u2019s first line of defense as part of the immune system. They \u201csample\u201d bacteria and viruses that enter the body through the mouth or nose, but they sometimes become infected. At times, they become more of a liability than an asset and may even cause airway obstruction or repeated bacterial infections&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":212,"menu_order":35,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/nesilv.com\/wp-json\/wp\/v2\/pages\/518"}],"collection":[{"href":"https:\/\/nesilv.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nesilv.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nesilv.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nesilv.com\/wp-json\/wp\/v2\/comments?post=518"}],"version-history":[{"count":0,"href":"https:\/\/nesilv.com\/wp-json\/wp\/v2\/pages\/518\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/nesilv.com\/wp-json\/wp\/v2\/pages\/212"}],"wp:attachment":[{"href":"https:\/\/nesilv.com\/wp-json\/wp\/v2\/media?parent=518"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/nesilv.com\/wp-json\/wp\/v2\/service_tags?post=518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}