Adenoid

Clinical Features:(adenoid face)

• 1)underdeveloped thin nostrils.
• 2)short upper lip.
• 3)prominent upper teeth.
• 4)crowded teeth.
• 5)narrow upper alveolus.
• 6)high-arched palate.
• 7)hypoplastic maxilla.
• 8) noring during sleep

investigation:

• 1)CBC
• 2)X-ray neck open mouth/Lateral View

Rx:

1. Tab. Clacido(Amoxicillin + Clavulanic Acid) (625mg)

• 1+0+1......7 days 

OR

Tab.Furotil (cefuroxime) (500mg) 

• 1+0+1......7 days 

2. Tab. Antazol(Xylometazoline) 0.1% /Rynex N/D

•  3 drops each nose 3 times daily ...........7 days

3. Tab. Oradin(Loratadine) (10mg)

• 0+0+1.......10 days

4. Tab. Esonix(esomeprazol) (20mg)

• 1+0+1.......10 days (30 min before meal)

Advice:

• Teach your kid to wash his or her hands thoroughly after using the toilet to wash hands before eating anything.
  
• Child must be taught to cough or sneeze into a tissue or handkerchief and to wash hands after coughing or sneezing.
  
• Ensure sufficient intake of vitamins and minerals in your child's diet. Include fresh green vegetables and fruits. 
  
• Vitamin C helps in preventing infections.
  
• Balanced diet will ensure good immunity to fight repeated cold and cough.
• Gargle with warm salt water; this will promote better blood circulation in the throat and will also relieve painful throat conditions.
  
• Keep your child away from smokers. Children who are in contact with people who smoke are at higher risk of contracting an infection.
  
• Avoid giving your child too much junk and processed food as they are high in carbohydrate content and low in proteins, which is also responsible for repeated infections.
  
• Provide comforting and warm liquids or water with honey to soothe sore throat.