Doctor Warns Adenoiditis Affects Millions Of Children Worldwide
Adenoiditis Remains Common Childhood Health Challenge
A medical expert has warned that adenoiditis remains one of the common health conditions affecting children globally, with an estimated one to five per cent of children experiencing the disorder at some point during their early years.
Speaking in Lagos, paediatrician and Medical Director of Emel Hospital, FESTAC, Dr. Leo Odudu, explained that the condition is most prevalent among children between the ages of two and six, a period when the body’s immune system is still developing and responding to environmental exposures.
According to him, adenoiditis encompasses two related conditions—adenoidal hypertrophy, which involves enlargement of the adenoids, and adenotonsillitis, an inflammation or infection affecting both the adenoids and tonsils.
Understanding the Role of the Adenoids
Dr. Odudu explained that adenoids form part of the body’s lymphoid tissue and play a significant role in protecting the upper respiratory tract from harmful organisms.
However, when the adenoids become enlarged, they can obstruct normal airflow, making breathing difficult and causing a range of health complications.
He noted that adenotonsillitis is commonly triggered by viral or bacterial infections inhaled from the environment, while adenoidal hypertrophy often develops after repeated irritation of the upper airway. Children suffering from allergic rhinitis are particularly vulnerable to this condition.
Symptoms Often Worse at Night
The paediatrician identified common symptoms of adenoiditis as persistent catarrh, coughing, fever and noisy breathing.
In more severe cases, enlarged adenoids can result in mouth breathing, snoring and significant airway obstruction, particularly during sleep.
“The symptoms are usually more pronounced at night and during the early hours of the morning,” he said.
To determine the exact cause, doctors typically rely on clinical evaluation supported by laboratory tests. Blood investigations can help establish whether an infection is bacterial or viral, while X-rays of the postnasal space can reveal airway blockage associated with enlarged adenoids.
Early Treatment Can Prevent Serious Complications
Dr. Odudu cautioned that untreated adenotonsillitis may progress into more serious medical conditions, including chronic sinus infections and persistent bad breath.
In rare but severe cases, infections may spread beyond the respiratory tract and affect the brain, particularly in vulnerable children.
He explained that bacterial infections are usually treated with antibiotics, while viral infections require supportive care. Antihistamines and mild steroid medications may also help reduce adenoidal enlargement and improve breathing.
The specialist advised parents to prioritise hygiene, provide balanced nutrition and identify environmental triggers capable of provoking allergic reactions.
For children experiencing repeated episodes that significantly affect their wellbeing and daily activities, he said surgical intervention may become necessary to improve long-term health outcomes.
