Adenoid Hypertrophy

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It is hypertrophy of the lymphoid tissues in the nasopharynx; presenting with mouth breathing, snoring and otitis media with effusion. It is reported mainly in children.

Investigations:

• Nasopharynx lateral view X-ray.

Pharmacological treatment

Cetirizine oral

Adult:

10mg nocte for 2 weeks.

Child:

5mg nocte for 2 weeks

AND

Normal saline (sodium chloride 0.9%) nasal spray/drops every 4 hours for 2 weeks

AND

Phenoxymethylpenicillin oral

Adult:

500mg every 8 hours for 7 days.

Child:

up to 5 years: 6 mg/kg every 6 hours for 10 days

OR

Azithromycin oral

500mg once daily for 3 days

Child: 10mg/kg once daily for 3 days

OR

Amoxicillin/clavulanic acid oral

Adult:

625mg (500mg amoxicillin+125mg Clavulanic acid) every 8 hours for 7 days

Child:

375mg (250mg amoxicillin+ 125 Clavulanic acid) every 12 hours for 7 days;

AND

Paracetamol oral until fever is controlled

Adult:

1gm every 8 hours

Child:

10 mg/kg body weight every 8 hours