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By ULY CLINIC

 

Adenoid Hypertrophy

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Introduction

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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.

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Investigations:

  • Nasopharynx lateral view X-ray. 

 

Pharmacological Treatment: 

 

  • Adult: Cetrizine (PO) 10mg nocte for 2 weeks. Children: 5mg nocte for 2 weeks     

AND 

  • Normal saline (Sodium chloride 0.9%) nasal spray/drops 4 hourly for 2 weeks     

AND 

  • Phenoxymethylpenicillin (PO) 500mg 8 hourly for 7 days. Children up to 5 years: 6 mg/kg 6 hourly for 10 days   

 OR

  • Adult: Azithromycin (PO) 500mg once daily for 3 days. Children: 10mg/kg once daily for 3 days     

OR

  • Amoxicillin+Clavulanic acid (PO) Adults: 625mg (500mg amoxicillin+125mg Clavulanic acid) 8 hourly for 7 days  Children: 375mg (250mg amoxicillin+ 125 Clavulanic acid) 12 hourly for 7 days;     

AND

  • Paracetamol (PO) 1gm 8 hourly until fever is controlled:  Children 10 mg/kg body weight 8 hourly until fever is controlled  

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Updated on, 31.10.2020

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References

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1. STG 

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