Posts tagged tonsillectomy
There are many times when both children and adults will experience the condition commonly known as a sore throat, which is characterized by swallowing difficulties, and a painful sensation in the throat itself. This is often due to a cold or some other virus, but there’s also a possibility that you may be experiencing tonsillitis.
Tonsils can become infected by pre-existing viruses or bacteria, and when that happens, they generally become enlarged and cause you to feel a sore throat, possibly a fever, and most likely some difficulty with swallowing. When you have at least five episodes of tonsillitis annually, this is considered a chronic condition.
If tonsils become enlarged for any reason, they can block the airway whenever you’re reclining or trying to go to sleep. This can bring on the condition known as sleep apnea, which can be a dangerous thing all on its own – someone with sleep apnea may experience as many as 50 stoppages of breathing during the course of a night.
In some rare cases, it’s even possible for tonsils to become cancerous, and in that kind of situation, surgery is definitely indicated to remove the tonsils. However, there may be other times as well when removal of your tonsils can be a beneficial thing, as the discussion below will bear out.
When Tonsils Should be Removed
There are two primary reasons why you should consider a tonsillectomy. The first of these is that you have chronic sleep apnea which significantly disrupts your sleep. The other warning sign which may indicate a tonsillectomy is that you’re experiencing recurrent tonsillitis, triggered by strep throat for instance, or some other kind of infection.
There are less common triggers for removal of your tonsils as well, those being the presence of abscesses or tumors. Tonsillectomy is indicated far more often in youngsters than in adults, simply because children generally have less robust immune systems than adults, and they are less well-equipped to fight off viruses and infections.
Historically, removal of the tonsils has led to significantly reduced occurrences of infection for those people who have a chronic history of tonsillitis. Since tonsils don’t provide any really critical function to the body, there are no long-term ill effects which accrue to someone who has them removed, and the recovery time associated with having a tonsillectomy performed is relatively low.
Symptoms of Tonsillitis
As mentioned previously, the primary symptoms of tonsillitis include a painful sore throat, usually on one side or the other. Although this won’t be externally visible, the tonsils also appear to be inflamed and may secrete pus. Someone bothered by tonsillitis may also have difficulty with swallowing, bleeding spots on the tonsils, a runny nose or stuffy nose, a high fever, and swollen lymph nodes in the neck.
When tonsillitis becomes chronic, you may experience seven or more infections in the same year, or at least five infections per year in back-to-back years, or at least three infections annually for a period of three years. This is the medical definition of chronic infection for tonsillitis, but if it seems to you that you’re constantly dealing with the effects of inflamed tonsils, you won’t need to compare your condition to the detailed medical definition.
Both children and adults will experience the same indications for tonsillitis, but adults are far less prone to the condition because as people grow older, tonsils will generally shrink in size, and become much less susceptible to infection.
When Enlarged Tonsils Become Dangerous
One of the most common harmful effects of tonsillitis is that it can trigger sleep apnea, which in turn causes abnormal breathing during rest periods. Children are particularly affected by this, and when they are bothered by sleep apnea, it is generally be manifested as hyperactivity during the waking hours of the day.
Some symptoms which are not quite so apparent are when a strain on the heart or lungs develops. There can also be a hormonal disruption in children, which can promote obesity. While these conditions may be difficult to diagnose on their own, when tonsillitis is suspected and sleep apnea is involved, it’s much easier to associate any other symptoms with their true cause.
How Do Adults and Children Benefit from Tonsillectomy?
Children benefit more frequently from having their tonsils removed than do adults, primarily because children are afflicted more often than older people are by tonsillitis. That means there are more cases of sleep apnea and chronic tonsillitis in young people than there are in adults. Children can definitely benefit by having their tonsils removed when either chronic tonsillitis is involved, or when the condition has led to sleep apnea.
However, adults may also benefit from tonsillectomies under certain conditions. If an adult should be troubled by sleep apnea, or by the same chronic sore throats that a youngster might, there is a definite possibility that they would enjoy improved sleep and a better quality of life by having their tonsils removed.
Of course, it should be remembered that, as with any other kind of surgery, there are certain risks involved with having your tonsils removed. When surgery becomes a possibility, you should discuss the situation thoroughly with your family doctor, and then consider the risks versus the rewards to be obtained by tonsillectomy.
Acupuncture After Tonsillectomy: A Safe Alternative to Treat Pain in Children After Tonsillectomy
For thousands, having their tonsils removed is one event that can disrupt the pleasant carefree spirit of childhood, albeit temporarily. It is a very common procedure, though not one that is embraced by both parents and children alike as it can bring about great discomfort and pain. While it does bring relief in the long run, recovery time after surgery can be unpleasant. Prescribing codeine used to be the standard to combat pain and discomfort. As of early last year, the FDA banned codeine for this purpose. Other pain-relieving alternatives have to be sought, and acupuncture after tonsillectomy may be a viable option for children.
It was ascertained that codeine could cause severe complications when used for pain management after a tonsillectomy in children, and hence the FDA ban. Physicians have been trying to find an adequate replacement to ease postsurgical pain in children. One ENT specialist discovered that acupuncture is a safe, easy, and affordable solution. A trial including 31 children of varying ages found that acupuncture relieved symptoms almost immediately. Upon following up with parents, it was also noted that the treatment lasted more than two days. The use of an alternative drug-free therapy over a narcotic has its appeal, especially when it comes to younger children.
In the past, over-the-counter pain relieving medications, such as ibuprofen, have been used to ease post-surgery pain in children but with little success as they can cause severe complications in very young patients. Finding a safe alternative that is just as effective is something many in the ENT field are excited about. Similar studies are underway to help determine if acupuncture would have the same results in children undergoing other types of surgery as well. In the meantime, physicians will continue to take advantage of these findings and employ them when it comes to their smallest patients and mindfully recommend acupuncture after tonsillectomy to parents.
Not Just a Procedure for Children: The Benefits of Tonsillectomy in Adults
Some children are prone to sore throats, strep throat, and tonsillitis. At times, these types of conditions are frequent enough that they warrant a tonsillectomy. This can prove to be a blessing for children as it brings much wanted relief. What about adults? A percentage of the adult population complains of frequent and painful sore throat. Missing days from work and school accumulate, and overall quality of life can be hindered. Is tonsillectomy for adults a reasonable solution to the problems experienced? An independent study was done that may shed some light on the topic.
European researchers found a group of individuals willing to participate in the study. Eighty-six patients who complained of frequent sore throat were closely studied. Forty-six of these participants elected to have a tonsillectomy. The others were part of the control group. Follow-up after the procedure was done at five months. Seeing as the patients chose to undergo surgery, the results may reflect a bias. Nevertheless, researchers are certain there was an overall improvement in condition.
For those who had their tonsils removed, only one complaint of a sore throat was made. When compared to the control group, where 80 percent complained of a sore throat at some point within those five months, there is a marked difference. Those who opted to have the tonsillectomy also showed improved numbers when it came to the amount of days from work and school missed.
While a tonsillectomy may be mostly associated with juvenile-associated sore throat, there is a slight advantage to opting for the procedure later on in life. For those adults who suffer from chronic pharyngitis or sore throat, this may be the help they have been looking for. Being a unique study, researchers intend to look a bit further into tonsillectomy for adults later in life.