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Thomas P. Connelly, D.D.S.

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Mouth Health: Does Your Child Have Bad Breath? Maybe It Is Their Adenoids

Posted: 03/05/10 01:24 PM ET

When the subject of children comes up, it usually conjures an image of youthful fun, innocence, and perhaps some broken glass (usually the result of said youthful fun and innocence). However, one thing that generally does not come to mind is the mention of a child having bad breath. But it is something that happens to many kids, and it's not just because they ate something questionable. In fact, if your child has bad breath, the reason may go deeper than you think. It might be the child's adenoids.

Most people are familiar with tonsils. What they aren't so familiar with are adenoids. The adenoids are a small clump of tissue that is located in the back of the nose. Like tonsils, they are important for the production of antibodies. While this is a definite helpful asset in combating viruses, adenoids are not as well equipped to handle today's more prolific infections. In that regard, they are largely more ineffective than effective.

When adenoids become inflamed, they will enlarge in the back of a child's mouth. This is more commonly known as adenoiditis. Due to the blockage of air in the noise, it can lead to more of a reliance on breathing through the mouth. When this happens, an inflammatory response will happen in the nasal area, which can lead to an unpleasant smelling discharge from the infected area. This is otherwise known as halitosis, and can be an embarrassing condition for a child -- especially when hanging out with their friends.

The cause of this bad breath is due to the continual collection and retention of bacteria in the throat. This is the body's way of protecting itself, but the accumulation of foul-smelling bacteria will project bad breath from the mouth. Rinsing and gargling will help eliminate the majority of any negative odors, but in the case of severely inflamed adenoids, it may simply not be enough.

Other signs of inflamed adenoids can be characterized as noisy or even temporarily stopped breathing, snoring, a runny nose, a more nasal tone in speaking, and difficulties in getting a full night's sleep.

Adenoid inflammation can also lead to middle ear infections, which can lead to a whole other source of discomfort by pressing on the Eustachian tube, a tube that connects from the middle ear to the back of the nose. Referred to as "Glue Ear," a sticky, thick fluid collects behind the eardrum that can impair a child's hearing abilities, as well as normal daily interaction with school and with other people. It seems almost an irony that this particular protection against infection can cause its own set of problems that will eventually need to be treated.

Like tonsillitis, if adenoids continue to remain inflamed, they will need medical attention. Based off of such factors as a child's age and health, and the severity and frequency of the symptoms, the doctor can initially treat the condition with antibiotics to reduce the swelling. This works, but should not be relied upon over and over again. In more prolonged cases where the symptoms persist, the adenoids will need to be surgically removed through a process called an adenoidectomy, which removes this tissue from the nose to allow for easier breathing and ease of swallowing.

As this is a minor surgery (the entire process usually takes about half an hour to perform and complete), a child may remain in the hospital for a few hours, the need a few additional days to recover. Recovery time is fairly quick, however, especially for younger children. And they get lots of ice cream (many times, tonsils and adenoids are removed together.)

As the concept of surgery can be a frightening prospect for a child, it is important to reassure them that there may be a little bit of physical discomfort and tenderness after the operation, but will eventually make them feel better overall, and they will still look okay after the procedure with no noticeable physical changes or differences in how they do things.

So, wrapping this up, while kids are known to be hardy and resourceful when it comes to their health, not all conditions go away on their own or through the help of medicines. If a child is complaining about difficulty in breathing, an earache, or their breath has an unusually strong odor, it may be the initial signs of a larger problem at hand. Fortunately, monitoring a situation and acting quickly on providing a solution can go a long way in providing relief. And if all else fails, a minor and fast surgical procedure can permanently remove the problem from even reoccurring, and result in a happier child in the process (while protecting them from infections, bad breath, and teasing from Knuckles, the local bully).

 

Follow Thomas P. Connelly, D.D.S. on Twitter: www.twitter.com/dr_connelly

When the subject of children comes up, it usually conjures an image of youthful fun, innocence, and perhaps some broken glass (usually the result of said youthful fun and innocence). However, one thin...
When the subject of children comes up, it usually conjures an image of youthful fun, innocence, and perhaps some broken glass (usually the result of said youthful fun and innocence). However, one thin...
 
 
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HUFFPOST SUPER USER
RMankovitz
Researcher, inventor, entrepreneur, author
09:05 PM on 03/05/2010
This article is a perfect example of what is wrong with our current medical/dental industry. Their arrogance/ignorance has now declared adenoids, a part of the immune/lymph system, to be not only superfluous, but damaging to one's health!

As a research scientist and author of several books on nature-based illness prevention, it is my opinion that children's lymph systems are being overloaded by feeding them foods that are incompatible with their evolutionary heritage. The solution is not to remove the adenoids, but to remove the offending foods.

Dairy is typically the number one offender. By some estimates, 80% of the population is either allergic to or intolerant of cow milk sugars and proteins. The major symptoms are respiratory. Other food allergy candidates are gluten (wheat, barley and rye), soy, and egg whites.

My personal protocol would be as follows:

Take the child off all dairy products (milk, cheese, butter, yogurt, ice cream) for a month and see what happens. Consider removing grains (other than rice and oats), soy, and simple sugars. Coconut milk is OK, and a bread substitute is Brown Rice Bread by Food for Life.

To treat the symptoms, I would suggest:

Use Xlear nasal spray, which prevents bacteria from sticking to tissues.

To clear up his/her gut (probably has fungal overgrowth from antibiotics), administer a probiotic such as dairy-free acidophilus.

For information on using nature as a paradigm for health, see "The Wellness Project."

Roy Mankovitz, Director
http://www.MontecitoWellness.com
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11:31 PM on 03/05/2010
I read your informative post and, thank you. However, a friend's daughter had respiratory infection after respiratory infection with strep throat thrown in on occasion. They elected to have her adenoids out and within 2 weeks, they had a completely different child. She had always been moody and didn't sleep well. After her surgery, she started sleeping through the night for the first time in 9 years. She was more patient, pleasant and so much happier even casual acquaintenances noticed the difference.

Maybe following your guidelines would have helped but they really thought they had tried every option before surgery. They had no idea her adenoids were causing so many problems. Imagine feeling somewhat ill all the time.

I was planning to talk to my own doctor about adenoids as I have problems myself. You have given me something to think about! You could add using a netty (sp?) pot to your suggestions. I've used one for years!
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02:13 AM on 03/08/2010
Finally some one with sense,logic and integrity to swim upstream.
LOVE YOUR MENTALITY!!!!!!

LOVE IT=)
07:17 PM on 03/05/2010
Does this happen to adults or just children? My father has a problem with halitosis but I always attributed it to his smoking.