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ADHD in Children. Or is it Snoring? –Part II

By Current News 25,943 Comments

By Dr Murray Grossan

Some children with severe snoring show poor growth. This can occur because the nose and throat are obstructed so that eating is tasteless and uncomfortable. Recall when your nose is plugged; the savory hamburger has no real taste because you can’t smell it with a plugged up nose. Worse, continued snoring can change the physiology and make snoring worse. For example, obstructive snoring can develop into acid reflux.  It can even affect the shape of the chest.

Note that when a child snores from age 4 to 5, that is about 20% of her entire life span; the important part in growing and learning. Constant mouth breathing can effect the jaw/face development and may necessitate the need for orthodonture.

At Tower E.N.T. we have  heard this scenario for years: “Before she snored, she was sweet, laughing, with nice breath. Now she doesn’t smile, she is cranky, inattentive, tired and sleepy. She is not thriving. Teachers complain of her poor work.”

For the snoring child, therapy consists of reducing nasal blockage and reducing blockage from enlarged tonsils and adenoids. Typically:

Judy S. age 6 was seen because of snoring, and poor appetite. Mother described her being cranky and falling asleep in class. On examination she showed sinus infection and enlarged adenoids. She was placed on Hydro Pulse™ Sinus  irrigation and Clear.ease lozenges.  Her nasal blockage cleared and her adenoids shrank so she no longer had any sleep breathing problem.

William age five was seen for snoring and occasional wheezing. He showed nasal blockage and enlarged adenoids. Nasal tissue showed allergy. He was positive to dust and pollen on skin tests; he was given allergy desensitization. His allergy cleared and so did his snoring. His behavior problems also cleared.

Diagnosing obstructive breathing in sleep can be done by thorough ear nose and throat examination and careful history. Clearing a sinus infection allows the adenoids to shrink.

Often parents are told not to worry about the child who snores, since they will outgrow this. At Tower E.N.T. we feel that each case must be treated for best health. This is why we take a full history and evaluate the whole child.

ADHD in Children. Or is it Snoring?–Part I

By Current News 29,853 Comments

By Dr Murray Grossan

Recent studies have pointed to behavior problems, inattention, and crankiness in children as part of the ADHD syndrome (Attention Deficit Hyperactivity Disorder.)  However these behaviors are also seen in children who snore. Even among children expertly diagnosed ADHD, some cleared up their ADHD when the snoring was relieved.

In E.N.T. practice, it is common to see a child who snores and doesn’t sleep well. They are cranky and inattentive, fall asleep in class and don’t smile much. When the snoring is cleared, many of those problems clear up.

In one study, after tonsillectomy and adenoidectomy done for snoring and mouth breathing, 50% of the children who were diagnosed ADHD before surgery, no longer had symptoms.
Thus, a child with loud snoring that exhibits ADHD type behavior may be simply sleep deprived and may recover when the sleep problem is corrected, even when the tests are positive for this diagnosis!

Snoring in children has been a concern for years. Snoring may be a sign of obstructive sleep disorder, where the breathing passage is blocked and less air/oxygen gets to the body.

Occasional snoring due to a cold is not a problem. Of concern is the constant loud snoring, the child that gasps for breath in sleep, or the periods when the breathing actually stops in sleep.

Common causes of snoring include:
•    Allergy
•    Sinus infection
•    Enlarged adenoids
•    Enlarged tonsils
•    Acid reflux

The snoring child who doesn’t get good sleep often shows:
•    Irritability
•    Unpleasant breath
•    Poor attention
•    School difficulty
•    Poor growth
•    Poor appetite
•    Crankiness
•    Inadequate physical activity
•    Fall asleep in daytime

We’ll have more on this next week. Enjoy the holiday!