Otago Daily Times

Boosting immunity key to fixing tonsil, adenoid issues

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ENLARGED tonsils and adenoids are common problems for children all year round, but these types of issues can be worsened in the cooler months when there are more infections present. If this is a reoccurrin­g issue, the general solution is simply removing the tonsils and adenoids. However, this doesn’t address the underlying cause.

What is the function of the tonsils and adenoids?

The tonsils produce white blood cells and antibodies to fight infections. The adenoids also help to fight off infections and maintain a strong immune system. These both reduce in size postpubert­y, suggesting they play an important role in a developing immune system. There are many issues linked to enlarged tonsils and adenoids including:

Ear infections, glue ear, sore throats and tonsilliti­s.

Sleep issues, ranging from snoring to sleep apnoea, grinding teeth, sleeptalki­ng, sleepwalki­ng or a generally restless sleep.

Speech delay.

Problems with learning, concentrat­ion and behaviour.

Fussy eating

As a naturopath, there are some main steps to consider when working with swollen tonsils and adenoids.

1. Determine the cause of inflammati­on, i.e. food intoleranc­es, environmen­tal allergies. A dairyfree diet will often be trialled but this should be done under the guidance of a naturopath/nutritioni­st or dietitian. Environmen­t also needs to be explored — damp homes, mould and dust can all drive inflammati­on in the body.

2. Build immune tolerance. By supporting the immune system, you can help your child to tolerate a variety of food and

environmen­tal substances without it leading to inflammati­on. Probiotics (supplement­ed beneficial bacteria) to support gut health and playing in nature and, specifical­ly, soil can be beneficial. Unfortunat­ely, antibiotic­s clear out the ‘‘good’’ and ‘‘bad’’ bugs, negatively impacting this balance, so

Fish broth

Also contains gelatin. Cook for only about 30 minutes to 1 hour

Vegetable Broth

Do not contain gelatin, but still contain the vitamins and minerals from the vegetables, plus the medicinal qualities of the plant, e.g. immune supporting mushrooms and garlic, antiinflam­matory turmeric and ginger. They usually cook between 6090 minutes.

following any course of antibiotic­s with a probiotic is recommende­d. Herbs such as thyme and marshmallo­w are often recommende­d. Being out in the sun and fresh air, with ears covered, can be helpful. Vitamin D, made when the sun is directly on skin in the summer months is especially important for immune tolerance. About 10 minutes a day, early in the morning can be enough for most kids.

3. Heal the gut. It is important to reduce inflammati­on by healing the gut. This often means reducing inflammato­ry foods such as gluten/dairy and sugar and exploring additives such as emulsifier­s. Gelatin, bone broth (see info below), collagen, slippery elm, zinc and glutamine are often used to support gut integrity for wellbeing. Again, this is best with the support of a trained profession­al in nutrition.

Assessing oral function is also important. Enlarged tonsils can cause children to become mouth breathers, which is turn can increase local inflammati­on.

Mouth breathing can also be problemati­c for sleep issues, including bed wetting. An oral myofascial therapist is the health profession­al who is trained in this area.

Broth overview

What is a broth? A flavourful liquid prepared by simmering the bones of meat, poultry, fish and or vegetables in liquid (usually water) with aromatics (herbs or spices) until their flavour is extracted. Broths and stocks are very similar — stocks are usually cooked for a shorter period and used as a base in cooking; broths are typically cooked longer to extract the gelatin and may contain other nutrientri­ch ingredient­s, for health benefits. If you have a particular­ly allergenic child, i. e. eczema, use a pressure cooker to make broth, in order to reduce the histamine content. You can boost your broth with the addition of shiitake mushrooms, garlic, ginger, turmeric or seaweeds, which all have further immunesupp­orting activity.

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