Children are highly susceptible to ear, nose, and throat (ENT) infections due to their developing immune systems and smaller airways. Conditions such as ear infections, tonsillitis, sinusitis, and adenoid issues can cause discomfort, affect breathing, and even lead to speech or hearing problems if left untreated.

Early diagnosis and proper medical intervention can prevent complications and ensure healthy development. This article explores common ENT problems in children, their causes, symptoms, and treatment options.

1. Ear Infections (Otitis Media)

Ear infections are among the most common ENT issues in children, often occurring after colds or respiratory infections.

✔️ Causes: Bacterial or viral infections that lead to fluid build-up behind the eardrum.
✔️ Symptoms:
• Ear pain or tugging at the ear
• Difficulty hearing
• Fever and irritability
• Fluid drainage from the ear

✔️ Treatment:
• Mild cases often clear up on their own.
Antibiotics are prescribed if the infection is bacterial.
• If infections are recurrent, ear tubes may be recommended to improve drainage.

👂 Preventive Tip: Encourage breastfeeding, maintain good hygiene, and avoid secondhand smoke to lower the risk of ear infections.

2. Tonsillitis & Sore Throat

Tonsillitis is the inflammation of the tonsils caused by viral or bacterial infections (such as Streptococcus bacteria in strep throat).

✔️ Causes: Viral infections (common cold, flu) or bacterial infections (strep throat).
✔️ Symptoms:
• Sore throat and difficulty swallowing
• Swollen, red tonsils with white spots
• Fever and bad breath
• Hoarseness or loss of voice

✔️ Treatment:
Antibiotics (only for bacterial infections like strep throat).
Warm fluids, saltwater gargles, and pain relievers for symptom relief.
Tonsillectomy (surgical removal of tonsils) if the child has frequent infections or difficulty breathing.

🗣️ Preventive Tip: Encourage handwashing and good hygiene to prevent the spread of infections.

3. Sinusitis (Sinus Infection)

Sinus infections occur when mucus build-up and inflammation block the sinuses, leading to bacterial or viral infections.

✔️ Causes: Common colds, allergies, bacterial infections, or exposure to pollutants.
✔️ Symptoms:
• Stuffy or runny nose with thick yellow/green mucus
• Facial pain and headaches
• Bad breath and postnasal drip
• Persistent cough, especially at night

✔️ Treatment:
Saline nasal sprays help clear mucus.
Steam inhalation reduces congestion.
Antibiotics if symptoms persist beyond 10 days.

👃 Preventive Tip: Keep your child hydrated, avoid irritants (like smoke and dust), and use a humidifier in dry environments.

4. Enlarged Adenoids

Adenoids are small glands in the throat that help fight infections but can become enlarged due to chronic infections or allergies.

✔️ Causes: Repeated infections, allergies, or genetic factors.
✔️ Symptoms:
Mouth breathing and nasal congestion
Snoring and sleep apnea
Frequent ear infections
Chronic runny nose

✔️ Treatment:
Antibiotics or nasal sprays may help.
Adenoidectomy (surgical removal) is recommended if the child has persistent breathing issues or sleep problems.

😴 Preventive Tip: Watch for snoring, restless sleep, or difficulty breathing and consult an ENT specialist if symptoms persist.

5. Allergic Rhinitis (Hay Fever)

Allergic rhinitis occurs when a child’s immune system reacts to allergens like pollen, dust, mold, or pet dander.

✔️ Causes: Overactive immune response to common allergens.
✔️ Symptoms:
• Constant sneezing and runny nose
Nasal congestion and itchy eyes
Dark circles under the eyes (allergic shiners)
Postnasal drip leading to cough

✔️ Treatment:
Antihistamines help reduce symptoms.
Allergy testing identifies triggers.
Nasal corticosteroids reduce inflammation.

🤧 Preventive Tip: Use air purifiers, wash bedding frequently, and keep windows closed during allergy season.

6. Glue Ear (Otitis Media with Effusion)

Glue ear occurs when fluid builds up behind the eardrum after an ear infection, affecting hearing.

✔️ Causes: Recurrent ear infections, allergies, or exposure to second-hand smoke.
✔️ Symptoms:
Mild hearing loss or muffled sounds
Speech delay in young children
Balance problems

✔️ Treatment:
Most cases resolve naturally in a few months.
Myringotomy (ear tube surgery) is needed for persistent cases.

👂 Preventive Tip: Regular hearing check-ups can detect glue ear early and prevent speech delays.

When to See a Paediatric ENT Specialist?

Parents should consult an ENT specialist if their child experiences:

✔️ Persistent ear pain, hearing loss, or fluid drainage.
✔️ Frequent sore throats, tonsillitis, or difficulty swallowing.
✔️ Chronic nasal congestion, snoring, or mouth breathing.
✔️ Delayed speech development or trouble hearing sounds.

Timely diagnosis can prevent complications and improve your child’s quality of life.

Common ENT problems in children can significantly impact their health, speech, hearing, and daily activities. Early intervention, lifestyle adjustments, and medical treatment can help manage these conditions effectively.

📢 If your child experiences persistent ENT issues, consult a paediatric ENT specialist in Kolkata today for expert care!