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    "Melatrol Natural Sleep Aid"

    Obstructive Sleep Apnea and Tonsils

    Obstructive sleep apnea in normal children is almost always
    caused by  enlarged (hypertrophic) tonsils and adenoids).
    These children will display the  typical sleeping patterns of
    sleep apnea. They have loud snoring, frequent  pauses with
    breathing at night, frequent awakening from sleep, restless sleep,  
    nightmares, and bed wetting (enuresis). During the daytime, these
    children are  mouth breathers, may have excessive daytime
    sleepiness, and poor school  performance.

    Other more rare causes of sleep apnea include any congenital
    (present from  birth) or acquired cause of upper airway obstruction.

    The treatment of obstructive sleep apnea is directed to the cause
    of the  obstruction.

    As noted above, most cases of obstructive sleep apnea in children
    is caused  by enlarged tonsils and adenoids. Surgical interventions
    are therefore directed  to what is causing the obstruction. In the case
    of enlarged tonsils and  adenoids, tonsillectomy and adenoidectomy
    is usually successful in relieving the  problem. If the problem is not the
    tonsils and adenoids, the cause of the  obstruction must be determined.
    For example, surgery of the jaw may be required.  In some cases, even
    a tracheotomy is necessary. Non-surgical therapies include  oral prostheses
    (difficult in children), medications (steroids, stimulants), and  weight reduction.

    In almost every case of obstructive sleep apnea in children who do not have  
    unusual anatomic problems, tonsillectomy and adenoidectomy is a safe and  e
    ffective treatment, and is highly recommended.


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