Chronic running nose, mouth
breathing, dry Mouth frequent infections especially of the lungs, poor appetite,
halitosis, nasal congestion, and ADHD like symptoms mainly aggression, poor
concentration, and irritability rather than to act or complain of feeling
“sleepy.”
Since OSA results from
relative narrowing of upper airway rather than the absolute size of the tonsils
and adenoids, tonsillar size Adenotonsillectomy is an effective first-line
treatment for pediatric OSA.
Failure to thrive because
of pediatric OSA is also corrected with Adenotonsillectomy and shown to
increase the height and weight of children
MISDIAGNOSING SLEEP APNEA AS ADHD
Attention deficit hyperactivity
disorder, also known as ADHD, is a common
condition diagnosed due to symptoms indicating hyperactivity, inattentiveness,
and impulsivity. Attention-deficit/hyperactivity
disorder is among the neurobehavioral sequelae associated with OSA in nearly 75 percent of children.
OSAS in
children is a similar condition to the form in adults in children.
· If left untreated,
OSAS is associated with adverse effects on growth and development, and can cause metabolic, cardiovascular and neurocognitive disease and behavioural changes in children.
· Daytime
hyperactivity.
· Cognitive deficits.
· Cardiovascular
problems - eg, hypertension, left ventricular hypertrophy, raised pulmonary
artery pressure.
· Failure to thrive.
· Association with
insulin resistance.
· Some studies have
shown that children with OSAS have greater impulsivity when crossing streets
which increases their risk of injury.
· School-aged
children are at risk of developing future obesity if they have OSAS.
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