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Enlarged Adenoids

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Q: We will be taking our 3-year-old daughter to an ear, nose, and throat specialist. She is a noisy sleeper, has some apnea and a lot of night awakenings, and is a mouth breather and drooler. Her speech seems delayed. She says about 90 words (but not clearly) and puts two words together. Do enlarged adenoids affect speech development and hearing?

A: One of the critical things a parent must do in the effort to seek help for a young child is to be able to describe accurately and with precision the specific behaviors that the child exhibits. It is in this way that any specialist, whether it is a medical doctor, a speech therapist, or language pathologist, can best assess the situation. As you know, a very young child cannot speak for herself, and the way she behaves in a strange office will be very unlike her normal behavior at home.

I open with this in answer to your question because it is clear that you have spent extensive time both interacting with and observing your daughter. This will go a long way in attaining for her the support or intervention she may need.

While I am not a medical specialist who can speak with expertise to a direct connection between enlarged adenoids