बच्चों में भाषण, भाषा और संचार विकास: Adenoids का प्रभाव और ENT विशेषज्ञ की सलाह
डॉ. सागर राजकुवार
ENT Specialist, नाशिक, महाराष्ट्र, भारत
🌐 www.entspecialistinnashik.com
🧾 अनुक्रमणिका (Table of Contents)
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परिचय
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Speech, Language और Communication Development क्या है?
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बच्चों के भाषण विकास के महत्वपूर्ण चरण
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Adenoids क्या होते हैं?
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बढ़े हुए Adenoids भाषण को कैसे प्रभावित करते हैं?
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Adenoids निकालने के बाद आवाज़ पर क्या असर पड़ता है?
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क्या Adenoids निकालने से बोलने में सुधार होता है?
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Adenoids हटाने के दीर्घकालिक प्रभाव
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वयस्कों में Adenoid Surgery के बाद Recovery Period
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माता-पिता को कब ENT विशेषज्ञ से सलाह लेनी चाहिए?
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Disclaimer (अस्वीकरण)
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निष्कर्ष (Summary)


1️⃣ परिचय
बच्चों का बोलना, सुनना, समझना और संवाद करना एक अत्यंत संवेदनशील और जटिल प्रक्रिया है। जन्म के बाद बच्चे धीरे-धीरे आवाज़ पहचानते हैं, शब्द सीखते हैं और भावनाएँ व्यक्त करना शुरू करते हैं।
लेकिन कुछ चिकित्सकीय कारणों से यह प्रक्रिया बाधित हो सकती है। बढ़े हुए Adenoids (Adenoid Hypertrophy) बच्चों में भाषण और संचार विकास में रुकावट का एक महत्वपूर्ण कारण हो सकते हैं।
2️⃣ Speech, Language और Communication Development क्या है?
Speech, Language and Communication Development का अर्थ है –
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Speech (भाषण): शब्दों का उच्चारण, आवाज़ की स्पष्टता
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Language (भाषा): शब्दों का अर्थ समझना, वाक्य बनाना
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Communication (संचार): शब्दों, हाव-भाव और संकेतों के माध्यम से भावनाएँ व्यक्त करना
ये तीनों तत्व आपस में जुड़े हुए हैं और बच्चे की शैक्षणिक प्रगति, आत्मविश्वास और सामाजिक विकास के लिए अत्यंत आवश्यक हैं।
3️⃣ बच्चों के भाषण विकास के महत्वपूर्ण चरण
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6 महीने: बड़बड़ाना
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1 वर्ष: सरल शब्द (माँ, पापा)
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2 वर्ष: दो शब्दों के वाक्य
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3–4 वर्ष: स्पष्ट वाक्य संरचना
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5 वर्ष: अधिकांश ध्वनियों का सही उच्चारण
👉 यदि इन चरणों में देरी दिखाई दे, तो किसी चिकित्सकीय कारण की जाँच आवश्यक होती है।
4️⃣ Adenoids क्या होते हैं?
Adenoids नाक के पीछे स्थित lymphoid tissue होते हैं।
ये शरीर की immune system का हिस्सा होते हैं और छोटे बच्चों में संक्रमण से लड़ने में मदद करते हैं।
सामान्यतः 5–6 वर्ष की उम्र तक Adenoids बड़े होते हैं, लेकिन कभी-कभी ये आवश्यकता से अधिक बढ़ जाते हैं और समस्याएँ उत्पन्न करते हैं।
5️⃣ बढ़े हुए Adenoids भाषण को कैसे प्रभावित करते हैं?
बढ़े हुए Adenoids नाक के रास्ते को अवरुद्ध कर देते हैं, जिसके कारण –
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बच्चा मुँह से साँस लेने लगता है
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आवाज़ नासिक (nasal voice) हो जाती है
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“स”, “श”, “थ” जैसी ध्वनियों का उच्चारण बिगड़ता है
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बोलने में स्पष्टता कम हो जाती है
यदि समय पर उपचार न किया जाए, तो Speech Development में देरी हो सकती है।
6️⃣ Adenoids निकालने के बाद आवाज़ पर क्या असर पड़ता है?
यह माता-पिता द्वारा सबसे अधिक पूछा जाने वाला प्रश्न है।
✔️ संक्षिप्त उत्तर:
➡️ आवाज़ पर कोई स्थायी नकारात्मक प्रभाव नहीं पड़ता
Surgery के बाद कुछ दिनों तक –
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आवाज़ में हल्का बदलाव
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नाक से हवा के प्रवाह की आदत में परिवर्तन
लेकिन आमतौर पर 2–4 सप्ताह में आवाज़ पूरी तरह सामान्य हो जाती है।
Research के अनुसार pitch, volume या vocal cord vibration पर कोई दीर्घकालिक असर नहीं पड़ता।
7️⃣ क्या Adenoids निकालने से बोलने में सुधार होता है?
✔️ हाँ, अधिकांश मामलों में स्पष्ट सुधार देखा जाता है।
Surgery के बाद –
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नाक से साँस लेना बेहतर होता है
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मुँह से साँस लेने की आदत कम होती है
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शब्दों का उच्चारण स्पष्ट होता है
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बच्चे का आत्मविश्वास बढ़ता है
अधिकांश माता-पिता 2–3 महीनों में बच्चे की communication skills में स्पष्ट सुधार देखते हैं।
8️⃣ Adenoids हटाने के दीर्घकालिक प्रभाव
कई माता-पिता को डर होता है कि Adenoids निकालने से immunity कम हो जाएगी।
👉 Medical studies के अनुसार:
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शरीर के अन्य lymphoid tissues इस कमी की पूर्ति कर लेते हैं
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immunity पर कोई दीर्घकालिक नकारात्मक प्रभाव नहीं पड़ता
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चेहरे की वृद्धि, फेफड़ों की कार्यक्षमता और संपूर्ण स्वास्थ्य सुरक्षित रहता है
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Adenoids दोबारा बढ़ने की संभावना बहुत कम होती है
9️⃣ वयस्कों में Adenoid Surgery के बाद Recovery Period
वयस्कों में recovery थोड़ी अधिक समय ले सकती है –
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1–2 सप्ताह: दर्द और सूजन
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2 सप्ताह: ऑफिस का काम शुरू किया जा सकता है
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3–4 सप्ताह: आवाज़ पूरी तरह सामान्य
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6 सप्ताह: पूर्ण recovery
इस दौरान धूम्रपान, धूल, बहुत गर्म या ठंडा भोजन टालना आवश्यक होता है।
🔟 माता-पिता को कब ENT विशेषज्ञ से सलाह लेनी चाहिए?
यदि बच्चे में निम्न लक्षण दिखाई दें, तो तुरंत ENT Doctor से संपर्क करें –
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बच्चा हमेशा मुँह खोलकर साँस लेता हो
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जोर से खर्राटे या नींद में साँस रुकना
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बोलने में अस्पष्टता
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बार-बार सर्दी या कान का संक्रमण
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भाषण विकास में देरी
✅ FAQ
❓ FAQ 1:
क्या बढ़े हुए Adenoids से बच्चों के बोलने पर असर पड़ता है?
✔️ हाँ, बढ़े हुए Adenoids नाक बंद कर देते हैं जिससे आवाज़ नासिक हो जाती है और उच्चारण स्पष्ट नहीं रहता।
❓ FAQ 2:
क्या Adenoids निकालने से आवाज़ खराब हो जाती है?
❌ नहीं, Adenoid surgery के बाद आवाज़ पर कोई स्थायी नकारात्मक प्रभाव नहीं पड़ता।
❓ FAQ 3:
Adenoid surgery के बाद बोलने में सुधार होता है क्या?
✔️ हाँ, अधिकतर बच्चों में 2–3 महीनों में बोलने की स्पष्टता और आत्मविश्वास बढ़ता है।
❓ FAQ 4:
Adenoids निकालने से immunity कमजोर होती है क्या?
❌ नहीं, शरीर के अन्य immune tissues इसकी भरपाई कर लेते हैं।
❓ FAQ 5:
बच्चों को ENT डॉक्टर को कब दिखाना चाहिए?
👉 जब बच्चा मुँह से साँस ले, खर्राटे ले, बार-बार सर्दी हो या बोलने में देरी हो।
🔚 निष्कर्ष (Summary)
बढ़े हुए Adenoids बच्चों के Speech, Language और Communication Development पर गंभीर प्रभाव डाल सकते हैं।
समय पर ENT विशेषज्ञ द्वारा जाँच और आवश्यकता पड़ने पर Surgery कराने से –
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बोलने की स्पष्टता बढ़ती है
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आत्मविश्वास विकसित होता है
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शैक्षणिक और सामाजिक विकास बेहतर होता है
Adenoid removal एक सुरक्षित, प्रभावी और दीर्घकालिक लाभ देने वाली प्रक्रिया है, जिससे आवाज़, immunity या शारीरिक विकास पर कोई नकारात्मक प्रभाव नहीं पड़ता।
📌 स्वास्थ्य से जुड़े लेख और वीडियो के लिए:
🔹 Facebook: https://www.facebook.com/positivemind.healthcare
🔹 YouTube: http://www.youtube.com/@healthuseful8539/
⚠️ Disclaimer (अस्वीकरण)
कुछ लोग इंटरनेट पर उपलब्ध जानकारी के आधार पर स्वयं इलाज करने की कोशिश करते हैं, जो खतरनाक हो सकता है।
यह लेख केवल शैक्षणिक और जानकारी के उद्देश्य से लिखा गया है।
👉 स्व-उपचार न करें।
किसी भी समस्या में हमेशा योग्य ENT विशेषज्ञ की सलाह लें।
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-FOR INFORMATION IN GREAT DETAIL Shrink Your Toddler’s Adenoids Without Surgery – Proven Tips That Work PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL How to Help a Child Sleep Better with Enlarged Adenoids: Expert Tips for Parents PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “Enlarged Adenoids in Children: Symptoms That Look Harmless But Aren’t” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Is Drooling Normal After Adenoidectomy? Causes, Recovery & When to Worry PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “Adenoidectomy Infection: Warning Signs You Should Never Ignore” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “What Is the Success Rate of Adenoid Removal? Facts Every Parent Must Know!” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “Is Adenoid Surgery Safe? What Every Parent Should Know in 2025” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Is Removing Adenoids a Good Idea? Benefits, Risks & Expert Insights PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “What Happens If Adenoids Are Not Removed? Doctor Explains” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “Adenoid Cystic Carcinoma Symptoms: Early Warning Signs You Shouldn’t Ignore” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL ✨ Do Kids Sleep Better After Adenoid Removal? The Truth Every Parent Must Know! PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “Can My Child Swim After Adenoidectomy? Safe Recovery Tips for Parents” The Truth Every Parent Must Know! PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Can Removing Adenoids Affect Behavior? Surprising Facts for Parents PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Adenoids and Speech Delay: What Parents Shouldn’t Ignore PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL ✨ How to Prevent Adenoid Problems in Your Child: Expert Tips Every Parent Should Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Adenoids vs. Allergies: What Doctors Want You to Understand PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Are Adenoid Problems Genetic? What Every Parent Needs to Know About Family Risk PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “Can Food Get Stuck in Your Adenoids? ENT Explains the Hidden Truth” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Do Adenoids Affect the Brain? Hidden Impacts Every Parent Should Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL How to Keep Adenoids Healthy Naturally: 12 Expert Tips by an ENT Specialist PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Severe Headache After Adenoidectomy: Normal or Dangerous? PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Does Removing Adenoids Improve Hearing? ENT Expert Explains PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Do You Get Sick More Without Adenoids? The Truth by ENT Specialist PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Adenoids Removed but Still Snoring? Here’s What Might Be Going On PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL How Doctors Check Adenoids: Inside the ENT Process Explained Clearly PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL At What Age Are Adenoids Most Active? Every Parent Should Know This! PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Can Adenoids Grow Back in Adults? The Truth You Need to Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “How Much Does an Adenoid X-Ray Cost? Complete Guide to Prices, Insurance & Tests” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Cefuroxime and Adenoid Infections: Effective or Not? PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Can Adenoids Cause Low Oxygen Levels? ENT Explains PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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