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ild's post-nasal pharynx. The little fellow's face is disfigured, more or less for life, his mentality dulled, while he is compelled to breathe through his mouth. An almost miraculous change often follows the complete removal of these obstructive adenoids--the child takes a renewed interest in everything about him. More oxygen finds its way to the tissues, his face takes on better color, he gains in weight, in fact, there appears to be a complete rejuvenation mentally and physically. The signs or symptoms of adenoids are mouth breathing, restlessness at night, snoring, recurring colds, nasal discharge, swelling of the glands of the neck, poor nutrition, loss of appetite, bed wetting, impaired hearing, lack of attention, and mental dullness. The removal of adenoids is neither a serious or difficult procedure, and they may safely be removed at any age. DISEASED TONSILS Tonsils which remain permanently enlarged and show signs of disease and debilitation--filled crypts--may be removed as early as the fourth or fifth year, if necessary. If proper treatment does not improve the tonsils as the child grows older, their removal should seriously be considered. The tonsils may serve some special secretory or defensive function during the first few years of life and we think best, therefore, not to advise their removal--except in extreme cases--until the child is at least four or five years old. When it is necessary to attack the tonsils, they should be thoroughly dissected out--not merely burned or clipped off. If they are properly removed, the danger of heart trouble, rheumatism, and many other infections may be considered as greatly lessened. After five years of age the normal tonsils should begin to shrink, and at about the beginning of adolescence they should be no larger than a small lima bean, hidden almost completely out of sight behind the pillars of the throat. While healthy tonsils may serve some useful purpose even in the adult, it is almost universally conceded that the thoroughly bad and diseased tonsil is utterly useless to the body--only an open gateway for the entrance of infection. BRONCHITIS A very common disorder of early infancy and childhood is bronchitis--an inflammation of the bronchial tubes--accompanied by severe coughing. Its tendency to pass into pneumonia renders it a disease for skilled hands to treat--a disorder hardly safe for even the well-meaning mother to undertake to manage
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