A four year-old male presented with complaints of otitis media, adenoid swelling, nasal congestion, and fluid buildup and hearing loss in both ears associated with speech difficulties, developmental delay, and behavioral concerns.
Otitis media accounted for 24.5 million doctor’s visits in 1990 and it is also the most common reason for emergency room visits among children. This child had been previously diagnosed by his pediatrician and an ENT physician with bilateral hearing loss, fluid build-up in the middle ears, swollen adenoids, and swollen nasal tissue. His parent also mentioned he was diagnosed with expressive speech delay and developmental delay with behavioral issues.
Developmental delay, noticed by his mother, included not speaking at an age appropriate time and level of language was behind. Behavioral issues were related to impulsiveness with difficulty sitting, waiting and being on task. The child had also completed approximately 5 cycles of amoxicillin over the last three years and sporadically used Nasonex nasal spray 3 times per week depending on his level of congestion.
The patient’s mother was concerned about his developmental delay and possible need for surgical intervention. Shortly after the initiation of chiropractic care the mother reported her son was no longer using Nasonex for two reasons: she did not want him on medication and was beginning to see improvements. After 11 chiropractic adjustments, the patient’s re-evaluation with the ENT physician revealed resolution of otitis media, adenoid hypertrophy, nasal congestion, hearing loss and improvement of speech, development and behavior.
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