The ENT doctor took a look into her nostrils and guess what: Her adenoids and so swollen they are covering almost 90% of her airway.
Which means the Bipap is only able to work on pushing air through 10% of her airway. Not surprising that it's not effective.
The doctors are recommending surgery to remove her adenoids and tonsils.
This is what I googled:
"The most common reason for tonsillectomy and adenoidectomy is to remove enlarged tonsils and adenoids which block a child's breathing passages. The nose may be so blocked by the adenoid (which is located behind the nose and above the back of the throat) that a child can't smell, has a congested nose, and talks like he has a cold all the time. If the tonsils are too large, a child may not eat well, taking only small, soft foods. The child may also have some choking and mouth breathing. Often, a child snores very loudly, may not breathe well while asleep, and may actually stop breathing for several seconds. If severe and not treated, this can put strain on the heart and lungs. It has been shown that removal of the tonsils and adenoids is effective in treating obstructive sleep apnea in children."
I am so glad that finally, there is firm link between her OSA and her ENT area.
Surgery is slated for November - very soon, yes - I am looking forward to having her breathe better but of course worrying about post-op, her recovery period, the horrendous diarrhea burns that is bound to come with antibiotics, and of course, the stress of hospital runs again.
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