Signs and complications of children with chronic V.A

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor II Le Thanh Cam - Department of Pediatrics - Neonatology, Vinmec Da Nang International General Hospital. Dr. Cam has 15 years of experience in the diagnosis & treatment of pediatric diseases. He used to work at the Department of Pediatrics - Da Nang Hospital and Da Nang Center for Obstetrics and Gynecology. His strength is in the diagnosis and treatment of pediatric pathologies, resuscitation, pediatric emergency.
V.A. is a common ENT disease in children 1-5 years old (also known as nasopharyngeal warts in Vietnam). Children with acute viral hepatitis, if not treated definitively or incorrectly, will lead to chronic hepatitis, leading to many dangerous complications.


Chronic viral hepatitis is an overgrowth of V.A or fibrosis after repeated acute inflammation. The nature of V.A. is a lymphoid tissue that plays a protective role in the upper respiratory tract like the tonsils. V.A. thrives at a young age and begins to regress from 5-6 years on.

1. Signs of chronic hepatitis A in children

Children often have low-grade fever (or sometimes fever), growth retardation for their age, poor agility, poor appetite, thin body, pale skin. The ears are slightly deaf, so the child has poor concentration, absent-mindedness, and the brain is deprived of oxygen due to chronic lack of breathing.
Characteristic signs of chronic hepatitis A are runny nose and chronic stuffy nose:
The bigger the mass of V.A inflammation, the more stuffy and runny nose will increase, often leading to frequent runny nose, yellow water for a long time. or green or purulent nasal discharge (superinfection). Nasal congestion: Nasal congestion has many levels, at least it is only at night, many will be stuffy during the day, even completely blocked, making children have to breathe through their mouth, speak or cry with a nasal voice.

Complications of chronic hepatitis A in children

Children with chronic hepatitis A can lead to a number of complications such as:
Blocking the air hole in the middle ear, causing acute otitis media, purulent otitis media, perforation of the eardrum, if not treated, it will lead to vision loss. force. May cause sinusitis , acute otitis media , laryngitis , tracheitis and bronchitis . Making children have to breathe through the mouth, the nose is rarely used, so over the years the tip of the nose becomes smaller, the jaw bone is poorly developed, the upper teeth are jagged, the chin protrudes and becomes larger (protruded). Therefore, it is called the arched face or the face of V.A. Causing children to slow down in physical and mental development (slow, less active, less willing to play, poor in learning), hearing loss. Children have trouble sleeping, have trouble sleeping, snore, often startle, grind their teeth while sleeping, and may have bedwetting. Severe cases may appear to stop breathing during sleep.

Principles of prevention of hepatitis A for children

Clean the nose, throat and mouth for children every day. Do not give your child cold drinks and cold foods. Good environmental hygiene, avoid dust, smoke, moisture. When taking children out on the street, they need to wear a standard mask. When a child shows signs of V.A. and even if there are no symptoms, parents should take the child to a health care provider to detect the disease early. Currently, Vinmec International General Hospital with a team of leading Ear - Nose - Throat specialists and modern diagnostic equipment, has a GENERAL HEALTH EXAMINATION PACKAGE FOR CHILDREN parents should refer to. to accurately and early detect V.A. pathology in children, thereby having timely treatment.
As a key area of ​​Vinmec Health system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of top doctors and nurses in Pediatrics : consists of leading experts with high professional qualifications (professors, associate professors, doctorates, masters), rich experience, having worked at major hospitals such as Bach Mai, 108,... The doctors are well-trained, professional, have a mind - range, and are knowledgeable about young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.

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Reference source: Ministry of Health