Moses A., 11

Moses is the firstborn in a family of six. He is a bright and ambitious child who dreams of becoming an engineer in the future. In his free time, he enjoys playing football and interacting with his peers. The family lives in one of the informal settlements within Nairobi, in a densely populated area characterized by overcrowded housing and limited access to basic amenities. Their home is a small, single-room structure made of iron sheets, which serves as the living room, bedroom, and kitchen for the entire family. The environment is challenging, with poor sanitation, unreliable access to clean water, and no electricity supply. Moses has been experiencing long-standing nasal obstruction, marked by persistent nasal blockage since early childhood. His symptoms include frequent snoring, habitual mouth breathing, and difficulty breathing comfortably, especially during sleep. Medical evaluation confirmed that he has upper airway obstruction caused by enlarged adenoids (adenoid hypertrophy). The enlarged adenoids restrict normal airflow through the nasal passages, significantly affecting his breathing and sleep quality. The family became aware of Helpster Charity through flyers distributed in their neighborhood. In search of assistance, they contacted the number indicated on the flyer and responded to several screening questions regarding their circumstances. Following this initial assessment, they were directed to seek care at this hospital for further medical evaluation and potential support.

the patient was diagnosed with adenotonsillar hypertrophy, a condition in which enlarged adenoids and tonsils cause chronic upper airway obstruction and breathing difficulties. After evaluation by the ENT specialist, the patient underwent a successful adenotonsillectomy (surgical removal of the adenoids and tonsils) under general anesthesia. The surgery was completed without complications, and the patient recovered well in the ward. Following the procedure, breathing obstruction was relieved, and the patient was discharged in stable condition with medications, including antibiotics and pain management, and scheduled for follow-up review. The expected outcome is improved breathing, better sleep quality, reduced risk of recurrent throat infections, and an overall improvement in quality of life.

The doctor’s assessment, supported by the X-ray findings, confirms adenoid hypertrophy causing upper airway obstruction, and an adenoidectomy has been recommended to remove the enlarged adenoids and relieve the blockage. With this surgical intervention, the prognosis is very good, and the child is expected to experience significant improvement in breathing, sleep quality, and overall well-being.