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Enlarged tonsils
Hi doctor , my 3 years 7months old son having grade 3 adenoids and enlarged tonsils ... went to hospital after took xray doctor suggested surgery for remove tonsils .. my son weight is 12.2kg .
present sysptoms snoring and mouth breathing sometimes..
last year frequently he gets fever cold til march .. last 4 months to present no fever and cold ...
is surgery needed or should control with medicine?
i uploaded full report
Answers (3)
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Hello, I understand your concern
ISurgery (adenotonsillectomy) is considered only if:
Child has frequent throat infections: ≥7 in 1 year, ≥5 per year for 2 years, or ≥3 per year for 3 years
Obstructive sleep apnea (OSA) – disturbed sleep, restless nights, poor growth, behavioral issues
Persistent mouth breathing/snoring affecting sleep or feeding
Difficulty in swallowing or speech
As the child is currently stable, no fever/cold episodes in 4 months, and only mild snoring/mouth breathing: You may continue with medical management and observation for now.
Next Steps
Nasal saline spray daily
Montelukast (if advised) for adenoid inflammation
Steam inhalation, avoid allergens and dust exposure
Monitor sleep quality and feeding
Health Tips
Red flags:
Frequent infections again (as per criteria)
Loud persistent snoring, choking or gasping during sleep
Daytime sleepiness or behavior changes
Poor weight gain (currently 12.2 kg, which is slightly low for age)
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Children with enlarged adenoids and tonsils are generally more prone to recurrent episodes of fever, upper respiratory infections, and snoring. In many cases, the size of the adenoids naturally decreases with age, and symptoms improve without the need for surgical intervention-often by the age of 12.
However, if the child is experiencing significant symptoms such as persistent nasal obstruction, loud snoring, sleep disturbances, mouth breathing, or recurrent infections that are not responding to medical treatment, surgical removal (adenoidectomy and/or tonsillectomy) may become necessary
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Dr. Gopal Raut
Pediatrician
6 yrs exp
Hyderabad
Benefits of tonsillectomy usually outweigh the risks, especially if:
• ≥7 infections/year in past year
• ≥5/year for 2 years
• OSA symptoms (snoring, apneas, poor growth)
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.