Tonsillitis in 4 years
My daughter has inflammation in tonsillitis. She is 4 years old. Should we get it removed by operation or not? What is recommended? She keeps coughing a lot and also is not able to eat adequate amount of food. Please suggest what to do?
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Dr. Poonam M Sambhaji
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Hello, tonsillitis is common during childhood till age of 5-6 years. It is rather a filtering officer sitting in our throat. . They are part of your body's infection-fighting system to keep you from getting sick. Recommendations for tonsill removal are 1. recurrent throat infection with a frequency of at least 7 episodes in the past year or at least 5 episodes per year for 2 years or at least 3 episodes per year for 3 years with documentation in the medical record for each episode of sore throat and 1 or more of the following: temperature >38.3°C, cervical adenopathy, tonsillar exudate, or positive test for group A β-hemolytic streptococcus. Or child 2.severe obstructive sleep apnea, failure to thrive, or abnormal dentofacial growth; suspicion of malignant disease; and (for tonsillectomy) hemorrhagic tonsillitis. 3.Relative indications  are adenotonsillar hyperplasia with upper airway obstruction, dysphagia, or speech impairment, and halitosis. Now a days the inclination is not towards removal of tonsils. Its watchful waiting. If you get tonsillitis, here are some tips that can help you feel better: Drink plenty of fluids.If you are having trouble swallowing regular food, you can eat smooth foods, including flavored gelatin, soups. Also put habit of warm saline gargles 2times a day.
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