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Child. Tonsils problem with asthma. Advised operation. Recommend - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:hi goodevening
Doctor:Good evening
Doctor:I am xxxxxxxxxx
Doctor:How can I help you today?
User:My son is 4 years old and suffering from tonsils problem
User:my local doctor suggested to get it operated
User:I am confused wether a four year old child should get it operated
User:i want your opinion
Doctor:To be better able to advise you, I need more detail about the condition of your son.
User:ok, what details do i need to provide you.
Doctor:When did your son get diagnosed with tonsils?
User:6 months back
Doctor:How many episodes of tonsils did he get since then?
User:3 times
User:my son is also having asthma
Doctor:Does he have recurrent sore throats? How often?
User:when ever he is getting affected by tonsils, immediatly asthma is also getting triggered
Doctor:oh ok
User:no he doesnt have recurrent sore throats
Doctor:What reason did the physician give to remove the tonsils?
Doctor:Are you there?
User:the physician said that with tonsils he will have frequent infections and will have to go on antiboitics each time. to avoid all this he suggested operation
Doctor:There is increased chances of respiratory infections with tonsils.
Doctor:But the trend for surgery nowadays is changing.
User:should i wait till he turns 8 years
Doctor:Now the doctors believe that tonsils tend to decrease with age.
Doctor:Thus they tend to leave them alone when possible.
User:pl suggest me, what i should do. Should i get him operated or wait for some more time
Doctor:You can always wait for some time and watch where the scenario is going.
User:then as per your suggestion i will wait for some more time
Doctor:Since your son gets exacerbation of asthma frequently, You will need to watch out for signs of respiratory tract obstruction.
Doctor:I want to say that you should weigh risks and benefits of surgery.
Doctor:It is a minor operation.
Doctor:But all surgeries have side-effects.
Doctor:Is your son being given steroid inhalers for asthma?
User:no he is not given steriod inhalers
Doctor:That is a good thing
User:we use asthalin(cipla)
Doctor:As steroids tend to increase chances of infection.
Doctor:It is important to discuss in detail the risks and benefits of surgery with your physician.
Doctor:Keep the inhaler at hand during exacerbations.
Doctor:If you feel the son is breathing heavily, take him to a doctor rightaway.
User:yes definetly
Doctor:Do you know what signs to look for heavy breathing?
User:What are the signs ?
Doctor:One is increased respiratory rate.
Doctor:note down his usual respiratory rate.
Doctor:In kids respiratory rate is usually higher than adults, which is normal.
Doctor:When the kid is putting extra effort for breathing, you will see the nostrils to dilate
Doctor:Mouth will open for extra air along with gasping.
Doctor:The rib cage muscles will go inside.
Doctor:The patient will be in stress.
Doctor:Did you understand what I am trying to say?
User:yes i am able to understand as i find those symptoms in my child when he gets affected by asthma
Doctor:Both asthma and tonsils can cause obstruction of respiratory tract.
Doctor:As long as you manage the obstruction well, you can safely postpone the surgery.
User:oh ok
Doctor:Again I have not examined your son, I am not the best judge of your son's condition.
User:after discussing with you, i feel i should wait for some more time
Doctor:It is better to discuss it again with your physician.
User:thank u doctor
Doctor:Hope I helped.
User:thanks a lot for your valuable suggestions
User:yes it is informative
Doctor:Do you any other query?
User:thats it
Doctor:You can login again if you need to chat to a doctor.
User:thank u
Doctor:Thanks for logging in.
Doctor:I have to close the chat window now.
Doctor:Bye for now.
Doctor:Bye and take care of your son
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