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Sleep apnea in a child due to enlarged tonsils, pectus excavatum - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 1718 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   Hello Doctor
Doctor :   yes xxxxxx
User :   I have a daughter with enlarged tonsils and also a funnel chest (pectus excavatum), she has sleep apneu too and ...
Doctor :   ok
User :   was wondering if this apnea could be the cause of the pectus excavatum ?
Doctor :   details of your daughter
Doctor :   age,
User :   4 years old, In her sleep, her chest sinks in quite a lot . . .
Doctor :   ok
Doctor :   was she born at full term?
User :   Yes, 10 days past term actually.
User :   xxxxxx 10/10
Doctor :   ok
User :   as she is an IVF child, pediatritians saw her at age 1 and 2,5
User :   never saw anything like a pectus
Doctor :   ok
User :   but now, it seems to develop...
Doctor :   Signs and symptoms of pectus excatum are
Doctor :   Trouble breathing
Doctor :   Difficulty with exercise or physical activity
User :   Actually she only has trouble breathing at night, very much trouble, you see her ribs go in. During the day, she has lots of energy....
Doctor :   Pectus excavatum is a congenital (present at birth) abnormality
Doctor :   ok
User :   Do you thing the difficult breathing could be caused by large tonsils, please ?
Doctor :   yes there is probablity of that
Doctor :   is she febrile?
User :   Would you suggest taking her to a throat-nose-ear doctopr to maybe have them removed...
User :   I don't understand the word febrile, sorry :(
Doctor :   i mean fever
User :   No, but at night, I see her sweat and sometimes wake up for a brief moment...
User :   I guess that is the case when she can't get any air and wakes up because of it...
Doctor :   that is more suggestive of sleep apnea
User :   ok
Doctor :   tonsilitis When left untreated, swollen tonsils can block normal breathing (airway obstruction), leading to sleep apnea
User :   ok
Doctor :   did you get that?
User :   yes I did, I will take her to a doctor to have her checked and if necessary have her tonsils removed ?
Doctor :   please fill this feed form and say when done
Doctor :   is there any thing else that i can help you with?
User :   No, thank you.
User :   Bye
Doctor :   thank you
User :   (I felt in the form)
Doctor :   sorry did not get that?
Doctor :   bye
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