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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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7 Years Old Has Enlarged Adenoids. Is It Necessary To Go For Surgery ?

Hi Doctor . I live in Dubai. I have a 7 year old daughter . she has very frequent cough and cold . She snores as well while sleeping.we showed her to an E.N.T recently, the doctor said she had enlarged adenoids and also did an X ray for her ears along with a hearing test . He advised that she needs two surgeries...one was removal of adenoids and second was for the excessive fluid behind her ear drums that is obstructing her to hear properly.Is it advisable to get a surgery done or should we wait for some more time.is it possible to correct her problems with medication. Thanks a lot
Fri, 30 Dec 2011
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ENT Specialist 's  Response
Hi, first give her a course of antibiotic, a mucolytic, steam inhalatin, paediatric nose drop ,valsalva maneuvre, try this for 7-15 days.

IF still problem persists.

THEN first plan for tonsilloadenidectomy( if tonsils r also enlarged).
Again give her a course of above medicines for 15 days.
Then get a tympanometry done, I m sure it will come out to be normal A type, means no surgery for glue ear.
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Homeopath Dr. Rangadhar Satapathy's  Response
Hi welcome to health care magic
The adenoid and frequent cold and cough are nothing but the external manifestation of symptoms. It is not the root cause of the disease. Removal of tonsils or tretaing the symptoms will give temprarily releive. You need to treat to do the treatment to alter the susptibility of the kid to get those frequent infection. So I had told earlier a proper constitutional homeopathy treatment can cure this case completely. So before going operation you should take second opinion. Thank you
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Otolaryngologist / ENT Specialist Dr. Naveen Kumar Nanjasetty's  Response
Hi,

Your doctor is right, the child requires both the surgeries, if not improving with medications. The enlarged adenoids causes blockage of the eustachian tube leading to accumulation of fluid behind the ear drum. In the long run your child might loose hearing if not managed appropriately. You can refer the following article for more information
http://en.wikipedia.org/wiki/Adenoid_hypertrophy
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7 Years Old Has Enlarged Adenoids. Is It Necessary To Go For Surgery ?

Hi, first give her a course of antibiotic, a mucolytic, steam inhalatin, paediatric nose drop ,valsalva maneuvre, try this for 7-15 days. IF still problem persists. THEN first plan for tonsilloadenidectomy( if tonsils r also enlarged). Again give her a course of above medicines for 15 days. Then get a tympanometry done, I m sure it will come out to be normal A type, means no surgery for glue ear.