Brief Answer:
need further details

Detailed Answer:
Dear
Thanks for contacting with your health concern and do let me know about following concerns:

1. Are you considering medicines for yourself or for your sibling?
2. What was the opinion of Child Specialist [also is immunization schedule complete till date] and ENT Doctor? [any associated enlarged tonsils/pharyngitis]
3. any bacteriological culture done for "streptococcal throat"? [recurrent sore throat]
4. is he/she a mouth breather?? [since adenoids causes difficult breathing through nose]
5. any middle ear infection [past/present]?? or history of sinus infection?breathing through the mouth
6. any change in quality of voice [nasal twang]?
7. any problem of breathing during sleep [sleep apnea]?
8. is child having low grade fever. not gaining weight or chronic anorexia, persistent dry cough [clinically or as questionnaire]

Do let me know about any of these possibilities present so that further Management and Dietary Modifications can be furnished.

Dr. Munish
Naimittika

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Brief Answer:
Immunomodulation is effective at her age

Detailed Answer:
Dear
Thanks for reverting back.

A. Following is/are best possible management and explanation:

1. In kids, adenoids usually begin to shrink after about 5 years of age and often disappear by the teen years.
2. Recent large study showed, by laboratory tests and follow-up examinations, that children who have their tonsils and adenoids removed suffer no loss whatsoever in their future immunity to disease.
3. In the mean time Preventive aspect is provided
i. Steam Inhalations 3-4 times a day.
ii. Warm salt water gargles. [gargle with honey water]
iii. avoidance of allergens [dust/cold drinks]
iv. mix 1 spoon ginger juice 1 spoon honey 1 pinch nutmeg powder and give it to eat for 1 month
v. Give banana, black grapes,orange,spinach,ginger,tomatoes,diet rich in vitamin C (Citrus fruits) and vitamin E (sunflower seeds, almonds,apricots, peanuts) which are rich in anti oxidants and thus helps in improvement of Thymus function (associated with Immunity.)
vi.
. Avoid: Heavy, slimy and acidic food, curd, mustard oil, excess physical exertion, sunlight-dust areas, exposure to strong winds, day sleeping, smoking, Potato, green leafy vegetables. Cold water/food

. Give: Old brown rice, soup of moong dal, black grapes, cow’s or goat milk, garlic, lukewarm water to drink, black pepper, dried ginger, honey, mulethi, launga

PS.

i. since she is a kid thus may not be comfortable with Ayurveda Breathing and Yoga Techniques, please contact your Attending Physician regarding simple breathing exercises at her age
ii. One very effective treatment at her age will be 'suvarnprashan' which stimulate body immune cells and thus protect child from different harmful organisms for a long duration.

Dr. Munish
Naimittika

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