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Dr. Andrew Rynne

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Is Adenoidectomy and Tonsillectomy the only cure for my 3 1/2 year old son's continous nasal congestion and running nose problem ?

Hi Dr. My son (3 1/2 year old) have continous nasal congestion and running nose. We got his CT Scan done and found out that his Adenoids are bigger. Doctor have also checked his tonsils and they said is also swollen up. They have recommended Adenoidectomy and Tonsillectomy . I was wondering if Adenoidectomy can only cure his problem ? I am not sure if if tonsils plays any vital role in his current symptoms ? I am trying to avoid Tonsillectomy if possible.
Fri, 22 Apr 2011
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ENT Specialist 's  Response
Hi Ashutosh,

Welcome to Healthcaremagic Forum,
There are few things involved in this query. Firstly, is allergic nasal condition ruled out? Has the doctor tried prescribing steroid nasal drops to relieve the nasal symptoms? Adenoid and tonsil enlargement will be there in almost all the children but not everyone requires adeno-tonsillectomy. If there are huge tonsils compromising the oropharyngeal airway it would be wise to get the tonsils also removed at the same sitting or else you will have to pose the child for another surgery if the child develops throat problems later on. Discuss thoroughly with your doctor, take a second opinion from a good ENT specialist and then take your decision.

Take care

Regards

Dr. Naveen Kumar
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  User's Response
Thanks Dr. Naveen. Yes we did the Allergy test and the result was negative (he has no allergies) + we also treated him with Nasonex for a month and no improvement.

Our ENT doctor has said that his tonsils is not infected but only swollen. I was wondering if breathing from mouth can be a reason of this swelling. If yes, then once Adenoidectomy is done, he will be able to breathe with his nose and thus his tonsil will shrink automatically. Please advise.

Thanks
Ashutosh
ENT Specialist Dr. Naveen Kumar's  Response
Hi Ashutosh,

Welcome back to HealthcareMagic Forum,
Once the tonsils are enlarged it is unlikely to shrink. I would suggest you to take a second opinion from a good ENT specialist and then proceed further. Sitting here and without examining it is really difficult to comment about the need of tonsillectomy. But adenoidectomy is definitely needed in this case.

Regards
Dr. Naveen Kumar
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