Multiples

NMR: kids & tonsils

We've noticed DD's tonsils have been large for a couple of months now - but she hasn't complained of pain.  She has been snoring, though, and she's had some ongoing cold symptoms (runny nose, bad breath, etc.).  At our visit to the ENT today, he said her tonsils rate a size 4 (out of 4) on the scale for kids her age (nearly 3 years old).  But he said we could wait & see if it affects her sleep, eating, etc... 

Any experience with this?  Does this snoring count as 'affecting sleep'?  Think we should get a second opinion?  

With the boys due to arrive sometime within the next 7 weeks or so, I don't want to put this off & then have it all happen at once... And I don't want her to be needlessly uncomfortable if we should just have them removed.  But I also don't want to go in for surgery that isn't required.  I'm tired & emotional & having a hard time deciding what to make of it, so your thoughts are welcome.  Thank you! 

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Re: NMR: kids & tonsils

  • We did a sleep study with out 18 month old due to snoring and turned out his were so large he would stop breathing for short periods of time during the night. So yes, in some it can really affect sleep.

    Getting them out was by far the worst experience ever BUT I really do think it was because he couldnt communicate his pain and understand why he needed to take the meds. With an older child its a lot different. I wouldnt change anything about the timing we got it done and we've noticed that he sleeps so much better now.

    See if you can get a sleep study done and that will better guide your decision IMO.

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  • I really hate the idea of surgery on kids when it might not be necessary, I might consider it for a child with a 4... one of my close friends as a child was a 4 and her mom didn't think snoring justified surgery - but the first time she developed tonsillitis she landed in the ER because she couldn't breathe and ended up having an emergency tonsillectomy instead. It was really frightening for everyone. 

    I would definitely get a second opinion, particularly one from a pediatric ENT surgeon. 

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  • I would probably get them taken out. Tonsillitis can lead to sleep apnea and it is often undiagnosed. It is SO much easier to get them out when you're a child than as an adult. I had mine taken out a  few years back and my oh my it was terrible. I couldn't talk for a month. My parents were given the option of doing it when I was a kid for similar reasons to your daughters. I've watched friends have their kids get tonsils out and they were cranky for a day then totally fine. Of course you should think about what is best for you and your family. Do you have a family history of complications with anesthesia or any other indications that this will be more risky for her?
  • We had dd's taken out at 34 months and I don't regret it one bit. She was snoring so loud we could hear her on the other level in our house. She sleeps so much better now that they're out. She was also rated a four.

    Because your dd is younger, I would do it ASAP. My dd vaguely remembers it and doesn't really remember the pain. They did keep her one night in the hospital mostly to watch her with the anesthesia.
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