A member asked:

My 3 year old daughter has enlarged tonsils and adnoids. what should we do for her to avoid surgery?

6 doctors weighed in across 4 answers

Maybe nasal steroids: If the enlarged tonsils and adenoids are causing sleep issues such as apnea, recurrent pharyngitis, difficulty in swallowing or eating then a t &a is probably going to be the most effective procedure. Use of intranasal steroids is sometimes helpful. Searching for allergies - such as to mold, dust mites or pet dander can sometimes be very helpful.

Answered 9/28/2016

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Just say no: There is no automatic need for surgery with large tonsils. Tonsils and adenoids grow faster than kids do until about 8 yr, then they stop ant kids continue, making them relatively smaller.If a kid has too many infections, is constantly ill, has sleep apnea as a 4 yo it does improve life and may be the best answer. There is no home remedy that will change the outcome.

Answered 9/23/2016

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No specific actions: The tonsils & adenoids do grow faster than the kids do until the age of 8, with some additive effects due to infection.Some will need tonsils & adenoids removed due to sleep disturbances or chronic infection. In most, the t&a growth stops @ 8 or so but the kid continues to grow & the relative t&a size declines. By adulthood their relative size is similar to that at birth & no problems remain.

Answered 12/9/2013

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Dr. Richard Pollard answered

Specializes in Anesthesiology

See below: Talk to the ENT surgeon. Sometimes the excess tissue of the adenoids and tonsils can be shrunk by a course of nasal steroids and/or decongestants. The ENT can help you decide if the symptoms that your daughter is experiencing needs surgery. For example, has the sleep pattern been disturbed. Good luck.

Answered 4/24/2015

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