A 44-year-old female asked:
why might my 4 year old have a blue ish tongue? occasional awake sneezing [1 2x/day], increased snoring overnite [no t&a], no pauses/gasping noted.
3 doctor answers
Dr. James Ferguson answered
45 years experience Pediatrics
Likely Normal: The tongue surface becomes gray before the older skin cells shed.Food & meds can stain the tongue.Examining the inside of the eyelid is a better reflection of blood oxygen if that is ? & pink means the brain is getting good o2. T&a and other lymph glands in the head/neck grow faster than the kid 0-8yr then stabalize. Snoring is a common transition stage that subsides by the teens in most.
Answered on Jan 13, 2013
Dr. Patrick Melder answered
26 years experience ENT and Head and Neck Surgery
Snoring not normal: Your 4 y/o should not be snoring. Despite no pausing or gasping... Hypopneas (partial breaths) are more likely in pediatric sleep apnea. I would start by getting an overnight sleep study. Let the results guide treatment: if mild osa... Nasal steroids may be helpful: moderate to severe apnea.. Tonsillectomy and adenoidectomy are indicated.
Answered on Dec 20, 2012
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