Doctor insights on:
Should All Children Have Their Tonsils Removed
Mouth (mouth) " n. Pl. Mouths 1. A. The body opening through which an animal takes in food. B. The cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the oropharynx and containing in higher vertebrates the tongue, gums, and teeth. C. This cavity regarded as the source of sounds and speech. D. The opening to any cavity or canal ...Read more
Very specific: There are three major indications for tonsillectomy (these days). 1.) more than 3 to 4 documented episodes of acute suppurative (pus) tonsillitis. 2.) hypertrophy (enlargement) of the tonsils leading to a sleep disorder. And 3.) rarely, food particles caught in the crypts (furrows) of the tonsils resulting in a very bad mouth odor that truly effects the person's quality of life. ...Read more
Tonsil/adenoids: If your child has frequent throat infections (more then 7 in one year, 5 in two years), is having sleep problems because of the tonsils and adenoids, or has other problems (like cleft palate) that might benefit from removal. Here are the guidelines for removal by the head and neck surgery group: http://www.Entnet.Org/healthinformation/upload/cpg-tonsillectomyinchildren.Pdf. ...Read moreSee 1 more doctor answer
Have any of your pacients that had their tonsils remove said it hurts when their ronsils are removed gone?
Temporarily!: In the first few days to two weeks after removing your tonsils there is discomofrt ranging from mild to severe pain when swallowing. I always provide pain relief in a syrup form after surgery. Although you may lose a pound or two as a result, it is well worth the price for a life time of riddance from bothersome tonsils, recurring infections and their complications and improved sleep. ...Read more
YES: Vaccine status of baby would not put vaccinated or unvaccinated baby at risk. Unvaccinated individuals technically put anyone they are around at increased risk, thus school vaccine requirements. Risk to vaccinated child during infant yrs is very low. ...Read more
Problems with kids and 12 year molars? Our son is about to turn 14 and his 12 year old molars have not yet erupted. Our dentist says that x-rays show that they are in his jaw. If they don't erupt, could this cause any problems for him? Could they be need
Not unusual: Sometimes 12 yr molars erupt late, especially if wisdom teeth congenitally missing. X-rays should reveal maturity of tooth roots, angle of tooth, whether there's still bone over the tooth or just gum. If your dentist thinks the teeth may need help coming in you may want to talk with an orthodontist. ...Read moreSee 3 more doctor answers
Dental braces?: I assume you are asking about dental braces. The need for orthodontic treatment is not related to stature. At age 7 take your child to a qualified orthodontic specialist for first exam. The orthodontist can then help guide your child's crania-facial growth and development. ...Read more
3.5 year olds adenoids to be removed. Should we get second opinion? I believe they enlarged after strep throat at christmas. Can they shrink naturally
Maybe,maybe not: Removal should be based on the overall picture of the child's health. If snoring at night and showing other signs of potential sleep apnea, it would tend to worsen for several years before some relative decrease in size would be expected (after age 8-10). If truly symptomatic of sleep disturbance, this can improve the quality of life and avoid worsening issues.If not, no hurry. ...Read more
Will I get my tonsils removed. I have had strep every year and tonsil stones which are symptomatic. they are the size of huge pea.
You could: Speak to an Ear Nose Throat doctor about all the risks and benefits. Sounds like you may not qualify if the strep is only once a year . Some prefer 3-4 per year. Nonetheless if it is obstructing your airway they may consider and clear you surgically. Please see an Ear Nose Throat Doctor. ...Read more
If an autistic child has their tonsils and adenoids removed could we see an improvements with development?
Adenoidectomy : Adenoidectomy is one of the most commonly performed surgeries in the us, and almost all cases occur in children. There are 3 major reasons to have the adenoids shrunk or removed: 1) chronic nasal obstruction and runny nose, 2) obstructive sleep apnea, 3) chronic middle ear issues also requiring repeated ear tube placement. It is a safe procedure with very little recovery afterwards. ...Read more
Can children get sealants before all of their baby teeth come in? I would like get sealants for both of our kids, but neither of them have all of their baby teeth yet. Is there any point in getting them yet?
Sealants: Sealants are used to "seal" the grooves on chewing surfaces of permanent molars, which don't erupt until about 6-7. Does not protect from cavities between teeth. Concentrate on brushing 2x/day for 2 full minutes by the clock w pea-sized portion of t'paste. Prevent between-teeth cavities buy flossing your child's teeth daily--brushing doesn't clean between teeth. Have 6 month check-ups. ...Read moreSee 3 more doctor answers
Does everyone with any grade of microtia have hearing loss? Also should they have their hearing tested regularly and should they all have an abr test?
No, not always: Microtia refers to abnormalities of the external ear, and not a direct cause of hearing loss. However, hearing loss can be associated with microtia, particularly if atresia (an absence of the ear canal) is present. Regular hearing tests are a good place to start. An abr may not be necessary. Early identification of hearing loss is always important, particularly if both ears are involved. ...Read moreSee 1 more doctor answer
Should children children be allowed to have a messy room since it is their one and only territory of their own where they can express themselves?
Clean enough to be : healthy, messy enough to be happy. Customize the AAP's app or website healthychildren.org for age-appropriate chores, rewards for compliance & consequences for refusals. Discipline, or teaching is effective only if done matter-of-factly, without anger, pleading or cajoling. Model & reward behaviors that you feel your child needs become a happy, functional adult, to the best of his or her ability. ...Read moreSee 1 more doctor answer
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