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Doctor insights on: Should All Children Have Their Tonsils Removed

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Should all children have their tonsils removed?

Should all children have their tonsils removed?

Absolutely not: Unless the child has frequent throat infections, a complication such as a tonsillar abcess, or sleep apnea caused by enlarge tonsils, there is no reason to put the child at surgical risk. ...Read more

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Mouth (Definition)

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


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When should someone have their tonsils removed these days?

When should someone have their tonsils removed these days?

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

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When should a child have their tonsils/adenoids removed?

When should a child have their tonsils/adenoids removed?

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 more

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Have any of your pacients that had their tonsils remove said it hurts when their ronsils are removed gone?

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

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Do kids with allergies ever need tonsils removed?

Do kids with allergies ever need tonsils removed?

Rarely: Some may benefit from tonsillectomy if they develop sleep apnea symptoms in early to middle childhood. Most allergic kids will not. ...Read more

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If my babies have had their first set of vaccines, can they be around babies who have not?

If my babies have had their first set of vaccines, can they be around babies who have not?

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

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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

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 more

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Can kids who are really small for their age always need braces when they get older?

Can kids who are really small for their age always need braces when they get older?

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

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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

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

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Could people get their tonsils removed in your country?

Could people get their tonsils removed in your country?

Yes, for good reason: Adults get tonsils removed mainly in this country for 1) treatment of sleep apnea, 2) clear obstructive swallowing, 3)recurrent infections, 4) tumor removal, 5) bad breath, or 6) history of recurrent peritonsillar abscesses just to name a few. All the best! ...Read more

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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.

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

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I seen many couple where one partner has aids and they have kids. Are the kids often infected?

I seen many couple where one partner has aids and they have kids.  Are the kids often infected?

Not any more: If the mother is on HIV treatment through pregnancy and delivery, she's extremely unlikely to infect the baby. The father's HIV status is irrelevant from the baby's point of view. ...Read more

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Why do people have their adenoids taken out?

Why do people have their adenoids taken out?

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

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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? .

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?


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Richland, Rarely, : Richland, rarely, are baby (primary) teeth sealed. Commonly, 1st molars (6 year molars) which coincidently come in around age six, should be sealed. Tweelve year molars (2nd molars) can be sealed around, wait for it.... Twelve years old. And some may seal adult premolars upon their eruption. I would focus on brushing their teeth twice a day for two minutes each time. Fluoride supplements dependent on your communities level of water fluoridization. And regular six months visits to your dentist for cleanings, exams, and Fluoride treatments. Finally, most responsible parents are aware the damage candy and soda can do to their kids teeth. But, are unaware of the dangers of fruit juice and later on, sports drinks. The keys are moderation, minimal exposure time, and cleaning after. Hope this is helpful, michael i. Wollock, dmd, agd fellow dentistry at suburban square 610-649-0313 www.Dentistryatsuburbansquare.Com. ...Read more

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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?

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 more

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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?

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 more

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Severely enlarged tonsils with no pain. Do they have to come out?

Severely enlarged tonsils with no pain. Do they have to come out?

No: Enlarged tonsils are removed if they are a chief part of the problem in sleep apnea in adults, or if there is concern of a cancer. They are also removed if you have 5 to 7 infections in a year, or 3 to 5 a year for multiple years, or chronic pain. ...Read more

Excise (Definition)

To surgically remove an organ or body part or tissue. This is done with ...Read more