Posted by: Tash | 2011-10-18

Tonsil stones

My daughter is 6 and has had large tonsils since birth, there is not much breathing space when you look down her throat. Our GP does not want to refer us to an ENT to have her tonsils removed as she hasn''t had tonsillitus often enough. Though, she has lots of tonsil stones, her breath smells terrible. Her gag reflex is very bad so I can''t try dislodge them. She snores and has chronic sinus problems. Her adenoids were removed when she was just over 1 year old. What are your thoughts? Should we just go directly to an ENT?

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Our expert says:
Expert ImagezENT Expert

Dear Tash

You must see an ENT urgently, as obstructed breathing for longer than six months is an urgent indication for a tonsillectomy. Longterm obstructive breathing may lead to cardiac problems, specifically right heart failure, so for this indication you remove the tonsils even if your child has never suffered with acute tonsillitis. Recurrent tonsillitis is not the only indication for a tonsillectomy, as in this case. The bad breath is due to foodparticles that lodge in the tonsillar crypts, and decay, causing the bad smell. This is called hallitosis, and may also be an indication to have the tonsils removed. Make an ENT appointment for an urgent evaluation.


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Our users say:
Posted by: Tash | 2011-11-01

Thank you so much. We saw the ENT yesterday and her adenoids also grew back. They will be removed with the tonsils next week and due to the chronic sinus problems he will perform the necessary allergy tests while in theatre.

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