Childhood Diseases

Posted by: KC | 2010-04-12


Bad Breath

Hi Dr
Just need a little reassurance. My little boy, two and a half, had his tonsils and adenoids removed three weeks ago. He is still waking up with really bad breath. I imagine bad breath is normal after the surgery but it has been three weeks now. His breath smells they way it would when he would have a bad case of tonsillitis. In the last few days I have noticed that he has a bit of a dry cough while sleeping - it is not consistent or chronic but I have started taking notice of it. He is showing no signs of being ill but the bad breath is starting to concern me. Should I be worried?
And another little bit of advise please, after the tonsillectomy I battled to get him to eat and drink. He is a bad eater in general so I was not surprised when he refused to eat after the op. He last just on 2kgs in the week that he was recovering and is now weighing 11.5 for a 90cm little boy. Should I put him on a supplement like pediasure for a month or so or just let him be? His eating habits have returned to normal - fussy eating but he is getting a balanced diet.
Thank you so much for your advise, I really appreciate the time you take to answer all our questions on this site!

Expert's Reply



You are welcome. As you are aware, children should not have bad breath. I suspect that the cause of your son's bad breath is the raw area in his throat where his tonsils were removed. This can become infected with bacteria which are called 'anaerobes'.He will need a short course of a medicine called Flagyl 100mg three times a day for 5 days.Do not worry about his appetite,he will soon be back to eating well again.He does not need any supplements.

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