My apologies for my late reply - I had some internet problems. I am delighted to hear that you had taken her for a hearing test, it is a very important step to take. I think the best is now to take her for an evaluation to an Ear, Nose and Throat specialist. The negative pressure in her middle ears can definitely be related to her tonsils, it might be a good idea to have her tonsils removed but discuss this with your ENT. It is also advisable to take her for an articulation evaluation to a Speech Therapist. Around age 5 and a little older, we expect to have sounds pronounced correctly. Please e-mail me at firstname.lastname@example.org if you need a referral to a Speech Therapist in your area. It is possible that problems with adenoids and tonsils can cause articulation problems and that will be the reason why we need to start with a structural evaluation.
Please let me know if you have any further question
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