5 year old daughter w/ tubes in ears. just diagnosed w "great to severe" sleep apnea. should both adenoids and tonsils come out

Tracy - posted on 01/20/2015 ( 7 moms have responded )

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My 5 year old daughter just diagnosed with sleep apnea. She had tubes put in when she was a year old due to constant ear infections. They want to take them out but are also wanting to take out adenoids and tonsils. She also has bad allergies and seems to always be congested at some level. Me and her dad are in disagreement about whether to wait or to do one or both now. I want to do it now before she starts school and he says to wait another 2 years or so. Suggestions please!

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Sarah - posted on 01/21/2015

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In some areas, you'd only find a general EENT who will do both kids and adults. It's good to find a doctor that does just kids. He/she will be well versed in treating sleep apnea and allergies in kids. Another benefit will be a good bedside manner with your child. I hope it all goes well. Keep us posted!

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Tracy - posted on 01/21/2015

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We'll I think my hubby has finally realized how much she might need everything out. He heard how she wakes up coughing for air and breathing heavy and agreed with me. They referred me to a pediatric ent ( didn't know there was a difference). So we'll see. Thank u so much for the extra input.

Sarah - posted on 01/20/2015

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In my experience,as a mom and as a nurse, kids with sleep apnea or kids who snore, almost always benefit from both tonsils and adenoid removal. Your ENT will be able to give you some better statistics and advice. If the ENT believes the tonsils contribute to the sleep apnea, then I think your decision will be much easier to make. I do see your hubby's point, not to take out more than is necessary. Hopefully you and hubby can go together to the next appointment.

Tracy - posted on 01/20/2015

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It's ok I'm still trying figure all the medical technicalities out myself. I'm on the fence about the tonsils. Her ent is supposed to call me thus week to go over her sleep study results, so maybe with the apnea added it might put a different spin on things. Just going to have to take all thus one step at a time I guess. :-)

Sarah - posted on 01/20/2015

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I am sorry I misunderstood. There is a chance the doctor won't agree to just the adenoids and tubes. Most kids get both tonsils and adenoids done together. The tonsils are just lymph nodes in her throat, having them poses no great benefit to her overall health. Having then out has the potential to improve her airway and her overall health. Since she will be having anesthesia and her tubes and adenoids out, I would go for the tonsils as well. If they are left in, she may have to go through another whole surgery. Even if they are only moderate right now, if the ENT thinks she has even a 50/50 chance of needing them out in the future, do it now. Why subject her to the whole scenario more than one time? Kids bounce back from surgery really well, but the pre-operative part is scary.

Tracy - posted on 01/20/2015

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I definitely agree with adenoids it's the tonsils were in debate about. She has never really had problems with tonsils, it's more in her ears and nose that have been headaches. Her ent has only said that her tonsils are of 'moderate' size. It's the taking of tonsils I'm unsure of. Part of me want to avoid possible future pain with the tonsils but another part says take care of the adenoids which are apparently causing pain now and wait on tonsils. Hubby thinks she's been through a lot of medical problems with tubes, speech impairment, and now sleep apnea/ a&ad. I see his point but also am looking at trying to get it all done now.

Sarah - posted on 01/20/2015

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As a mother, I'd proceed. Sleep apnea is not a condition to take lightly. If her tonsils and adenoids are interfering with her airway, it's best to just do it now. Tonsillectomy is a relatively low risk surgery for a five year old. Try to get you hubby to look and the benefits vs the risks of proceeding with surgery now compared to the risk vs benefits of waiting. Is there a real benefit to waiting? Her tonsils and adenoids will not magically shrink.

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