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6 yr old son has one enlarged tonsil

4 replies

elisabeus · 13/08/2015 05:41

I took my son for his well check last week. While there I mentioned him snoring. The pediatrician noted his glands were slightly swollen. The Dr. thought I should bring him to see an ENT to have them scope to make sure his adenoids weren't enlarged. I was able to get his appointment quickly. The ENT asked a few questions and examined him by looking in his ears, nose and throat. She said there may be some fluid in the left ear. She also noted the swollen glands. Upon examining his throat, she noted that the left tonsil was "significantly" larger than his right. Left was all the way to the center of the throat, his right was about half that size. She said that they needed to be removed and they would take the adenoids as well. The entire exam probably took 5 minutes. I took him to a very reputable children's hospital. I didn't ask a ton of questions as that point because the Dr. said the word surgery and my son picked up on it. I could tell he was getting more upset by the minute. I researched a bit when I got home and got worried by what I was reading. I found this site to be helpful at setting my mind at ease, but I don't want to miss something that might be a problem. The Dr. didn't scope to see the adenoids or order any other tests. I don't want to not have them removed if this is something serious, but I have a lot of unanswered questions. I put a call in to the same dr. today but she was not in, so I'm waiting for a call back so I can discuss exactly what she is thinking the problem could be. I also explained to her that he has recently developed a "gag reflex" if anything touches him around the neck area. For example the collar of his t-shirt or the strap from his bike helmet. He has ALWAYS liked to wear button down shirts and have them buttoned to the top button, so this development is recent.
Like I said, this site has helped put my mind at ease in seeing other stories of children with one enlarged tonsil and they were fine, but I am just at a loss as to whether the surgery needs to be done. She was concerned with sleep apnea as well, but it seems to me that if the snorning/sleep disruption was the main concern it would be a lot easier to do a sleep study than the surgery.
Any help/advice/comments would be greatly appreciated.
Thanks,
Sue

OP posts:
Are your children’s vaccines up to date?
cedricsneer · 22/08/2015 20:10

Hello! Sorry you haven't had any answers before. My ds was probably one of the stories you read about an enlarged tonsil (under a name change). The ent in our case said that the tonsular fossa (the pit that the tonsil lies in) was shallower on one side than the other, giving the appearance that it was a larger tonsil.

Did you ent measure this at all? She should have been clear about the reasons for removing the tonsils and perhaps a follow up call would be in order? I am sure you have googled, but just in case you were worrying about lymphoma, 2 ENT surgeons I spoke to said that my son would be very sick very quickly if this were the case and they both said that no child had ever presented with an enlarged tonsil as the first symptom of lymphoma - they had always been very sick by the time the tonsil was evident.

I hope this helps!

anywinewilldonow · 23/08/2015 11:10

I'm another with a DD who has one enlarged tonsil - we think from repeated bouts of strep throat when she was younger. Several years ago we consulted an ENT about it as I was concerned about lymphoma. We also saw another ENT to get a second opinion!

The consensus was to adopt a wait and see approach, rather than to operate. We were told that if there was no change in 3 months, lymphoma was highly unlikely and if no change after 6 months, then we could forget about it.

As I say, that was several years ago and DD is fine, She still has one enlarged tonsil, and it gets even bigger whenever she gets a throat infection. But she obviously didn't have lymphoma!

Hope that helps.

anywinewilldonow · 23/08/2015 11:12

I'm another with a DD who has one enlarged tonsil - we think from repeated bouts of strep throat when she was younger. Several years ago we consulted an ENT about it as I was concerned about lymphoma. We also saw another ENT to get a second opinion!

The consensus was to adopt a wait and see approach, rather than to operate. We were told that if there was no change in 3 months, lymphoma was highly unlikely and if no change after 6 months, then we could forget about it.

As I say, that was several years ago and DD is fine, She still has one enlarged tonsil, and it gets even bigger whenever she gets a throat infection. But she obviously didn't have lymphoma!

Hope that helps.

anywinewilldonow · 23/08/2015 11:12

Sorry for double post!

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