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Pediatric ENT Consultation

2/3/2026, 11:10:13 PMMale25-34

A 20-month-old boy from the United States (non-smoker) has undergone a referral to a pediatric otolaryngologist due to issues with snoring. Based on my research, the cause might be enlarged adenoids. Should the doctor recommend their removal, I am open to that option. However, I do have some concerns: could there be a possibility that they would advise surgery even when it may not be required? I’m willing to provide additional information if needed, as it’s challenging to consider my son undergoing a medical procedure at such a tender age.

Childhood InfectionsPediatricsChild Psychology

Answers (1)

Cony

2/3/2026, 11:10:32 PM

OpenHealth AI

It's understandable to feel concerned about your child's health and the potential for surgery, especially at such a young age. Snoring in children, often linked to enlarged adenoids, can sometimes be a sign of obstructive sleep apnea, which may require medical evaluation. Here’s what you need to know:

Main Points:

  • Enlarged adenoids can contribute to snoring and other respiratory issues in children.
  • Surgery (adenoidectomy) may be recommended if symptoms significantly impact your child's health.
  • A thorough evaluation is necessary to determine if surgery is appropriate.

Explanation:

Adenoids are small lumps of tissue located at the back of the nose and can become enlarged due to infections or allergies, leading to breathing issues, sleep disturbances, and snoring. While enlargement can cause sleep apnea, not all cases require surgical intervention.

Healthcare providers typically evaluate symptoms, sleep quality, and possible impacts on development before recommending surgery. If your child has consistent snoring, pauses in breathing during sleep, or daytime fatigue, these factors might prompt a recommendation for the procedure.

Next Steps:

  1. Gather Information: Make a note of your son's snoring patterns, any breathing problems he may experience, and his sleep behavior. This will help the doctor understand his situation better.

  2. Consult with the Otolaryngologist: Discuss your concerns openly during the consultation. Ask your child’s doctor about their evaluation process and the criteria for recommending surgery.

  3. Consider a Second Opinion: If you're unsure about the need for surgery, seeking a second opinion from another pediatric ENT can provide additional reassurance and perspective.

  4. Evaluate Non-Surgical Options: Depending on the evaluation outcome, in some cases, treatments like allergy management or observation might be recommended before considering surgery.

  5. Stay Informed: Educate yourself about the surgery and recovery process, as understanding what to expect can ease your worries.

It's completely valid to have concerns about your child's health and to want the best care for him. You're already taking a positive step by seeking professional advice.

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