How to treat a baby's 3-degree swollen tonsils

Patient's question:

A 3.5-year-old baby with grade 3 tonsil swelling but no inflammation. Every time they catch a cold, the tonsils don't go down. Adenoid hypertrophy, sinusitis, and mouth breathing. The doctor said it's necessary to have surgery as soon as possible. Everyone says that tonsils are part of the immune system. If the adenoids are removed, can the tonsils be removed to normal size? What are the risks of removing half of them? Is it better to remove half or not remove them at all?

Doctor's answer:

If a child's tonsils and adenoids are enlarged, leading to nasal congestion, mouth breathing, deep sleep snoring, or choking on water, surgery to remove them may be necessary even if they are not inflamed. Additionally, both the enlarged tonsils and adenoids should be removed together. If only half are removed, there is a possibility that they may shrink again after the surgery.
Although tonsils and adenoids are part of the immune system, they should still be removed if they cause adverse effects. According to careful clinical observations, children do not typically experience a weakened immune system or frequent illnesses after the surgery. So you can rest assured.

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