I have always had enlarged tonsils and multiple strep infect
Patient :I have always had enlarged tonsils and multiple strep infections growing up; at least 3 times per year. I am now 31 years old and have occasional tonsil stones, cryptic tonsils, and have had tonsillitis 2 times this year already. I often wake up in the middle of the night feeling as if I can't breathe. I went to an ENT specialist last week who said they are definitely large and having them removed will increase my airway by twice the size it is now. I also have a chronically swollen lymph node in my neck that has persisted for 7 years. The specialist said I could either deal with these issues or have a t&a and fine needle aspiration on the lymph node to be safe.
I am concerned about complications and recovery from this surgery and do not know if the benefits will outweigh the costs (literally and figuratively). I just wanted to get a second opinion on this procedure at my age.
Thank for your query and an elucidate history ; you are well researched.
Really happy to know the indepht understanding you have and I shall go by the opinion of your ENT.
Seen the picture. It shows classically enlarged tonsils almost nearing the uvula, shows signs of chronic infection, you have a history of 3 attacks in a year and cervical lymphadenopathy. All indications to go for tonsillectomy.
Considering your age my advice would be to go for 3 weeks of antibiotic treatment as per the culture sensitivity report of a swab from tonsils, added anti-inflammatory antioxidants, probiotics, PPI like Omeprazole, FNAC of the lymph nodes to rule out any serious disease.
See the results.
At the same time to watch for any septic focus like sinusitis or caries tooth or so and get treated.
If everything gets under control, you may not need surgery.
If no complete relief, better to go for surgery.
I can understand that tonsillectomy at your age has more problems but that can cure the problem. It may be worth taking the risk if the treatment as mentioned above fails to resolve the issue.
I humbly hope this answer helps you in decision making.
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