Tonsillectomy

[tim armstrong]

My 13yr old stepson (Thai) has had a fairly regular problem on and off for the past couple of years, with a dry persistant cough that sometimes is accompanied by fever, and days off school. Whenever we take him to a local Dr. they nearly always diagnose 'tonsil problem' - give him a bucket load of antibiotics and paracetemol, and after several more days it clears up. I did wonder about asthma, and bought him some effective meds, thanks to tv input, which also helps, but maybe the Drs. are right.

I have asked my family and others about removing tonsils, which used to be the norm, when I was a child. But Thais don't seem to have heard of this idea. Does anyone know what the current wisdom is about this procedure, and if its done in Thailand? Thanks

[mixed]

A few years ago I had several bouts of tonsillitis and the hospital was very keen to operate, but I resisted the pressure. Then I was fine for three, but had another bout a few weeks ago and again the talked of operating.

However it doesn't sound like your stepson has tonsillitis. Whatever he has too many antibiotics won't improve his immunity, I'd suggest getting other opinion. However from my experience, the 'good' Thai hospitals like to operate and give lots of meds, rather than explore other solutions that aren't as profitable.

[Farma]

I grew up in the same era where all my classmates were getting their tonsils out if they had tonsillitis.

Medical thinking has changed with the Thai and western doctors I’ve consulted preferring to treat rather than remove unless there are strong grounds for removal.

Among my circle of friends and their children I only know of 2 who have had tonsils removed in the past 20 years. Both in the past few years and both adults.

Both of us had bad snoring and tonsillitis problems that were causing other health issues. Prior to referral the 2 GP’s at the surgery we use were at odds as to whether it was in our best interest to have them removed. Despite my health issues’ clearing up one of those GP’s still isn’t convinced it was the best option.

The tonsils were removed during laser snoring treatment. Mine were removed in Bangkok and my friend had his tonsils removed in Oz.

[FBN]

Best to have the son checked by throat swab for Strep.

He may be a chronic carrier and may be at risk of developing Rheumatic Fever with subsequent heart of even kidney problems.

Chronic dry cough can also be from a chronic post nasal discharge which is usually associated with enlarged tonsils and adenoids.

Try to use a gargle (Betadine) on a regular basis; it may avoid or prevent infections flaring up and the need for antibiotics.

Tonsillectomy would be indicated for him if the tonsils are enlarged.

[bdenner]

TW’s 60 yo Aunty had bad tonsils for many years to the point where her throat would swell to a point of near choking her every 3 months or so. Very heavy doses of antibiotics and pain killers were needed to alleviate the symptoms and discomfort. It was distressing to see her in such a condition.

I suggested the family to seek medical attention by a specialist at a private hospital in Udon (The Thai Military Hospital) and he said the tonsils were rotten and sould be removed. She and the family agreed to the operation and hospitalization (I paid for it). The first 2 months were hard, even with the ice cream diet, but 3 years on she is a new woman and ever grateful.

[tim armstrong]

Best to have the son checked by throat swab for Strep.

He may be a chronic carrier and may be at risk of developing Rheumatic Fever with subsequent heart of even kidney problems.

Chronic dry cough can also be from a chronic post nasal discharge which is usually associated with enlarged tonsils and adenoids.

Try to use a gargle (Betadine) on a regular basis; it may avoid or prevent infections flaring up and the need for antibiotics.

Tonsillectomy would be indicated for him if the tonsils are enlarged.

Thanks FBN and others, for the advice and input. Its always good on this forum to get serious responses. I didn't know about the betadine, I'll try that and take him to another Dr. in the local private hospital fo a second opinion. Regards.