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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat A Child Suffering From Chronic Adenotonsillitis?

Dear sir, my child 4 years old, has been suffering for breathing problem during sleep. Many times he has been suffering for cold, fever etc. Here doctor diagnosed that the problem is chronic adenotonsillitis. and he suggested to do ct scan CT-PTS. Sir, kindly would you tell me how this will effect on the life of my child and what would be its treatment. Is there any risk to do ct scan and how it should be done.
Wed, 26 Feb 2014
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Pediatrician 's  Response
Chronic adenotonsillitis is the condition of a persistent infection of the tonsils and adenoids. Again this may be due to streptococcal bacteria (strep throat) or bacteria draining from the nose and sinuses. The hallmark of chronic adenotonsillitis is a failure of the symptoms to resolve with adequate antibiotic therapy. Again Penicillin or Amoxicillin are the first choices in non-allergic individuals, with Erythromycin or Bactrim reserved for Penicillin allergic individuals. When the first line antibiotics fail, progressively broader spectrum antibiotics should be used (i.e. Cedax or Suprax, Augmentin or Zithromax). Tonsillectomy and adenoidectomy should be considered when at least three different antibiotics, including a broad spectrum choice, have been tried for at least two weeks each, and symptoms still persist.
CT scan should be done as it is advised,its radiation no doubt,other than this its safe.
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How To Treat A Child Suffering From Chronic Adenotonsillitis?

Chronic adenotonsillitis is the condition of a persistent infection of the tonsils and adenoids. Again this may be due to streptococcal bacteria (strep throat) or bacteria draining from the nose and sinuses. The hallmark of chronic adenotonsillitis is a failure of the symptoms to resolve with adequate antibiotic therapy. Again Penicillin or Amoxicillin are the first choices in non-allergic individuals, with Erythromycin or Bactrim reserved for Penicillin allergic individuals. When the first line antibiotics fail, progressively broader spectrum antibiotics should be used (i.e. Cedax or Suprax, Augmentin or Zithromax). Tonsillectomy and adenoidectomy should be considered when at least three different antibiotics, including a broad spectrum choice, have been tried for at least two weeks each, and symptoms still persist. CT scan should be done as it is advised,its radiation no doubt,other than this its safe.