questions parents ask about their child who has large tonsils
What is that noise?
Nobody could sleep on vacation because
of the snoring!
Is he breathing?
Many reports have
linked sleep-disordered breathing (SDB) , which is characterized
by labored breathing during sleep and loud, regular snoring,
to behavior problems and poor academic performance in children.
20 to 30% of children with loud snoring or apnea may have clinically
significant hyperactivity and inattention.
- A study by Urschitz
et al. in Pediatrics 2004, indicated statistical significance
between snoring and hyperactive behavior, concentration deficits,
daytime tiredness, and falling asleep in school.
- Rosen et
al, from University Hospitals in Cleveland, noted that children
with SDB had twice the odds of having total problem scores
on the Child Behavior Checklist than children without SDB.
- Montgomery et al. in European Respiratory
Journal 2005, showed that SDB is associated with substantial
cognitive morbidity in preschool children and that treatment
with tonsillectomy and adenoidectomy (T&A) leads to reversal
Mark Wladecki, at ENT Group of Cleveland, adds
that other problems such as swallowing difficulties, poor
growth or small for age children, frequently waking up at night,
and bedwetting , are also common problems associated with large
tonsils. He suggest a simple evaluation in the office, or
parents checking a website www.entnet.org for more information.