Discussions By Condition: I cannot get a diagnosis.

6 year old with chronic tonsilitis, failure to gain weight.

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: kitty k
  • April 29, 2007
  • 11:02 AM

Hi, and thanks in advance to all who take the time to read this.

My 6 year old son has suffered from tonsilitis since he was 3 years old. He has had 3 Infections this year already and is missing alot of school. Doctor refuses to give me a referal to an ENT specialist as he says my son is too young to have his tonsils removed.
My main question has to do with my sons weight and size, he is really under weight and basicly failing to thrive, you could play music on his ribs, although he eats like you wouldn't believe, I was just wondering if his weight/size issues could have anything to do with his tonsilitis or could there be something else going on??
He takes multi-vitamins daily and pro-biotics when on anti-biotics, his BM's are normal and has no other healths issues appart from nose bleeds from a broken capilary? which have now settled from use of a cream.

If anyone has ideas or even any suggestion on how I can get my son to gain weight it would be appreciated.


Kitty k (>"<)

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5 Replies:

  • Can no-one give me any suggestions? I've tried looking this up but I cannot find anything to tell me if these 2 things are related in any way.If you could even suggest somwhere I may be able to get some info that would be helpful
    kitty k 31 Replies Flag this Response
  • Kitty go to www.ahummingbirdsguide.com with ME, people run a high risk of secondary infections, children are not excluded from this, it is viral, contagious and can happen to anyone (even children). I'm not saying this is what your son has, I'm just saying it's woth a shot to look...go to site...to L side is symptoms list...at bottom of first paragraph is a symptoms list summary. See how many other sx he has, if any. It may seem random or overwhelming but please do it. There are hundreds of people on this site from age 5 to age 61 having ME symptoms...Good luck...mommy cat
    mommy cat 1654 Replies Flag this Response
  • there is a possibility, probablt quite strong that your sons weight gain is unrelated to the tonsillitis. ask your doctor about growth hormones, any deficencies, etc.the main thing is wether your son is coming off the growth curve, 0or if he has always been very skinny. establish that, and a pathology may reveal itself.best of luck
    Anonymous 42789 Replies
    • October 18, 2007
    • 02:51 PM
    • 0
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  • I'd get a second opinion. From: http://www.medicinenet.com/adenoids_and_tonsils/page2.htm "When should the tonsils and/or adenoids be removed?Tonsillectomy and adenoidectomy are indicated in persons with repeated or persistent infections, particularly if they interfere with everyday activities. In general, repeated infections in children are defined as 6-7 episodes in one year, or 4-5 episodes in each of two years, or 3 episodes in each of three years. A significant episode of tonsillitis is defined by one or more of the following criteria: (1) a temperature greater than 101 F; (2) enlarged or tender neck lymph nodes; (3) pus material coating the tonsils; or (4) a positive strep test. In adults, the severity, frequency, and hardship associated with repeated infections are considered more important than the absolute number. Chronic infections characterized by bad breath and/or tonsillar stones causing significant disability are also indicators for tonsillectomy."
    aquila 1263 Replies
    • October 19, 2007
    • 07:39 PM
    • 0
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  • Go get a new pediatrician. Growth failure; FTT(failure to thrive) Failure to thrive is a description applied to children whose current weight or rate of weight gain is significantly below that of other children of similar age and sex.Causes Infants or children that fail to thrive seem to be dramatically smaller or shorter than other children the same age. Teenagers may have short stature or appear to lack the usual changes that occur at puberty. However, there is a wide variation in normal growth and development.In general, the rate of change in weight and height may be more important than the actual measurements.It is important to determine whether failure to thrive results from medical problems or factors in the environment, such as abuse or neglect.There are multiple medical causes of failure to thrive. These include:Chromosome abnormalities such as Down syndrome and Turner syndromeDefects in major organ systemsProblems with the endocrine system, such as thyroid hormone deficiency, growth hormone deficiency, or other hormone deficienciesDamage to the brain or central nervous system, which may cause feeding difficulties in an infantHeart or lung problems, which can affect how oxygen and nutrients move through the bodyAnemia or other blood disordersGastrointestinal problems that result in malabsorption or a lack of digestive enzymesLong-term gastroenteritis and gastroesophageal reflux (usually temporary)Cerebral palsyLong-term (chronic) infectionsMetabolic disordersComplications of pregnancy and low birth weightOther factors that may lead to failure to thrive:Emotional deprivation as a result of parental withdrawal, rejection, or hostilityEconomic problems that affect nutrition, living conditions, and parental attitudesExposure to infections, parasites, or toxinsPoor eating habits, such as eating in front of the television and not having formal meal timesMany times the cause cannot be determined.Symptoms Infants or children who fail to thrive have a height, weight, and head circumference that do not match standard growth charts. The person's weight falls lower than 3rd percentile (as outlined in standard growth charts) or 20% below the ideal weight for their height. Growing may have slowed or stopped after a previously established growth curve.The following are delayed or slow to develop:Physical skills such as rolling over, sitting, standing and walkingMental and social skillsSecondary sexual characteristics (delayed in adolescents)Exams and Tests The doctor will perform a physical exam and check the person's height, weight, and body shape. A detailed history is taken, including prenatal, birth, neonatal, psychosocial, and family information. A Denver Developmental Screening Test reveals delayed development. A growth chart outlining all types of growth since birth is created.The following laboratory tests may be performed:CBC (complete blood count)ElectrolytesUrinalysisThyroid function testsOther hormone studiesHemoglobin electrophoresis (to determine the presence of conditions such as sickle cell disease)X-rays to determine bone ageTreatment The treatment depends on the cause of the delayed growth and development. Delayed growth due to nutritional factors can be resolved by educating the parents to provide a well-balanced diet.If psychosocial factors are involved, treatment should include improving the family dynamics and living conditions. Parental attitudes and behavior may contribute to a child's problems and need to be examined. In many cases, a child may need to be hospitalized initially to focus on implementation of a comprehensive medical, behavioral, and psychosocial treatment plan.Do not give your child dietary supplements like Boost or Ensure without consulting your physician first.Outlook (Prognosis) If the period of failure to thrive has been short, and the cause is determined and can be corrected, normal growth and development will resume. If failure to thrive is prolonged, the effects may be long lasting, and normal growth and development may not be achieved.Possible Complications Permanent mental, emotional, or physical delays can occur.When to Contact a Medical Professional Call for an appointment with your health care provider if your child does not seem to be developing normally.Prevention The best means of prevention is by early detection at routine well-baby examinations and periodic follow-up with school-age and adolescent children.
    rad-skw 1605 Replies
    • October 20, 2007
    • 09:34 AM
    • 0
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