Question
A 6-year-old child is snoring loudly at night, which might be a problem of enlarged tonsils.
Answer
If tonsillitis occurs four or more times a year, or three or more times in two years, or if the enlarged tonsils cause upper respiratory obstruction leading to severe snoring, difficulty swallowing, unclear speech, or if there has been a history of purulent tonsillitis, or if the tonsils are the source of systemic diseases, or if they are repeatedly inflamed and cause frequent or persistent symptoms such as rhinitis, otitis media, or tracheitis, then tonsillectomy may be necessary. It is recommended to first undergo aggressive treatment; if it is ineffective, consider surgical removal.