My 7-year-old daughter has been diagnosed with strep throat four times in six months. Should we consider having her tonsils removed?
Answers from Jay L. Hoecker, M.D.
If a child has six or more severe throat infections in one year, his or her doctor might suggest surgery to remove the tonsils (tonsillectomy). To be considered severe, each throat infection must meet at least one of the following conditions:
- Oral temperature of at least 101 F (38 C)
- Enlarged and tender lymph nodes in the neck
- White spots on tonsils
- Positive test for strep throat
Children can still get strep throat after having their tonsils removed. But for some children with recurring strep throat, tonsillectomy reduces the frequency and severity of strep throat infections.
However, many children tend to stop having recurring strep throat as they get older. The decision to remove a child's tonsils must be weighed against the risks of anesthesia and bleeding, as well as the missed school days to recover from the procedure.
Aug. 04, 2011
- Paradise JL. Tonsillectomy and adenoidectomy in children. http://uptodate.com/home.index.html. Accessed May 26, 2011.
- Baugh RF, et al. Clinical practice guideline: Tonsillectomy in children. Otolaryngology: Head and Neck Surgery. 2011;144:S1.