instruction: hi doctor my year old son is having a lot of trouble sleeping he snores every night and tosses and turns and has trouble breathing through his nose his doctor says he has enlarged tonsils and adenoids I think he has obstructed sleep apnea because I hear him gasping for air sometimes we did a sleep study and the night of the sleep study he slept well but every night at home he has a lot of trouble sleeping he wakes up a lot talks in his sleep has nightmares and I think he has sleep apnea because I hear him gasping for air sometimes the doctor said we could try flonaise to help him but we read that flonaise can stunt a childs growth the doctor said he could grow into his tonsils and I also heard that years old is very young for tonsil surgery my questions are how worried should I be about his troubled seeping I am not getting any sleep lately because I listen to him all night is it dangerous to let him go on trying to sleep and have so much trouble breathing each night with possible sleep apnea please help I am very concerned
output: hi if symptoms are too severe we can go for tonsil and adenoids surgery now also flonase is a steroid and it does not affect growth as it will be administered inside the nostril and will have the action only there will not be any systemic or bloodstream absorption how much worried you should be about his tonsil and sleep apnea problem are change in facial features producing adenoids facies irritability of kid he cannot hear properly due to adenoids blocking ear tubes ear discharge reduced development of speech do not get worried just because of the snoring and sleep apnea give him nasal steroids and antihistaminic syearup like zyeartec or allegra syearup of appropriate dosage in some cases we even give oral steroid syearup it does not cause any stunting the way you have understood once you exhaust the above medical treatment option and find no or not much benefit we can discuss about the surgery your doctor is right in giving the medicines flonase etc that is the protocol we can follow the same here the decision to operate may vary with different surgeon take a pediatrician opinion as well do revert back to me if you need more support