Let us attempt to rescue this child of around 7 years, who was brought with the complaint of- Hoarse…

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ACUTE RESCUE : Let us attempt to rescue this child of around 7 years, who was brought with the complaint of- Hoarseness of voice and pain in his throat. It has been recurring almost every week for the past one and a half years. It begins after the intake of cold water or after eating refrigerated food. Tonsils are enlarged on both sides but neither red/congested nor any pus points on them. His appetite is less, his thirst is also less, he sleeps well, on the sides, and snores in sleep. His weight is 23kgs. He is malnourished, restless, and poor in studies. His grandfather, whom he was very attached to, passed away a year ago, and he is grieved on account of this. The kid thinks his grandfather will return soon. He also grinds his teeth while sleeping. He has been advised surgical removal of tonsils/tonsillectomy but the child is too scared to undergo an operation and says, I will undergo surgery only when my grand dad is around. Aparna Singh ILH 31st July 2012

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