### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Doctor, My 3 1/2 year old daughter has had frequent cold in the last 6 months.too. She is allergic to dust and seasonal allergy (pollen)She used to get fluid in the middle ear with mild ear pain for sometime often. 6 months back we had shown an E&T and he advised Tympanogram Test. Initially  it was type B but after blowing nose and using Beta drops(saline decongestant), Tympanogram test showed type A. She is continuing Beta drops today Her Adenoid is enlarged (Grade 3-4), Tonsils is grade 3 now. It was grade 2  before 6 months. She has mouth breathing and snoring but she is sleeping ok (without waking up in between.) Right Tympanic Membrane is dull as per doctors latest investigation.Lymp node enlargement at neck which was seen in March2010 and sore throat has reduced. WBC count and all blood test Hymeogram with PS is normal . Primary complex test is negative. No active viral infection. Last 2 months she has no cold and fever and is active and playing. An E&T doctor was suggesting removal of adeniods and tonsils.Is this required when child is doing better in the last 2 months (apart from enlarged adenoids and tonsils and mouth breathing)? Can medicines bring down the size of adeniods and tonsils(other that Beta drops(saline decongestant) that she is currently using)Please suggest.Regards,Pradeep

### output:

In Short-yes your baby needs surgery to remove adenoids and tonsilsDetailed answer- If a baby has recurrent ear pain/glue ear/mouth breathing and snoring frequently it is advisable to go for adenotonsillectomy rather than allowing the child to have recurrent infections leading to further damage to ears, growth retardation, facial deformities like high arched palate/crowding of anterior teeth. Hope you are helped and feel free to ask further questions