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

### input:
Hi, my son is just reached 3 years old this month. He suffers from large adenoids and a mildly enlarged one tonsil as shown in his x-ray 6 months ago. His tonsils get infected every second month during the last two years. Before reaching 2 years and 4 months the infection goes by using some home therapy but after 2 years and half the infectios becomes stronger and more often he needs to use antibiotic each time. When he gets infection he breaths with difficulty during his sleep and breath from his mouth most of the time. During last two months his tonsils get infected three times a month and he had to use injections for five days. the ENT advises to remove his tonsils and adenoids without asking to do an x-ray but the pediatrics advises he is too young to do it and that we better wait till he is 5 years. Could you please advise if the surgery is better for his health at this age or better wait and what are the risks if we did it or not. I am afraid his overall health is effected as he is 2 kg underwight and his ammunity is so week. Many thanks

### output:

Dear parent, It seems your child has chronic tonsillitis. Usually in such cases removal is the option. But his pediatrician is saying at present he is not good for surgery. Then request the ENT/Pediatrician to keep the child on antibiotic for two weeks regimen, after culture and sensitivity of the throat swab. In the meantime teach him to gargle with warm saline water three to four times a day. Give him steam/ nebulization three to four times a day. Give him some good multivitamin preparation and balanced diet, which includes lots of fruits and vegetables. This will help to increase his immunity and may remove infection as well.