<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi Doctor, My 3 12 year old daughter has had frequent cold in the last 6 months.too. She is allergic to dust and seasonal allergy pollenShe used to get fluid in the middle ear with mild ear pain for sometime often. 6 months back we had shown an ET and he advised Tympanogram Test. Initially it was type B but after blowing nose and using Beta dropssaline 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 ET 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 tonsilsother that Beta dropssaline decongestant that she is currently usingPlease suggest.Regards,Pradeep  <response>: In Short-yes your baby needs surgery to remove adenoids and tonsilsDetailed answer- If a baby has recurrent ear painglue earmouth 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 palatecrowding of anterior teeth. Hope you are helped and feel free to ask further questions 