<s>[INST] My four year old daughter has very large tonsils there so large that they almost touch, the left side touches her uvula. They also have bright red veins at over them. She said her throat doesn't hurt at all. She sleeps with her mouth open and snores very loudly. Should I be worried? [/INST] Hello. I just read through your question.This is a very common problem. If she is sleeping comfortably, even with the snoring, there is really nothing to be worried about. However, if at any point during sleep you notice that she stops breathing for a period of 20 seconds or more before beginning her breathing again, it is a good idea to be evaluated by a pediatric ENT. Additionally, if she experiences recurrent infection in the throat, that would also be a good reason to be evaluated. Outside of those two scenarios, there is nothing to worry about. </s>