Patient's question:
The child sleeps with their mouth slightly open during naps at night. After a thorough examination at the hospital, the doctor said the child has enlarged adenoids. They were prescribed nasal sprays with triamcinolone at home, but the effect was not significant. However, when the child first falls asleep at night, there is no sound at all, just like a normal child. Why does the child make loud snoring sounds in the middle of the night? Does the adenoid enlargement become severe at midnight?Doctor's answer:
I'd be happy to explain the issue for you. Based on the situation you described, the child has adenoid hypertrophy. No one has tested whether the adenoids become significantly larger at midnight. It's possible that during the midnight hours, the child sleeps more deeply, causing the muscles around the throat to relax, which results in louder snoring. I suggest having the child sleep on their side to see if it makes a difference.