Does an 8-year-old child with adenoid hypertrophy necessarily need surgery?

Patient's question:

A child aged 8, underwent a CT scan for adenoid hypertrophy. Is surgery absolutely necessary? Severe nasal congestion occurred during the autumn season. It lasted for more than two months. Now the nasal congestion has subsided. Is it allergic rhinitis? How can I prevent nasal congestion caused by nasal turbinates enlargement in autumn?

Doctor's answer:

If the child severely interferes with breathing, and snoring is obvious at night, surgery may be required. If the child has symptoms such as hiccups, clear nasal discharge, and itching, it is likely allergic rhinitis. Antihistamines and nasal sprays can be used to stabilize the symptoms, such as oral loratadine tablets and nasal oxymetazoline spray. If the recurrence time of allergic rhinitis is known, antihistamines can be used a week in advance to consider getting through it. It is best to avoid recurrence as much as possible.

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