Patient's question:
Okay, here is the translation following your instructions:Recently, snoring at night
Doctor's answer:
Adenoid hypertrophy in children is specific to the pediatric period, generally beginning to proliferate around age 3 and reaching its peak of growth between 6 and 10 years old. After age 6, the proliferation slows down, and around age 10, the adenoids gradually begin to shrink. It primarily causes snoring during sleep, mouth breathing, and symptoms may worsen after a cold.How long has the child been snoring? Has medication been used? If the snoring persists and conservative treatment is ineffective, it is recommended to have the child undergo a fiberoptic examination to assess the size of the adenoids. If possible, a sleep study should be conducted to check for hypoxia. If the adenoid hypertrophy is significant (generally more than 2/3) and accompanied by hypoxia symptoms, and conservative treatment (2-3 months) remains ineffective, surgery may be considered.
The main goal of treatment is to relieve nasal congestion and promote mucus drainage. Nasal congestion can be treated with oxymetazoline nasal drops or sprays; for children under 3, the solution should be diluted by half. Excessive thick mucus can be managed with oral medications like Otrivin or Tiofon. Additionally, traditional Chinese medicine can be used. If allergic symptoms are present, Nasonex can be sprayed for 2 weeks. If the tonsils are enlarged, it is advisable to sleep on one side.