Patient's question:
Excessive saliva, memory decline, sought medical attention at Guiyang Medical UniversityDoctor's answer:
Adenoid hypertrophy can cause nighttime nasal congestion and snoring, and it can be resolved through surgery in the end. However, in general, the following factors often suggest that the child may improve with conservative treatment and may not need surgery: 1. The child is younger than 3 years old, 2. The onset of symptoms is less than 12 weeks, 3. The child has not received standardized medication treatment, 4. The symptoms of nighttime nasal congestion and snoring fluctuate.Therefore, I believe your child can be treated conservatively for a period of time. I recommend starting with oral cefixime for one week, combined with Nasonex nasal spray (once in the morning, one nostril each side, with the least side effects), and if there is improvement, continue with the above medications for another week. After the phlegm in the throat disappears at night, you can stop taking cefixime but continue using Nasonex nasal spray for two months.
If there is no significant improvement within two weeks, surgery can be considered.