Patient's question:
The child is four years old and has been snoring during sleep for four months. Three months ago, a nasal endoscopy confirmed that the adenoid hypertrophy almost blocked the posterior nasal cavity. The child is taking Montelukast and Pediocin, as well as Mometasone nasal spray. One month ago, a sleep test was conducted, and now there is excessive secretions, often running yellow nasal mucus, which affects sleep.Doctor's answer:
Here is the English translation of the provided text, with the return characters kept as they are:Hello parents! Adenoid hypertrophy is a condition specific to childhood, generally beginning to grow at around 3 years old and reaching its peak of growth between 6 to 10 years old. After 10 years, it starts to gradually shrink. It primarily causes snoring during sleep and mouth breathing. Symptoms may worsen after a cold. During the fiberoptic examination, the adenoids block the nasal passage, and sleep monitoring shows mild hypoxia. If the adenoid hypertrophy persists with continuous snoring, and conservative medication (e.g., for 2-4 weeks) is ineffective with ongoing hypoxia, surgery may be considered.
The treatment mainly aims to relieve nasal congestion and promote mucus drainage. For nasal congestion, Xylometazoline nasal drops or sprays can be used; for children under 3 years old, the solution should be diluted by half. For excessive sticky mucus, oral mucus-thinning medications like Olvanma can be taken, along with traditional Chinese medicine. If there is excessive mucus, saline nasal sprays can be used appropriately before applying other medications.