Patient's question:
The child always says their nose is blocked and they can't breathe when going to sleep, getting angry and crying. But after falling asleep, everything is fine. Sometimes there is mucus in the nose, and sometimes there isn't, but the nasal cavity always feels as if there is mucus stuck inside. The throat always coughs to clear the throat. There are small lumps in the lymph nodes of the neck. The nose problem has been going on for almost two years, and it gets worse during the changing seasons when the temperature alternates between cold and hot.Doctor's answer:
The adenoid begins to gradually atrophy around the age of 8 or 9 as one grows older. Before this age, if it does not cause significant issues, surgery is not necessary. However, if it severely affects sleep or breathing, surgical treatment may be required. I suspect there may also be an allergic factor, which could be the reason for the frequent recurrence. This can be regulated with traditional Chinese medicine, but first, it is recommended to start with saline rinsing 2-3 times daily, which has no side effects and can be done continuously. This is the first step in treating various types of rhinitis. Once this is done, some mild cases may improve without medication.Intal is a corticosteroid, and medication should be taken regularly. Continue for one month to see if the effect is significant. If the nasal discharge is yellow and purulent, antibiotics can be added, such as cephalosporins. If it is not particularly yellow, antibiotics may not be necessary. The traditional Chinese medicine Biyuantongqiao can be used for 2 weeks.