Question

Can adenoid hypertrophy in children be treated conservatively?

Answer

Hello parents! Adenoid hypertrophy is a condition unique to childhood, generally starting to grow at around 3 years old and peaking during the 6-year-old growth spurt. After 6 years old, the growth begins to slow down and around the age of 10, it starts to shrink gradually. It mainly causes snoring during sleep, open-mouth breathing, and symptoms worsen after a cold. If snoring persists and conservative medication is ineffective, it is recommended to have the child undergo a fiberoptic examination to understand the size of the adenoids. If conditions allow, a sleep study can be conducted to check for oxygen deficiency. If the adenoids are hypertrophied and generally exceed 2/3, and there are signs of oxygen deficiency, conservative medication for 2-1 months may be ineffective, and then surgery may be required. Surgery is usually performed under nasal endoscopy to remove the adenoids, with typical surgery costs around 10,000 yuan. Since the child is young, surgery should be done with caution. If there is a stuffy nose, you can spray Xylometazoline for 5 days? If there is a lot of mucus, you can use seawater for nasal irrigation, and take some Erythromycin.