Our 4-yr 9m-old child has been experiencing recurrent episodes of cold and cough, spanning approximately 1 year and 9 months. Despite multiple consultations with pediatricians and ENT specialists ( as once my son complainleft air pain), the symptoms persisted, with temporary remissions following medication.
Since November last year, the child has been exhibiting persistent cold and cough symptoms, for which we have been administering prescribed medications. Last month, the child again complained of ear pain, prompting a visit to an ENT specialist. The ENT specialist prescribed a combination of Levolin and Budcort for 15 days and requested an X-ray.
The X-ray report indicates mild soft tissue enlargement in the nasopharyngeal roof, suggestive of enlarged adenoids.
Based on this report, the ENT specialist has recommended adenoidectomy surgery following a 1-month course of Synospray and Sinomet. Is surgical intervention the sole viable option for our child's condition.
Answers (3)
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DO NOT USE Sinomet for more than 5 days
Sinospray can be used for atleast 6months daily morning and night
Along with good amount of physical activities
Skipping will be very helpful
Next Steps
Even after using the spray properly and following other measures if child symptoms is not reducing then adenoidectomy is the option
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Steam inhalation will be helpful
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Thank you for sharing the detailed history.
Recurrent cold and cough in children of this age group are quite common, especially if there is adenoid enlargement.
Even a mild enlargement of adenoid on X-ray can contribute to nasal blockage, persistent cold symptoms, mouth breathing, snoring, and sometimes ear problems due to Eustachian tube dysfunction.
However, surgery is usually considered based on:
• Severity and frequency of symptoms
• Presence of sleep disturbance or significant snoring
• Recurrent ear infections or hearing issues
• Response to adequate medical management
In many cases, a proper course of medical treatment (including nasal sprays and allergy management, if indicated) is tried first. If symptoms persist despite appropriate medical therapy (or are recurrent) and are significantly affecting the child’s quality of life, Adenoidectomy may be advised.
Since online advice has limitations and examination findings are very important in children, I would suggest discussing the pros and cons in detail with your treating ENT specialist before taking a decision.
Wishing your child good health.
— Dr. Manit Mandal
Consultant ENT Specialist
Depends on the grade of adenoid hypertrophy. Grade 1 & Grade 2 often can be managed with Nasal steroid sprays, any higher grade may require surgery of no significant relief with nasal sprays
Next Steps
Evaluate/Send the x ray to assess adenoid hypertrophy
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Ear, Nose, Throat
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