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

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