Patient: My son is four years old and is allergic. When he was one year old and seven months old, he had a lot of hives on his body, and was found to be allergic to milk, eggs and seafood at the Weifang People’s Hospital. I gave him calcium tablets and intestinal worms, but he still grinded his teeth, and later went to the ENT department of Weifang People’s Hospital for examination, saying that it was allergic rhinitis, and was given some spray and ketotifen oral solution, but did not see any improvement. The other day, my son was admitted to the county people’s hospital because of pneumonia, and the ear, nose and throat doctor there said that my son’s tonsils were somewhat large, and he had a CT scan, which revealed large adenoids and recommended surgery to remove the tonsils and adenoids. I would like to know if my son’s symptoms are caused by his adenoids, he often has colds, and when he gets a cold, he gets bronchitis, and when it gets serious, he gets asthma or pneumonia, he just had eight days of injections last month on May 1, and he also had eight days of injections this month, also, do you have to remove both tonsils and adenoids to do this surgery? I hope to get your reply in time, anxious parents Tonsils Tonsils and adenoids Zhang Liqiang, Department of Otolaryngology, Qilu Hospital, Shandong University
Zhang Liqiang, Department of Otolaryngology, Qilu Hospital: If the nasal cavity is not clear during sleep, it may be caused by nasal mucosal edema due to allergic rhinitis and obstruction of the posterior nostril due to adenoid hypertrophy. It must be taken seriously. You can give your child a nasal spray with coleus. If the nasal congestion does not improve significantly after about 2 weeks of treatment, the nasal congestion caused by adenoid hypertrophy is considered. Adenoids need to be removed. If there is snoring or restless sleep, it is better to remove the tonsils together. A four-year-old child is the right age for this procedure, and general anesthesia is safe. However, if the child has unstable asthma control, the general anesthesia procedure can induce an asthma attack, which has some risk. Nasal endoscopic adenoidectomy and tonsillectomy under general anesthesia is recommended after asthma control.