I am very grateful to you for your careful diagnosis of my daughter, who was very cooperative in the nasal endoscopy. I found out that the real cause of my daughter’s heavy breathing sound was adenoid hypertrophy, not rhinitis as some hospitals say, so I took a lot of detours. That day, the examination found that the adenoids were enlarged by 4/5. Saline nasal wash, Nesuna once a day and herbal nebulizer treatment. Now the heavy breathing sound has improved significantly, thank you very much. I would like to ask you: 1. Do I have to suck the saline after spraying my nose and then spit it out of my mouth? 2. I am now using 10ML of herbal nebulizer each time, basically within 15-20 minutes, is this amount okay? I’m a little worried about the hormone class after all. Hangzhou Hospital of Traditional Chinese Medicine, Department of Otolaryngology, Chen Zhiling: nebulization and endosuction are sprayed as much as possible to suck inside, expecting the drug to reach the adenoids, the amount of nebulization is enough, mainly rely on children with. Saline nasal spray is not forced out of the mouth, because it is difficult for children to do. It is better to see after a month before deciding whether to reduce the amount of medication. Thank you! Patient: Hello, Director Chen: My daughter had a cold on September 28th, and after the cold, she slept with her nose back to its original state, snoring a bit and having poor ventilation, and went to the pediatrician at the hospital with a bit of a cough after 5 days of self-medication with Qingkailin. The yellow phlegm, eat the nasal abyss pass the orifice 1 box, the head of the full of the dispersion tablet 3 days. Now the nose is basically clear at night, every time you wash your nose there is a small amount of sticky snot (your medication for a period of time after a long time to see this sticky snot), is up in the morning there are a few coughs, the kind of phlegm, today let her spit out to see is yellow phlegm. Now is also a daily nebulization, nasal wash plus endosuction, I would like to ask Chen director of this situation to add drugs, or to go to the hospital again to see, if really is a little sinusitis, nebulization, nasal wash plus endosuction on sinusitis also effective? I’ve been working very well, but I got depressed once in the middle of a cold. The actual fact is that you can get a lot more than just a few of these. Adjust the medication according to the situation, if the nasal discharge and phlegm is yellow, still need to use antibiotics. The rest can remain the same. If you don’t want to use antibiotics, add Chinese medicine. Patient: Hello director Chen, you said her symptoms are more stubborn, I guess it is the seafood eating bad one, I do not know if you still remember. The first thing I want to ask is: 1, I see that your case is not seen thick snot, is it that sinusitis has improved? 2, also a little post-nasal drip, is it caused by adenoid hypertrophy, or sinusitis or rhinitis? 3, that imported seawater nasal wash, read the instructions are not very good at using, I am now let the child’s head bent to the side, spray the upper nostrils, nozzle diagonally against the outside of the nostrils, after the spray does not blow ( I have a few questions about this operation, one is that I feel that the seawater spray is not deep enough to reach the inside of the nasal cavity, and the other is that the snot and boogers can’t come out if I don’t blow. I’m sorry, Director Chen, but my child still snores a little bit when he sleeps, he sweats a lot, and his mouth is often unconsciously open, so it hurts. Chen Zhiling, Department of Otolaryngology, Hangzhou Hospital of Traditional Chinese Medicine: No pus and snot should be good. Let the seawater stay in the nasal cavity for a while, and then blow out better. After spraying seawater and then spraying with Neshuna, let the child lie down for a while afterwards, so as to reach the adenoids area.