### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello Doc my son is 4yr old. he has recurrent cold and cough once in every two months. he was diagnosed with adenoid at 2yrs of age but only precautionary measures were advised. now as its winter and also due excess feeds of sweets and chocolates his cold has resurfaced with running nose. he was advised on metaspray and singulair tablets(montelukast sodium tablets 4mg) for 3weeks and now when his x-ray of lateral view of skull taken ,he is said to have enlarged adenoids. his breathing is not bad but he snores and breaths through nose though his mouth remains open. he continuously adjust his sleeping position to have a better breathing. elevated surface for head and neck(using pillow) is of more comfort breathing and sleep to him. should I get adenoidectomy done or is there any grace period to wait until medications show the effect? thankyou, Dr.Srija(PT & EI)

### output:

Thank for consulting. Honestly, if your child has 2-3 stage of enlargement of adenoids better visit ENT doctor and discuss question about adenoidectomy. You understand that recurrent infection will not stop and runny nose and cough will always prevent to study normally. Furthermore, adenoids interfere to normal blood circulation in brain, because less oxygen arrives to brain. From my side we check analyses blood, urine, ECG, if these are normal, then go to surgery. You can try to treat with steroids if adenoids will decrease after metaspray till 1 stage, then OK. You only increase immunity to child. For example, give Tulsa juice 5ml 1 time 1 month, ginger and lemon tea, multivitamin-zincovit 5ml 1 time 1 month. Start to go in for sports :stating, swimming, taekwondo or other hobbies. Best regards Chat Doctor. 