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

### input:
Hello Doctor,My Daughter aged 3.9 is having Adenoid and allergy problem- ( both tests are done). She was hospitalized at the age of 2.5 yrs for RTI and intravenous was given for5 days. there after, I tried homeopathy- it failed and since March 2010, she is under regular medication of Seroflo/ Budecort puff . When ever, the intensity of cold is high , she takes asthaline puff and steroid syrup. With that she improves- but again the problem reoccurs within a month and almost in every two months I need to give her steroid syrup. The ENT is saying to go for adenoid operation while, the pediatrician is saying not to do it before 6 years. Snoring is relatively much less compared to her earlier ages, sleep at night is normal, though she gets spell of coughs 3-4times in sleep, weight is good and activity is normal except when she gets the acute attack of cold- that time she is very irritated, aggressive--. Please suggest

### output:

Hello. Thank you for asking at Chat Doctor. I went through your daughters history and understand your concern. I would like to make following suggestions for her:1. As long as her current treatment, I would agree with most of it.2. Regarding need for removal of adenoids, I would agree with your pediatrician that efforts should be made to preserve adenoids up to age of 6 years as they important for a children immunity. 3. I would like to emphasize the importance of device and technique of using inhalers (Aeroflot/Decor). If they are not perfect, the Chat Doctor. In my opinion, for a 3.9 year child, metered dose inhaler with spacer with mask is the best inhaler equipment. Please make sure her technique of using the inhalers is perfect by reviewing it in presence of your pediatrician. Also, regular cleaning and changing the spacer every 6 months is advisable.4. Were I treating her, I would add regular montelukast in above treatment, which may improve her symptoms and reduce need for repeated steroid requirements. 5. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.), avoidance of the allergens (to which she is allergic) and avoidance of dusts & smokes are also important measures for her. Hope above suggestions will be helpful to your daughter. Wish her the best of the health and a bright future ahead. Should you have any further query, please feel free to ask at Chat Doctor. Thank you & Regards.