Childhood Diseases

Posted by: m | 2009/06/13


adenoidal hypertrophy

Geagte Prof Weinberg

This is a follow-up question, re: 1836 - asthma medicine for coughing. (son, 4, coughing at night, runny nose, now for 3 weeks).

We have stopped using the medicines and the coughing is slightly less. However, I took my son back to the doctor, hoping to get a script for Prelone, as you suggested (possible tracheitis), and were sent for x-rays and prescribed Nasonex.

The x-rays showed a " mild perihilar peribronchial thickening"  (what does this mean?) and " marked adenoidal hypertropht causing 80% obstruction to the nasopharynx" . We have now been referred to a ENT specialist for possible removal of the adenoids.

If the coughing is slowly getting better on its own, will it be a good idea to fiddle with his adenoids?

Dankie, weereens!

Expert's Reply



The Xray findings suggest a recent viral infection of your son's chest, most likely a condition called bronchiolitis.He probably has tracheitis as well. This being a viral condition it will get better by itself.Your son's very enlarged adenoids are a problem as they will cause quite significant nose blocking and also cause a post nasal drip. He should be seen by an ENT specialist for this problem. The specialist must decide whether the adenoids should be removed or not. At least this all shows us that your son does not have asthma.

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