Adenoid Hypertrophy Treatment: A 9-Month Case Study of an 11-Year-Old Boy

Adenoid Hypertrophy Treatment: A 9-Month Case Study of an 11-Year-Old Boy
An 11-year-old boy from Bangalore with a five-year history of nasal obstruction, snoring, mouth breathing, chronic cough, and recurrent cold and fever was documented with Grade I–II adenoid hypertrophy. Over nine months of follow-up, his symptoms gradually improved, with approximately 90% overall improvement recorded by May 2026. A follow-up nasopharyngeal X-ray showed only mild soft tissue indentation, while no active complaints were reported at the latest follow-up.

Hero Introduction

An 11-year-old boy from Bangalore had been experiencing nasal obstruction, snoring, mouth breathing, chronic cough, and recurring episodes of cold and fever for nearly five years. During the three months before his consultation, these complaints had continued to trouble him.

An X-ray of the nasopharynx dated 10 December 2024 showed Grade I–II adenoid hypertrophy. Before starting treatment at Life Force Homeopathy, Jayanagar, he had also been using a steroid nasal spray and antihistamine.

His first consultation was on 14 August 2025. Over the following nine months, the frequency and intensity of his respiratory complaints gradually reduced. By May 2026, approximately 90% overall improvement was documented, and the follow-up X-ray showed only mild soft tissue indentation.


Patient Details

ParameterDetails
Patient IDPIN-58257
Age11 years
GenderMale
LocationBangalore, Karnataka
ConditionAdenoid Hypertrophy, Grade I–II
Duration of Complaint5 years
BranchLife Force Homeopathy, Jayanagar
First Consultation14 August 2025
Consultation ModeIn-clinic

About Adenoid Hypertrophy

Adenoid hypertrophy refers to enlargement of the adenoid tissue. In children, this may be associated with symptoms such as nasal obstruction, mouth breathing, snoring, and recurring respiratory complaints.

In this case, the child's complaints included persistent nasal blockage, snoring, mouth breathing, chronic cough, and repeated episodes of cold and fever.

An X-ray of the nasopharynx had documented Grade I–II adenoid hypertrophy, providing an investigation finding alongside the symptoms reported by the child.


His Symptoms at the First Consultation

At the time of consultation on 14 August 2025, the child was experiencing:

  • Snoring during sleep
  • Persistent nasal obstruction
  • Mouth breathing
  • Chronic cough
  • Recurrent cold and fever
  • Cold and fever episodes approximately once every 2–3 months
  • Each episode lasting around 15 days

Before the consultation, he had been using a steroid nasal spray, two puffs twice daily, and one antihistamine tablet daily for approximately one month.


What the Initial Investigation Showed

The nasopharyngeal X-ray dated 10 December 2024 showed Grade I–II adenoid hypertrophy.

This investigation was part of the clinical information considered while assessing the case.

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Understanding His General Health

The case assessment included his physical characteristics, dietary preferences, sleep, general health, and emotional profile.

He had an average appetite and followed a non-vegetarian diet, with a particular liking for sweets. His water intake was around two litres daily, perspiration was average, and he was described as warm-blooded.

His bowel and urinary functions were satisfactory. He slept soundly and preferred sleeping on his sides.

He was described as calm and easygoing. He performed well academically and enjoyed outdoor activities, particularly football. He shared a close emotional bond with his mother and openly discussed his feelings and concerns with her.


Planning the Treatment

The case was evaluated by considering the child's respiratory complaints, their recurring pattern, general health, and individual characteristics.

The treatment plan included constitutional homeopathic medicines and regular follow-ups. Changes in nasal obstruction, mouth breathing, cough, snoring, and recurrent cold and fever were monitored during subsequent consultations.

The use of the nasal spray and antihistamine was also documented during the follow-up period.


Follow-Up and Progress

11 October 2025 | 2 Months

During the first follow-up, the child had experienced only one mild episode of cold and fever over the preceding two months.

Nasal blockage, mouth breathing, and cough had improved. Sneezing, runny nose, and snoring were still present.

At this stage, he continued using the nasal spray and antihistamine.


6 December 2025 | 4 Months

Further improvement was noted in cough and snoring.

However, the child experienced daily sneezing and watery nasal discharge for 15 days, which became worse after exposure to cold morning conditions.

A short course of cough syrup had also been used during October.

By this follow-up, the allopathic medicines had been discontinued as documented in the case.


31 January 2026 | 5.5 Months

Steady improvement continued.

The doctor's assessment recorded approximately 90% response to the medicine, while the overall improvement from the beginning of treatment was estimated at approximately 60%.


1 April 2026 | Approximately 7.5 Months

The overall improvement remained at approximately 60%.

Nasal blockage was the main remaining complaint. It was particularly noticeable during the early morning and occasionally during the day.

No other significant symptoms were reported.


31 May 2026 | 9 Months

At the ninth month, the patient was assessed at approximately 90% overall improvement.

There were no active complaints at this follow-up.

The case record noted significant improvement in snoring, cough, recurrent cold episodes, nasal obstruction, and mouth breathing.

A follow-up nasopharyngeal X-ray dated 31 March 2026 showed only mild soft tissue indentation.


How His Condition Changed During Follow-Up

The improvement occurred progressively over the follow-up period. Initially, nasal blockage, mouth breathing, and cough began to reduce, while snoring and other nasal symptoms remained.

A temporary increase in sneezing and watery nasal discharge was recorded around the fourth month, particularly after exposure to cold morning conditions.

During the later follow-ups, the overall improvement remained stable before increasing to approximately 90% by the ninth month. At the latest follow-up, no active complaints were reported.


Outcome

After approximately nine months of follow-up, the case documented:

  • Approximately 90% overall improvement
  • Reduced nasal obstruction
  • Improvement in mouth breathing
  • Significant improvement in snoring
  • Significant improvement in chronic cough
  • Reduction in recurrent cold and fever episodes
  • Discontinuation of the documented nasal spray and antihistamine during the treatment period
  • Follow-up X-ray showing only mild soft tissue indentation
  • No surgery during the documented treatment period

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Key Learnings From This Case

This case highlights the importance of monitoring both symptoms and investigation findings in a child with adenoid hypertrophy.

The child's progress was not completely uniform, as a temporary increase in sneezing and watery nasal discharge occurred during the follow-up period.

Regular consultations helped document changes in nasal obstruction, mouth breathing, cough, snoring, and recurrent respiratory episodes over time.


Conclusion

This case documents the nine-month follow-up of an 11-year-old boy with a five-year history of nasal obstruction, snoring, mouth breathing, chronic cough, and recurring cold and fever.

His nasopharyngeal X-ray dated December 2024 showed Grade I–II adenoid hypertrophy. Following the start of treatment in August 2025, his symptoms gradually reduced, although a temporary increase in sneezing and watery nasal discharge was noted during the fourth month.

By the May 2026 follow-up, approximately 90% overall improvement was documented. No active complaints were reported, and the follow-up X-ray showed only mild soft tissue indentation.

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MD (Homeopathy)

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