Yes and no: While there are other medically treatable causes for nasal congestion, if the tonsils and adenoids are large, surgery might be necessary. A trial of antihistamines and nasal steroids would help to answer whether surgery is absolutely necessary or not. Ask your ENT about medicine to try before surgery.
Answered 1/25/2017
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See below: Discuss this with your ent. Some decrease in the size of tonsils and adenoids can be expected with growing older. Some of the size increase can be treated with nasal steroids. If there is alteration of sleep cycles, or behavioral problems then surgery may be the best option.
Answered 4/24/2015
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