Hi,
Noted the history about your 19 year old son got operated for tonsils, since
adenoids are removed but a past got enlarged again has symptoms related to it and wants to know whether surgery is a must or what to do as you are afraid of another surgery being a worried Mom.
I can understand your concerns very well.
You can surely first get investigated by
MRI of the nose to know the size of adenoid, any other problems like hypertrophied turbinate or polyps and get the medical treatment of 3 weeks and then review.
If there is regression of adenoids or any cause of nasal blockage then continue the treatment.
Also get
Vitamin A and D levels and get replaced if there is deficiency and may help with symptoms.
Avoid all the factors, allergens, foods and beverages that you must have observed to increase the symptoms of your son.
This has to be very strict.
Only when the long term medical management fails then only surgery is needed if the symptoms persist.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, ENT and General Surgeon