Brief Answer:
Routine treatment as per symptoms.
Detailed Answer:
Hi,
Thank you for your query.
1. Adenoid enlargement is seen children between the ages of 3 and 7 years. Now-a-days, with sustained medication including antibiotics, anti-inflammatory, anti-allergic,
mucolytic, steam inhalation and steroid nasal sprays (such as metaspray), most of the cases with severe adenoid hypertrophy respond well.
2. As he has no fever and is active, it is not necessary to continue the antibiotic (after this short course) and the anti-inflammatory medication (Combiflam). The short course of
Cefpodoxime and
clavulanate will be sufficient to control any infection.
3. Get an X-ray Skull lateral view for adenoids done, If the adenoids are not enlarged, this is not related to the swelling under the ear.
4. The swelling under the ear may be due to a lymph node or a parotid
salivary gland. A neck USG (
Sonography) will settle the issue. It is important to rule out Mumps. It is better to get his ear examined by an otoscope (than with a torch).
5. These are very common childhood problems and respond well to treatment.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.