Hello, Thanks for posting your query here. Your complaints sound like you have been having nasal blockage and congestion for quite sometime. Tonsils need to be removed if they are getting infected often or if they cause obstgructive apnoea at night. Nasal congestion are usually due to enlarged turbinates which are seen as pink fleshy masses from outside. If I were your treating doctor,I would have advised a nasal endoscopy and CT scan of nose and sinuses to diagnose exactly what is causing the problem. Remnant adenoid tissues have also to be treated. The nasal spray you mentioned will reduce the nasal inflammation and improve airway. If sprays are not giving satisfactory results, better to go for surgery to address the pathology, usually coblator assisted submucosal turbinectomy gives very good results. With regards Dr Rao