@drowenyuan: After a Nasal Flu Vaccine, His Adenoids Swelled to 80% — Should He Rush to the Hospital? A de-identified real ENT consultation: a 3-year-old boy received a nasal spray flu vaccine on September 22, developed a fever on September 24, and imaging on September 25 showed his adenoids swollen to 80 percent. From October 1 his sniffing and snorting grew obvious, worse at night — he woke crying at 2 a.m. saying his nose hurt, his left turbinate swollen so much it nearly blocked the nostril, and he choked and coughed when turning over. Dr. Owen Yuan explains why breathlessness, choking and trouble sleeping mean getting checked in hospital first, the viral infection and rhinitis behind the symptoms, the saline rinse, steroid nasal spray and oral antihistamine step-down plan, and the path from sleep monitoring to adenoid surgery if obstructive sleep apnea is confirmed. Educational content only — not medical advice. Patient identities are de-identified. Consult your doctor for personal concerns.

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