<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi, my 3.5 year old son has enlarged adenoids. He has difficulty breathing at night as he struggles to breath through the nose and holds his breath in a lot. its so distressing. GP prescribed a steroidal nasal spray thats not helping much and obviously surgery is to be avoided as he s too young. please help!!  <response>: HI...this is an upper airway resistance syn Chat Doctor. I agree that it should be very hard for you to see the kid suffering like this. But the steroids will take at least 6-8 weeks to show some beneficial effect. If even after this - there is no effect, you can consider other options like surgery. Your GP has done a good and job and I suggest you wait for the response if it is not 8 weeks yet or consider other options if it is more than 8 weeks of steroid nasal spray. Regards - 