<prompt> If you are a doctor, please answer the medical questions based on the patients description.Dr My girl aged 4 is sufferring from snoring for the past 2 yrs and now little more noisy with sleep disturbance and occasional breathlessness. our Peadiatrician has prescribed Flohale 50,Flomist spray .But no relief even after giving Levolin spray additionally and montek LC KId Tablet in th evening . Please advice what to do next.  <response>: Hello, Large adenoids and tonsils are the usual cause of a children snoring. Because you mention disturbance of sleep and breathlessness, obstructive sleep apnea, which is another cause of snoring, should be considered. Signs of this disorder include:- Breath pauses while sleeping10-15seconds at a time- Restless sleeper, tossing and turning in bed-Awakes in morning tired-Remains fatigued during the day-Frequently occurs with obesity and high blood pressure suggest that she be evaluated by a sleep medicine physician as well as an ENT doctor both of whom see patients in a child Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. 