instruction: hello doctor my year old son has been complaining of severe ear pain just right ear and occasionally says that he hears a sound in the same ear when he is abroad he has a nonstop cold phlegm and chest congestion but when he travels here he is absolutely fine he also suffers from nose blockage and struggles to breathe through his nose he breathes through this mouth only most of the time the doctors abroad suggested surgery to remove his adenoids however when he is here he is absolutely fine and the doctors are against surgery could you please suggest what is the solution for his suffering
output: hi have you taken an adenoids ray can you upload the ray if you have taken it do you think there could be some allergen in his place abroad which could be causing allergy and nose block in your son does he take food properly is there any dust inside the house abroad any chance of pollen or house dust mites does he have any sneezing or running nose does he show any rashes over his body the ear pain is there only in the right ear and when only he stays abroad does your son have an ear problem here do you feel he has hearing loss from that ear have you covered his normal ear and checked the hearing from his affected ear let me know can you upload the relevant ray and blood tests what we are worried if the adenoids are causing ear block this can lead to compromised development as your son will have some hearing loss removal of adenoids will take care of this problem you may have to get some ear tests done meanwhile the allergy may aggregate the problem in when he is abroad and here it may not be aggravated but adenoids will not lessen in size even while in india