Hi Doctor,I have a 15 month-old son with adenoids enlargement,he is mouth-breathing ,snores very loudly and is having several episodes of nocturnal respiratory pause (apnea),for more than 2 weeks now.He has been prescribed nasal fluticasone 50 mcg spray every night, but i have not seen any improvement so far.what do you suggest?should surgery be considered an option?Please answer ,thank you.