Adenoid hypertrophy does not necessarily require medication because it is relatively common clinically. Some cases may need medication, while others can be observed. This mainly depends on the severity of the adenoid hypertrophy and the specific clinical symptoms. If the enlargement is not severe and there are no clinical symptoms, it is possible to consider observation without drug treatment, as the adenoids can gradually shrink as age increases. If the adenoids are significantly enlarged and may be accompanied by clinical symptoms such as nasal congestion, snoring, and mouth breathing, it is necessary to consider timely drug treatment. If drug treatment is ineffective, some cases may need to consider adenoidectomy surgery.