Welcome to the PediPro video series, where clinical insights meet real-world pediatric care. In this 10th case, Prof. (Dr.) Pawan Kumar presents a 2-year-old boy with persistent nasal congestion, nocturnal dry cough, and mouth breathing. Evaluation revealed allergic rhinitis and grade 3 adenoid hypertrophy, with confirmed triggers like dust mites and pet dander. A combination of nasal corticosteroids and allergen avoidance led to marked improvement. This case underscores the value of early diagnosis, customized therapy, and a comprehensive approach to pediatric airway conditions.