What to do when your child is hoarse?

This is an automatically translated article.


Hoarseness in children is a relatively common disease and usually does not cause danger. However, there are some children who often have repeated hoarseness, even severe cases leading to loss of voice, loss of appetite, weight loss, fatigue, etc. Therefore, it is necessary to detect and treat this condition in children. babies early to avoid the risk of irreversible vocal cords, causing lifelong voice damage.

1. The reason why children often have hoarseness


The larynx is a complex structure that has many functions such as protection, respiration, swallowing, and pronunciation. Each person's voice is created by 3 components including: Air stream (lungs), vocal cord vibrating to create sound and vocal resonance unit (including pharynx, nasopharynx, tongue, palate, lips) and cheeks). When the vocal quality of the voice changes (eg hoarseness), it means damage to the vocal cords.
Hoarseness is a phenomenon in which the speaker's voice changes in both pitch and timbre, especially at high pitch, making the voice more timid. Hoarseness in children is common in children aged 5 - 10. In children, the main cause of hoarseness is:
Screaming or clearing throat, using excessive voice in crowded places such as summer camps. , school,...; VA, acute or chronic laryngitis, chronic asthma, sinusitis, bronchiolitis, colds, flu, measles,...; Special pathology: Laryngeal soft cartilage, laryngeal papilloma, laryngeal foot membrane, vocal cord paralysis, vocal cord myasthenia gravis,...; Other causes: Dry mouth, not drinking enough water, using many cough lozenges, children with congenital hoarseness, allergies, angioedema, breathing tubes, frequent vomiting or reflux, stress, hyperactivity disorder moving,....

2. Stages of vocal cord changes in children with hoarseness


Hyperactivity hoarseness in children often lasts a long time. If not actively treated, it can last for a year, causing irreversible and irreversible damage to the vocal cords (atrophy along the free margin of the vocal cords, rapid fatigue when speaking,... , the external examination will not show anything abnormal.However, when laryngoscopy within 5-7 years, there will be changes in the vocal cords in each stage as follows:
First stage: These are tangles. dysfunction, larynx is still completely normal, but when the child speaks, the cartilage of the funnel will tighten, the glottis will contract strongly; Later stage: After 1 year, physical changes appear. rhombus-shaped vocal cords, when a child speaks, only the middle part of the vocal cords is closed, the latter part is open, and fibrous granules of the vocal cords may form.At this stage, the child's voice is hoarse, squeezed, must use force. pronunciation when speaking; Atrophic laryngitis: 1 or both of the child's vocal cords are atrophied, only the ventricular band can be seen. This is mainly a sequel to ulcerative laryngitis in cases of bacterial infection. Severe as flu, measles, ...

Trẻ hay bị khàn tiếng là bệnh lý tương đối phổ biến và thường không gây nguy hiểm
Trẻ hay bị khàn tiếng là bệnh lý tương đối phổ biến và thường không gây nguy hiểm

3. Is it dangerous for children with hoarseness?


Because hoarseness is a symptom of many different diseases, the diagnosis must be made by an ear-nose-throat specialist. After determining the cause of the disease, the doctor will offer the appropriate treatment plan for the patient: voice therapy, medication or surgery.
Although most vocal cord injuries or causes of hoarseness in children are not serious. However, parents should not be subjective but should take their children to a thorough examination to avoid confusion and ignore the disease. This avoids the risk of irreversible damage to the vocal cords due to prolonged hoarseness.

4. What should children with hoarseness do?


To handle this situation, parents can apply the following measures:

4.1 Treatment of disease


Use antibiotics, anti-inflammatory, anti-edema if there are signs of infection when examined; For cases with fibrous granules, polyps or vocal cord cysts, ..., surgical intervention is required. However, many studies show that, after the age of 15, due to the development of endocrine hormones, these fibrous particles can be destroyed. Therefore, it is possible to wait until the child is 15 years old, if the fibroids do not disappear, then surgery.

4.2 Speech function treatment

Speech therapy is done by helping the child correct pronunciation, explaining to the child about his or her condition so that the child avoids using the voice excessively. This method of treatment requires parents and children to be especially persistent in order to improve.

Sử dụng thuốc kháng sinh nếu khi khám thấy có dấu hiệu viêm nhiễm
Sử dụng thuốc kháng sinh nếu khi khám thấy có dấu hiệu viêm nhiễm

5. Preventing the risk of hoarseness in children


The condition of children with hoarseness can be completely prevented by the following ways:
Early treatment for children when they have ear - nose - throat infections, especially when the weather changes; Adjust children's behavior, avoid letting them scream and talk loudly in crowded places. Can guide children to express their own emotions through physical actions; Prophylaxis in children with atopy; Encourage children to drink enough water every day, limit drinking cold water; If the child is practicing singing, rehearsing plays, the child should have a suitable rest interval between them; Ensure a nutritious diet for children, fully supplement vitamin C to strengthen resistance, encourage children to exercise; Do not turn on the air conditioner too low because the large temperature difference between indoor and outdoor can cause your baby to have a cough, cold or hoarseness; Keep the house and utensils clean, pay attention to the hygiene of the baby's body and teeth; Avoid exposing children to passive stimulants such as smoke, cigarette smoke, etc. If they find that their children often have hoarseness or hoarseness that does not go away for a long time, the progress is getting worse, parents should bring the child to them. reputable medical facilities to be examined and have a timely and effective treatment plan.

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