Precautions To Take When Your Child Has Laryngomalacia


Laryngomalacia is a condition when the tissues of the larynx or voice box softens over time. This is usually associated with noisy breathing in infants. Your child may need a medical assessment in some cases, while you can also help the physician control the situation better by taking a few precautionary steps.

Look For Variation In Breathing Noises

If the baby is breathing out and making a noise, it may appear to be coming from the chest, known as the wheezing sound. On the other hand, if the baby is inhaling, and a rattling noise is heard, something is wrong with the upper airway like the voice box or throat. An ENT specialist will typically asses the stridor noises to identify the root cause.

Ensure Clear Oral And Nasal Airways

Rough breathing in child can be frightening, and one should quickly inspect whether the oral and nasal airways are clear or not. Look into the mouth and remove any foreign objects that are visible to you, and clear up the nasal congestion using topical saline drops.

Identify Croup

Stridor noises are commonly due to croup. You can generally identify it by a bark-like cough resulting from irritation in the larynx or trachea. It can happen due to a viral infection. In a majority of cases, it can be easily treated with steroids or cool humidified air. But in a few cases, medical intervention may be required.

Do Not Let The Condition To Be Persistent

Floppy tissues above the larynx or voice box is the reason behind Laryngomalacia. When the child breathes in, the aryepiglottic folds fall into the airway. Once identified, it can typically work its way out within a few months, but persistent condition may obstruct developmental progress, sleeping and normal eating.

Is Recurring Croup An Issue?

If the baby is being diagnosed with a croup more than two times in a year, it’s time to check with an expert ENT specialist. Recurrent occurrence may imply something is not right with the subglottis anatomy. If required, a laryngoscopy may be performed to check whether there is any narrowing of larynx.

Monitor Noisy Breathing in Relation To Normal Eating And Sleeping

Apnea episodes can occur when the baby is sleeping, accompanied with irregular breathing noises. If there is a silence, without the chest falling and rising, there may be apnea disorders. It is not typically adenoid hypertrophy and tonsil, and may require a team approach to evaluation. In case you notice any sound during or after eating, it may be possibly due to reflux when the acid vomits up and makes the tissue swollen and irritated.

If there is an increase in airway noises during crying, it can be associated with vascular abnormalities. Such issues require extensive investigations and complex treatments, but with a positive outcome.

Make An Audio Recording Of The Noise

Before planning to see a physician, it’s advisable to make a recording of the noise at different intervals. This will help in improving the diagnostic process to ensure you child is receiving proper treatment.