Laryngitis in a child 2 years of treatment. The scheme of treatment of laryngitis in children. Chronic laryngitis and its manifestations

Inflammation of the larynx is a fairly common disease that occurs in childhood and can be complicated by stenosis or laryngospasm. When choosing medicines for laryngitis for children, the doctor, first of all, takes into account the cause of the inflammatory process, on the basis of which the treatment regimen is signed.

Inflammation of the larynx in a child can be caused by various reasons:

• throat injuries (blows, damage to the mucous membrane of a fish bone, small foreign objects, etc.);
• viral infection (ARVI, influenza);
• bacterial infection (, streptococci);
• allergic reaction (inhalation of dust, animal hair, strong-smelling substances, paints and varnishes, mold).

Depending on the cause that provoked the inflammatory process, the specialist will prescribe an effective medicine for laryngitis for children.

What is prescribed for laryngitis in children?

The table shows the groups of drugs that are most often used to treat inflammation of the larynx:

Important! you should not take medicines for laryngitis for children without consulting a doctor, as this leads to difficulty in determining the correct diagnosis and contributes to the development of severe complications, especially in children from one to three years of age.

Conservative treatment of laryngitis in children

What to take at? Treatment begins with a visit to the pediatrician, usually the doctor prescribes complex therapy, which is aimed at eliminating the inflammatory process, alleviating cough and normalizing respiratory function.

Cough preparations

In most cases, inflammation of the larynx in children is combined with tracheitis (inflammation of the trachea), as a result of which the patient has a paroxysmal dry, obsessive cough. Lollipops for children with laryngitis, which include essential oils and extracts of medicinal herbs, help relieve pain when swallowing and reduce sore throat, due to which the cough will soften a little.

In the early days, antitussive drugs are prescribed for the relief of a painful cough. The drug Sinekod with laryngitis in children eliminates obsessive laryngeal cough, reduces irritation of the mucous membranes of the upper respiratory tract.

A few days after the start of therapy with Sinekod (3 days), this drug is replaced with mucolytics and expectorants.

Ambrobene

Ambrobene with laryngitis in children is prescribed in the case when the inflammatory process of the larynx is combined with inflammation of the trachea or bronchi. The composition of the syrup includes plant extracts that help thin viscous sputum and stimulate the work of the ciliated epithelium lining the respiratory tract, as a result of which the accumulated mucus is easily removed from the larynx when coughing.

Important! you can not take Sinekod and Ambrobene at the same time, as this will lead to blockage of the airways with accumulated sputum and the development of laryngeal stenosis. A cough medicine for laryngitis in children should be selected by a doctor, based on the type of cough and the characteristics of its course.

Complex cough preparations

When a child is prone to allergic reactions and attacks of laryngospasm, then for the treatment of cough against the background of inflammation of the larynx, doctors prescribe complex drugs that have several effects:

• expand the airways;
• relax the muscles of the respiratory system, due to which the bronchi are also removed;
• liquefy viscous sputum;
• stimulate expectoration of sputum.

Erespal, Ascoril and Eufillin belong to the group of bronchodilators with mucolytic and expectorant action.

Erespal

Erespal with laryngitis in children is prescribed to relieve the inflammatory process, reduce tissue swelling and prevent the development of stenosis of the larynx. The drug is available in the form of syrup and tablets, the instruction that is attached to Erespal describes in detail the composition, age dosages and contraindications.

Attention! The composition of Erespal in the form of a syrup includes sucrose, which should be taken into account when prescribing the drug to children with congenital lactose intolerance or malabsorption syndrome.

Ascoril

Ascoril for laryngitis in children is prescribed to reduce spasm of the respiratory tract, tissue edema and stimulate the production and thinning of sputum.

The therapeutic effect of the drug is due to its active active ingredients:

• salbutamol- relaxes the muscles of the respiratory tract, prevents the development of laryngospasm;
• guaifenesin- stimulates the process of sputum formation and its liquefaction;
• bromhexine- improves the process of sputum discharge and the purification of the respiratory tract from pathological mucus.

Ascoril is available in the form of tablets and syrup and is intended for the treatment of children from 6 years of age.

Eufillin

Euphyllin for laryngitis in children is prescribed only in extreme cases, when the inflammatory process is complicated by severe laryngospasm and impaired respiratory function. The drug is addictive, so you should not use it for a long period of time.

Important! the dose of Eufillin is determined by the doctor on an individual basis, depending on body weight and age. Self-exceeding the dose of the drug can lead to a sharp drop in blood pressure and the development of vascular collapse (acute vascular insufficiency).

No-shpa for laryngitis in children is prescribed to patients of younger preschool age or to those babies who have individual intolerance to Eufillin. The drug is injected deep into the muscle.

Usually, No-shpa's injection is combined with Suprastin or Dimedrol. Suprastin for laryngitis in children can be used even in babies up to a year old, the doctor calculates the dose on an individual basis.

Inhalations and other procedures for laryngitis

As an adjunctive therapy for inflammation of the larynx, the child is inhaled through a nebulizer. This device allows the drug to enter directly into the distant parts of the respiratory tract and act instantly. especially effective when the inflammatory process proceeds with signs of laryngeal edema or stenosis.

An effective method of treating an inflamed larynx are compresses - cold or warming. Warm compresses for laryngitis in children can be applied already during the recovery period, since exposure to heat on the throat can provoke tissue swelling and the development of laryngospasm. Cold compresses are effective for a throat injury to prevent the development of tissue edema.

Mustard plasters for laryngitis for children are a distracting method of therapy, but they are not recommended for children under 4-5 years old.

Important! the skin of young children is extremely sensitive, so mustard plasters should be used with caution and kept on the skin for no longer than 15 minutes, as severe irritation may occur.

Treatment of complicated laryngitis in children: a list of drugs

When inflammation of the larynx in a child proceeds in parallel with the involvement of the trachea, bronchi, lungs in the pathological process, or a bacterial infection joins the disease, then doctors recommend a course of antibiotic therapy. Sumamed for laryngitis in children is an antibacterial agent from the group of macrolides and is highly effective against gram-positive and gram-negative flora.

For children under one year old and babies under 3 years old, Sumamed is prescribed in the form of a suspension, a special syringe is attached to the bottle with the medicine for ease of dosing.

Important! never start giving an antibiotic to a child without a doctor's recommendation, since Sumamed is prescribed only in severe cases when other treatments are not effective or complications have begun.

Miramistin solution for laryngitis

Miramistin solution can be used both at the beginning of therapy and for the treatment of advanced inflammatory processes of the larynx. Miramistin for laryngitis in children is used as a solution for inhalation through a nebulizer. This drug is highly effective against viral, bacterial, fungal infections and can be used in children from the first months of life.

Hormone therapy for laryngitis in children

When inflammation of the larynx is accompanied by difficulty breathing, tissue edema and stenosis, patients are prescribed hormonal drugs for quick relief:

• Dexamethasone;
• Hydrocortisone;
• Prednisolone;
• Adrenalin.

Dexamethasone for laryngitis in children is used for inhalation through a nebulizer or injection. The drug immediately relieves swelling of the tissues of the throat and restores full breathing. Before using the drug solution for inhalation, the contents of the ampoule are diluted with physiological sodium chloride solution at the rate of 1:2 (1 ml of Dexamethasone and 2 ml of saline).

Hydrocortisone for laryngitis in children can also be used for inhalation, but more often it is used as an injection to relieve laryngospasm and eliminate laryngeal edema.

Prednisolone for laryngitis in children is used to relieve swelling of the throat with severe allergic reactions or inflammation of the larynx as a result of an injury. Prednisolone is administered as an injection deep into the muscle, and in severe situations - slowly intravenously.

Important! Dexamethasone, Hydrocortisone and Prednisolone can be used for children no longer than 3 days, as the drugs are addictive and can inhibit adrenal function.

Adrenaline for laryngitis in children is used in extreme cases, when inflammation of the larynx is complicated by atrophic tissue processes, severe bronchospasm and allergic edema. A solution of adrenaline is prescribed in the form of inhalations through a nebulizer - 0.5 ml of the drug is preliminarily diluted with 3 ml of isotonic sodium chloride solution.

This medicine for children from laryngitis is used only from 1 year old, 1 inhalation is enough to stop stenosis and eliminate tissue edema, you should consult a doctor about further use of the solution.

Nutrition for laryngitis in children

Inflammation of the larynx is accompanied by a sore throat, as a result of which the child may refuse to eat. You don't have to force him to eat.

In the first few days from the onset of the disease, the child should receive more fluid, due to which toxins will be removed from the body. After stopping the acute inflammatory process and during the recovery period, food should be fortified and rich in protein.

Diet for laryngitis in children includes:

• serving dishes in a warm, crushed form, so as not to irritate or injure the inflamed mucous membranes of the throat;
• restriction of spices and seasonings;
• the exclusion of chocolate, coffee, citrus fruits are potential allergens that can provoke an increase in laryngeal edema, especially if laryngitis is caused by an allergic reaction of the body.

For children who have inflammation of the larynx for the first time, it is best to undergo treatment in a hospital, especially when it comes to babies under one year old. This is due to the fact that young children are most prone to laryngospasms and laryngeal edema.

The medicine for laryngitis in children is selected taking into account the presence of signs of stenosis and the characteristics of the patient's body - for children prone to allergies, bronchodilator drugs are prescribed without waiting for complications.

In the video, you can see how to act correctly when an attack of laryngospasm develops in a child before the ambulance arrives, and also, the doctor will tell you how to prevent laryngitis in the future. Remember that self-medication can be dangerous and lead to complications in the child. The price and consequences of neglected laryngitis are the development of atrophic changes in the tissues of the larynx and the transition of the disease to a chronic form.

Young children get sick very often due to the fact that their immunity cannot yet effectively counteract bacteria and viruses. The respiratory system is especially affected. One of the most dangerous diseases for a child is laryngitis.

What is a disease?

Laryngitis is an inflammation of the mucous membrane of one of the sections of the respiratory tract - the larynx. The vocal folds are involved in the pathological process, so one of the characteristic signs of the disease is a specific barking cough and voice change.

Most often, inflammation of the larynx occurs in preschool children. The older the child, the less likely it is that he will get laryngitis. This is due to the anatomical and physiological characteristics of the respiratory tract of babies - they have a very narrow lumen and a funnel-shaped larynx, as well as a loose mucous membrane prone to edema and weak respiratory muscles. In addition, young children have weak defenses and babies are very vulnerable to harmful environmental factors and pathogens.

The disease in children rarely occurs in isolation, most often diagnosed with laryngotracheobronchitis or laryngotracheitis. Against the background of inflammation, babies may develop a condition that requires emergency care - obstruction of the upper respiratory tract. This phenomenon is called false croup or stenosing laryngotracheitis. It is characterized by a sharp swelling of the mucous membrane, stenosis (narrowing) of the lumen of the larynx and suffocation. If the child is not given medical attention, he may die.

Classification of laryngitis

Laryngitis can be acute or chronic. According to the nature of the course, the disease can be complicated and not complicated.

In very young children, especially in infants, the disease proceeds in an acute form, which is characterized by a rapid onset and pronounced symptoms. Chronic laryngitis most often develops due to untreated acute inflammation of the larynx or constant and prolonged exposure to harmful factors (smoke, fumes, dry air) on the respiratory tract. They occur in older children - younger students and adolescents.

Depending on the cause and pathogen, the disease can be:

• infectious:
  • bacterial;
  • viral;
  • fungal;
• non-infectious:
  • allergic;
  • traumatic (mechanical injury of the larynx, chemical, thermal burns).

Acute laryngitis is divided into the following types:

• Catarrhal, in which the mucous membrane of the larynx becomes inflamed.
• Stenosing, it is also called false croup or subglottic laryngitis - inflammation affects the vocal folds (ligaments) and the subglottic region, is characterized by bouts of coughing, turning into suffocation, which occur at night, more often in the morning.
• Edema (infiltrative) - extends to the submucosal layers, vocal folds and surrounding tissues.
• Phlegmonous - a purulent process can affect not only the larynx and ligaments, but also the muscle layer, perichondrium, cartilage of the larynx. This type of inflammation is most often the result of advanced catarrhal laryngitis. It has a very severe course and requires urgent treatment in a hospital.

Dr. Komarovsky about the childhood manifestation of the disease - video

Not fully treated acute laryngitis can turn into a chronic form, which is characterized by a sluggish course and periodic relapses.

Such a disease can be of three types:

• Catarrhal - symptoms during periods of exacerbation are similar to acute laryngitis;
• Hypertrophic (hyperplastic) is very common in babies; may be the result of insufficient therapy for acute inflammation or develop independently due to constant exposure to harmful factors (inhalation of fumes, smoke, dry air), as well as increased voice load (scream, prolonged crying). This type of laryngitis is characterized by the so-called nodules of screamers - symmetrical formations (thickening) on ​​the vocal folds and hypertrophy (growth) of the mucous membrane.
• Atrophic - practically does not occur in children. This species is characterized by atrophy (thinning) of the mucous membrane, the formation of mucopurulent hard-to-separate crusts and viscous sputum.

Therapy and treatment of laryngitis in a child

The tactics of treatment depends on the form of the disease and the causes that caused it. If your baby has symptoms of laryngitis, you need to contact an otolaryngologist. After the examination, the doctor prescribes therapy.

Uncomplicated forms of the disease are treated at home, under the supervision of an ENT or pediatrician.

Inpatient treatment is required in such cases:

• a child less than three years old - at this age there is a high risk of developing laryngospasm;
• the baby has a high temperature for more than a day;
• there is a tendency to allergies or congenital diseases, especially pathologies of the nervous system.

If the child has signs of stenosis of the larynx - respiratory failure, barking cough, anxiety, pale skin and cyanosis of the lips and nasolabial triangle, sweating, heart palpitations, breathing becomes increasingly difficult, then you need to immediately call an ambulance.

Treatment of acute laryngitis on an outpatient basis (at home) includes a set of measures:

• are common;
• medical;
• diet
• physiotherapy;
• herbal medicine.

If you start treatment on time and follow all medical prescriptions, then after 2-3 days the child will feel relief. And you can completely get rid of laryngitis in 7-10 days.

At the initial stage, especially if the baby has a temperature, it is important to observe strict bed rest and rest.

It is necessary to monitor the condition of the air. The child needs fresh and moistened air, so the room in which the patient is located should be regularly ventilated. To humidify the air, you can use a special device or put open containers of water, hang a wet cloth, it is especially important to do these manipulations during the heating season, when the air is especially dry. The room must be cleaned daily.

Voice peace. The load on the vocal apparatus should be reduced as much as possible, this is especially important for young children, because their vocal cords are just being formed and damage to them can cause irreversible vocal defects. The child needs to be more silent, no matter how difficult it may be.

Parents should not allow the child to speak in a whisper, as this strains the vocal apparatus much more than during normal speech.

The baby's neck should be kept warm, wrapped in a warm flannel fabric or a soft scarf.

Walking during the acute period is prohibited. In the recovery period, walking, on the contrary, is recommended if the temperature is right outside - not too hot and not cold. For walks, it is better to choose places where there is no dust and gas pollution - away from the roadway.

Medicines - antibiotics, antihistamines, etc.

Antibiotics are used only for bacterial laryngitis, when there is a strong intoxication of the body (fever, the child is lethargic, he has no appetite). In this case, laboratory diagnostics is carried out - the pathogen is determined in a smear from the mucous membrane of the larynx.

Most often used:

• antibacterial agents of the penicillin series:
  • Augmentin;
  • Flemoxin;
  • Amoxiclav;
  • Ecoclave;
• cephalosporins:
  • Cefadox;
  • Cefix;
  • Suprax;
  • Ceftriaxone;
• macrolides in severe disease:
  • Azitrox;
  • Macrofoam;
  • Clarithromycin.

During antibiotic therapy and after it, the baby must be prescribed probiotics for the prevention of dysbiosis - Linex, Bifidumbacterin, Bifiform.

Antihistamines relieve swelling of the larynx and facilitate the general condition of the baby, normalize sleep:

• Zirtek (from six months);
• drops Fenistil, Clarisence (possible from birth);
• Zodak, Tsetrin - in syrup from a year, in tablets from 6 years;
• Claritin - from 2 years;
• Suprastin (in tablets from 3 years).

Cough medicines include antitussives for unproductive compulsive coughs and expectorants (mucolytics) for wet coughs.

Antitussive drugs of central action with a dry unproductive (without sputum) cough can only be taken as directed by a pediatrician and in a strictly prescribed dosage, as they can have a depressing effect on the respiratory center in the brain and cause respiratory arrest!

Antitussives:

• Syrup Kofeks appoint children from 6 years;
• Sinekod - in drops from 2 months, in syrup - from 3 years;
• Glaucine since 6 years.

Herbal preparations with dry cough and viscous sputum contribute to its liquefaction and discharge:

• Althea syrup;
• Gederin;
• Prospan;
• Linkas;
• Mukaltin;
• Herbion;
• Pectolvan Ivy;
• licorice syrup (from 3 years old);
• Tussin drops (from 2 years old);
• Stoptussin (drops - the dosage is calculated by weight, syrup - from 3 years).

When a wet cough appears, you need to drink other drugs that contribute to better sputum excretion:

• Lazolvan;
• Amroxol;
• Ambrobene;
• combination drug Ascoril;

With laryngotracheitis or laryngobronchitis, Erespal, Inspiron in syrup are prescribed - anti-inflammatory drugs with anti-bronchoconstrictor (bronchodilating) properties.

It is important to remember that cough suppressants should not be taken at the same time as mucolytics, which thin phlegm, as these drugs have the opposite effect. The result of this combination can be the accumulation and stagnation of sputum in the respiratory tract, which causes serious complications.

Antiseptics are applied topically in the form of rinses, lozenges, lozenges, sprays.
Herbal antiseptics Tonsilgon and Tonzipret, which are prescribed to children in drops, are effective for laryngitis.

Throat sprays are not prescribed for children under 3 years of age, since the jet of the drug can cause laryngospasm. Older children may be prescribed:

• Hexoral;
• Ingalipt;

Lozenges:

• Trachisan;
• Efizol;
• Decatylene.

Otolaryngologists try not to prescribe sprays and tablets to children, because due to perspiration and an attack of dry cough, the child may choke and spasm of the larynx will occur. ENTs prefer to recommend inhalations to babies.

You can gargle your throat:

• soda solution;
• Rotokan;
• Chlorophyllipt;
• Furacillin.

Externally, rubbing with anti-inflammatory balms, ointments is used:

• Dr. Theiss (from 3 years old);
• Dr. Mom (since 2 years).

Antipyretic drugs are given to a child at a temperature above 38 degrees:

• Paracetamol tablets, syrup;
• syrups Efferalgan, Panadol, Nurofen;
• candles Viburkol, Cefekon.

• Naphthyzin;
• Otrivin;
• Nazol;
• Vibrocil;
• for moisturizing - Aqua Maris, Aqualor.

In case of airway obstruction (severe edema, spasm, difficulty breathing), the doctor may prescribe Eufillin or Clenbuterol syrup, as well as Berodual or Pulmicort inhalations. These drugs can be used only strictly according to the doctor's prescription and in individual dosage.
Some physicians argue that the use of these drugs is inappropriate, since they act selectively (selectively) on bronchial receptors. However, Pulmicort and Clenbuterol do an excellent job with the symptoms of laryngospasm.

In severe forms of laryngitis, laryngospasm, hormonal preparations are used (in a hospital setting):

• parenterally (intramuscularly):
  • Prednisolone;
  • Hydrocortisone;
  • Dexamethasone;
• inhalation:
  • Flunisolide (from 5 years old).

These drugs reduce the permeability of capillaries, eliminate swelling and inflammation of the mucous membrane of the larynx.

For effective treatment of chronic inflammation in children, it is first necessary to eliminate factors that irritate the larynx. Treatment of this form of the disease includes the use of anti-inflammatory, decongestants in the form of local antiseptics (tablets, rinses), inhalations, homeopathic remedies, immunomodulators, for example:

• Derinat in the form of rinses;
• Broncho-munal capsules;
• Thymogen-spray (from 1 year old);
• IRS-19 (from 3 months).

Gallery - syrups, tablets and sprays for the treatment of laryngitis

Prospan syrup is prescribed for dry cough Pharyngosept - a local anti-inflammatory agent Lazolvan syrup is prescribed for better sputum discharge Zodak - an antihistamine drug, relieves puffiness antitussive for debilitating dry cough Dr. Theiss ointment is used to rub the chest Gederin syrup is used for dry cough Strepsils lozenges are used as a local antiseptic
Lizobakt for resorption is used as a local antiseptic Ambroxol syrup is used for better sputum discharge with a wet cough Panadol syrup is an antipyretic for children Antibiotic Sumamed is prescribed for bacterial laryngitis Pulmicort in the form of inhalation is used to relieve laryngospasm Miramistin is used to irrigate the throat as an antiseptic Broncho-munal used as an immunomodulator for chronic laryngitis Erespal in syrup is used to relieve inflammation, swelling and better expectoration

Physiotherapy

Physiotherapy is not used in the acute period of the disease. At the stage of recovery and in the chronic form, physiotherapy is prescribed to improve the blood supply to the respiratory organs, eliminate swelling and signs of inflammation, restore the functions of the mucous membrane and stimulate local defenses.

At home, a good effect is the use of dry heat on the neck, warming (not hot!) Compresses, mustard plasters on the chest and calf muscles, warm foot baths and inhalations.

In a hospital and clinic, the following procedures are prescribed:

• UHF on the larynx to relieve spasm and inflammation;
• electrophoresis with anti-inflammatory and absorbable agents;
• magnetic therapy to eliminate the symptoms of inflammation and improve blood microcirculation.

Inhalations

One of the most effective methods of treating various forms of the disease is inhalation.

Steam hot inhalations with laryngitis are contraindicated, as they can provoke even more swelling of the mucous membrane or provoke swelling of the crusts, which can block the lumen of the larynx and cause suffocation. Doctors recommend inhalation through a nebulizer. If there is no such device, children from the age of three can be inhaled with warm steam.

When using an inhaler, you must follow the rules:

• control the temperature of the steam, it should not be very hot;
• the child should be calm during inhalation, not talk during it and for another 30 minutes after it;
• the procedure can not be carried out immediately after eating and within half an hour after it you can not drink and eat;
• The steam must be inhaled through the mouth and exhaled through the nose.

For treatment with inhalation, you can use the following means:

• soda solution (1/3 teaspoon of soda to 1 glass of water);
• conventional 0.9% saline;
• mineral alkaline water without gas:
  • Borjomi;
  • Essentuki;
  • Polyana Kvasova;
  • Svalyava;
  • Luzhanovskaya;
• expectorants and mucolytics:
  • Lazolvan;
  • Sinupret;
• herbal antiseptics:
  • sage;
  • chamomile;
  • St. John's wort in the form of decoctions;
• essential oils (3 drops per 200 ml of water):
  • eucalyptus;
  • mint;
  • pines.

Procedures are carried out 2-3 times a day for 5-10 minutes.

The nebulizer is the first assistant in the treatment of inflammation of the respiratory tract in children. This device is safe and easy to use. For inhalation with a nebulizer, you can use the necessary drugs: antibiotics, antiseptics, antihistamines, expectorants, proteolytic enzymes. In the acute period, according to the prescription and under the supervision of a doctor, inhalations with hormones - Prednisolone, Dexamethasone, Flunisolide, adrenomimetics - Adrenaline, Ephedrine, can be used.

The medicine at the dosage recommended by the doctor is slightly heated in a water bath, poured into the nebulizer reservoir, diluted with sterile saline or water for injection. The air is inhaled and exhaled through the mouth through the mask for 5-10 minutes.

The disadvantage of nebulizers is that not all models can be used for inhalation with herbal decoctions or oily solutions; ultrasound models cannot be used for spraying antibiotics or hormonal agents.

Diet

With laryngitis, any food that irritates the mucous membrane of the larynx should be removed from the diet. Food should be warm, not very salty, not spicy, rich in vitamins, low-fat. Sweet soda, spicy snacks, sweets in the form of cakes and chocolate, smoked meats and pickles are excluded.

The child must be provided with a sufficient amount of healthy drink:

• berry non-sour fruit drinks, fruit compotes, rosehip broth:
• herbal teas from mint, lemon balm, sage, chamomile, thyme;
• mineral water without gas - Borjomi, Essentuki.

The drink should be warm and not too sweet.

Folk recipes for sore throat, dry cough and fever

Before starting herbal treatment, you need to make sure that they are not allergic.

With herbs, you can do rinses, inhalations, take decoctions and infusions inside.

If the child knows how to gargle, you can cook for him:

• rinsing with a solution of soda - 1/3 teaspoon per glass of warm water;
• dilute honey in boiled water (1 small spoon per 200 ml of water);
• use freshly squeezed juice of raw beets, carrots or potatoes for irrigation of the throat.

Rinsing with oak bark has an anti-inflammatory, softening effect:

1. Mix the crushed oak bark with the color of linden and chamomile inflorescences in equal parts.
2. Pour a large spoonful of herbs with water, boil for several minutes in a water bath, cool and strain.
3. Gargle three times a day.

Rinse with expectorant effect:

1. Boil 1 tbsp. a spoonful of marshmallow leaves, 2 tbsp. spoons of oregano herb.
2. Insist 2-3 hours.
3. Strain, gargle 3-4 times a day, you can do inhalations with this decoction.

Inhalations can be done with linden, chamomile, coltsfoot, elderberry, thyme, yarrow.

For older children, you can make a medicinal drink from milk with garlic:

1. Boil 2-3 cloves of garlic in half a liter of milk.
2. Drink warm in small sips of half a glass 3 times a day.

Ginger tea has strong anti-inflammatory and immune-boosting properties:

1. Brew a teaspoon of grated ginger root with boiling water (200 ml), leave for 40 minutes.
2. Dilute half with boiled water, add a dessert spoon of honey and a slice of lemon.
3. Drink 1/4 cup three times a day.

Gallery - how to treat diseases with folk remedies

Linden-chamomile decoction can be used as a rinse or inhalation. Oregano has antimicrobial, expectorant, antiseptic, antispasmodic properties. Ginger with honey and lemon is used as a tonic, immunostimulating, anti-inflammatory agent. juice

Homeopathy

Homeopathic remedies cannot be considered as an independent method of treatment for laryngitis, its use is possible only at the very beginning of the disease or at the stage of recovery.

The advantage of homeopathy is the absence of side effects.

Most often, the following drugs are used for inflammation of the larynx:

• Aconite - can be used for children from 5 years old, the remedy has an anti-inflammatory, analgesic and antipyretic effect;
• Homeovoks is prescribed for children from the age of one, the drug helps to restore the voice.

Help with acute laryngospasm

With the development of an asthma attack in a child, the main thing is not to get confused. First of all, it is necessary to call an emergency team as soon as possible.

1. It is necessary to calm the child, arrange him in a half-sitting position, free him from clothes, give him a warm drink - mineral water without gas, milk.
2. Open the window to let in fresh air.
3. Turn on the humidifier, if you have one; in the presence of a nebulizer, inhale with a solution of soda, Borjomi, Pulmicort or Prednisolone.
4. Give your child one of the following medications:
   1. antispasmodic: No-Shpu, Papaverine, Platifillin;
   2. antihistamine: Suprastin, Tavegil, Tsetrin.
5. If there are no necessary drugs, you can help the child in this way before the ambulance arrives: take him in your arms and turn on a strong pressure of warm or cold water (not hot!) in the bathroom. The air in a small room will quickly become humidified and it will become easier for the child to breathe. A hot (33-38 degree) foot bath will also help to reduce swelling of the larynx a little.

For young children, laryngitis is dangerous for its complications, so you need to start treatment as early as possible. With the right therapy, you can avoid serious consequences and make the disease quickly recede.

Every parent is familiar with inflammatory diseases of the upper respiratory tract firsthand. Children are most often affected by these pathologies.

What it is?

A disease in which the mucous membranes of the larynx become inflamed is called laryngitis. The development of this pathology in babies is caused by the influence of various factors. Laryngitis is equally often recorded in both boys and girls. There are a huge number of different clinical variants of the disease. This diversity influenced the creation of the classification, which included the main nosological forms.

Usually, doctors note some seasonality in infection with laryngitis. Most cases occur during the cold season. Every year at this time, mothers who get sick babies turn to pediatricians. Children are more prone to laryngitis than adults. This pattern is due to the peculiarities of their physiological development.

Pharyngeal tonsils (local immune formations) in childhood are not yet effectively able to fight various microbes. This contributes to the rapid penetration of any pathogens into the respiratory tract.

Imperfect immunity or reduced functioning of the immune system contributes to the rapid spread of microbes inside the body, which provokes an increase in the inflammatory process.

The larynx is the organ responsible for carrying air from the external environment into the body. It connects the pharynx to the trachea. In a child, the lumen of the larynx is somewhat smaller than in adults. As he grows older, the size of all organs of the respiratory system also increases. The larynx is also involved in voice formation. When inflammation occurs in the child, numerous adverse symptoms appear.

Common Causes

Laryngitis can be caused by various causative factors. To date, scientists have identified more than 50 different causes of the disease. All factors can be divided according to similar characteristics into several large groups.

The development of inflammation of the larynx can lead to:

• bacterial infections. In pediatric practice, streptococci and staphylococci often become the culprits of the disease. Anaerobic flora causes the disease a little less often. Bacterial laryngitis usually occurs quite brightly and violently. In some cases, medical care is required in a hospital setting.
• Viral diseases. The smallest size of viruses allows them to be easily absorbed on the mucous membranes of the upper respiratory tract. Once in the bloodstream, they easily reach the larynx. Already after a few hours from the moment of penetration into the child's body, the inflammatory process starts. Viral laryngitis is somewhat easier than bacterial ones.

• Fungal infection. Laryngitis is often caused by an overgrowth of the Candida fungus. Fungal forms of the disease are more common in frequently ill and debilitated babies. It is not uncommon for Candida overgrowth to occur in immunocompromised or diabetic children. Treatment of fungal laryngitis is usually long-term with the obligatory appointment of antifungal and immunostimulating agents.
• local hypothermia. The abuse of ice cream or chilled drinks, especially in the cold season, significantly contributes to damage to the mucous membranes. The cells that create the inner lining of the larynx are very sensitive to any temperature changes. Excessively hot food can also provoke the disease.
• Inhalation of polluted air. The external environment has a tremendous impact on the condition and functioning of the respiratory system. If the air you breathe contains toxic chemicals, it can damage the mucous membranes of your airways.

Toddlers living in large industrial cities or living near highways are usually more susceptible to this disease.

• Sick teeth. The oral cavity often becomes a source of infection for the respiratory system. In time, untreated teeth are the root cause of inflammatory diseases of the larynx. The infection very easily penetrates into this respiratory organ along with the blood flow. The presence of chronic laryngitis in a baby is often a consequence of the presence of carious teeth.
Singing or screaming too loudly can damage your vocal cords and larynx. In this case, a pronounced mechanical effect occurs. Excessive stress on the vocal apparatus leads to the development of chronic forms of laryngitis.
• Consequences of operations. Quite often, after surgical treatment, signs of laryngitis appear on the thyroid gland. In this case, damage to the organ occurs due to mechanical impact. Usually laryngitis in such a situation is chronic. To eliminate adverse symptoms, regular use of various medicines is required.

• Excessive use of cough sprays or aerosols. With prolonged use, many drugs lead to the development of chronic pharyngitis or laryngitis. To eliminate the adverse symptoms that have arisen after such use, a complete abolition of the use of drugs is required.
• Consequences of severe stress or psycho-emotional shock. Babies have a very sensitive and sensitive nervous system. The larynx is a very well innervated organ. When exposed to severe stress, the child may develop various symptoms of laryngitis. They are usually transient.
• allergic conditions. Meet in children's practice quite often. Exposure to various types of allergens leads to the development of uncomfortable symptoms. Allergic laryngitis can occur suddenly and even cause an acute obstructive variant.

All acute forms are treated in a hospital setting. In some cases, the appointment of hormonal drugs is required.

• features of the constitution. Children suffering from lymphatic-hypoplastic diathesis, according to statistics, are more likely to get laryngitis than their peers. This feature is associated with the physiological characteristics of a baby with this disease. Usually these babies look similar: they have soft and streamlined features, rather pale skin, loose subcutaneous cells, and a tendency to edema.
• Chronic diseases of internal organs. So, the symptoms of laryngitis are often found with a decrease in the work of the thyroid gland - hypothyroidism. Children suffering from chronic gastritis with increased secretory function may experience reflux of gastric contents into the larynx. This leads to the appearance of signs of laryngitis.

How is it transmitted?

Most laryngitis is of infectious origin. Bacteria and viruses cause damage to the larynx in about 80% of cases. The source of the disease can be any person (adult and child) who has pathogenic microorganisms in his body. It is contagious to others throughout the illness.

Usually, all infectious diseases are transmitted by airborne droplets. Toddlers attending educational institutions are more likely to become infected. For infectious variants of laryngitis, the contact-household method of transmission is also characteristic. In this case, infection occurs through dirty hands. This variant of infection is most common in children attending a kindergarten or nursery.

In the cold season, "family" outbreaks are common. In this case, all family members get sick with laryngitis.

Staying in any crowded groups only contributes to the spread of the virus. It is important to note that microorganisms can be in adverse environmental conditions for a long time. Only the use of bactericidal agents can reduce their concentration.

If several kids live in a family, then they start to get sick “along the chain”. This is due to the fact that viruses and bacteria are easily transmitted by breathing from a sick child to a healthy one. The severity of symptoms will vary from baby to baby. It depends on his age, characteristics of physiological development, as well as the presence of chronic concomitant diseases.

The incubation period for laryngitis can vary. With viral infections, the first clinical signs of the disease usually appear after a few days from the moment the viruses enter the body. The peak incidence of viral laryngitis occurs at the age of 2 years - 12 years. However, a newborn and a one-year-old baby can also develop this disease.

For bacterial laryngitis, the incubation period is 6-7 days. Usually at this time the disease does not manifest itself. Only after a week can you recognize laryngitis in a sick baby. Bacterial forms of laryngitis usually occur with an increase in temperature to febrile numbers. These diseases also cause massive outbreaks.

Kinds

For the convenience of making a diagnosis, doctors use various classifications. They help to establish all variants of the disease, indicating the main criteria for the pathology.

All clinical forms of laryngitis can be divided into several options:

• Acute. They usually occur after a respiratory viral or bacterial infection. As a rule, they are not isolated. They can also appear as a result of exposure to toxic substances and dust. In acute laryngitis, adverse symptoms, as a rule, disappear completely in two weeks and complete recovery occurs.
• Chronic. In most cases, the development of these forms is preceded by the same reasons as in acute ones. The disease is characterized by alternating periods of exacerbation and remission. In weakened babies, laryngitis can worsen up to several times a year. To eliminate adverse symptoms, the appointment of complex treatment is required.

• Stenosing. They are characterized by severe respiratory failure. This occurs as a result of a narrowing of the lumen of the larynx, due to a strong inflammatory process and swelling of damaged tissues. At an early age, stenosing laryngitis often occurs as a consequence of SARS or after respiratory viral diseases. In children of the first years of life, the disease is most severe.
• Allergic. The development of these forms is facilitated by various allergens that enter the body. Allergic laryngitis occurs only in babies who have individual hypersensitivity to any foreign component. They are characterized by a chronic course.

To eliminate adverse symptoms, the appointment of antihistamines is required, and in severe cases of the disease, even hormones.

Symptoms

After the end of the incubation period, the sick baby has various adverse manifestations of the disease. Their severity may vary. In babies of the first months of life, the disease is most severe. It is possible to suspect the disease at home. When the first signs of the disease appear, be sure to show the baby to the doctor.

The inflammatory process in the larynx is manifested:

• Voice change. The baby begins to wheeze or speak in a lower tone. In severe cases, the child is unable to utter words, speaking only a few syllables. Some babies have complete loss of voice.
• The appearance of a cough. It can be both dry and with phlegm. The intensity of the cough can be different: from a slight cough to a hacking cough. It disturbs the baby mainly during the daytime, however, it can also occur at night. Bacterial laryngitis is accompanied by the appearance of a productive cough.

• Marked weakness. The child's well-being is severely disturbed. He becomes lethargic, drowsiness increases. The baby often refuses his favorite treats, babies are poorly attached to the mother's breast. During the night, the child often wakes up. If there is a hacking cough, then the baby's well-being only worsens.
• An increase in temperature. Mild forms of laryngitis occur with subfebrile condition. With a more severe course of the disease, body temperature can rise to 38-39 degrees. Against the background of such an increase, the child often has chills or fever. Usually, fever is very well reduced with the help of antipyretics.
• Swelling of the throat. The inflammatory process in the larynx leads to severe respiratory failure. The mucous membranes become loose and edematous. Severe edema contributes to impaired voice formation and breathing.

• Pain when swallowing. Often appears when the child has signs of pharyngitis or tonsillitis. Eating solid foods increases pain and reduces appetite. Excessively cold or hot drinks can also increase pain when swallowing.
• Sore throat. This symptom can be of varying intensity, however, it always brings discomfort to the baby. Eating too sour or spicy foods can contribute to increased tickling.
• The appearance of a whistle when breathing. Occurs with stenosing form of laryngitis. The more pronounced the narrowing, the more pronounced this clinical sign.

This symptom is extremely unfavorable. If a whistle appears during breathing, be sure to urgently show the baby to the pediatrician.

• Behavioral disorder. Pronounced respiratory defects lead to tissue oxygen hypoxia. With a long course of the disease, this affects the behavior of the baby. The child becomes more capricious and is often irritated over trifles. Many habitual actions become uninteresting for him.
• An attack of suffocation. Occurs with severe stenosis (narrowing) of the larynx. Usually appears suddenly, among complete well-being. This condition requires emergency medical attention. In some cases, the baby's condition becomes critical: he may lose consciousness and even fall into a temporary coma.

Diagnostics

If you find the first signs of difficulty breathing, be sure to show the baby to the doctor. If the child has a high temperature, then you should not go with him to the clinic on your own. In this case, it is better to call a doctor at home. The doctor will conduct a complete clinical examination and be able to establish a presumptive diagnosis.

Additional tests are required to verify and confirm laryngitis. They help to establish the cause of the disease, and also allow you to determine the severity of functional disorders. Most tests can be done at the clinic for free. The list of studies is compiled by the attending physician after examining the child.

To diagnose various forms of laryngitis, use:

• General blood analysis. An increase in the number of leukocytes indicates the presence of an infection in the child's body. To establish a viral or bacterial cause of the disease, an analysis of the leukocyte formula is performed. An increase in neutrophils indicates the presence of a bacterial infection. Almost all forms of laryngitis occur with accelerated ESR.
• Bacteriological culture of sputum with the establishment of sensitivity to antibiotics and bacteriophages. The study is prescribed only if the child has a productive cough with sputum. This laboratory test quite accurately allows you to clarify the source of infection. The disadvantage of the study is the duration. It takes 10-14 days to clarify the causative microorganisms.

• Radiography. The study is of an auxiliary nature and is used to exclude complications of the underlying disease. X-rays of the lungs are performed only in babies older than two years.
• Laryngoscopy. The study is conducted by a pediatric otolaryngologist. The doctor with the help of a special tool - a laryngoscope examines the larynx from the inside. This visual examination allows the specialist to identify all the inflammatory changes and pathologies that are present in this respiratory organ. Usually laryngoscopy does not cause pain or severe discomfort in the child.

First aid

In the event of an acute cough - first of all, you should remove the attack. For this, antitussives are suitable. If suffocation occurs, then first of all it is necessary to ensure the flow of fresh air into the room. To do this, you can slightly open the window or window. Fresh air will help relieve the symptom of difficulty breathing.

Usually during an attack, the child becomes very restless. Be sure to try to calm the baby. An infant can be picked up.

In no case should parents panic! This will only complicate the situation and prevent them from making adequate decisions.

Various bronchodilating agents are used to eliminate difficulty breathing. These include short-acting bronchodilators. For example, inhaled preparations based on salbutamol. Combined medicines are also suitable for improving breathing. Usage " Berodual» through a nebulizer will help normalize breathing and will contribute to good bronchial conduction.

If a child has signs of allergic laryngitis, then often hormonal drugs may be required to eliminate an attack of suffocation. In pediatric practice, drugs based on prednisolone or dexamethasone are used. Sometimes it is quite difficult to quickly cure an attack of severe coughing at home. In these cases, a mandatory consultation with a doctor is required.

Therapy

Treatment of laryngitis in children is usually complex. To eliminate adverse symptoms, the appointment of several groups of drugs is required. Viral laryngitis can usually be cured in 5-7 days. Bacterial forms require the appointment of longer regimens of drug therapy. On average, such variants of the disease can be cured in 2 weeks.

The choice of treatment remains with the attending physician. The treatment regimen depends on the cause of the disease, as well as the age of the child and the presence of chronic diseases. The choice of dosage, frequency rate and terms of use of medicines is made taking into account age indications. Monitoring the effectiveness of the prescribed therapy is carried out in the middle of the prescribed treatment cycle and at its completion.

For the treatment of laryngitis in babies are used:

• Antitussives. Helps relieve coughing. They can be used in the form of inhalations, sprays, syrups or tablets. Usually drug manufacturers try to offer drugs with different fruit flavors. Such sweet additives are to the liking of the kids.
• Throat antiseptics. Help to eliminate perspiration and "scratching" in the neck of the baby. Discharged for 7-10 days, 3-4 lozenges per day. Usually used in children over three years of age, who can keep the drug in their mouth until completely absorbed. Long-term use of these drugs can cause adverse side effects in a child. Treatment of the tonsils Lugol» in a baby with laryngitis often does not bring a positive result.
• Antipyretic. They are prescribed by a doctor when the body temperature rises above 38 degrees. In pediatric practice, medicines based on paracetamol or ibuprofen are used.

The use of aspirin in young children is highly undesirable, as it can cause various side effects. The effect of the use of drugs is usually assessed 4-6 hours after administration.

• Antihistamines. They are used for allergic forms of laryngitis. They are prescribed mainly in the form of tablets or sweet syrups. Well tolerated by children, practically without causing side effects. Suitable antihistamines are: Loratadin, Suprastin, Claritin and others.
• Immunostimulating. Can be systemic and local action. In mild forms of the disease, lozenges are prescribed that have a stimulating effect on the cells of the immune system. If the baby has an immunodeficiency state, then these drugs are prescribed in the form of injections for a course appointment. The decision to prescribe such treatment is made by an immunologist.
• Bronchodilators. They are used for violations of bronchial conduction and severe respiratory deficiency. To achieve the best effect from the treatment, doctors suggest using a nebulizer. With the help of it, the smallest particles of the medicine quickly enter the respiratory tract. Bronchodilators are used in babies with signs of bronchial obstruction.

• Therapeutic and protective regime. For a quick recovery, the child should follow the correct daily routine. For the entire acute period of the disease, he is prescribed a therapeutic sparing diet. The duration of daytime and nighttime sleep is also regulated, and active games are also limited.
• Antibacterial agents. They are prescribed for the treatment of bacterial forms of laryngitis. Usually issued for 7-14 days. To eliminate microorganisms from the body, modern broad-spectrum antibiotics are used. The control of the effectiveness of the prescribed therapy is assessed on the 3-4th day from the moment of the first administration of the drugs.
• Antiviral and antifungal drugs. They are prescribed for the treatment of relevant clinical forms. With a mild course of the disease, they are prescribed in the form of tablets. Laryngitis, which is quite severe with numerous adverse symptoms, requires the appointment of injectable forms of drugs.

• Physiotherapeutic methods. They are used during the period of subsiding exacerbation and for the treatment of chronic forms of laryngitis. Ultrasound, magnetotherapy, electro- and light therapy are indicated to eliminate the adverse symptoms of the disease. Physiotherapy can also significantly improve the well-being of the child and strengthens the immune system.
• Hormonal preparations. They are issued extremely rarely. They are mainly used to treat persistent forms of allergic laryngitis. With prolonged use, they can cause numerous side effects. The use of drugs without the appropriate prescriptions of a doctor is unacceptable.
• Antispasmodics. They are used to eliminate spasms from internal organs. They help to normalize breathing in babies with a spastic component in breathing. Often used as an antispasmodic in pediatric practice "No-shpa" or "Drotaverine".

Preparations

Currently, there are a huge variety of different medicines that help eliminate the adverse symptoms of laryngitis. Most of them have a good tolerability spectrum and are approved for use in children.

When using drugs, remember that they can cause allergic reactions in the child! To prevent this, before using the drug, you should always consult with your doctor.

To eliminate the adverse symptoms of the disease, the following medicines will be useful:

• Ambrobene. Helps with productive cough. Eliminates phlegm and improves breathing. Often given as a syrup. It can be used on its own for up to 4-5 days. Longer reception is discussed with the attending physician.
• Miramistin. It is used as a local antiseptic for the oral cavity and pharynx. Deals with various pathogens. The drug is safe and is used in babies of a very young age. Miramistin is prescribed for the treatment of both acute and chronic laryngitis.

• Lazolvan. Antitussive agent that improves sputum discharge. It is prescribed for the treatment of cough that occurs with various diseases of the respiratory tract. Well tolerated and does not cause side effects in babies.
• Synekod. Refers to antitussive drugs of central action. It acts directly on the cough center located in the brain. The drug is not addictive. Taking this remedy helps to improve breathing and normalize spirometry indicators (studies of external lung function).

• Erespal. It has bronchodilator and anti-inflammatory action. It is used for spastic and obstructive variants of laryngitis. Not for use in children under two years of age. Taking the drug allows you to eliminate even a pronounced cough.
• Tonsilgon. A complex remedy containing in its composition several active biological substances: marshmallow root, chamomile, horsetail, walnut leaves, yarrow grass and others. Such a natural composition helps the drug to have a pronounced therapeutic effect. The use of the drug helps to cope with the adverse symptoms of laryngitis and has a stimulating effect on the immune system.

Treatment at home

You can treat laryngitis on your own at home. However, such therapy is only suitable for diseases that occur in a fairly mild form. Laryngitis with severe intoxication symptoms or complications should be treated in a hospital under the supervision of medical personnel. The pediatrician observing the baby should decide on the need to hospitalize the baby in the hospital.

If the doctor allows the child to stay at home, then you can use some methods of traditional medicine. Usually they are based on the use of various medicinal herbs. Such home remedies help to effectively deal with various adverse symptoms of laryngitis in a fairly short time. They help to eliminate cough, and also normalize breathing.

For the treatment of laryngitis at home, the following home remedies are suitable:

• A decoction of sage. It is used both for rinsing and inside. To prepare the medicine, take 1 tablespoon of crushed raw materials and pour 1.5 cups of boiling water. Insist on a water bath for 10-15 minutes. Use a decoction for gargling 3-4 times a day.
• Decoction of chamomile. Helps relieve sore throat. Chamomile has an excellent antiseptic effect. You can use this tool 3-4 times a day for a couple of weeks. Also, a decoction of chamomile can be used for chronic laryngitis during remission to prevent new exacerbations.

• Rinsing with a decoction of calendula. This wonderful budget medicine from the home medicine cabinet will help to cope with inflammatory changes in the oral cavity. Calendula has a powerful anti-inflammatory effect, and also has a detrimental effect on various types of pathogens. Rinsing with a decoction of calendula should be done 30-40 minutes after eating.
• Phytocollections. They contain in their composition various combinations of medicinal herbs that have anti-inflammatory and expectorant effects. Can be used in babies even at a very early age. Most often used in the form of phytopackages. To enhance the immunostimulating effect, you can add a teaspoon of honey to the finished tea (if the baby is not allergic to this product).

You can walk with the baby after stabilizing his well-being. During a high body temperature, visiting the street is unacceptable. If there are several kids in the family, then if possible, they should be placed in different rooms. This forced measure will help reduce the likelihood of infection of a healthy child from a sick one.

During the acute period of the disease, all babies are prescribed a special diet. It lacks all fatty and fried foods. The food consumed must be prepared in a gentle manner. For this, cooking in a double boiler and slow cooker, as well as stewing, is perfect.




Meat and fish products in the acute period of the disease are best consumed in crushed form (cutlets, meatballs, dumplings and soufflés). Such a gentle treatment will help prevent additional trauma to the inflamed mucous membranes.

Baby food should be high in calories. A large proportion of the diet falls on high-quality protein products.

To eliminate bacterial and viral toxins from the body, a plentiful warm drink is required. Various fruit and berry fruit drinks, juices and broths are well suited as drinks. Compotes made from dried fruits are also suitable. On average, a sick child should drink at least 1.5 liters of fluid per day. Babies can be supplemented with boiled water.

Various multivitamins are suitable as additional sources of nutrients during the acute period of the disease. They contain in their composition all the necessary micro and macro elements needed for a quick recovery. The use of these drugs also helps to strengthen the immune system and improve the well-being of the child.




When can you bathe?

In the acute period of the disease, it is better to limit long-term water procedures. In babies with high body temperature, they can significantly aggravate the course of the disease. After normalization of indicators, you can return to your usual way of life. During the period of subsiding exacerbation, it is better to give preference to a hygienic shower, rather than a long sitting in the bath.




Hygiene procedures should be carried out daily. To do this, babies should use regular washing. You can add a decoction of chamomile or calendula to the water. These medicinal herbs have a pronounced antiseptic effect and help strengthen the immune system.

Consequences

Doctors believe that laryngitis is not dangerous. However, this belief is true only for mild forms of the disease. Even a simple illness can cause various adverse effects. If the disease is severe or occurs in a child in the first months of life, then complications often form.

The adverse effects of laryngitis include:

• Change the tone or volume of the voice. Often it becomes hoarse or rather quiet. This condition may be temporary. Various physiotherapy procedures are well suited to eliminate hoarseness in the voice.




• Transition from an acute process to a chronic one. Usually observed after poor-quality treatment or due to late diagnosis of the disease.
• The development of purulent formations in the neck. The most dangerous of them are abscess and phlegmon. With the breakthrough of purulent formations, complications that are critical for health can occur. In some cases, this leads to the development of sepsis.

Prevention

In order to prevent the disease, use the following recommendations:

• Monitor the progress of any infectious diseases in the child. Children with frequent colds are at risk. Such babies are required to take preventive measures to strengthen immunity.
• All carious teeth must be treated on time! The presence of an infection in the oral cavity is often the root cause of the development of laryngitis in children. Regular visits to the pediatric dentist should be a healthy habit for every child.
• Do not allow your child to drink very cold or hot drinks. All fluid entering the body should be at room or comfortable temperature. This will help prevent many diseases of the larynx and pharynx, and will also be an excellent prevention of angina.

It is known that laryngitis is a very serious disease that often affects children. It is expressed in inflammation of the larynx and vocal cords, it is difficult. As a rule, the disease is a complication of a previous cold or flu. All parents should know how to treat laryngitis in a child. There are many different methods of dealing with this disease, traditional and alternative.

How to treat laryngitis in children

The reason for the development of this disease in babies is that their nasopharynx is not yet fully developed and cannot resist viruses and infections. With laryngitis, a newborn has a runny nose, the throat turns red and swells, as can be seen in the photo. The infant is tormented by a dry or barking cough with laryngitis. The temperature may rise a lot. Laryngitis in infants is manifested by anxiety. Children up to a year have cries with wheezing. Treatment of laryngitis should be comprehensive.

Inhalations

Such procedures are only welcome in the treatment process. Especially useful for children are inhalations with laryngitis with a nebulizer. This device sprays small particles of a drug solution. Thanks to this, the healing substances that the baby breathes penetrate directly to the focus of the disease. No less effective are conventional steam inhalations. For such procedures, both home remedies and medications can be used, for example, Lazolvan, Dexamethasone, Hydrocortisone, Berodual.

drugs

Laryngitis will not go away on its own, if symptoms are detected, the baby must be brought to the doctor. The specialist will make an accurate diagnosis and write a prescription for those medicines that will help the baby. The doctor will prescribe oral medications, as well as gargles, inhalations and other medications. The determining factor is the form of the disease and its severity. Laryngitis is treated with the following drugs.

Antibiotics

Such drugs are always prescribed with great caution to children because of the large list of side effects. Their reception is expedient only if it was possible to establish that laryngitis is bacterial in nature. Therefore, you first need to do a general blood test and make sure that the disease is not viral. The following antibiotics are prescribed:

1. . The main active ingredient is penicillin. There are tablets and suspension. The dosage and duration of admission for an infant is calculated individually, based on its weight.
2. "Bioparox". Aerosol for irrigation of the throat. Not allowed for children under three. A week you need to do two injections 4 times.
3. "Ceftriaxone". Solution for intravenous or intramuscular injections. For children, they also produce a suspension. The dosage is prescribed based on weight.

Tablets

There will be several drugs for the treatment of the disease. You will definitely need antihistamine medications, for example, Claritin, Zodak. They will help relieve swelling of the mucosa and have a calming effect. You will need cough tablets, dry or wet, lollipops from a sore throat. If the baby has a fever, then an antipyretic should be given.

The list of effective tablets for laryngitis:

• When you change your voice and the first signs of laryngitis, take HOMEOVOX! This drug was created specifically for the treatment of laryngitis and hoarseness. The complex composition of HOMEOVOX allows you to quickly reduce inflammation of the throat and return the voice in case of its loss. The drug is safe: no side effects have been found to date. HOMEOVOX is suitable for adults and children over 6 years of age. It begins to act after the first day of admission, and on the fourth day it is able to completely cure a sore throat.

To alleviate inflammation in the throat, a remedy based on herbal dry extract and essential oil Sage lozenges from Natur Product has proven itself well.

Sage lozenges from Natur Product is a combined preparation containing a complex of biologically active substances 1 . It has anti-inflammatory, antimicrobial and expectorant effects, and also has astringent properties 1 .

Sage lozenges from Natur The product is herbal with few side effects 1,2 . Sage lozenges from Natur The product is produced in Europe in accordance with international production quality standards 1 .

THERE ARE CONTRAINDICATIONS. BEFORE USE IT IS NECESSARY TO CONSULT WITH A SPECIALIST.

1. Instructions for the medical use of the medicinal product Sage lozenges.

2. Allergic reactions - according to the instructions for medical use.

• "Mukaltin". An antitussive drug that has practically no contraindications. The dosage is determined by the doctor.
• "Paracetamol" and analogues. Tablets are given to children during the course of the disease with fever. Dosage depends on age and body weight, is determined individually.
• "Suprastin". Removes swelling, prevents the onset of false croup. Allowed from birth. The fast-acting drug is drunk three times a day, spreading half a tablet in water.

syrups

1. . Expectorant syrup for children is taken with food, washed down with water. Take from 2.5 to 5 ml of syrup several times a day. The course is 5 days. It can be extended only by doctor's prescription.
2. "Nurofen". Relieves pain, inflammation, lowers the temperature. The dosage of syrup for children is prescribed exclusively by the attending physician. The medicine is available in orange and raspberry flavors.
3. "Prospan". The syrup relieves sore throat, helps with coughing. Children up to a year should drink 2.5 ml twice a day, up to six years - in the same amount three times. Schoolchildren are allowed to take 5 ml three times.

Spray

List of effective drugs:

1. "Oracept". Spray for the treatment of sore throat and other ENT diseases, such as laryngotracheitis. The drug is allowed to be used by children older than two years. Three injections should be given to the child three times a day.
2. "Lugol". A good spray that relieves inflammation of the larynx. It is allowed to take children from six months. Two or three times a day, several injections are made, after holding the breath. The drug has practically no contraindications.
3. "Geksoral". Local antiseptic for the treatment of ENT diseases. Children are recommended to do one injection twice a day.

Folk remedies

Try these alternative medicine recipes:

1. Be sure to gargle with decoction. Combine three tablespoons of oak bark, cinquefoil roots, sage and one fennel. Mix thoroughly. 3 art. l. collection, pour 1 liter of boiling water, leave for several hours. Have the child gargle with this solution three times a day.
2. Mix two yolks with a teaspoon of sugar and a small piece of butter. Whisk the mixture thoroughly. Give your baby half a teaspoon every three hours.
3. Wash 3 sheets of aloe, scroll in a meat grinder. Strain into a glass. Dilute the resulting juice with water 1:1. Let the child gargle 4-5 times a day.

Features of the treatment of laryngitis in children at home

1. Make sure your child is on bed rest. It is desirable that he does not strain his voice apparatus and speaks little.
2. Maintain fresh, moist, cool air in the room.
3. Make sure that the baby drinks a lot of herbal teas, warm milk. You can give alkaline healing water.
4. Feed your baby moderately warm food, not too cold or hot. Avoid soda.
5. Features of home treatment depend on the form of the disease.

Acute stenosing laryngitis

This is a very dangerous form of the disease, which is also called false croup. Severe swelling of the larynx is characteristic, due to which the child may even suffocate. The attack starts suddenly. First aid for laryngitis of this form should be immediate, so you should immediately call a doctor. While you're waiting for the doctor, prepare your baby's foot baths. Lock him in the bathroom with him, fill the tub with hot water and let him breathe steam for a few minutes. If possible, then inhale with a nebulizer or steam with some kind of drug.

Chronic

If a child has a disease of this form, then you should forbid him to overstrain the vocal cords. Humidify the air in the room regularly and keep it free of dust. Carry out symptomatic treatment with drugs and folk remedies. With atrophic or hypertrophic laryngitis, be sure to practice inhalation. Give your child immunomodulatory drugs to prevent colds.

Allergic

It will be possible to cure this form of the disease in a child under the strict supervision of a doctor. Be sure to give antihistamines in the form of tablets, syrups. Provide clean, moist air to the nursery. If possible, give him inhalations over water with soda and vegetable oil. Let him drink warm water in small sips. Well helps milk with soda.

Laryngopharyngitis

Often this disease occurs when the vocal cords are overstressed. Acute laryngopharyngitis is manifested by the same symptoms, but a burning sensation and the presence of a foreign object in the throat are added. Be sure to give the child medicines as prescribed by the doctor, gargle, do foot baths. Talking with pharyngolaryngitis is strictly prohibited.

Is it possible to walk with laryngitis

A very important question for parents. It is allowed to go for walks, but if the disease is already over. Being outdoors is permissible only in good weather and no more than a quarter of an hour. The baby is better to just take out to the balcony. If the disease is in an acute state, then walks will have to be postponed until better times. Do not take your baby for a walk if there is wind, rain, snowfall.

Video

Laryngitis is an inflammatory process caused by viruses, bacteria or fungi, the localization of which is the larynx. In children, this disease can lead to a dangerous complication - stenosis of the larynx, if treatment is not started on time. Treatment of laryngitis in children is carried out in a complex combination of medicines, physiotherapy procedures and traditional medicine.

The treatment regimen for laryngitis in children is selected by the doctor on an individual basis, and the specialist takes into account the age of the patient and the severity of his condition.

Depending on the clinical picture of the disease, the following drugs are prescribed:

Attention! Before treating children's laryngitis, the patient must be examined by a doctor, since the inflammatory process can be caused by both viruses and bacteria, and the methods of therapy in both cases are fundamentally different.

How to cure laryngitis quickly?

Many parents who first encountered inflammation of the larynx in their child are concerned about the question of how long laryngitis in children is treated? First of all, it all depends on the right treatment.

In order to help the baby’s body cope with the infection faster, it is important to follow simple rules:

• dieting- since the child's body is weakened, you should not give him an additional load, forcing him to digest heavy meals, food should be fortified and easily digestible;
• drinking regimen- to improve the elimination of toxins from the body and stimulate the formation of sputum, it is recommended to give the child at least 1 liter of fluid per day (herbal teas, fruit drinks, rosehip broth, juice, compote are excellent);
• fresh and cool indoor air- the air temperature in the room where the patient with laryngitis is located should not exceed 18-19 degrees, otherwise the mucus will dry out in the airways, which will cause the development of stenosis of the larynx;
• optimal air humidity- ideally, put an air humidifier in the child's room, the price of these devices, of course, is not low, but thanks to the humidifier, you can maintain a comfortable microclimate and create favorable conditions for the patient.

Medical treatment of laryngitis

Treatment of laryngitis in children is carried out in a complex manner, for this the specialist selects the following drugs:

1. Antihistamines - the treatment of acute laryngitis in children is not complete without the appointment of this group of drugs. Antihistamines relieve swelling of the mucous membrane of the pharynx and upper respiratory tract, slightly suppress paroxysmal cough, and prevent the development of laryngeal stenosis. The most effective drugs from this group are Suprastin, Zodak, Zirtek, Tavigil, Loratadin, Claritin, Citrine.

Attention! Antihistamines have serious side effects and limitations, so you need to give them to the child in a strictly defined dose, which is individually selected by the doctor. The instructions for the drug describe possible negative reactions and contraindications, so it must be studied before starting therapy.

1. Antitussive drugs - at the initial stage of the development of laryngitis, when the child is tormented by a strong paroxysmal and unproductive cough, the doctor may prescribe medications that suppress the cough center. This is sometimes justified if the child cannot sleep at night, and constant bouts of coughing contribute to the aggravation of the inflammatory process and even more irritation of the larynx. Most often, children are prescribed Sinekod in the form of drops or syrup, the dose of the drug and the duration of its use is determined individually.
2. Expectorants - are prescribed to facilitate the discharge of sputum and alleviate the obsessive barking cough. The most effective and approved for use in children from 6 months of age are preparations in the form of syrup - Alteyka root, Licorice, Gerbion, Dr. Mom, Gedelix, Prospan. These remedies consist of natural ingredients and treat cough well.

Attention! It is strictly forbidden to use drugs from the group of expectorants and antitussive drugs at the same time, as this leads to the accumulation of sputum in the respiratory tract and the subsequent development of laryngotracheitis and pneumonia.

1. Antipyretic drugs - at elevated body temperature, children from 3 months old are allowed to give drugs based on Paracetamol - Efferalgan, Panadol, Cefekon, Kalpol. Medicines based on ibuprofen are not recommended for children under 3 years of age at a temperature, as they strongly irritate the gastric mucosa and can cause diarrhea and vomiting.

Attention! Antipyretic drugs should be given to the baby only when the temperature rises above 38 degrees, no more than 3 days, maintaining an interval between doses of 4 hours.

Antivirals or antibiotics: what is better to give a child with laryngitis?

How is laryngitis treated in children? The answer to this question is of interest to all parents whose children are ill with inflammation of the larynx. Before treating laryngitis in children, you should find out the cause of the inflammatory process, based on this, the specialist will prescribe adequate therapy.

Most often, laryngitis is caused by a viral infection, so the patient is prescribed antiviral agents. The safest, most effective and approved for use from infancy are drugs based on human interferon:

• Laferobion;
• Viferon;
• Interferon;
• Nazoferon.

We treat laryngitis in children with antibiotics only if the disease proceeds with complications and the patient has developed a secondary bacterial infection. The most commonly used antibiotics are from the group of cephalosporins and penicillins:

• Ceftriaxone;
• Cefazolin;
• Cefix;
• Cefatoxime;
• Amoxiclav;
• Flemoxin Solutab;
• Amoxicillin.

Attention! Antibiotics have strict contraindications and are prescribed only in case of urgent need after identifying the causative agent of the infection and assessing its susceptibility to the active substance of the drug.

Treatment of laryngitis with folk recipes

How is laryngitis treated in children if the doctor has not yet examined the patient?

In this situation, traditional medicine will help soften the barking cough and slightly reduce chest pain:

• milk with honey, butter and a pinch of soda;
• cocoa;

Attention! Steam inhalations with inflammation of the larynx are contraindicated, since parents can provoke the development of stenosis and burns of the mucous membranes of the respiratory tract with their own hands.

Inhalation for laryngitis

If laryngitis is diagnosed, how to treat this pathology in children so that recovery comes sooner and there are no complications?

In combination with the treatment prescribed by the doctor at home, you can do inhalations (see) using a nebulizer. Through this device, a medicinal substance is supplied in the form of tiny drops directly into the respiratory tract.

To facilitate the outflow of sputum and prevent the development of stenosis of the larynx, the following medications are prescribed:

• Salbutamol;
• Ventolin;
• Dekasan;
• Pulmicort.

For babies under 2 years of age, these drugs are diluted with sterile saline in a 1: 1 ratio.

Attention! Only sterile solutions designed specifically for inhalation can be supplied through the nebulizer. The video in this article tells in detail how to properly carry out this procedure and what drugs to use for these purposes. It is strictly forbidden to pour oil solutions or decoctions of medicinal herbs into the device - this can lead to the development of pulmonary edema and blockage of blood vessels by oil microparticles.

Stenosis of the larynx on the background of laryngitis

How to treat laryngitis in children, which is complicated by stenosis?

In this situation, it is important to recognize the complication in time and properly provide assistance to the child before the doctor arrives (see). With stenosis of the larynx, the child looks pale, the intercostal spaces are retracted when inhaling, breathing is noisy and audible at a distance.

Before the arrival of the ambulance, the patient should be provided with an influx of fresh, humidified and cool air, for example, take the baby out onto the balcony or hold it by the open window. If the child is crying, try to calm him down: give him a breast, warm tea, shake him in his arms.

In addition, be sure to free the chest and neck of the child from tight clothing.

How to prevent laryngitis?

Treatment and prevention of laryngitis in children is to follow simple rules:

• timely treatment of SARS;
• strengthening immunity;
• maintaining cleanliness, temperature and optimal humidity in the room where the child is located;
• regular walks in the fresh air.

Remember, before treating children's laryngitis, you need to take tests and accurately determine the cause of the development of the inflammatory process. It is extremely important to follow all the recommendations of the doctor, since inflammation of the larynx is dangerous for its complications in the form of stenosis and respiratory arrest.