Laryngotracheitis is a viral disease that is accompanied by inflammation and narrowing of the laryngeal lumen. As a result, there is a barking lingering cough, breathing becomes difficult, the voice becomes hoarse.
Most often occurs as a complication of SARS, pharyngitis, tonsillitis, rhinitis, sinusitis, adenoiditis. In this case, it is important to understand how doctors diagnose the disease and how to treat laryngotracheitis in a child.
Diagnosis of laryngotracheitis
There are several ways to diagnose:
- General inspection;
- Percussion (the specialist knocks on the affected part of the child’s body and analyzes the sound phenomena that occur as a result);
- Auscultation (listening with a stethoscope) of the lungs;
- Microlaryngoscopy (examination of the larynx);
- Computed tomography of the larynx and trachea;
- X-ray of the lungs;
- Bacterial sputum culture;
- Linked immunosorbent assay;
- Immunofluorescence reaction (detection of microbial antibodies by an express method);
- Analysis at the DNA level (PCR, polymerase chain reaction).
Types of disease:
Depending on the pathogen:
- Viral (occurs on the background of a viral infection, for example, influenza, rubella, chickenpox; at the same time, the child coughs up clear sputum).
- Bacterial (against the background of a bacterial infection, for example, tonsillitis, rhinitis, sinusitis; sputum with a yellow or green tint).
- Allergic or fungal (sputum gray and with an unpleasant smell);
- Mixed (when a bacterial infection is connected to a virus infection; it has a protracted nature).
Depending on the flow:
- Acute (the attack happened for the first time with concomitant ARVI, lasts less than 20 days, responds well to treatment).
- Chronic (repeated several times a year for various diseases).
- Stenosing (arises as a complication due to tracheal or laryngeal injuries, such as a burn or foreign body contact; accompanied by laryngeal spasm).
- Increased temperature;
- Runny nose;
- Weakness, malaise;
- Tickling, dry throat;
- Exhausting paroxysmal barking cough in the night and morning hours;
- In coughing episodes, blue lips and nasolabial triangle;
- Sore throat and chest area;
- Hoarse voice;
- Enlarged submandibular lifter nodes;
- Lack of sputum in the first days;
- On the 3-5th day, the cough becomes wet, the phlegm goes away easily.
In most cases, treatment of laryngotracheitis in children is carried out at home.
If symptoms of an acute condition appear (suffocative cough, making it difficult to breathe, high fever), urgent hospitalization is necessary.
Drug treatment methods:
- Symptomatic method involves the use of antipyretic (based on Ibuprofen or Paracetamol), proticar (Sinekod, Codelac), mucolytic (Mukaltin, Herbion, Dr. Mom), antihistamine (Tavegil, Suprastina) drugs, as well as vasoconstrictor nasal drops.
- For the treatment of acute stenosing laryngotracheitis in children, doctors prescribe bronchodilator drugs, antiviral drugs, as well as broad-spectrum antibiotics (in the case of bacterial laryngotracheitis).
- Sparing mode for vocal cords (quiet games and communication without screams and violent emotions).
- A special diet with the exception of rough, annoying food.
- Alkaline drinks (mineral water without gas, warm milk with soda).
- It is important to drink plenty of warm, fresh, humidified cool air in the room (19-20 ° C).
Consequences of the disease
This disease can have complications in the form of:
- The appearance of benign and malignant neoplasms on the nasopharyngeal mucosa;
- Swelling of the larynx with the possibility of asphyxia.
If, after treatment at home, the child’s condition deteriorates markedly, it is necessary to place him in the hospital.
You should be alerted by these symptoms:
- The fossa on the neck, which sinks when inhaling.
- It is difficult for the child to breathe, while breathing is accompanied by whistling and noisy sounds.
- The skin is pale, the child can not cry and scream.
In order to avoid disease, it is very important to carry out its prevention:
- It should be taken seriously by acute respiratory viral infections, as laryngotracheitis occurs as a result of not completely cured colds.
- It is necessary to engage in the general strengthening of the body: observe the daily regimen, provide the child with good nutrition, organize tempering activities.
Symptoms and treatment of laryngotracheitis in children – video from Dr. Komarovsky
The doctor tells about what causes stenotic laryngotracheitis in children, describes the main symptoms of the disease and gives recommendations on how to deal with this disease.
If you promptly turn to the ENT with the disease, the risk of complications is minimal. Therefore, at the slightest suspicion of acute laryngotracheitis, it is worthwhile to immediately show the child to a specialist and not to self-medicate. beauty-x.us.org