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Acute Laryngitis
Symptoms of acute laryngitis in children
Pediatric acute laryngitis varies in severity and symptoms. Common symptoms include hoarseness, whole lung coughing, and inspiratory breathing difficulties, as well as other respiratory and gastrointestinal symptoms such as vomiting and diarrhea. Additionally, there may be systemic symptoms like fever. Seizures may occur in children under six years old. If the symptoms of laryngeal obstruction in laryngitis are prominent, the affected child may show signs of listlessness or irritability, inspiratory breathing difficulties, flaring nostrils, and a positive three-concavity sign.
Do children with acute laryngitis have a fever?
Acute laryngitis may occur with or without fever. For children, acute laryngitis is primarily a local symptom, but because children generally do not have robust immune function, local infections can easily lead to systemic symptoms. Among systemic symptoms, acute laryngitis frequently manifests as fever, typically presenting as either mild or high fever. It is relatively rare to see extremely high fever. Therefore, it is usually recommended that if the fever exceeds 38 degrees Celsius, or if the child appears lethargic during the fever, oral administration or rectal insertion of ibuprofen suppositories or acetaminophen suppositories can be effective treatments.
Does acute laryngitis in children require hospitalization?
Acute laryngitis in children is a common illness, and most cases do not require hospitalization. They can be managed in the outpatient clinic with oral medication and nebulization. However, if laryngeal obstruction occurs, especially at the second degree or higher, hospitalization is necessary. Laryngeal obstruction is considered a pediatric emergency, which can quickly worsen, leading to difficulty breathing. Some cases may even require intubation or a tracheotomy as emergency procedures. Delayed medical attention or hospitalization could potentially be life-threatening. Therefore, depending on the severity of the child's condition, hospitalization may be required.
Does acute laryngitis in children recur?
Acute laryngitis in children can recur, similar to tonsillitis. Some children may have inherently lower immune function in the larynx, or a relative defect, which makes them prone to inflammation in the larynx whenever there is an upper respiratory infection. Therefore, we generally inform parents that if the child has a history of laryngitis, they should be aware of this condition in the future, especially of sudden respiratory difficulty at night and hoarseness. It is important to pay attention as laryngitis tends to worsen at night, and if it occurs, we recommend seeking medical attention promptly.
Chances of rescuing children with acute laryngitis
Acute laryngitis in children is mostly caused by viral infections and is self-limiting. However, severe cases of laryngitis can progress to third or fourth degree laryngeal obstruction, which are serious conditions requiring urgent treatment, including intubation or tracheotomy, the use of strong antibiotics, and the application of corticosteroids. Generally speaking, unless it is particularly severe or treatment is sought very late, it is very difficult to administer emergency treatment. For the most part, acute laryngitis in children is relatively easy to control and recover from. Therefore, it is very important to seek medical attention early and receive timely and correct treatment to avoid missing the opportunity for emergency intervention, which could lead to lifelong regrets.
Can children with acute laryngitis eat?
Simple acute laryngitis generally allows for eating, unless there are accompanying gastrointestinal symptoms such as repeated vomiting. Additionally, if the laryngitis causes especially severe symptoms of laryngeal obstruction that prevent the swallowing of food, it is advisable to temporarily withhold feeding and wait for the condition to improve before resuming feeding. Therefore, in cases of acute laryngitis without complications, eating is necessary, but it is recommended to stick to a light diet that is easier for children to digest, making it more comfortable for them.
Can acute laryngitis in children be cured?
Acute laryngitis in children is a self-healing disease, mostly caused by inflammation or injury. Controlling the inflammation or reducing the damage generally allows for self-healing. However, it is of course best to treat according to the cause during the process, eliminate the cause, and then promote the repair of the mucous membrane to achieve cure. Treatment of acute laryngitis in children generally includes symptomatic and etiological treatment. Especially, symptomatic treatment is very important, especially in reducing the severity of laryngeal obstruction.
Does acute laryngitis in children require hospitalization?
This issue, depending on the child’s clinical symptoms and signs, needs to be treated differently. If hospitalization is necessary, it generally manifests as poor spirits and signs of laryngeal obstruction. Or, if in the outpatient hospital treatment through oral and nebulized therapies are ineffective, hospital admission may be considered, especially with careful observation for progression of laryngeal obstruction. Some children may also have persistent high fever that does not subside, possibly leading to convulsions and dehydration. After admission, close monitoring of vital signs and management of complications can be provided.
What causes acute laryngitis in children?
Pediatric acute laryngitis is generally considered to be an infection, with viral infections being most common, accounting for about 80% of cases. This includes respiratory syncytial virus, influenza virus, parainfluenza virus, and Coxsackievirus, all of which can cause acute laryngitis. Of course, there are also cases caused by bacterial infections, with gram-positive bacteria being more common. Additionally, special circumstances such as procedures, gastroscopy, bronchoscopy, etc., can cause laryngeal injuries, or the ingestion of irritant food items might also damage the laryngeal tissues, subsequently leading to symptoms of laryngitis.
How to treat acute pharyngitis?
Acute pharyngitis is the acute inflammation of the mucosa and submucosal tissues of the pharynx, and it often comes with systemic symptoms. For patients without systemic symptoms or those who have mild symptoms, local treatments such as mouthwash with cleaning and sterilizing effects, various lozenges, or traditional Chinese medicine can be used. Through oral antiviral drugs or antibiotics, severe systemic symptoms such as high fever require bed rest, plenty of fluids, and soft foods. Antiviral drugs or antibiotics can be administered through the meridian pathways. If the patient has a high fever, physical methods to reduce fever can be used, as well as corticosteroids for reducing temperature.