Recently, the temperature has dropped across the country, and many children have been sick, either sneezing and runny nose, or coughing cough cough non-stop, and some voices sound nervous.
What could be the problem with the various sounds coming out of your child's airways, is it serious or not?
Today, we will correspond to the audio, and show you in detail the coughing and breathing sounds that are most common in life that parents are worried about, and explain the characteristics of each sound, the causes, and the principles of family care and medical treatment.
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Barking cough
Sound characteristics
This particular coughing sound is raised to sound similar to the barking of a puppy, and some people sound like a sound close to empty, empty, empty, so it is also called empty cough.
Click on the audio below to learn more
Causes
Such a cough in babies is generally caused by damage to the mucous membrane and trachea under the glottis, which is especially vigilantAcute laryngotracheobronchitis (acute laryngitis)., but laryngeal edema, vocal cord edema, tracheal foreign bodies, or tracheal compression can also be caused.
Principles of care and medical treatment
Parents should first patiently observe the baby's mental state, if the baby's mental state is good, in a quiet state can hardly hear abnormal sounds, then it is likely to belong to mild laryngotracheitis, most of them are self-limiting diseases (can be self-healing).Don't worry too much
If the baby has already appearedPoor or poor mental status, hoarseness, dyspnea (retraction sign), cyanosisor accompanied by symptoms of a cold or fever, which may be acute laryngitis or laryngotracheitisNeed to go to the hospital in a timely manner**, orally, nebulized, or intravenously, depending on the severity of symptoms.
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Chicken-like cough
Sound characteristics
This sound is usually seen in:A series of violent coughs endedAfter that, there are usually about 5 rapid, continuous, violent coughs, followed by a long, high-pitched inhalatory roar that sounds like a rooster crow, followed by another spasmodic cough, and so on.
Click on the audio below to learn more
Causes
This cough sound is generally used to describe whooping cough.
Babies with whooping cough, for the first 1 to 2 weeks, look the same as the common cold, with runny nose, nasal congestion, sneezing, watery eyes, red eyes, sore throat, and a slight cough.
However, the common cold usually gets better after 1 or 2 weeks, and the symptoms disappear, while whooping cough manifests itself over the course of the diseaseThe cough gradually worsens, there is a distinct paroxysmal serial, spasmodic cough, accompanied by a deep and long inhalation, at which time a special, high-profile chicken-like inspiratory echo will be issued, and then another spasmodic cough occurs, repeated many times, until coughing up more viscous sputum, therefore, vomiting after coughing or choking after coughing is common.
Among them, the typical feature is the above series of prolonged coughs, followed by a rooster-like echo.
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Principles of care and medical treatment
If the baby has already developed the above conditions, you need to suspect the possibility of whooping cough, in addition, the epiglottis, laryngeal disease or tracheal compression can also be caused, but you need to seek medical attention as soon as possible.
For babies diagnosed with whooping cough, doctors will generally choose appropriate antibiotic drugs according to the baby's age**, parents should pay attention to:Be sure to complete the entire course of medication according to the doctor's instructions, and do not stop the medication without authorization.
Isolation is also required, and all children infected with whooping cough are contagious until antibiotics run out. The specific isolation time depends on the ** plan, and you can consult your doctor.
At the same time, parents can come through the following care:Help your baby relieve symptoms
1.Get plenty of rest, try to keep it in a quiet and comfortable environment, and avoid coughing stimuli caused by strenuous exercise and vigorous crying
2.Drink plenty of milk and fluids to maintain a healthy urine output
3.It is recommended to eat a small amount and multiple times to avoid choking after **, and at the same time, keep the child in an upright position after feeding, which can reduce the occurrence of vomiting and make it easier for the child to breathe
4.Avoid contact with secondhand smoke or other respiratory irritants.
5.Place a cold mist sprayer or humidifier in your baby's bedroom.
In addition to coughing sounds, the following breathing sounds are also more common for babies, which are easy to attract the attention of parents, and we also need to understand:
Snoring
Sound characteristics
Snoring after sleep is very easy to hear in life, usually low-pitched, mostly when the baby exhales, and there are different tones of sound when inhaling, all of which come from the nose, pharynx or oropharyngeal area, if it appears during sleep, it can be called snoring;If it occurs while awake, it is called snoring.
Click on the audio below to learn more
Causes
Normal snoring is caused by the sound of a vortex of air flowing through a sudden narrowing (similar to the principle of a flute, but with a low pitch of snoring), such as narrowing caused by airway obstruction by secretions or edema of the nasal mucosa of a cold.
Principles of care and medical treatment
Don't worry if it's just an occasional appearance, but ifIt's always been thereThis sound may be caused by some diseases, and it is best to take the baby to the otolaryngology department for examination.
For example, more than 7 to 10 days, you need to be vigilantAcute bacterial sinusitisPossibly;If it lasts more than 2 to 4 weeks, then there is also vigilanceAllergic rhinitis, adenoid hypertrophy, tonsillar hypertrophy, etc.
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Guttural sounds
Sound characteristics
Guttural sound is a sound that is easy to distinguish from ordinary snoring, but the laryngeal sound generally appears when the baby inhales, and parents may sound that the baby's throat is purring and there is phlegm, which comes from the throat and produces the same blister rupture sound as we blow the blister with a straw.
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Causes
There are two most common situations in which this sound occurs:
1.Congenital laryngeal stridor
Congenital laryngeal stridor is also calledLaryngomalacia, which occurs in the neonatal period, but usually occurs in the first 2 weeks of life, most prominently at 4 to 8 months of age, and resolves spontaneously around the age of 80 years.
MildBabies with laryngochondromalacia usually have no obvious symptoms when they are quiet, and occasionally choking cough and inspiratory stridor when eating, but the eating speed is normal, the general condition is good, and the growth and development are normal.
ModerateBabies with laryngochondromia often have choking cough and inspiratory stridor when eating, which are aggravated during sleep, supine, eating, activity, and respiratory tract infections, and eat slowly and rarely.
SevereBabies with laryngochondromalacia often choke on eating, slow and little, difficult to feed, inspiratory stridor when quiet, dyspnea, cyanosis, gastroesophageal reflux, reflux respiratory tract infection, growth arrest or heart failure, and death by suffocation in severe cases.
In some babies, stridor may also occur only during sleep or relaxation, called state-dependent laryngochondromalacia.
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2.Acquired laryngeal stridor
Laryngeal stridor caused by laryngitis (i.e., laryngotracheitis or laryngotracheobronchitis), most commonly in children aged 6 to 36 months, is mainly caused by a viral infection, and rarely a bacterial infection.
Symptoms typically progress over 12 to 48 hours to include fever, hoarseness, barking cough, and wheezing, and are usually mild and self-limiting, but occasionally cause significant respiratory distress that can be life-threatening.
Principles of care and medical treatment
When parents first find out that their baby has laryngeal stridor manifestations, especially small infants, it is easy to confuse it with phlegm in the throat and respiratory tract infections, thereforeRegardless of the severity of symptoms, it is recommended to see a doctorCause is assessed by an experienced pediatric and pediatric otolaryngologists.
Wheezing
Sound characteristics
Wheezing is a high-pitched whistling noise produced by air passing through a narrow or squeezed small airway. This sound usually occurs after a cold or exposure to an allergen and sounds like the sound of arrows, birdsong, whistles, whistles, or bellows hi hi or he he.
Click on the audio below to learn more
Causes
This sound is usually due to a viral respiratory infection (e.g., wheezing bronchitis, bronchiolitis, etc.) or asthma.
Principles of care and medical treatment
IfAt the same time, there was a cough and sputum production, or accompanied by cold-like symptoms, especially for babies under the age of two, it is likely to be bronchitis, and it is best to take the baby to the doctor in time to check it out.
If the babyPrevious history of asthma or wheezing attacksIn this case, it usually means that the baby has an asthma attack, and parents need to treat it as an asthma attack home aerosol inhalation.
At the same time, parents need to be patient to observe whether the child's breathing rate is significantly faster than usual, and whether the breathing is more difficultIf you have strained breathing or increased frequency, you need to take your baby to the hospital immediately**.
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Inspiratory stridor
Sound characteristics
Stridor is a high-pitched single sound made when you breathe, usually when you inhale.
Click on the audio below to learn more
Causes
If it's a normally healthy baby,Sudden or intermittent episodes of stridorParents must be extra careful, especially in infants or young children who have no other physical findings, regardless of whether they have respiratory distressshould raise suspicion of airway aspiration of a foreign body
If there is stridor during both inspiration and expiration, there is alarm for extra-airway compression, intraairway masses (e.g., hemangiomas or foreign bodies), and changes in the airway wall such as subglottic stenosis.
Principles of care and medical treatment
At this time, parents should communicate with the baby as soon as possible and confirm with the baby whether he has put anything in his mouth. At the same time, check whether the items on hand are missing parts.
For babies who cannot be judged or have had inhaled foreign bodies before, it is recommended to go to the hospital for evaluation, regardless of whether other abnormalities are found.
If it is found that the airway is significantly blocked by foreign body inhalation, the baby has difficulty breathing or stops breathing, it is necessary to urgently implement the first aid method according to the baby's age before seeking medical attention, using the first aid method of back chest pressure within 1 year of age, and the Heimlich first aid method for more than 1 year old.
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Finally, a reminder to everyone:
1) In reality, parents should never listen to their own voices to identify diseases
Because the baby's situation may not be a single sound, the position of the sound may also be one or a mixture of the nasal cavity, throat and trachea, and these sounds with different positions and mechanisms will be even more difficult for parents to judge.
Understanding these sounds is to remind parents not to ignore them, and also to help everyone more accurately and conveniently describe the baby's specific symptoms to the doctor in detail.
2) Keep the environment quiet, record the baby's voice status with your mobile phone, and visit the doctor with audio
This will help the doctor to understand the baby's state at the time of the seizure and help evaluate the condition.
References
1] Lilac Mother app gives birth to an encyclopedia query tool.
2] MSD Manual, Wheezing and Asthma in Infants and Young Children, Rajeev Bhatia, MD, Phoenix Children's hospital
3] MSD Manual, Stridor, Noah Lechtzin, MD, MHS, Johns Hopkins University School of Medicine
4] diana r quintero, khoulood fakhoury.Evaluation of stridor in children [EB OL].
Experts in this article
Jiang Yongyuan
Audit Specialists. Master of Internal Medicine, Third Military Medical University.
Planning and production
Curator: Astro Boy.
Executive Producer: Vigorously.
Title picture**: Standing cool Hailuo.
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