Treatment of laryngotracheitis in children includes several items that depend on the condition of the patient and the onset of symptoms. This disease can carry such a danger as laryngeal stenosis, especially in children under 8 years of age.
Laryngotracheitis can be complicated by a bacterial infection due to improper treatment, so if the first signs of the disease appear, you need to contact a pediatrician and follow his recommendations.
What is laryngotracheitis?
This disease is as complex as its name. Both viruses and bacteria can cause it. It is complicated by the fact that it immediately affects the throat and trachea. Therefore, patients during the illness feel very weak.
There are two types of this disease - acute and chronic. The first occurs most often due to damage to the body by viruses. It begins with a sharp increase in temperature. Then another symptom appears.
The chronic form is sluggish and can disturb the patient for several months. The disease then goes into remission, then returns again.
Symptoms of acute laryngotracheitis
This form of the disease begins quite acutely. The child's body temperature rises to 38 0 and above. He feels tired. Due to the release of harmful substances by viruses into the blood, intoxication can begin.
The child begins to dry cough, which gradually turns into an obsessive form. Over time, he becomes "barking." This is one of the main symptoms of laryngitis.
The next day, chest pain may appear in the upper part. In a few days, the cough should turn into a productive one and will look like bronchitis. The main danger of the first days of the course of the disease is a false croup.
Choking more often in children develops at night. At this moment, parents should not be confused and provide the baby with the necessary help.
What is false croup?
This condition often occurs in children up to 7-8 years of age. It is associated with insufficient development of the larynx. This organ in children is still quite narrow. When viruses or bacteria enter the throat, swelling can develop.
Because of it, the lumen of the larynx narrows and can completely overlap. As a result, suffocation occurs. This condition requires immediate intervention by ambulance workers.
Adults can relieve symptoms and calm the baby before the carriage arrives. In this case, severe consequences can be avoided.
First aid for croup
If the parents heard a heavy breathing in the child at night, and he cannot fully take a breath, then it is necessary to start taking measures. First of all, you need to provide the patient with good access to fresh air.
To do this, a full window opens. If the attack happened in the warm season, then you need to wrap the baby in a blanket and take it to the balcony.
At this time, one of the adults can turn on the hot water in the bathroom and leave it so that as much steam as possible can accumulate in the room. The child should breathe such moist air for 10-15 minutes.
You can not lower the baby into the water. He should sit next to her with an adult. Thus, swelling will decrease slightly and sputum will soften. She will begin to come out with a productive cough.
If the house has a compressor nebulizer, then inhalation can be done. It is better to use nebulas with Pulmicort for laryngeal spasm . For its use, it is necessary to dilute a suitable dose of the drug in half with saline.
If the manipulations do not help and the child becomes worse, an ambulance is immediately called. Workers are likely to inject a hormonal drug. More often, Dexamethasone or Prednisone is used to treat laryngotracheitis in children in case of stenosis.
What is tracheitis?
This disease often occurs in children after 3-4 years. In babies, viruses and bacteria often affect the entire respiratory system, rather than its individual organs.
Tracheitis often acts as a complication of ARVI. It rarely develops on the first day. A trachea is a hollow tube that connects the larynx and bronchi. It contains nerve endings. Infectious pathogens irritate them and a cough occurs.
Symptoms of tracheitis
First, the child begins to sore throat. Then a cough appears. It becomes painful and rude. In the early days, sputum practically does not separate.
The child becomes restless. Coughing more and more often occurs paroxysmally. Because of this, sleep is disturbed. After a few days, chest pain may appear. Crying or laughing causes a cough. The temperature increase can be up to 38 0 .
After 3 days, coughing becomes less painful and attacks are rare. Separation of not thick sputum begins.
Husky voice means the infection in the larynx. This is due to the proximity of the organs to each other.
Treatment of laryngotracheitis in children up to a year
This disease does not often affect babies of this age. If it occurs, then laryngitis or bronchitis. But there are exceptions. Such young children with any acute manifestations of infectious diseases are most often hospitalized.
And this is the right decision of medical personnel. The most dangerous complication in infants can be false croup. At this age, it is difficult to reassure the baby and persuade him not to scream during an attack, and this significantly complicates his condition.
In the hospital, the baby will be taken a general blood test and find out what kind of pathogen caused the disease. If this is a virus, then the treatment will be to take special medications that enhance immunity and the body's independent struggle with them.
If the pathogen is of a bacterial nature, then treatment of laryngotracheitis in children with antibiotics cannot be avoided. In the hospital, injection forms are most often used.
Treatment of laryngotracheitis in children at home
Children after 1-2 years old are able to fulfill the requests of their parents and this greatly facilitates the situation during any illness. Treatment of acute laryngotracheitis in children is accompanied by several rules for the implementation of life during this period:
- indoor air humidity of at least 60%;
- the temperature in the room where the child is located should not exceed 20 0 ;
- wet cleaning 2 times a day;
- calm psycho-emotional atmosphere in the family.
These points will help alleviate the condition of the child and translate the cough into a productive one.
With laryngotracheitis, it is impossible for the baby to experience strong emotions. This applies to both crying and laughing. At this time, the muscles of the larynx contract and the coughing fit may intensify.
What are the medicines?
In the case of the viral nature of the disease, the doctor may prescribe special drugs for the treatment of laryngotracheitis in children:
- Laferabion;
- Ergoferon;
- Aflubin
- Groprinosin;
- Anaferon.
These are antiviral agents that help the body cope with pathogens faster.
If the house has a compressor nebulizer, then inhalations can be prescribed. They can be carried out with ordinary saline or with alkaline water without gas. Thus, it is possible to achieve a decrease in the viscosity of sputum and cough to translate into a productive. Thanks to this method of treatment, the symptoms of laryngotracheitis in children will be significantly relieved.
If a child has a risk of developing false croup, then inhalations with hormonal drugs can be prescribed. The most commonly used are Pulmicort and Flexodit in the nebulas. The dosage should be indicated by the doctor. It is calculated depending on the age of the baby. This medicine is mixed with saline in proportions 1: 1 before use.
Are cough syrups needed?
It is difficult to give an affirmative answer to this question. Modern pediatricians clarify that up to the age of 6 they can harm a child. This is due to the fact that syrups increase the amount of sputum. And the baby may not have enough physical strength to cough her up.
In this case, bacteria develop in the sputum, which lead to complications. Bronchitis and pneumonia occur, which are difficult to treat, especially in babies up to a year.
Usually, children after 3-4 years of age are already prescribed expectorant drugs. It could be:
- "Lazolvan";
- Ambroxol;
- Flavomed
- "Gederin" and others.
Parents must follow the basic rule for taking expectorants: you should not give the child cough syrup after 18:00.
Otherwise, after taking the drug of this action, a large amount of sputum is formed and the child does not have time to cough her up, because she will go to bed.
At this time, harmful bacteria that cause pneumonia and bronchitis can develop in sputum. This is the answer to the question why the doctor did not hear wheezing yesterday, and the next day complications appeared.
Throat Sprays
Symptoms and treatment of laryngotracheitis in children are closely related. The doctor prescribes drugs depending on the complaints of the parents. If the baby has a sore throat, then special medicines should be used:
- "Lizobakt";
- Septefril;
- "Faringosept" and others.
These tablets must be absorbed. Children after 2-3 years will be able to cope with this action. Kids can be offered these drugs, after grinding them into powder. If the baby takes the pacifier, then it is necessary to moisten it with water, and then dip it into this medicine and give it a dummy. You need to repeat the action several times until the required dose of powder is completely over.
Throat sprays can be safely used to treat children after 3-4 years. In younger children, against the background of its use, laryngeal spasm may occur. It is also not advisable to use them in allergy sufferers, otherwise stenosis cannot be avoided.
Folk remedies
You must resort to these methods with extreme caution, especially if the child has previously experienced any allergic reaction. The most harmless means can be “Borjomi”. This water has an alkaline composition, so drinking it will help soften the cough and such treatment of laryngotracheitis in children with folk remedies will not harm.
To do this, let the gases out of the bottle. Then, during the day, the child should be offered several tablespoons of this water. Another effective way is warm milk (100 ml) with 1 tbsp. spoon "Borjomi". Such a solution must be given to the baby 3 times a day.
Children who are not allergic to honey can be offered to dissolve it several times a day for 1/2 teaspoon. In this way, sore throat can be significantly reduced. Older children are advised to drink more herbal teas. They not only have a beneficial effect on overall well-being, but also provide the necessary amount of fluid in the body.
During a paroxysmal cough, the child can soar his feet in water no higher than 45 0 . So, from the upper parts of the body, blood will circulate more actively in the lower parts and the cough will gradually decrease.
Reviews
Many parents have faced this difficult disease in their children. Most often, positive reviews can be read about the rapid effect of inhalation using a compressor nebulizer.
Adults claim that after 1-2 days of treatment with this device, the condition of the child improves markedly. A nebulizer is especially useful during a choking cough or false croup. Many parents claim that they learned to remove this condition already without calling an ambulance.
Doctors point out that prescribing drugs depends on the symptoms. Treatment of laryngotracheitis in children (according to reviews) must begin with the use of antiviral agents. Many doctors indicate that the effectiveness of their admission is not proven. But parents note that in combination with other appointments, they give a good result.
Positive comments are found regarding Rectodelt candles, which are used during a severe attack of false croup. Parents indicate that they begin to act within a few minutes after application.
This option is also very convenient for people who do not know how to give injections. The composition of these suppositories includes the same components as the ampoules of Dexamethasone and Prednisolone, which are used by ambulance workers in such situations.
Good reviews can be found regarding the reception of Borjomi. This water helps to make cough productive in many situations and in the treatment of laryngotracheitis in children.
Many parents note that by maintaining optimal climatic conditions in a child’s room during an illness, an overnight attack of false croup can be avoided. These methods do not require cash costs. If someone does not have a humidifier, then you can periodically hang wet sheets and towels around the bedroom. Thus, the humidity in the room will rise.