CONDITIONS
Noisy Breathing in Children
What is noisy breathing in children?
Noisy breathing in children, a concern for many parents, may manifest in various forms such as stertor, stridor, or wheezing. These abnormal sounds, which may be high or low-pitched during breathing, are not to be ignored. Some of these breathing issues may be mild, while others are more serious and require immediate medical attention.
Noisy breathing may develop in children due to narrowing of the airways. It occurs due to disruptive, abnormal airflow from the restricted airway. This type of blockage or restriction can occur at any point in the airway, from the nose, back of the nose, throat, voice box, windpipe, or further along into the lungs. Understanding these key points about airflow disruption is crucial.
Types of Noisy Breathing in Children
Stertor
Stertor is a disruptive noise characterised by a low-pitch and heavy snoring even when the individual is awake. It is caused by pharyngeal tissue vibration caused by an obstruction in the upper respiratory tract and turbulent airflow in the upper airway. This sound can be caused by any obstruction in the nose and back of the nose. Common causes in children are large adenoids and tonsils, allergic rhinitis and foreign body.
Stridor
Stridor is a disruptive breathing disorder that results in a high or low-pitched sound due to obstructed airflow in the throat, voicebox, trachea(wind pipe) and bronchi. Anyone, regardless of age, can develop stridor. However, it's important to note that in children with their smaller and softer airways it can be dangerous. This underscores the need for parents and caregivers to be aware of the condition and its implications.
Wheezing
Wheezing, a high-volume, whistling noise that occurs during breathing, is a strong indication your child may have a lung or heart problem. This symptom can be caused by a variety of conditions, including bronchiolitis, asthma, bronchitis, allergic reactions or heart failure.
Laryngomalacia (Floppy Voice Box)
Laryngomalacia, or floppy voice box, is commonly associated with noisy breathing in children, particularly newborns and infants. A floppy voice box occurs from the softening of the laryngeal soft tissues due to immature cartilages making up the framework of the voicebox. The floppy tissue that rests above the vocal cords collapses into the airway as the child breathes in, resulting in noisy breathing (stridor).
Anatomical Issues
An anatomical issue like subglottic/tracheal stenosis occurs due to restriction of the windpipe. Congenital subglottic stenosis arises from inadequately formed airway cartilage. Acquired subglottic/tracheal stenosis arises from scar tissue formation following ventilation for prolonged periods.
How does Dr Sibulele Cezula, a highly experienced specialist in ENT care, expertly address noisy breathing in children?
Dr Sibulele Cezula, an ENT specialist, tackles noisy breathing in children by identifying the underlying cause. She performs an endoscopic examination of the child and makes a diagnosis. What sets her apart is her deeply personalized treatment plans, which are meticulously tailored to the specific cause, the parents’ preferences, and their unique circumstances.
FAQ
When should I be concerned about stertor?
If your child is experiencing breathing through the mouth, has dry lips, snores, sweats during sleep, has poor sleep, poor feeding, or irritability. These are significant signs that you should seek medical attention for a potential respiratory issue.
Is stridor common in children?
Yes, stridor is a condition more commonly observed in paediatric patients than in adults.
What do I do if my child wheezes?
It’s crucial to seek medical attention if your child wheezes. Your healthcare professional will determine the cause of the wheezing and address it promptly, ensuring your child's respiratory health.
