Stridor is usually the result of a narrowed or partially blocked airway, the passage that connects the mouth to the lungs. The condition is most common in newborns, infants, and toddlers because their airways are narrower—so even a small blockage can interfere with easy breathing. This condition also affects adults.
Do babies outgrow stridor?
Infants with mild laryngomalacia usually outgrow the stridor by 12 to 18 months of age. Even though your infant may have mild laryngomalacia, it is still important to watch for signs and symptoms of worsening laryngomalacia.
How do you treat stridor in babies?
How is stridor treated in a child?
- Referral to an ear, nose, and throat specialist (ENT)
- Surgery, if the stridor is severe.
- Medicines by mouth or shots to help decrease the swelling in the airways or treat an infection.
- Hospital stay and emergency surgery, depending on how severe the stridor is.
What is the most common cause of stridor in infants?
The most common cause of acute stridor in childhood is laryngotracheobronchitis, or viral croup. The condition is caused most commonly by parainfluenza virus, but it can also be caused by influenza virus types A or B, respiratory syncytial virus and rhinoviruses.
What is the most common cause of congenital stridor?
Laryngomalacia is the most common cause of congenital stridor. Patients typically have high-pitched inspiratory stridor that increases with crying and when supine.
What does stridor sound like in newborns?
The noisy breathing often sounds like a high-pitched wheezing or whistling, and may be audible when a child inhales, exhales, or both. Stridor is usually the result of a narrowed or partially blocked airway, the passage that connects the mouth to the lungs.
When is stridor serious?
Call your doctor right away if your child has these symptoms: Stridor that gets worse the first 4 to 8 months. Feeding problems like choking or inhaling food. Low weight.
Can stridor go away on its own?
In most cases, congenital laryngeal stridor is a harmless condition that goes away on its own. Although not common, some babies develop severe breathing problems which need treatment. Treatment may include medicines, a hospital stay, or surgery. Treatment will depend on your baby’s symptoms, age, and general health.
Is stridor life threatening?
Stridor is usually diagnosed based on health history and a physical exam. The child may need a hospital stay and emergency surgery, depending on how severe the stridor is. If left untreated, stridor can block the child’s airway. This can be life-threatening or even cause death.
What does a stridor indicate?
Less musical sounding than a wheeze, stridor is a high-pitched, turbulent sound that can happen when a child inhales or exhales. Stridor usually indicates an obstruction or narrowing in the upper airway, outside of the chest cavity.
How do you test for stridor?
Careful auscultation of the nose, oropharynx, neck, and chest helps to discern the location of the stridor. In infants, special attention should be paid to craniofacial morphology, patency of the nares, and cutaneous hemangiomas. Growth parameters are helpful, especially in the evaluation of chronic stridor.
What medication is used for stridor?
Treatment of Stridor
Nebulized racemic epinephrine (0.5 to 0.75 mL of 2.25% racemic epinephrine added to 2.5 to 3 mL of normal saline) and dexamethasone (10 mg IV, then 4 mg IV every 6 hours) may be helpful in patients in whom airway edema is the cause.