Can Laryngomalacia Get Worse?
Laryngomalacia, a common condition affecting newborns and infants, is characterized by the softening of the cartilage in the larynx, leading to difficulty in breathing and swallowing. While it is a relatively common condition, many parents often wonder if laryngomalacia can get worse over time. In this article, we will explore the nature of laryngomalacia, its progression, and factors that may contribute to its worsening.
Laryngomalacia occurs when the cartilage in the larynx, which is supposed to be firm and supportive, becomes too soft. This softness can cause the airway to collapse during breathing, leading to symptoms such as coughing, choking, and difficulty in feeding. The condition is typically diagnosed in infants within the first few months of life and is often self-limiting, meaning it tends to improve as the child grows and the larynx becomes stronger.
Progression of Laryngomalacia
The progression of laryngomalacia can vary significantly from one child to another. Some infants may experience mild symptoms that resolve on their own, while others may have more severe symptoms that require medical intervention. In most cases, laryngomalacia tends to worsen during episodes of crying or when the child is lying on their back, as these positions can increase the pressure on the larynx.
It is important to note that laryngomalacia is generally considered a benign condition, and most children outgrow it by the age of two. However, in some cases, the condition may persist or worsen, particularly if the child has underlying respiratory or feeding issues. Factors that may contribute to the worsening of laryngomalacia include:
1. Underlying respiratory conditions: Children with conditions such as bronchitis, pneumonia, or asthma may experience exacerbation of their symptoms due to laryngomalacia.
2. Feeding difficulties: Infants with laryngomalacia may have difficulty swallowing, leading to aspiration and worsening of their symptoms.
3. Positioning: As mentioned earlier, lying on the back can exacerbate the symptoms of laryngomalacia. Changing the child’s position, such as propping them up during feeding, may help alleviate some of the symptoms.
4. Allergies: Allergies can cause inflammation in the airways, which may worsen the symptoms of laryngomalacia.
Diagnosis and Treatment
Laryngomalacia is typically diagnosed based on the child’s symptoms and a physical examination. In some cases, additional tests, such as a laryngoscopy, may be performed to assess the severity of the condition. Treatment for laryngomalacia usually involves supportive measures and monitoring the child’s symptoms.
Supportive measures may include:
1. Changing the child’s feeding position: Propping the child up during feeding can help prevent aspiration and reduce the pressure on the larynx.
2. Using a pacifier: Pacifiers can help reduce the amount of crying and improve the child’s breathing.
3. Avoiding certain foods: Foods that are high in acid or difficult to swallow may exacerbate the symptoms of laryngomalacia.
In severe cases, medical intervention may be necessary. This may include:
1. Nasal continuous positive airway pressure (nCPAP): A device that delivers a steady stream of air to help keep the airway open.
2. Surgery: In rare cases, surgery may be recommended to correct the laryngomalacia.
Conclusion
While laryngomalacia can be a concerning condition for parents, it is generally a self-limiting one. Most children outgrow the condition by the age of two. However, it is essential to monitor the child’s symptoms and seek medical advice if there is any concern about the progression of laryngomalacia. By understanding the nature of the condition and implementing appropriate treatment and supportive measures, parents can help ensure their child’s comfort and well-being.
