Viral infection of the voicebox (larynx) and vocal cords
Call or Return If
Trouble breathing or swallowing occurs
Hoarseness lasts over 2 weeks
You think your child needs to be seen
Your child becomes worse
About This Topic
Symptoms
Voice (or cry) is raspy and deeper than usual
If hoarseness is severe, the child can do little more than whisper
Cough is often present
Fever may also occur
Cause
Most laryngitis in children is caused by a virus. It's usually part of a cold.
After Care Advice
Overview:
Most hoarseness is part of a cold.
It means the vocal cords are irritated and swollen.
Here is some care advice that should help.
Warm Liquids:
Age over 1 year. Can sip warm fluids such as chicken broth or apple juice.
Age over 6 years. Can also suck on cough drops or hard candy. Butterscotch seems to help.
Age over 8 years. Can also gargle. Use warm water with a little table salt added. A liquid antacid can be added instead of salt. Use Mylanta or the store brand. No prescription is needed.
Rest the Voice:
Avoid yelling and screaming. (Reason: causes vocal cord strain.)
Have your child try to talk as little as possible. He or she can also write notes for a few days.
Also, avoid clearing the throat. (Reason: Can make hoarseness worse.)
Fever:
For fevers above 102° F (39° C), give acetaminophen (such as Tylenol) or ibuprofen. Note: Lower fevers are important for fighting infections.
For ALL fevers: Keep your child well hydrated. Give lots of cold fluids.
Humidifier:
If the air in your home is dry, use a humidifier. Reason: Dry air makes hoarseness worse.
Avoid Tobacco Smoke:
Tobacco smoke makes hoarseness and coughing much worse.
What to Expect:
Hoarseness from viral laryngitis lasts 1-2 weeks.
Return to School:
Your child does not need to miss any school for a hoarse voice.
Your child can go back to school after the fever is gone.
