Doctor Komarovsky about what to do if a child has an osyp voice


To understand that a child is sick, for attentive parents it usually does not make up. The baby has a fever, a runny nose, a cough, appetite disappears. Sometimes adults notice that osyop has a voice. And this is quite an alarming symptom, which all moms and dads need to know about. Famous children's doctor Yevgeny Komarovsky tells why this happens, how dangerous it is and what to do if hoarseness is observed.

The reasons

There are vocal cords in the larynx, which are directly involved in the formation of sounds. The bundles themselves are very mobile. However, their mobility is easily disturbed, modified, if there is swelling and inflammation in the throat, where the ligaments are attached.

Many parents mistakenly believe that if a child has a husky voice, then this is solely a result of hypothermia or a cold.

Anything can cause inflammation of the larynx, and most often the reason lies in a viral infection.

  • Most respiratory viruses enter the body of the child through the nose, and this leads to a runny nose. The mucus that is produced in response to the penetration of a foreign alien agent accumulates and disrupts nasal breathing. But some of the virus particles survive and pass on - through the nasopharynx to the larynx, and the inflammatory process begins there, which changes the functioning parameters of the vocal cords.
  • The second most frequent reason, according to Evgeny Komarovsky, is an allergic reaction. Protein-antigen, which is a stranger to the immune system of the baby, causes rejection in its address, and therefore allergy is rather “inventive” to various symptoms, including sore throat.
  • Hoarseness can be observed after a laryngeal injury, for example, from a burn, if the child swallowed something very hot. Often caring mothers in trying to quickly cure the baby from ARVI or flu make steam inhalation, during which the child also receives a burn of the mucous membrane of the throat. After such “procedures” a sick, but not hoarse, child becomes hoarse.
  • Also the voice can hoarse after a long heart-rending cry from mechanical injury of the vocal cords. It passes itself - the ligaments are rather quickly restored.
  • Less often, but it can happen, inflammation in the throat causes bacteria. Typically, such an illness will not only be accompanied by hoarseness, but also high fever.


The danger of this symptom, whatever it was caused, according to Yevgeny Komarovsky, is that any inflammatory process in the larynx in a child can lead to a violation of the airway and normal ventilation of the lungs.

An additional risk is created by the anatomical feature of the children's throat - it is narrower than in adults, and therefore the edema develops much faster and more aggressively.

The appearance of hoarseness is an unambiguous reason for going to a doctor, and the sooner the parents provide consultation with a specialist, the better, because your child may have difficulty breathing at any time. The task of the doctor is to quickly identify the cause, the focus of inflammation and prescribe the appropriate therapy.

Sometimes the hoarse voice is a sign of such a deadly disease as diphtheria croup.Now, when all children are required to be vaccinated against diphtheria, the incidence of this disease has decreased significantly. But it’s impossible to exclude such a probability even in a vaccinated baby. For this, you need a doctor who first of all will check if the baby has diphtheria.

With strong sudden hoarseness, you must call an ambulance. Before the arrival of the doctors, the parents should provide first-aid to the baby on their own, especially if there are already signs of difficulty breathing - this is plenty of drink and complete rest.


Treatment depends on the cause of the hoarseness.

For acute respiratory viral infections, no specific therapeutic measures are required.

It will be good if the parents water the baby more abundantly to prevent the mucus in the nose, larynx and bronchi from drying out, and also create favorable conditions for the recovery of the baby: humidity in the room is 50-70%, and air temperature is 18-20 degrees.

And no heaters. Additionally, you can bury the saline in the nose, and they also gargle.

If you are allergic, your child will definitely need to consult an allergist who will help determine with the help of special tests the type of allergen that caused an inadequate reaction of the body. The treatment is to eliminate the cause of the allergy. In severe cases, antiallergic antihistamines are prescribed.

For bacterial inflammation of the child, the doctor will prescribe antibiotics. What exactly - it will become clear during the examination, analysis of other symptoms. Usually, these are drugs of the penicillin group.

In case of injury, the child needs rest. And it will be the main medicine. You should play in silence, do not try to talk at all costs.

In severe cases, the doctor will complain to rinsing with furatsilinom, treatment of the larynx with an antiseptic, such as "Miramistin", And inhalation with special formulations based on adrenaline, which cause a spasm of the laryngeal vessels. As a result of their use, the swelling decreases, the glottis opens, breathing is restored.

Hoarseness after sleep

Sometimes parents pay attention to the fact that the child wakes up in the morning, hoarse and some time after waking up clears his throat and recovers. This phenomenon is due, according to Evgeny Komarovsky, to the fact that in the larynx, particularly in the region of the vocal cords, natural secretory mucus dries up at night.

This is due to the fact that the baby breathes too dry air. It is enough to moisten it, and night hoarseness will stop.

Osyp child after illness

This symptom is alarming. If ARVI is already left behind, and the baby has become easier, then sudden hoarseness may indicate the accession of a secondary infection, very likely, a bacterial infection. You should not wait whether it will pass by itself, or difficulty breathing will still appear, but you must immediately call the doctor at home.

Tips of Dr. Komarovsky

Do not refuse vaccinations against diphtheria. This will help protect the child from an extremely dangerous disease, which is just beginning with hoarseness.

If the child’s voice is osyp during the day (as is the case, for example, with laryngitis), then parents should be prepared for the fact that at night the baby may experience breathing problems. It is necessary to humidify the air well, prepare an abundant warm drink so that it is at hand, and prepare the phone to call an “emergency room” if it becomes very difficult for the baby to breathe.

Hardening improves the overall immunity of the child, and hardening the throat - local immunity. Dr. Komarovsky claims that there is a tempering method that all children, without exception, will like very much - this is everyone’s favorite ice cream. The more often the child will eat it in small portions, the better for the larynx.

Dr. Komarovsky will tell more about the hoarse voice of a child in his program.

Information provided for reference purposes. Do not self-medicate. At the first symptoms of the disease, consult a doctor.