Treatment of laryngitis is the process of conducting special therapeutic measures, taking medicines, and performing a course of physiotherapy. The result of this process, normally, should be the recovery of the patient, the disappearance of the external symptoms of the disease, the elimination and compensation of the damage caused to the body by the disease.
Treatment for laryngitis is complex, and involves both local and systemic effects on the patient's body.
The classical scheme of treatment for any form of laryngitis, except for purulent abscess, involves the appointment of drugs. With an abscess, such treatment is relevant only in the initial stages, but it is not always able to give a positive result.
Depending on what etiological factor caused laryngitis, different groups of drugs are prescribed to the patient - these are antibiotics, immunomodulators, antiviral and antibacterial agents, anti-inflammatory drugs, local antiseptics and painkillers.
Oral medication is considered the main direction in the choice of treatment method, if we are not talking about a condition that threatens the patient’s life. Thus, a local effect of the active substances directly on the larynx is achieved.
Allergic form of laryngitis involves the mandatory use of antihistamines - the attending physician may prescribe a course of Loratadine, Erius, Tavegila, Suprastin or Eltset.
Local antibacterial and anti-inflammatory drugs are used for acute and chronic types of the disease. Drugs such as Faringosept, Falimint, Lizobakta, Biseptol and Stepsils can be taken even without a doctor.
Faringosept - a drug that prevents the reproduction of pathogenic microorganisms, reduces the symptoms of the disease. Per day is allowed to use no more than five pieces.
Falimint is prescribed to relieve symptoms of the disease, works as an antiseptic, eliminates pain and sore throat, relieves coughing episodes.
Reception Lizobakta has immunomodulatory and antiseptic effect, activating the work of local immunity on the mucosa of the oropharynx.
Strepsils - lozenges with antiseptic effect, which reduce the manifestations of inflammation of the mucous tissue, relieve swelling.
Antibiotics for laryngitis is advisable to take only with bacterial, purulent forms of the disease, with advanced type of catarrhal laryngitis. Doctors prescribe patients with Augmentin, Azithromycin, Extensillin, Ceftriaxone.
Expectorant resorption pills are prescribed to children and adults in order to enhance the process of sputum production, which in the normal state departs poorly, and sometimes even forms dry crusts. Mucolytic drugs in pill form:
- Broncho San;
Lasolvan is usually preferred for children, as it, eliminating dry cough, relieves other negative symptoms of the disease, without disturbing the work of the respiratory system.
Immunomodulators and antiviral drugs such as Anaferon, Oscillococinum, are used in the viral form of the disease. Laryngitis caused by the flu virus can be treated with Arbidol.
The most commonly prescribed drugs in pill form are listed in the table below.
|Drug name||Pharmaceutical Group||To whom it is shown and to whom it is contraindicated|
|Falimint||Drugs used in diseases of the oropharynx||It is shown in inflammatory pathologies of the respiratory tract, to eliminate coughing and sneezing in athletes, artists, lecturers, smokers.|
It is forbidden to take with hypersensitivity to the drug.
|Lizobact||Local antiseptic||It is prescribed for the treatment of infectious and inflammatory processes in the mouth and throat, with catarrhal phenomena in the upper respiratory tract.|
Contraindications: patient's age up to 3 years, hypersensitivity to the components of the drug.
|Faringosept||Antiseptics, which are used for lesions of the oropharynx||Accepted for the treatment of symptoms of infection of the mucous membrane of the larynx and mouth, for prevention.|
It is contraindicated in the presence of sensitivity to the components of the drug.
|Augmentin||Beta-lactam antibiotics, penicillins||Designed to treat bacterial infections in children and adults:|
|Ceftriaxone||Third generation cephalosporins||It is prescribed in the presence of an infectious lesion of the respiratory tract by pathogens sensitive to the drug.|
Reception is prohibited in case of patient's hypersensitivity to ceftriaxone, premature babies under the age of 41 weeks, children younger than a month, patients with hyperbilirubinemia, jaundice.
|Bronchoshan||Mucolytic drugs||A cure for diseases of the upper respiratory tract with a dry cough or difficult sputum, for patients older than 2 years.|
Reception is prohibited in case of peptic ulcer, the presence of gastric bleeding, pregnant women and nursing mothers, patients with renal and hepatic insufficiency, cirrhosis of the liver and alcohol dependence.
|Ambrobene||Mucolytic drugs against upper respiratory tract diseases||It is indicated for secretolytic therapy in acute and chronic diseases accompanied by dry cough.|
Not prescribed in the presence of hypersensitivity to the drug.
|Erius||Antihistamine Medicines||It is prescribed for the treatment of allergic reactions and complications in the form of allergic laryngitis, for the relief of symptoms.|
It is forbidden to use for patients with hypersensitivity to desloratadine.
|Anaferon||Homeopathic medicine||Indications: treatment of viral diseases, their complications.|
Contraindications: the period of pregnancy and lactation, intolerance to the components of the drug.
|Arbidol||Interferons||It is intended for the treatment of influenza A and B viruses, as well as its complications in the form of laryngitis.|
Not prescribed for diseases of the liver, kidneys and cardiovascular system.
Antibiotics in the form of sprays in laryngitis are an alternative to injecting, although in difficult cases of stenosing laryngitis or laryngotracheitis, drugs can be administered simultaneously in two forms. Sprays for the throat and oral cavity help to stop the unpleasant symptoms of the disease, namely, sore throat, a sense of soreness in the nasopharynx, hoarseness, dry cough, pain and burning, inflammation.
Sprays are mainly made on the basis of antiseptic substances, the effect of which is enhanced by anesthetics, oils and extracts of medicinal herbs. The main purpose of these drugs - the provision of anti-inflammatory effects, the removal of pain. In chronic atrophic or hyperplastic laryngitis, the use of so-called “soft” sprays, with no antibiotics, is shown, but only with anesthetics and anti-inflammatory components. At the initial stages of the development of the acute form, this group of agents is also allowed. The use of sprays in the treatment allows you to directly affect the mucous membrane of the throat, destroy the cells of infectious pathogens.
For adults apply such sprays against laryngitis:
- Maxicold Lawr;
Children are prescribed more benign remedies, for example, Miramistin. From the age of three, Hexoral can be prescribed. In severe cases, with the onset of acute form in children, with the risk of developing false croup and in the absence of allergy, children over 12 years old can be given Lyughol as a spray. Young children from the year are prescribed to use Colustan spray.
The following table lists the properties of the listed drugs.
|Drug name||Pharmaceutical Group||Who is shown and contraindicated|
|MaxiCold Law||Antiseptic for local use||Appointed with inflammatory lesions of the larynx, for the antiseptic treatment of the body, as an adjunct against SARS.|
Contraindicated in patients with sensitivity to hexetidine.
|Camfomen||Drugs for the treatment of diseases of the lungs and bronchi, funds based on essential oils||Combined medication with anti-inflammatory and bactericidal effect for the treatment of inflammatory processes in the pharynx.|
Not assigned to patients with allergies to the components of the drug, children under 5 years of age and patients who work in production with an increased level of dust in the air.
|Ingalipt||Antimicrobial, anti-inflammatory||Assigned to patients with any form of laryngitis, provided there is no hypersensitivity to the components of the drug.|
|Bioparox||Drugs used for colds||The indication for the appointment is to conduct local therapy in acute forms of laryngitis of infectious etiology.|
You can not assign children under 2.5 years old, allergies.
|Miramistin||Antiseptics for local use||Appointed in the complex therapy against various forms of laryngitis.|
Contraindication - hypersensitivity to the drug.
|Hexoral||Antiseptic drugs||Effective against infectious and fungal forms of laryngeal lesions.|
Contraindicated in children under 3 years old, people with hypersensitivity to the components of the drug.
|Lugol||Antiseptic drugs||Indications for use: local therapy for inflammatory diseases of the larynx of infectious nature.|
Contraindications: age under 12, allergy to iodine, decompensated diseases of the kidneys and liver, changes in the thyroid gland.
|Kolustan||Local antiseptic with anesthetic effect||It is indicated for the local treatment of infectious and inflammatory process in the laryngeal mucosa. Not assigned to children younger than a year, as well as patients with hypersensitivity to the components of the drug.|
All means in the form of syrups used in laryngitis, are conventionally divided into two main groups:
- expectorant and facilitating sputum discharge;
- overwhelming cough.
The first type of drugs can be made both on a chemical and a plant basis. Doctors usually prescribe such funds at the final stage of treatment to help the patient get rid of accumulated sputum. At the onset of the disease, it is better to prescribe drugs that are designed to stop cough attacks, which do not depress respiration, and act directly on the brain centers responsible for the cough reflex.
Children's syrups against laryngitis have a softer composition and a pleasant taste. The attending physician may prescribe Ambrobene, Erespal, Ambroxol, Panadol, Stoptussin, Tussin plus.
For adults, the use of Glycodine, Gederin, Bronholitina, Mukaltin, Omnitus is indicated.
|Drug name||Pharmaceutical Group||To whom it is shown and to whom it is contraindicated|
|Ambrobene||Mucolytic drugs||It is prescribed for acute and chronic lesions of the respiratory organs with impaired formation and expectoration of sputum.|
It can not be applied to patients with fructose intolerance, sucrase deficiency, pregnant women in the first trimester, patients with hypersensitivity to the drug.
|Erespal||Drugs that inhibit the release of histamine and other inflammatory mediators||The drug is prescribed to patients with allergic laryngitis. Contraindication: intolerance to the components of the drug.|
|Ambroxol||Mucolytic drugs||Appointed to stimulate the formation and expectoration of sputum in patients with laryngitis. In case of gastric and intestinal ulcers, convulsive syndrome and individual intolerance, it is forbidden to apply.|
|Panadol||Analgesic non-narcotic agent||Antipyretic medicine to reduce the temperature in laryngitis of infectious and viral nature, to relieve pain and inflammation in the larynx for children from 3 months to 12 years.|
When paracetamol intolerance, pronounced pathologies in the liver or kidney does not apply. Infants younger than one year old are prescribed with caution.
|Stotussin||Expectorant and antitussive||It is prescribed to relieve dry cough with laryngitis, as part of a systematic therapy.|
Contraindicated in case of hypersensitivity to the components of the drug, with myasthenia, in the first trimester of pregnancy and during breastfeeding.
|Omnitus||Antitussive central acting||It is used for dry cough of any etiology, including laryngitis.|
It is forbidden to use in patients with individual intolerance during lactation.
|Tussin plus||Secretolytics, respiratory motor function stimulants||Indications: dry, irritating cough, lesions of the throat and larynx infectious-inflammatory type.|
It does not apply to individual intolerance and in children under 2 years.
|Glycodin||Antitussives in combination||Effective against acute and chronic laryngitis with dry, irritating mucous cough.|
It is forbidden to appoint pregnant and lactating women, children under one year, patients with bronchial asthma.
|Gederin||Mucolytic drugs||It is prescribed for symptomatic treatment of inflammatory pathologies in the upper respiratory tract, which are manifested by cough with sputum difficult to separate.|
Contraindications: children's age up to 2 years, intolerance to the components of the drug or any plants of the araliaceae family, intolerance to fructose.
|Bronholitin||Antitussive drugs in combination||Appointed by dry cough with laryngitis of any etiology.|
Among the contraindications:
|Mukaltin||Expectorants||Indications for use: cough in acute and chronic forms of laryngitis.|
Contraindications: individual intolerance.
Means for inhalation
Inhalation with drugs is best carried out with an inhaler or nebulizer, which can be purchased at a pharmacy. To use the house enough to buy a small nebulizer. Medicines intended for use in this device, it is convenient to take immediately in nebuli. It is possible to plant drugs only physical solution, in the ratio 1 to 2, or 1 to 3 parts. It is not recommended to dilute drugs with boiled, distilled or tap water. Doctors advise to carry out the procedure according to this scheme: first an expectorant, and then an antiseptic or a hormone. In addition to drugs, in the atrophic form of the disease, inhalations with alkaline mineral waters and soda solution are useful.
Preparations prescribed for inhalation are listed in the table below.
|Drug name||Pharmaceutical Group||To whom it is shown and to whom it is contraindicated|
|Mukolvan||Mucolytic drugs||Indications for administration of inhalation: chronic and acute forms of laryngitis, which produce thick sputum. Not applicable during pregnancy, as it is able to penetrate the placenta.|
|Ambroxol hydrochloride||Mucolytic drugs||It is indicated for the complex secretolytic therapy of acute and chronic laryngitis.|
Contraindications: allergy to the drug, congenital galactosemia, lactase deficiency.
|Pulmicort||Drugs that are used for obstructive respiratory diseases||Designed for the treatment of asthma, false croup in children, developed on the background of laryngitis.|
It is a glucocorticosteroid agent.
It is forbidden to appoint patients with individual intolerance to the drug.
|Flixotide||Glucocorticosteroids, anti-asthma drugs||Appointed mainly to children up to 16 years with severe forms of asthma, complications of laryngitis, false croup.|
Contraindicated in patients with intolerance to the components of the drug.
|Furacilin||Antiseptic and disinfectant drugs, nitrofuran derivatives||It is indicated for chronic inflammatory processes in the oropharynx, larynx.|
Contraindications: allergic dermatosis and high individual sensitivity to nitrofural and nitrofuran derivatives.
|N-acetylcysteine||Mucolytic agent.||It is used for acute and chronic laryngitis with increased secretion, which is poorly separated.|
It is not prescribed to patients with hypersensitivity to acetylcysteine, with duodenal ulcer or stomach ulcer, with pulmonary hemorrhages, and also if there is an admixture of blood in expectorant sputum. Pregnant and lactating women, children under 6 years are also not recommended to prescribe this tool.
|Dioxidine||Antibacterial drugs||Used for purulent laryngitis, soft tissue abscess, spilled phlegmonous laryngitis.|
Among the contraindications:
Homeopathy is a relatively gentle way to cure laryngitis, which occurs in mild forms. These drugs are prescribed to children and adults, pregnant and lactating mothers, almost without fear of side effects. For complex cases of laryngitis, homeopathy alone will not be enough; therefore, it is combined with basic drug therapy.
Selection of a specific drug depends on the predominance of certain symptoms, the psychological characteristics of the patient, the structure of his body, and requires the obligatory consultation of a homeopath. Using a combination of different active substances, it is possible to stop the manifestations of the disease, prevent the development of complications and strengthen the immune system.
The main advantages of homeopathic medicines compared with medicines:
- only contraindication: individual intolerance;
- natural composition of funds.
However, there are disadvantages:
- inefficiency against complex forms and the advanced course of the disease;
- lack of guaranteed quick effect;
- incompatibility with physiotherapy.
Drugs prescribed for laryngitis are listed in the table.
|Drug name||Pharmaceutical Group||To whom it is shown and to whom it is contraindicated|
|Phosphorus||Homeopathic Monopreparations||Appointed with laryngitis to improve microcirculation and enhance the immune response, relieves swelling and pain.|
|Yodum||Homeopathic Monopreparations||Removes mucosal edema, inhibits mucus secretion, stimulates the immune system and suppresses the inflammatory process.|
|Aconite||Homeopathic remedies||It has a pronounced anti-inflammatory and analgesic effect, reduces puffiness and mucus secretion. Expands peripheral vessels, accelerates the regeneration processes in the mucous membrane.|
|Apis||Homeopathic medicine||Eliminates swelling and inflammation of the vocal cords and mucous membranes.|
|Belladonna||Homeopathic monocomponent remedy||Appointed with dry barking cough to eliminate it, facilitates the general condition of the patient.|
|Hamomilla||Homeopathic Monopreparations||It is prescribed to stimulate the regeneration of the mucous membranes, has soothing properties, is effective for singers and other representatives of the “vocal” professions.|
|Hepar Sulfur||Homeopathic Monopreparations||Prescribed to liquefy thick sputum, promotes expectoration and separation of mucus, eliminates pain.|
|Laurocerazus||Homeopathic monocomponent remedy||Appointed to stimulate microcirculation, reduces mucus production, reduces the tone of the central nervous system.|
|Hyoscyamus||Monocomponent homeopreparation||Softens dry cough, inhibits the autonomic nervous system.|
|Sanguinaria||Classical monopreparations of the homeopathic group||Discharged to relieve swelling, ease breathing and restore voice.|
|Spongy||Homeopathic Monopreparations||It has a pronounced antitussive and anti-inflammatory effect.|
In addition to monopreparations, homeopathy offers complex means, ready-made compositions of homeopathic substances that simultaneously affect several systems in the pathological process. Among them:
- Esculius Compositum.
Physical therapy for laryngitis is primarily prescribed to alleviate the symptoms of the disease. In addition, the procedures help to compensate for the damage caused by the inflammatory process to the body, as well as stimulate local and general immunity.
In acute laryngitis, the doctor may prescribe:
- steam inhalations, inhalations with alkaline mineral waters, hydrocortisone, mucolytics, interferon;
- magnetic therapy in the laryngeal neck region;
- laser therapy;
- UHF-therapy course;
- drug electrophoresis with hydrocortisone;
- KUF-irradiation of laryngeal mucous tissue.
The chronic form of the disease, in addition to the classical drug therapy, requires laser therapy, alkaline and oil inhalations, and drug electrophoresis with calcium chloride. For an atrophic course, the doctor prescribes a course of amplipulse therapy to the neck area of the larynx.
Surgical intervention is considered the most radical way to treat laryngitis. Usually, acute forms of the course do not require surgery, except in cases of stenosis of the larynx and abscess, while in chronic laryngitis, surgery is one of the most effective methods of treatment.
Depending on the symptoms and manifestations of the disease, the patient may be prescribed:
- opening an abscess with indirect laryngoscopy;
- opening of the mediastinum or phlegmon from external and endolaryngeal access;
- conicotomy or tracheostomy with stenosis;
- decortication: removal of pathologically enlarged vocal cords in edematous polypous or hypertrophic forms of the disease;
- excision of modified tissue by the method of Hirano.
Surgical operations are performed using endoscopic equipment, laser devices and special instruments. After surgery, a special therapy is prescribed for the duration of the recovery period, as well as the administration of anti-inflammatory drugs.
For example, surgery for chronic forms of laryngitis can be performed with the help of a guttural vykusyvatel with replaceable tips. At the same time, the affected areas of the larynx mucosa are directly removed. The intervention is carried out when the patient is in a sitting position, under local anesthesia, namely, the mucous is smeared with a solution of lidocaine or dikaina. The patient needs to hold his own tongue with his right hand, and in the meantime the doctor takes a guttural mirror in his left hand and a poke-up device in his right hand. In the process of indirect laryngoscopy, having a view through the mirror turned down, the instrument is inserted into the lumen of the larynx, after which the affected tissue is removed with sharp “paws” of the tip. Capturing the separated piece, the tool is removed.
In restless patients with a strong pharyngeal reflex, the method is not carried out, nor is it used for allergy sufferers and people with an unfavorable laryngeal structure.
For patients with extensive lesions, the operation is carried out in several stages, and may be accompanied by extensive bleeding. In addition, it is quite difficult to visually determine the completeness of the removal of all affected tissues with this method.
In order to detect all pathologically changed tissues, physicians use the method of fibrolaryngoscopy with laryngeal mucosa staining with a 1% solution of methylene blue. Before staining the larynx is washed mucolytic solution. In the presence of malignant tumors, the site becomes purple. Dysplasias fix the dye and are stained in various shades of blue. Endotracheal anesthesia is not used in this case, since due to it most of the dye gets into the trachea and bronchi.
The best way to perform the operation is endolaryngeal surgery under endotracheal anesthesia with a laryngeal examination using a microlarygoscopic technique. Through the laryngoscope, a device for intra-guttural infusions is introduced, setting the head of the nebulizer opposite the affected area, and then the dye is sprayed and the color of the tissue is evaluated. The site of the mucous membrane is removed. As a dye, you can use 1 ml of a 1% aqueous solution of Lugol.
Another method of intervention is as follows: the patient is placed on his back on the operating table, while his head is slightly thrown back and placed on a special support-circle. After induction of anesthesia, the anesthesiologist places a thin intubation tube through the nose for the introduction of endotracheal anesthesia. When it begins to act, an operative laryngoscope is brought in through the cavity of the oropharynx, fixing it in the required position using a stand located on the patient's chest. Next comes the guidance of the microscope, identifying the affected areas of the mucous membrane, which are usually painted in a whitish color and covered with horny scales. Clear boundaries between healthy and altered mucous are absent.
At detection of the affected areas through the laryngoscope, a device is introduced for intra-guttural infusions, the spray head of which is installed opposite the changed tissue. It is fed with an aqueous solution of Lugol. After 2-3 minutes, an assessment is made of the degree and intensity of staining. Yellow-orange and unpainted areas are removed with micro tools from the Kleinsasser kit.
In addition to traditional medical procedures, the appointment of procedures and medicines, doctors recommend, in consultation with the doctor, to resort to the traditional means of treatment of laryngitis. Some techniques and recipes help to remove the unpleasant symptoms of laryngitis, soothe irritated mucous membranes and restore voice.
A simple recipe for “homemade” medicine available to everyone is gargling with a solution of salt and soda, which has an anti-inflammatory and antiseptic effect. For a glass of warm water, take half a teaspoon of salt and soda, mix, and gargle with the mixture every hour. Instead of the usual kitchen salt, you can use sea. The procedure promotes the leaching of pathogenic microorganisms directly from the source of infection, and relieves mucosal edema.
Another method of treatment is gargling with herbs. For these purposes, anise seeds are used, which have an antiseptic, anti-inflammatory and expectorant effect.
The rinse solution is prepared as follows: a teaspoon of anise fruit is taken into a glass of hot boiled water, the mixture is infused in an enamel bowl under a lid on the steam bath for 15 minutes. After the broth has cooled, squeeze the cake, filter the solution, and add boiled water to 200 ml of the total volume.
Also, with laryngitis, infusions of chamomile, calendula, eucalyptus, sage, calamus, oak bark are prepared - they can be used in any combination, or you can take only one type of herb.
Dry throat, irritation and scratching remove gargles with bird cherry, linden, elderberry flowers, eucalyptus oil, bergamot, cedar, lavender, cypress oils. For the internal reception and for rinsing prepare a mixture of carrots and milk. 100 grams of carrots are boiled in 0.5 liters of milk, filtered, gargled with broth and take it inside.
In addition, for rinsing at home are prepared:
- a mixture of honey and lemon: 1 lemon juice is mixed with 3 tablespoons of honey and half a cup of boiling water;
- decoction onion peel: 2 tablespoons of husk pour a glass of boiling water, insist, filter;
- raw potato juice;
- beet juice: 1 beet rubbed on a grater, add a tablespoon of apple cider vinegar to the juice.
Rinse done 3-4 times a day. Within 30 minutes after the procedure can not drink and eat.
When laryngitis patients are prescribed wet or dry compresses. Wet compress promotes deep warming of the affected mucous.
Impact on the larynx through compresses gives a quick healing effect. Doctors recommend to prepare onion compress on the laryngeal area. The procedure requires onion mass - it is obtained by rubbing 1 large onion with a grater. The resulting mixture is placed in a gauze bag, hung on a steam bath over a boiling pot. Having warmed up the mixture to a warm state, the bag is removed from the bath and placed on the throat, fixing it with a woolen cloth and a scarf. After complete cooling, the compress is removed. 1 procedure is carried out per day, for 5 days.
Compress with laundry soap is put on the night: woolen cloth moistened with boiling water, lather, wound around the neck, warmed over the top with a scarf.
In addition, for compresses at home use:
- blends of essential oils;
- badger fat;
- camphor alcohol;
For the preparation of alcohol compress with laryngitis take vodka or alcohol, and diluted with water in a ratio of one to one. The mixture is impregnated with a cotton-gauze bandage, squeezed and wrapped around the throat. Next, the bandage is closed with a layer of polyethylene, wrapped over a woolen scarf. Compress should not overly tighten the neck, interfere with breathing. After removing it, the neck is rubbed with alcohol and again wrapped with a scarf.
Compresses with fats are applied on the back, neck and chest. Fat is rubbed into the skin until it warms up, then the patient is wrapped in a warm scarf, a cotton T-shirt is worn on the body, and a woolen jacket over it.
Warm dry compresses throat better in the morning, after a night wet compresses. After removing the dressing with a warming solution, a clean bandage is tied around the neck, and a woolen scarf on top. The compress is aged 4-8 minutes and allows you to extend the effect of a wet compress.
Inhalation is one of the ways of local influence on the affected mucous tissues. When steam is inhaled, the smallest particles of the active substance are deposited on the vocal cords, providing an anti-inflammatory and antiseptic effect. Inhalation is prescribed for the acute and chronic form of the disease, and the procedure is performed using an inhaler, nebulizer or boiling pot.
Only medical products can be poured into electric inhalers, so at home patients prefer the classic recipe for steam inhalation. It is necessary to use dishes with a narrow neck for heating the liquid. From thick paper is made a long funnel. Just boiled water is not used to avoid burns of mucous membranes.
In chronic laryngitis do inhalations with alkaline mineral waters, or with a solution of soda.For its preparation you need to take half a teaspoon of soda in a glass of clean water.
Soda inhalations alternate with herbal, for their conduct, you can use the same decoctions that are prepared for rinsing - a chamomile, sweet flag, sage, barn, calendula, essential oils.
The duration of inhalation is no more than 10 minutes, the course ranges from 3 procedures, and for acute forms up to 8 times.
Honey inhalations are made from pure water, in which a tablespoon of honey is dissolved. Also for the procedure useful sea salt.
Help at home for young children and adults
Laryngitis in the initial and mild form can be treated at home. The main recommendation for adults and children is bed rest, restriction in conversations and exertion of the vocal cords, and abundant and frequent warm drinking. In order to prevent the development of a spasm in a child, papaverine and antihistamines can be used. If the patient has a temperature above 38.5 degrees, you should consult a doctor, and before the patient gets to the examination, he is given antipyretic drugs.
What to do when swelling
The most dangerous complication of laryngitis that can develop in children is laryngeal stenosis due to mucosal edema. Therefore, even if the edema that is present during the illness is insignificant, it still requires assistance in order to prevent possible asphyxia. As a result of the edema, the lumen of the larynx is blocked, due to which the access of air to the respiratory tract is lost, and the patient may suffocate.
Puffiness is formed due to the individual characteristics of the structure of the child's body, since the larynx of a child is shorter and has the shape of a funnel, and the mucous membrane is loose and has an increased drainage capacity. The state of sudden edema is called false croup, and most often occurs at night, in a dream. The child becomes restless, he rushes about and cannot inhale the air normally. He writhes and tries to rise on a pillow. A loud and suffocating cough appears, and the temperature may rise sharply.
It is important to immediately call an ambulance and begin to provide first aid to the baby while the medical team is traveling. The child needs to be reassured so that he does not cry and do not panic, as this contributes to the development of a spasm in which the baby suffocates even more. What to do next, while doctors go to the rescue?
The child needs to ease breathing as much as possible. In the room where the patient is located, there must be hot and humid air. Hot water is piped into the bathroom or shower, and then the child is brought into the bathroom for 10-15 minutes. Humid air helps relieve spasm.
Before the arrival of the medics, it is necessary to inject the child with antispasmodics or antihistamines, for example, No-silo, Papaverine, Tavegil, Suprastin, any drugs of similar effect. It is important not to exceed the dosage. After the child's ability to breathe is restored, he needs to provide a warm alkaline drink - for this, milk is mixed with Borjomi, or 1 teaspoon of soda is added to milk. This remedy helps moisturize the throat and promotes expectoration of the sputum. Giving drink immediately and a lot can not.
After the procedure in the bathroom, the patient is transferred to the bed and placed at an angle of 45 degrees. The room should be clean and fresh air.
At the initial stage of the disease, the patient often develops attacks of dry cough with wheezing, noisy breathing and severe dryness. In order to minimize the likelihood of attacks, you must follow certain rules and regime. First of all, we are talking about voice rest. In large quantities you need to drink warm alkaline drinks and monitor the sufficient moisture content of the air. For a patient, bed rest and proper rest, smoking cessation and dieting are important.
Various types of drugs are used to relieve coughing attacks, depending on the type of cough and the stage of the disease:
- with dextromethorphan to suppress the symptom through effects on the cough center (Glycodin);
- on the basis of butamirate, which act similarly to Glycodine (Panatus, Sinekod);
- with codeine to soften and reduce cough (Terpincode, Codelac).
In addition, drugs like Bronholitin help to calm the coughing fit. Atrovent or Berodual, which treat bronchospasms, is used for antitussive inhalations. The drug Libeksin reduces the sensitivity of the larynx to stimuli.
Together with antitussive drugs can not take mucolytics, since they have the opposite effect. Expectorant means it makes sense to take after sputum separation begins. Vegetable mucolytics that can be taken at home:
- Dr. Mom;
A strong cough in a child can mean the onset of a false croup attack, so treatment of this condition should be carried out in the hospital, before the arrival of an “emergency” cough attack will help relieve alkaline warm drinking, taking antihistamines and inhaled with corticosteroids.
Folk remedies are able to calm the cough syndrome itself, but they cannot cure laryngitis, therefore there is no point in refusing to use full-fledged drug therapy in their favor.
Popular folk recipes against cough:
- a mixture of warm milk and mineral water one to one, add 1 teaspoon of melted butter, cognac and honey to a glass. Take twice a day in small sips;
- infusion of herbs: a teaspoon of dried mint, raspberry and sage leaves for half a liter of boiling water, infuse the mixture for two hours and drink 100 ml 5 times a day;
- 100 g of sea salt are heated in a frying pan, two drops of eucalyptus oil are dripping onto it and vapor is inhaled. Inhalation repeated twice a day;
- a glass of fresh carrot juice 1 tablespoon of honey, drink a drink twice a day.
How to restore voice
Loss of voice is a common symptom of laryngitis. If the voice began to wheeze or disappeared completely, it is necessary to use means to reduce inflammation and restore ligaments.
There are several rules that must be followed in order to return the voice. First, you need to adhere to the restrictions on conversations, do not try to strain the ligaments in any way, especially it is forbidden to whisper, sing or wheeze, squeezing sounds, as well as smoking and drinking alcohol.
Secondly, do not think that the voice can be restored in one day. Under the condition of complete rest and use of means for ligaments, a full-fledged return of voice occurs in 10-14 days.
In addition, in case of loss of voice, one should observe bed rest, drink more warm liquids, namely compotes, juices, fruit drinks, milk, herbal infusions, alkaline mineral waters without gas. Sour and too hot drinks do not consume, as well as dieting, excluding fried, spicy, sour, spicy, pickled dishes, as well as food of a hard consistency.
To speed up the recovery of the voice, it is recommended to perform a special exercise: after a deep breath, the air should be exhaled slowly through the lips rolled into a tube. Gymnastics do 5 times a day, one approach consists of 20 breaths and exhalations.
Drug therapy should be carried out at the first sign of voice hoarseness. To relieve inflammation use Kameton and Geksoral in the form of sprays, Miramistin is used for inhalation, it helps to remove the swelling and return the voice.
When wet cough with sputum, Codelac and Bromhexine can be used to cleanse the lungs from sputum. Mitigate sore throat contributes to the resorption of drugs in the form of candy, for example, Strepsils, Falimint.
In addition to medicines, popular recipes contribute to the restoration of voice. For example, singers and other representatives of the “vocal” professions recommend using a mixture of beaten raw eggs, sugar and a piece of butter. One serving should be drunk daily until full recovery. Another effective remedy is warm milk with a pinch of soda. At night, the patient put alcohol and vodka compresses, and once a day you need to do inhalation with pairs of boiled potatoes.
In the nose, you can drip olive oil or fish oil, two drops three times a day. Such a tool can be used until recovery.
Herbal decoctions soothe the inflammation and help restore ligamentous mucous tissue. For decoctions use dry collections of raspberries, leaves, mother and stepmother, buckwheat flowers, herbs, lungwort. Spoon collection brew in a glass of boiling water, insist, cool and drink five times a day.
A mixture of yolk, 10 grams of brandy and a spoon of honey dissolve every 2-3 hours, and after 2-3 days there will be an improvement.
A means of bran should be consumed twice a day for half a glass - it is prepared from 2 liters of water and 400 grams of bran. First, the bran is boiled for 10 minutes over low heat, then they pour brown sugar to taste and stir until dissolved. The drink is cooled to a warm state before drinking.
Treatment in women
The treatment of laryngitis in women is sometimes complicated not only by the health and anatomical features of the larynx, but also by the fact that the patient may have a state of pregnancy, or she can breastfeed her baby during this period. Accordingly, during pregnancy and breastfeeding therapy has some peculiarities.
A characteristic property of the course of the disease during pregnancy is the probability of more acute development of symptoms due to the general weakening of the body of the future mother. A woman has hoarseness and weakness of voice, up to a full aphonia, a dry cough appears, which torments the patient with attacks. Throat mucosa when viewed looks edematous and reddened. In the throat felt the presence of a foreign body. Often, pregnant women may have a fever. Particularly dangerous for the future mother and fetus viral laryngitis, and specifically the viruses that provoke it.
Disease in pregnant women requires a special type of therapy, since in such a state a woman should not be prescribed most of the drugs in order not to harm the developing fetus. This is especially true in the first trimester of the gestation period.
General treatment guidelines for pregnant women:
- Nutrition with a balanced regimen of vitamins and minerals;
- bed rest;
- heavy drinking, provided there is no edema;
- providing clean, moist and fresh indoor air;
- silence until complete recovery of the ligaments.
Selection of drugs, even for local exposure takes place with great care, as some of them can affect the fetus and disrupt embryonic development.
Drug therapy is based on the definition of the etiology of the disease, depending on which treatment is determined.
In case of viral forms of laryngitis, the patient should take interferon-based drugs - Grippferon, Viferon. Antitussives for pregnant women should be consumed with a dry cough - these are Akodin, Padevix, Tussin plus, Fervex, Sinekod (the latter can only be taken from the second trimester).
Tablets that can be absorbed during pregnancy - Lizobact, Faringosept. The mucous tissues of the larynx should be irrigated and rinsed with medicinal anti-inflammatory substances - Chlorophyllipt, Rotokan, Tantum Verde, from the second half of pregnancy, you can use Hexoral. Be sure to rinse the throat with antiseptics such as Miramistin or Furacillin.
With a wet cough, sputum should be stimulated. For this pregnant woman, herbal drugs-mucolytics are prescribed - Doctor Mom, Mukaltin, Linkas, Stodal. After 14 weeks gestation, you can take Gadelix and Bromhexin. With a strong cough, you can take inhalations with Ambrobene or Lasolvan, but not longer than three days.
For the overall strengthening of the body and speeding up recovery, vitamin complexes are prescribed specifically for pregnant women. You can reduce the heat with Nurofen or Paracetamol, but only until the third trimester. The use of antibiotics is allowed only in extreme cases, with severe course.
In addition, doctors advise to use the healing properties of herbs and tinctures as an auxiliary treatment. As part of home treatment, inhalations are conducted with honey, mint, calendula, chamomile, pine buds, eucalyptus, essential oils. Throat can be rinsed with soda, infusion of dandelion, St. John's wort, sage, potato and beet juice. When dry cough is used decoction of the root of Althea or licorice. Warm milk with a teaspoon of butter is a folk remedy for restoring voice. Raspberry and viburnum are not recommended for pregnant women, as they cause contractions of the uterus muscles.
During this period of a woman’s life, the selection of treatment for the treatment of laryngitis also needs to be carried out very carefully, since all substances consumed by the mother enter the baby’s body with breast milk. The focus is on local effects on the pathogen, as well as on the root cause of the disease.
In the process of therapy, medicines are used in the form of lozenges, sprays, lollipops. Safe for future mothers medications:
- Inhalipt: an aerosol with a pronounced local effect that is approved for a nursing mother. It has antimicrobial, antifungal and bactericidal effect. Rinse mucous with warm water before irrigation;
- Lizobact: antiseptic pills that are acceptable to receive nursing in strictly allocated dosage;
- Geksoral: spray with antiseptic and antimicrobial action;
- Furacilin: a substance that relieves inflammation, affects pathogens, is used for rinsing;
- Miramistin: a broad-based local antiseptic for gargling and nasal irrigation.
In difficult cases, decisions can be made on the appointment of Bioparox or Tantum Verde, however these drugs have limitations for use in nursing mothers, and in each case the potential harm to the child and the benefit to the mother should be evaluated.
In addition to traditional medicine, the doctor may recommend using traditional recipes, including rinsing with herbs (sage, chamomile, calendula), rinsing and inhalation with soda, eucalyptus, boiled potatoes, and dry compresses. It is also allowed to drink warm milk with a small piece of butter.
Rinsing with honey and lemon can be carried out up to 12 times a day, if the nursing woman does not have allergies.
Duration of treatment
How long does laryngitis last for different forms of flow? The duration of the disease is influenced by several factors - the general state of human health before laryngitis begins, the state of his immunity, the timeliness of seeking medical attention.
Acute forms of catarrhal laryngitis in adults and children are usually treated for 5 to 10 days, provided the therapy is adequately selected. Catarrhal laryngitis is the least dangerous for all categories of patients, and it is the easiest to treat.
Without treatment to the doctor and properly chosen treatment, acute laryngitis can turn into a chronic course. Chronic catarrhal laryngitis lasts from one month to six months, while the periods of exacerbation are replaced by short remissions, when the disease does not manifest itself. Hypertrophic and atrophic laryngitis require more serious treatment than other forms, and usually last from several months to several years.Complete regeneration and restoration of the vocal cords in atrophic laryngitis, as well as after operations to remove tumors in the hypertrophic form, takes up to a year.
In the case of timely medical care provided, when eliminating the original source of the disease, if it is provoked by a chronic allergy, there is a high chance of getting rid of laryngitis forever.
Which doctor should be consulted when an adult or a child has laryngitis? The first specialist who gets sick is a therapist, a family doctor, or a pediatrician when it comes to children. After the initial examination, the doctor refers the patient to an otolaryngologist. In the course of treatment, the patient may need to consult an allergist or an infectious diseases specialist, depending on the causes of the disease. If the hypertrophic type of laryngitis becomes malignant, the patient will need to be examined by an oncologist.
Laryngitis is a common disease that affects children and adults equally often. In its classic form, acute laryngitis is not dangerous for an adult patient, but in any case requires medical treatment. In children, laryngitis can cause laryngeal stenosis, false croup and asphyxia. Chronic forms of the disease are more dangerous, since they can flow into malignant processes, and the atrophic type of laryngitis can permanently damage the vocal chords of the patient. Therefore, it is important to pay attention to the full and timely treatment at the first signs of laryngitis.
Specialty: pediatrician, infectious diseases specialist, allergist-immunologist.
Total experience: 7 years.
Education: 2010, SSMU, pediatric, pediatrics.
Experience infectious diseases more than 3 years.
He has a patent on the topic “A method for predicting the high risk of the formation of a chronic pathology of the adeno-tonsillar system in frequently ill children”. As well as the author of publications in the journals of the Higher Attestation Commission.