Children & Adolescents Clinic

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Clinical Reference Systems: Pediatric Advisor 10.0
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Hoarseness

DESCRIPTION

  • The voice is raspy.
  • If severe, your child can do little more than whisper.
  • A cough is often associated with the hoarseness.

SIMILAR CONDITIONS

Croup

Hay Fever

CAUSE

Hoarseness is usually caused by a cold or croup virus (laryngitis) or overuse of the vocal cords (for example, yelling and screaming). Allergies can also cause a raspy voice from sticky secretions.

EXPECTED COURSE

Hoarseness usually lasts 1 to 2 weeks. Repeated voice strain (for example, from yelling) can cause thickening of the cords and a slow recovery.

HOME CARE

Your child should gargle with warm water and suck on hard candy or cough drops several times a day. Younger children can sip warm liquids like apple juice. Encourage your child to rest his voice and avoid the voice strain that comes from yelling and screaming. Encourage him to talk as little as possible for a few days. If the hoarseness gets really bad, have him whisper or write notes.

CALL YOUR CHILD'S PHYSICIAN IMMEDIATELY IF:

  • Your child has difficulty breathing.
  • Your child starts acting very sick.

CALL YOUR CHILD'S PHYSICIAN DURING OFFICE HOURS IF:

  • The hoarseness continues for more than 2 weeks.
  • You have other concerns or questions.

Written by B.D. Schmitt, M.D., author of "Your Child's Health," Bantam Books.
Copyright 1999 Clinical Reference Systems