Laryngitis in Kids

Laryngitis is a common condition that can be a frustrating experience for both kids and parents. It can lead to hoarseness, difficulty swallowing and sometimes even a loss of voice. Learn more about the causes, symptoms and treatment options for laryngitis in children.

What is laryngitis? 

Laryngitis is an inflammation of the voice box, or larynx, that causes a child’s voice to become raspy, or hoarse. The most common cause is a virus, such as the common cold, flu or croup. Although less common than viral infections, bacterial laryngitis happens when bacteria infect the larynx, causing inflammation and irritation.  

What are the symptoms of laryngitis in kids? 

Your pediatrician can typically diagnose laryngitis based on the child's symptoms and a physical examination.  Some symptoms of laryngitis may include:

• Husky or raspy voice: This is often the most noticeable symptom.
• Loss of voice: The child may be unable to speak at all.
• Dry cough: A persistent cough may accompany laryngitis.
• Sore throat: The child may complain of pain or discomfort in their throat.
• Difficulty swallowing: Swallowing may be painful or difficult.
• Fever: In some cases, a fever may be present.
• Difficulty breathing: In severe cases, the child may have difficulty breathing

 If hoarseness or other symptoms persist for more than four weeks, discuss with a pediatrician and consider a referral to a pediatric ENT specialist.

Is laryngitis contagious? 

Yes, laryngitis can be contagious. It is often caused by viral infections, such as the common cold or flu, which can spread easily from person to person. If you or your child have laryngitis, it is important to practice good hygiene to prevent spreading the infection to others. This includes: 

• Wash your hands frequently with soap and water.
• Cover your mouth and nose with a tissue when coughing or sneezing.
• Avoid close contact with others. 

What is the treatment for laryngitis in kids? 

While laryngitis often resolves on its own, several things can be done to help relieve symptoms and promote healing, including:

• Rest the voice: Encourage your child to avoid talking, shouting, or singing. This will give the vocal cords time to rest and heal.
• Stay hydrated: Drinking plenty of fluids can help soothe the throat and prevent dehydration.
• Humidify the air: Using a humidifier can help keep the air moist and reduce irritation.
• Over-the-counter pain relief: If your child is experiencing pain or discomfort, over-the-counter medications like acetaminophen or ibuprofen may be recommended by your doctor.
• Avoid irritants: If possible, keep your child away from irritants such as smoke, pollution, and strong odors.
• Corticosteroids: In severe cases, corticosteroids may be used to reduce inflammation.
• Antibiotics: In rare cases when a bacterial infection causes laryngitis, your doctor may prescribe antibiotics.

When might a child need a laryngoscopy? 

Laryngoscopy is a procedure used to examine the larynx, or voice box. It is often necessary when there are concerns about the health of the vocal cords or the surrounding structures.

Rarely do children with laryngitis require a laryngoscopy. This would be recommended only if a child’s voice remains hoarse for an extended period.

Learn more about pediatric otolaryngology.  

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