it's stridor, caused by upper airway obstruction, usually kids with croup have this. i'm an LVN that works in a respiratory unit, so i've encounter smalls pt's with this disease...
Wow. Even worse upright is quite odd. His head is even tilted back further opening up his airway, moving his epiglottis and toungue forwoard, making it bigger for air to pass.
If the head is tipped back too far, it can actually make the obstruction worse. The best position to open the airways is in a slight "sniffing" position. He definitely seems hyperextended in this picture, though I am sure his parents have tried every position possible seeing as how they have been dealing with this for some time.
I'm an RN in a NICU, and they have very floppy little bodies and it is hard to keep their airways open just right, so I've just had a lot of practice with positioning. :)
my son only has hypotonia when asleep or very tired. It seems to be limited to his glossal muscles, thrachea and larynx as far as I know. He bstructs completely when asleep in upright position - no falling asleep in the car seat for him. I've spent 6 years flipping him on to his side when he's asleep trying to prevent pulmonary hypertension. We've even been to Dr. Robin Cottin in Cincinatti. They have never seen a child that obstructs in upright position while asleep. Still hoping for answers.
tipping his head does make a difference. Actually the more upright the worse because he has arytenoid cartilage prolapse. So gravity pulls the arytenoids down. Then with the laryngomalacia, his airway just closes around them. On his back flat he also obstructs because he has glossoptosis. But the upright position is the absolute worst position. He completely obstructs. I am also a nurse and a frustrated mom. I posted this originally hoping someone out there has a kid like mine & will help us.
I have a daughter like this, she is 5 and upright position is worse, my problem is that I can't get the doctors to listen, they just keep on telling me she grow out of it, right from birth she's like Darth Vaders daughter from star wars. Worse episodes are when they totally stop breathing for a bit and then gasp the air, I haven't slept myself well ever since, so if you ever find help for it please let me know, thanks. Jo'
He is diagnosed with glossoptosis, laryngomalacia and arytenoid cartilage prolapse. Waiting on other test results. But still no one cam tell me why he obstucts more and has increased stridor in an upright position. They observed his problem while lying down under anasthesia during a laryngoscopy. But they didn't put him upright while under, so they didn't see what the causes are of the increased obstructive episodes in the upright position.
i hope that you find solution for your son. my son has asthma and i can't even deal with that because it breaks my heart to see him suffer, but you seem to have it worst. may you find some solution for your dear son. he is so precious too:)
Our son has congential Tracheomalacia. He had a stridor until he was 3. His stridor was louder and even occured when he was awake. Yahoo has a great support group LMTM_Babies. He gets URI's about every 3 months. I know how scary this is. I wish you luck. Why does your son have a stridor?
Wheezing has more to do with mucus, or other fluids, to be in the lungs. This has more to do with airway obstruction of some sort, not so much with the lungs directly.
Not to mention also that wheezing sounds way more different than this.
try a prone position. hey can someone plz tell me if examination of larynx n esophagous is possible on a kid with endotracheal intubation. ??? i mean if larynx is already intubated how come v can look into larynx . thx
@pathankhan39 main purpose in looking to the larynx is to visualize the vocal cords which are seen by the laryngoscope from top view prior to intubation. after intubation it would be difficult to see more than the tube merging from the laryngeal aperture.
This is airway obstruction i.e., snoring, NOT STRIDOR. Stridor would continue with ever breath, during the child moves their head and licking their lips, and upon waking.
My little girl is 7 weeks old and may have laryngomalacia - we're seening the dr in 2 days time, But unlike every other person I've seen with it, hers is worse in the upright position. Can I ask what his was caused by? Was it still laryngomalacia?
She has no breathing noises otherwise and is an extremely healthy and happy little girl, she just makes this noise when she is upright is the baby carrier (strapped to me). Any info you can share would be great...
it's stridor, caused by upper airway obstruction, usually kids with croup have this. i'm an LVN that works in a respiratory unit, so i've encounter smalls pt's with this disease...
donmega818 9 months ago
what is the best position for laryngomalacia?
tinjmail 1 year ago
Aw, poor baby :( I hope he gets some good help soon. God bless!
lauraaaaaaaaxo 2 years ago
Wow. Even worse upright is quite odd. His head is even tilted back further opening up his airway, moving his epiglottis and toungue forwoard, making it bigger for air to pass.
Uprock415 2 years ago
@Uprock415
If the head is tipped back too far, it can actually make the obstruction worse. The best position to open the airways is in a slight "sniffing" position. He definitely seems hyperextended in this picture, though I am sure his parents have tried every position possible seeing as how they have been dealing with this for some time.
PhantomFoxglove 2 years ago
Nice observation. I didn't think about the kinking in the kid's airway.
Uprock415 2 years ago
I'm an RN in a NICU, and they have very floppy little bodies and it is hard to keep their airways open just right, so I've just had a lot of practice with positioning. :)
PhantomFoxglove 2 years ago
my son only has hypotonia when asleep or very tired. It seems to be limited to his glossal muscles, thrachea and larynx as far as I know. He bstructs completely when asleep in upright position - no falling asleep in the car seat for him. I've spent 6 years flipping him on to his side when he's asleep trying to prevent pulmonary hypertension. We've even been to Dr. Robin Cottin in Cincinatti. They have never seen a child that obstructs in upright position while asleep. Still hoping for answers.
pmelli525 2 years ago
tipping his head does make a difference. Actually the more upright the worse because he has arytenoid cartilage prolapse. So gravity pulls the arytenoids down. Then with the laryngomalacia, his airway just closes around them. On his back flat he also obstructs because he has glossoptosis. But the upright position is the absolute worst position. He completely obstructs. I am also a nurse and a frustrated mom. I posted this originally hoping someone out there has a kid like mine & will help us.
pmelli525 2 years ago
@pmelli525
I have a daughter like this, she is 5 and upright position is worse, my problem is that I can't get the doctors to listen, they just keep on telling me she grow out of it, right from birth she's like Darth Vaders daughter from star wars. Worse episodes are when they totally stop breathing for a bit and then gasp the air, I haven't slept myself well ever since, so if you ever find help for it please let me know, thanks. Jo'
qtstripes 1 month ago
what is that strident noise
amicusnemini 2 years ago
stidor prior to complete obstruction.
pmelli525 2 years ago
aww hes so cute! poor baby. god bless him :D
kayleesheartbeat 2 years ago 3
He is diagnosed with glossoptosis, laryngomalacia and arytenoid cartilage prolapse. Waiting on other test results. But still no one cam tell me why he obstucts more and has increased stridor in an upright position. They observed his problem while lying down under anasthesia during a laryngoscopy. But they didn't put him upright while under, so they didn't see what the causes are of the increased obstructive episodes in the upright position.
pmelli525 2 years ago
i hope that you find solution for your son. my son has asthma and i can't even deal with that because it breaks my heart to see him suffer, but you seem to have it worst. may you find some solution for your dear son. he is so precious too:)
Norb1t9 2 years ago
Oh he's so cute! I pray he gets well soon.
sankha82 2 years ago
Our son has congential Tracheomalacia. He had a stridor until he was 3. His stridor was louder and even occured when he was awake. Yahoo has a great support group LMTM_Babies. He gets URI's about every 3 months. I know how scary this is. I wish you luck. Why does your son have a stridor?
Huntersmom38 2 years ago
i think this is wheezing not stridor
nojoom66 2 years ago
not wheezing, wheezing a lot different than this.
Norb1t9 2 years ago
ok , tell me the differences, wt i know is one associates with inspiration and the other with expiration
nojoom66 2 years ago
Wheezing has more to do with mucus, or other fluids, to be in the lungs. This has more to do with airway obstruction of some sort, not so much with the lungs directly.
Not to mention also that wheezing sounds way more different than this.
Uprock415 2 years ago
try a prone position. hey can someone plz tell me if examination of larynx n esophagous is possible on a kid with endotracheal intubation. ??? i mean if larynx is already intubated how come v can look into larynx . thx
pathankhan39 1 year ago
@pathankhan39 main purpose in looking to the larynx is to visualize the vocal cords which are seen by the laryngoscope from top view prior to intubation. after intubation it would be difficult to see more than the tube merging from the laryngeal aperture.
nojoom66 1 year ago
This is airway obstruction i.e., snoring, NOT STRIDOR. Stridor would continue with ever breath, during the child moves their head and licking their lips, and upon waking.
respiratorychick 2 years ago
My little girl is 7 weeks old and may have laryngomalacia - we're seening the dr in 2 days time, But unlike every other person I've seen with it, hers is worse in the upright position. Can I ask what his was caused by? Was it still laryngomalacia?
She has no breathing noises otherwise and is an extremely healthy and happy little girl, she just makes this noise when she is upright is the baby carrier (strapped to me). Any info you can share would be great...
How is he now?
dexterliz 3 years ago
my little girl is now 4...laryngomalacia is kinda scary....I dont think I slept the first year
RWSFL1905 3 years ago
wow
nickryanmailloux 3 years ago