HomeAnswersChild HealthlaryngomalaciaIs noisy breathing in newborn an alarming symptom?

Is noisy breathing in newborn an alarming symptom?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Deepak Patel

Medically reviewed by

iCliniq medical review team

Published At October 29, 2015
Reviewed AtMay 22, 2023

Patient's Query

Hi doctor,

My daughter is 50 days old now. Her birth weight is 6.3 pounds and her current weight is 9.2 pounds approximately. At the time of her birth it was noticed that, some type of snoring noise suddenly arose with her breathing. Child specialist suggested me that nothing to worry about as it will go off when she become older. After I discharged from hospital on day 7, I visited another two specialists and heard the same.

Last midnight, she suffered with the same. This time we heard the noise for cough like one. According to her doctor, it is the same noise as before. But how can we believe that. Please suggest me what to do to now? Is my baby fine? Main problem is that she suffers even in the midnight in the absence of her doctor. Unfortunately, I was not able to record the situation of last night. I am attaching her previous recordings. She suffered a lot on last night. Please help.

Answered by Dr. Deepak Patel

Hi,

Welcome to icliniq.com.

I have read your question and listened the recordings (attachment removed to protect patient identity) in detail. By listening to the audio, it seems to be laryngomalacia. In laryngomalacia, the muscles of larynx are weak and so the child makes this type of noisy sounds during breathing. These sounds decrease in prone position or when we put the child on his abdomen. This is not a serious issue, as the child grows the muscles of larynx become stronger and these noisy breathing decreases. I would suggest you that whenever child has this type of increase in noisy breathing you should put the child on your lap in prone position. Also, you should start Vitamin D drops like D3 Must 1 ml daily till 9 months; this also helps in improving laryngomalacia. This is definitely laryngomalacia, because if your child had some other thing then there would have been decrease in weight. Also there should be fever and other accompanying symptoms like respiratory difficulty and cough. If there is difficulty in breathing, fever or decreased feeding then we should keep a possibility of infection and antibiotics should be started. In my opinion, you should look carefully whether other symptoms are present and whether child is feeding normally or not? A chest examination by doctor will also assure you.

Differential diagnosis

Cold.

Probable diagnosis

Laryngomalacia.

Treatment plan

Vitamin D drops D3 Must 1 ml once per day till 9 months of age and keep the child prone during noisy breathing.

Regarding follow up

Revert back with some more audio and chest x-ray of the child.

Patient's Query

Hi doctor,

I am attaching the recordings again. On the other hand baby sometimes cannot get enough breast milk. I do not know why the production gets suddenly reduced? At that time we have to go with Lactogen 1. I do not know whether it is good or not? After feeding, most of the time she vomits it. How do you interpret it? We are using diaper with rash cream. Is there any suggestion for that? Is it good for my baby?

Answered by Dr. Deepak Patel

Hi,

Welcome back to icliniq.com.

I have heard all the audio clippings. The last clipping of irregular breathing suggests that there is some nose block too and the child is trying to clear the nose. You can use Nasoclear (Sodium Chloride) drops, one drop in each nostril. If your child was getting less feed then his weight should be low. As her weight is appropriate for age you need not worry about this. Same thing applies for vomit after feeding. All babies vomit a little milk after feeding, just burp the child more. For diaper rashes rash free cream is good.

Thank you

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Deepak Patel
Dr. Deepak Patel

Child Health

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