Pediatric Breathing Disorders

Children are susceptible to illness and respiratory problems quite commonly—especially those exposed to germs (e.g., in a daycare or school setting). Most respiratory ailments are not severe, but approximately one-third result from breathing disorders that require special evaluation and treatment.

Upper & Lower Respiratory Infections

Types of children’s respiratory infections include those affecting the upper respiratory system (the nose, sinuses, mouth, throat and voice box) and the lower respiratory system (the bronchial tubes and lungs). Generally, lower respiratory infections tend to be more severe and are characterized by shortness of breath, wheezing and rapid breathing.

Upper respiratory infections include colds, flu, croup and sinusitis. Treatment consists of a combination of medications, fluids and rest.

Pediatric Airway Conditions

Upper and lower respiratory tract infections are common in children whose immune systems are still developing. Colds, flu, croup, sinusitis, bronchiolitis, asthma and pneumonia all produce symptoms that make breathing difficult. These include stuffiness, shortness of breath, wheezing and rapid breathing.

Reflux is another condition that affects children. Known as laryngopharyngeal reflux (LPR), it occurs when stomach acids back up into the throat due to the esophageal sphincter muscle failing to close properly. Also known as silent reflux, the condition mimics gastroesophageal reflux (GERD) minus the painful heartburn. Symptoms include difficulty swallowing, sore throat, coughing, postnasal drip and wheezing. Over the long term, it can lead to malnutrition and weight loss.

Additional conditions that cause airway problems in children include allergies, teething and sleep apnea.

At times, there can be a structural issue causing your child to have breathing issues. Some of the most common structural airway issues are enlarged tonsils and/or adenoids, laryngomalacia (immature voice box cartilages), vocal cord movement disorders, subglottic stenosis (narrow windpipe passage) or tracheal collapse. If you think your child has one of these less common but serious breathing issues, they should be evaluated urgently.

Diagnosing Pediatric Airway Conditions

Your child’s doctor will need to diagnose the condition responsible for the airway problem in order to treat it successfully. In addition to a physical examination and a review of your child’s medical history and current symptoms, diagnostic testing may be employed to help narrow the cause. Possible tests include x-rays, CT scans, MRI, laryngoscopy (an examination of the vocal cords with a small flexible camera) and bronchoscopy (checking the lungs and trachea using a similar device).

How Are These Conditions Treated?

There is no single treatment plan for pediatric airway problems. With such a diverse array of possible causes, treatment will be based on the underlying condition and could involve options such as making dietary changes or medical and surgical solutions.

Call Pediatric Ear, Nose & Throat Specialists of Illinois for more information or to schedule an appointment.