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Atlanta, GA
A 30-year-old female asked:

3 months old baby with bronchiolitis receiving albuterol+nebulizer therapies makes high pitch stridor-like when laughing or crying. not all the time.

4 doctor answers8 doctors weighed in
Dr. Tanya Russo
Pediatrics 25 years experience
Croup?: Bronchiolitis is a lower airway disease that is sometimes treated with bronchodilators such as albuterol. Stridor develops with inflammation of structures much higher up, and is common with Croup. Most children with croup do not wheeze unless they are predisposed to doing so.
Dr. Donald Alves
Emergency Medicine 24 years experience
Will he feed?: 3 mo has very little reserve, if in doubt, call Peds on call to advise/listen by phone. Laughing is good--stressed babies don't. If he is active like normal, then likely the meds don't have the airways as open as usual, but probably OK. Mom knows best--it not feeding well, or not active, or you see the skin at the base of his neck look like it sucks inward w/breath, go to ER, we expect this visit.
Dr. Amrita Dosanjh
Pediatrics and Pediatric Pulmonology 36 years experience
RSV/follow up/mgt: The stridor may be caused by a condition called laryngomalacia. It usually resolves with growth of the airway and surrounding structures. Viruses can cause both croup and bronchiolitis. It is possible that RSV has contributed to both stridor and wheezing. A cool mist humidifier can help to relieve the stridor. If either the wheezing or stridor persist your pediatrician will eval
Dr. Gerald Mandell
Nuclear Medicine 52 years experience
Secretions ?: Sometimes infants can have slight narrowing of upper airway or infantile larynx, laryngomalacia, When child gets infection such as bronchiolitis which increases secretions, the secretions can increase upper airway noise Certainly pediatrician should be consulted if having increased respiratory distress related to the noise.

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Last updated Feb 8, 2015

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