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Doctor insights on: Does Laryngomalacia Affect Speech

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Dr. Donald Colantino Dr. Colantino
Internal Medicine
57 years in practice
Tufts University School of Medicine
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Does laryngomalacia can affect how to speech?

Does laryngomalacia can affect how to speech?

Speech pathologist: After an otolaryngologist has evaluated and treated the patient for this problem, a speech pathologist may be advisable to deal with the dysphonia caused by the laryngeal damage.

Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
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Can you tell me if laryngomalacia can affect acquisition of speech?

Can you tell me if laryngomalacia can affect acquisition of speech?

If severe: Gastroesophageal reflux disease (GERD) and neurologic disease are most common medical comorbidities. Other comorbidities that influence the outcome presence of an additional airway lesion, congenital heart disease, and the presence of syndrome or genetic disorder. Delay in speech may also have relationship to severity of laryngomalacia.Mild form should not have speech problem especially if outgrow

Dr. Dale Tylor Dr. Tylor
ENT - Head & Neck Surgery - Pediatric
15 years in practice
McGill University Faculty of Medicine
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Are there links between laryngomalacia and aversion to foods?

Dairy?: I have seen a number of babies do poorly on dairy-based formulas or when their breastfeeding mothers drank milk. Rarely, soy can also be an issue. Discuss this with the ent. It may be an issue of a more restricted diet for a breastfeeding mom or a different formula. Note that lactose free doesn't mean dairy free.

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Dr. Edwin Ishoo Dr. Ishoo
ENT - Head & Neck Surgery
24 years in practice
University of Michigan Medical School
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Where can I find someone to help me take care of laryngomalacia baby?

Where can I find someone to help me take care of laryngomalacia baby?

Laryngomalacia: You may consider pediatric ENT at Stanford University Hospital or UC Davis Hospital.

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Dr. Louis Gallia Dr. Gallia
Surgery - Oral & Maxillofacial
41 years in practice
University of Washington School of Medicine
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Can you explain laryngomalacia and how serious it is and any complications with it and what to watch out for?

Can you explain laryngomalacia and how serious it is and any complications with it and what to watch out for?

Strider: Laryngomalacia most common cause of stridor in infants. Need for treatment determined by severity of symptoms. In more than 90% of cases, the only treatment necessary for laryngomalacia is time. Most symptoms improve over time. Your pediatrician will refer you to a pediatric ENT doc if he/she concerned.

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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If you have laryngomalacia, are you likely to get failure to thrive?

If you have laryngomalacia, are you likely to get failure to thrive?

Possibly: Since an increase in overall work of breathing will divert calories from growth, this condition can lead to slow growth early on. As the child's airway improves with age and the work of breathing decreases, catch-up growth would likely occur.

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Dr. Louis Gallia Dr. Gallia
Surgery - Oral & Maxillofacial
41 years in practice
University of Washington School of Medicine
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My baby had an xray for laryngomalacia doc said it shows a shadow but didn't seem concerned should I be or is it normal?

My baby had an xray for laryngomalacia doc said it shows a shadow but didn't seem concerned should I be or is it normal?

Strider: Laryngomalacia most common cause of stridor in infants. Need for treatment determined by severity of symptoms. In more than 90% of cases, the only treatment necessary for laryngomalacia is time. Most symptoms improve over time. Your pediatrician will refer you to a pediatric ENT doc if he/she concerned.

Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
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Can laryngomalacia be linked with digestive problems?

Yes: Most common associated symptoms related to feeding include regurgitation (ge reflux), emesis, cough, choking, and slow feedings. Infants with laryngomalacia may have a difficult time coordinating suck swallow breath sequence for feeding as a result of their airway obstruction and sometimes have aspiration problems. Treatment of ge reflux and thickening of feedings for aspiration often help.

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Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
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Are there any over-the-counter treatments for laryngomalacia?

No: Tincture of time. Nicknamed infantile larynx. Most laryngomalacia disappears by 12-24 months of age. Stridor may come and go over months depending on your child’s growth and activity level. Very rare severe forms of laryngomalacia require surgery. Prolonged laryngomalacia may persist in weak muscular disorders like cerebral palsy.

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Dr. Mark Diamond Dr. Diamond
Pediatrics
42 years in practice
University of Pittsburgh School of Medicine
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If a laryngomalacia stridor reappears in a 1 year old is a bad prognosis?

If a laryngomalacia stridor reappears in a 1 year old is a bad prognosis?

Probably Not: If it totally disappeared and reappeared then an evaluationis probably necessary by your pediatrician or a pediatric ENT specialist. Bad progn osis? Unlikely, but probably more annoying.

Dr. Larry Xanthopoulos Dr. Xanthopoulos
Pediatrics
18 years in practice
Boston University School of Medicine
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My 3 yo daughter was born with laryngomalacia and was on honey thick liquids until 2. She doesn't eat very much. Weighs 36 lbs. Should I be concerned?

My 3 yo daughter was born with laryngomalacia and was on honey thick liquids until 2. She doesn't eat very much. Weighs 36 lbs. Should I be concerned?

Growth chart: If she is growing on the growth chart at a consistent basis then there is nothing to worry about. The pediatrician would know best as he/she would have multiple points on a growth chart to see if she has been growing at a normal rate

Dr. Amrita Dosanjh Dr. Dosanjh
Pediatrics - Pulmonology
32 years in practice
UC San Diego School of Medicine
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My 1 month old has laryngomalacia. He is currently on nexium (esomeprazole). Which is better for him. Nexium (esomeprazole) or zantac? And why?

Mgt: Laryngomalacia often resolves without intervention. If he is having episodes of distress, poor growth, or other respiratory signs, a pulmonary virtual consult may be useful to you and your pediatrician.
His medications are for the treatment of GERD, and how he responds will help to guide the therapy and dosing.

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Dr. Dale Tylor Dr. Tylor
ENT - Head & Neck Surgery - Pediatric
15 years in practice
McGill University Faculty of Medicine
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My baby has laryngomalacia and it was almost gone, but last month it sounds like his nose is totally blocked at night. He is 11 month. Will it go awa?

Different issue: Probably your baby is having a cold, which is worsening the nasal breathing, and that this is unrelated to the laryngomalacia. In many cases (not all), laryngomalacia resolves by the child's first birthday. See your ENT if you aren't sure what is going on.

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Dr. HARRY OPSIMOS Dr. OPSIMOS
Pediatrics - Pulmonology
18 years in practice
St. George's University School of Medicine
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Dx Laryngomalacia. Virus caused sig. Strider/loss of voice. Epiglotitis R/O Could combo laryngeal inflammation &Laryngomalacia cause severe symptoms?

Dx Laryngomalacia. Virus caused sig. Strider/loss of voice. Epiglotitis R/O Could combo laryngeal inflammation &Laryngomalacia cause severe symptoms?

Too complicated: Not clear what you have. Laryngomalacia and also had epiglottitis? Or R/O means it was ruled out? Laryngomalacia can definitely cause significant stridor.

Dr. Amrita Dosanjh Dr. Dosanjh
Pediatrics - Pulmonology
32 years in practice
UC San Diego School of Medicine
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4yo has severe laryngomalacia, sleep apnea, aspirates, history of hypotonia & gross motor delay, MTHFR, midline defects, SPD, possible autism. Causes?

4yo has severe laryngomalacia, sleep apnea, aspirates, history of hypotonia & gross motor delay, MTHFR, midline defects, SPD, possible autism. Causes?

Mgt, workup: The severe laryngomalacia can cause and contribute to sleep apnea and aspiration. I would suggest an evaluation by ENT and a sleep study to evaluate the need for CPAP. Speech and development can help with coordination/swallowing mechanisms. A virtual appointment: healthtap. Com/DosanjhMD Code: NCYHPZ

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Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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My 8 month old has larygomalcia. The doctor said there's no treatment that he will out grow it ?

My 8 month old has larygomalcia. The doctor said there's no treatment that he will out grow it ?

Takes time: Laryngomalacia translates to " a rubbery airway", works poorly when babies get excited and draw in or expell air air quickly. The walls suck in or bow out producing frightful sounds. Normal airways are stiffer& remain straight. Over time the walls stiffen & the problem fades. Some severe cases are treated with a bypass airway, a trach, at the neck. Staying calm during episodes helps baby thru them.

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Dr. James Sidman Dr. Sidman
ENT - Head & Neck Surgery - Pediatric
36 years in practice
Dartmouth Medical School
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My 5mon old is drooling n chewing constanly n she been doin that since she was born what could be wrong I know she has stage 1 renal diese small heart that should go away larangomalica geard?

My 5mon old is drooling n chewing constanly n she been doin that since she was born what could be wrong I know she has stage 1 renal diese small heart that should go away larangomalica geard?

Many possibilities: Drooling can be a simple problem like teething, or complicated like neurological disease. Gerd is unlikely to be the cause. Should have a complete pediatric exam.

Dr. Craig Canapari Dr. Canapari
Pediatrics
16 years in practice
University of Connecticut School of Medicine
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Should I be concerned that strangers can't understand my child's speech?

Should I be concerned that strangers can't understand my child's speech?

It's age dependent: The rule of thumb is that more than 50% is intelligible by age three to strangers. A four year old's speech should be mostly clear to strangers. If this is not the case and you are still concerned please talk to your pediatrician.

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Dr. James Burns Dr. Burns
Emergency Medicine
33 years in practice
Western University of Health Sciences College of Osteopathic Medicine of the Pacific
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Sound like speech and music is too loud for me I can't take it. What's going on?

Sound like speech and music is too loud for me I can't take it. What's going on?

Phonophobia...: And hyperacousis are actually two different entities, it is important to distinguish between the two because the treatment is different. Phonophobia has a psychiatric treatment option while hyperacousis is an abnormality in the sensory-neural pathway of hearing. Temporary phonophobia can be associated with migraine sufferers and disappears with the migraine, would see your doctor.