How is laryngitis treated?

Written by Zhang Jun
Otolaryngology
Updated on September 14, 2024
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Laryngitis in treatment primarily requires symptomatic anti-inflammatory therapy to eliminate inflammation. Laryngitis is an ENT emergency, commonly seen in infants and young children, and can lead to sudden high fever, hoarseness, severe throat pain, and breathing difficulties. In severe cases, it may also present with a barking cough, choking, and even death. When examining with a laryngoscope, notable bilateral vocal cord congestion and edema can be observed. For treatment, patients firstly need a complete blood count; if there is an increase in white blood cells, a bacterial infection may be considered, and oral or intravenous antibiotics may be administered. If lymphocytes are elevated, symptomatic antiviral treatment should be conducted. Patients also need to use corticosteroids to reduce congestion and edema in the throat area. During treatment, closely monitor the patient's breathing, and if breathing difficulties occur, a tracheotomy may be necessary. (Please administer medications under the guidance of a professional physician and do not medicate blindly.)

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Written by Deng Bang Yu
Otolaryngology
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Is laryngitis contagious?

Laryngitis is an acute inflammatory disease of the throat, especially the vocal cords. Clinically, it is mainly caused by bacterial infection or long-term excessive misuse of the voice. For bacterial infections or mixed infections of bacteria and viruses, this type of laryngitis has certain contagiousness, but the contagiousness is relatively weak and it is not a severe or highly contagious disease. Secondly, laryngitis caused by long-term misuse of the voice mainly results from mechanical damage and is non-contagious. Moreover, this type of laryngitis tends to be more chronic. In summary, acute laryngitis caused by bacterial and viral infections has certain contagiousness, but the contagiousness is very weak.

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Written by Li Rui
Otolaryngology
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Is it necessary to have an infusion for laryngitis?

Laryngitis is a relatively common ENT disease with various clinical symptoms. Common symptoms include sore throat and a foreign body sensation in the throat, and some patients may also experience fever. In terms of treatment, most patients do not require intravenous therapy. Typically, oral medication is the primary treatment, which can be supplemented with nebulization therapy. However, regular follow-ups are necessary during treatment to monitor the effectiveness. In cases where the inflammatory response is particularly severe and the clinical symptoms are more pronounced, such as hoarseness and difficulty breathing, some patients may need to consider intravenous therapy. Overall, however, the proportion of patients requiring intravenous therapy is relatively small. (Please use medication under the guidance of a doctor)

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Written by Li Rui
Otolaryngology
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What are the symptoms of laryngitis?

Laryngitis is a relatively common clinical disease with a variety of symptoms and individual differences. Common symptoms include pain in the throat area. If the pain is severe and accompanied by noticeable swelling, it may affect swallowing and breathing, and could lead to swallowing obstruction and breathing difficulties. Another common symptom is hoarseness, especially seen in acute laryngitis, as it can cause congestion and swelling of the vocal cords, which easily leads to hoarseness. Generally, when symptoms of laryngitis appear, it is advisable to visit an otolaryngology department promptly for a laryngoscopy to assess the extent of the inflammatory response.

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Written by Bai Yan Hui
Pediatrics
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What tests are done for acute laryngitis in children?

Generally speaking, laryngitis is classified as an inflammatory disease. To determine whether it might be a bacterial or viral infection, we typically recommend a complete blood count and C-reactive protein test. Based on the white blood cell count, the classification of white blood cells, and the level of C-reactive protein, we can make an initial judgment about whether the cause is likely viral or bacterial, and then proceed with the corresponding treatment. Additionally, laryngoscopy can also be performed to examine the condition of the laryngeal tissues and other structures for differential diagnosis.

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Written by Zhang Jun
Otolaryngology
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Do you have a cough from laryngitis?

Laryngitis can cause severe coughing. Laryngitis is caused by acute inflammation that affects the throat, primarily the vocal cords, leading to sudden high fevers over 38.5°C. Patients experience severe throat pain, hoarseness, irritating coughs, bark-like coughs, and in severe cases, it can lead to difficulty breathing, choking, and even death. Generally, laryngitis is more common in infants and young children and can spread through the respiratory or digestive tract. During an examination with a laryngoscope, congested and swollen bilateral vocal cords are apparent, with good mobility but incomplete closure. In terms of treatment, symptomatic anti-inflammatory treatment is necessary for laryngitis. This can include oral or intravenous antibiotics, such as cephalosporins, which are effective. Additionally, corticosteroids are used to reduce local congestion and swelling. A light diet is recommended, and gradual improvement is usually seen within a week. (The use of medication should be carried out under the guidance of a professional doctor.)