Fact 2: Symptoms Beyond the Sound
With laryngomalacia, the stridor may be the leading voice, but it’s not the soloist in the ensemble of symptoms. Affected infants often present with a suite of respiratory sounds that can include wheezing, coughing, and snorting, especially when they are feeding, crying, or exerting themselves. These symptoms are the body’s way of flagging the underlying laryngeal softness.
The array of symptoms extends to feeding difficulties, which can be particularly stressful. Infants may exhibit signs of distress during feeding, such as frequent breaks in suckling, nasal regurgitation, and even reduced intake. These feeding challenges can lead to secondary concerns like weight loss or poor weight gain, heightening the need for medical oversight.
Beyond feeding, the impact of laryngomalacia on an infant’s well-being can be multifaceted. Sleep can be disrupted, characterized by noisy breathing patterns that concern parents. Additionally, some infants may show signs of respiratory distress, including retractions, where the skin pulls in around the ribs and neck during breathing.
In more severe cases, the symptoms of laryngomalacia can escalate to episodes of apnea or cyanosis. Apnea refers to pauses in breathing that are alarmingly prolonged, while cyanosis is a bluish tint to the skin, indicating that the baby is not getting enough oxygen. These symptoms are red flags that necessitate prompt medical attention.
Despite the breadth of potential symptoms, it’s important to remember that each infant’s experience with laryngomalacia is unique. While some may face a multitude of challenges, others may only encounter the tell-tale stridor without further complications. Understanding the full spectrum of symptoms is key to effective monitoring and management. (2)
