Symptom 7: Asymmetrical Cry
The cry of an infant is a primary mode of communication, and any irregularities can be a sign of distress or discomfort. In babies with choanal atresia, the cry can often be asymmetrical or sound congested, which is a direct result of the nasal obstruction. This unusual cry is not just a variance in tone or volume; it is a reflection of the struggle that the infant undergoes while trying to breathe. As airflow is compromised, the vocalizations become affected, leading to a cry that may sound muffled or nasal.
Caregivers may notice this unusual crying pattern during moments of distress when the baby is trying to signal a need or discomfort. It’s a symptom that may be easily overlooked, attributed to normal baby behavior, but in the context of choanal atresia, it should be taken as a potential indicator of this condition. Being observant to these subtle changes in an infant’s cry is crucial, as it may be one of the first detectable signs that prompt further investigation.
The asymmetrical cry not only points to a possible physical condition but also affects the infant’s ability to communicate effectively. This can lead to frustration for the baby, as their efforts to signal their needs are not as clear. For parents, it can be distressing to hear their child cry in such an unusual way, often leading to a sense of helplessness and concern.
An asymmetrical or congested-sounding cry warrants a thorough assessment by a healthcare professional. While it could be attributed to less serious conditions like a common cold, in the presence of other symptoms of choanal atresia, it should not be dismissed. An accurate diagnosis often involves observing the infant’s cry and breathing patterns, along with a physical examination.
The asymmetrical cry is more than just an auditory symptom; it’s a window into the infant’s overall well-being. It’s a manifestation of the breathing difficulties they are facing and a reminder of the interconnectedness of the body’s systems. Recognizing and responding to this symptom can lead to early intervention, which is vital for the infant’s development and quality of life. (7)
