Why does a child speak through his nose but does not have a runny nose?


The child speaks through his nose

Most often, the precursors of temporary nasality are a runny nose and a cold. This symptom is neutralized by complex treatment.

Excitement and misunderstanding among parents causes distortion of the timbre of the voice while maintaining the natural drainage of the sinuses. Therefore, the pressing question remains: how and what to treat if a child speaks through his nose, but there is no snot, and his nose is breathing?

What is nasality?

As a result of excessive or weak resonance in the nasal cavity, a defect in sound pronunciation is formed - nasality (identical names rhinolalia, palatolalia). The reason for changes in speech in children is a malfunction of the speech center .

The nasal tone of the voice is due to a change in the trajectory of the sound-producing air stream in the oral and nasal projection.

Diversification of the resonator function takes three forms :

Nuance! Violation of sound pronunciation goes through 4 stages of development, where with each subsequent phase the severity of nasality and dyslalia increases.

Main reasons

The reasons for the development of rhinolalia are very diverse, the main list comes down to the following factors:

The manifestation of a sound defect requires medical attention. During the examination, the speech therapist studies the anatomical features of the speech apparatus, the quality of breathing, the nature of sound defects, and the peculiarities of the course of the pathology.

The main task of a specialist is to identify and eliminate the irritating factor using a conservative method or surgery.

How and with what to treat nasality without snot

Oxygen starvation inhibits brain activity and inhibits the functioning of functional units of the body. To prevent negative consequences, migration of the disease into a chronic form, it is important to carry out correction in the early stages of the manifestation of pathology .

For reference! To fully visualize the clinical picture, the doctor prescribes instrumental research methods: x-ray, electromyography, pharyngoscopy.

Treatment of maxillary sinusitis provides a comprehensive solution to the problem . An important condition for active recovery is irrigation of the nasal cavity.

Sinus rinsing

Important! Starting from the age of five, children in the initial stages of pathology undergo non-invasive vacuum drainage of the accessory sinuses.

For children over 4 years old, nasal toilet is performed using saline solution, saline solution or antiseptic drugs: Miramistin, Chlorophyllipt, Chlorhexidine.

The medicinal liquid washes the nasopharynx and flows freely through the opposite nostril, neutralizing pathogenic microflora . The procedure accelerates the regression process, relieves inflammation and swelling of soft tissues, and normalizes natural breathing through the nose.

Drug therapy

Treatment of ENT diseases such as swelling of the mucous membrane, sinusitis, frontal sinusitis or sinusitis, which provoke a nasal voice in a child, requires the use of drugs from different pharmaceutical groups :

For reference! To normalize low-grade fever and relieve pain, children are prescribed Aspirin, Nurofen, and Paracetamol.

The conservative technique is complemented by immunomodulatory medications: Sinupret, IRS-19. They restore mucociliary clearance, form local immunity, and accelerate epithelial regeneration processes.

Surgically

To restore the tissue structure in case of polyposis or soft tissue hypertrophy, gentle laser therapy is prescribed , and correction of the nasal septum is possible only surgically .

Recommendations by E.O. Komarovsky

Treatment and correction of the situation when a child breathes through his mouth, speaks through his nose, but there is no runny nose, begins with identifying the pathogen . Taking into account the individual characteristics of the patient, the doctor draws up a medication regimen.

The task of parents is to strictly follow the doctor’s recommendations and create favorable conditions for the regression of pathology:

For reference! Indoor plants help maintain humidity in the room.

Nasality as a result of impaired sinus drainage is provoked by powerful antigens: dust, pet hair, feather pillows. Therefore, special attention should be paid to cleanliness in the house.

Conclusion

Doctor of Medical Sciences. ENT specialist with 30 years of experience

Doctor of Medical Sciences. ENT specialist with 30 years of experience

Specialist in pediatric diseases. Honored otolaryngologist.

Directory of main ENT diseases and their treatment

All information on the site is for informational purposes only and does not claim to be absolutely accurate from a medical point of view. Treatment must be carried out by a qualified doctor. By self-medicating you can harm yourself!

https://gorlonos.com/drugie-zabolevaniya/rebenok-govorit-v-nos-a-soplej-net.html

Causes of rhinolalia and rhinophonia

Factors influencing a child's pronunciation are different.

Physiological

Open rhinolalia is characterized by defects of the hard and soft palate (congenital cleft, paresis, poor fit), in which air enters the nose when exhaled.

At the same time, the child speaks unclearly, nasally, and the sounds “um” and “en” sound like “mb”, “nb”. Such a defect is eliminated by training the soft palate, articulation exercises, and in the case of physiological pathologies, an operation is performed to fuse the cleft in the palate.

With rhinophonia, a change in the timbre of the voice is observed, but there is no replacement of some sounds or their unclearness, swallowing, as with rhinolalia.

A child’s nasal voice develops when the air flow into the nose is disrupted, and can be corrected through speech therapy.

One of the common problems in childhood, which leads to changes in voice timbre and nasality, is adenoiditis, a pathological proliferation of the lymphatic tissue of the adenoids. The causes of inflammation in children are frequent acute respiratory viral infections due to reduced immunity.

Symptoms of inflamed adenoids:

Pathology of the nasal passages

Thickening of the mucous membrane, proliferation of bone tissue, formation of ridges and polyps disrupt the movement of air flow and lead to changes in the timbre of the voice. To determine why your child speaks through his nose, undergo a rhinoscopy or endoscopic examination.

The reasons for such formations in the nose:

Reasons for a temporary change in voice timbre

In addition to pathological changes that are treated surgically, there are diseases in which the symptom of nasal sound is present, but there is no snot. This is sinusitis with complete blockage of the sinus and frontal sinusitis.

The paranasal sinuses are involved in purifying and warming the air during inhalation, and also form the timbre of the voice during pronunciation. In children under five years of age, only the supramillary maxillary sinuses are developed.

They become inflamed due to a viral disease and when snot gets into them when rinsing the nose, as well as due to injuries.

With frontal sinuses, the frontal sinuses become inflamed, which are also involved in the formation of the voice.

There is no snot with sinusitis only in the initial stage of inflammation; later, mucous discharge from the nose and with admixtures of pus appear when a bacterial infection is attached.

Swelling of the mucous membrane

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Source: https://sovet-medika.ru/zdorovoe-dyhanie/rebenok-govorit-v-nos.html

How and with what to treat nasality without snot

Therapy for palatolalia is determined by the etiology of the pathogen. If a child has a sore nose due to a disorder of the respiratory system, then the danger lies in infection of the bronchi and lungs

. When the nose is stuffy, along with the air inhaled through the mouth, infections penetrate into the body, affecting healthy organs and systems.

Oxygen starvation inhibits brain activity and inhibits the functioning of functional units of the body. To prevent negative consequences and migration of the disease into a chronic form, it is important to carry out correction in the early stages of the manifestation of pathology

.

For reference!

To fully visualize the clinical picture, the doctor prescribes instrumental research methods: x-ray, electromyography, pharyngoscopy.

The reasons for a temporary change in voice timbre include inflammation of the accessory sinuses, swelling of the mucous membrane, when there is a sign of nasality, but there is no runny nose. The frontal and maxillary sinuses are involved in the formation of sound color. In case of nasal injuries, against the background of viral diseases, the air cavities become inflamed, or develop.

Treatment of maxillary sinusitis provides a comprehensive solution to the problem

. An important condition for active recovery is irrigation of the nasal cavity.

Sinus rinsing

Under unfavorable climatic and living conditions, the mucous membrane dries out, crusts form on its surface, which impair nasal drainage. Treatment of pathological changes begins with mechanical cleansing of the sinuses from foreign agents, dust, and accumulations of nasal secretions.

Important!

Starting from the age of five, children in the initial stages of pathology undergo non-invasive vacuum drainage of the accessory sinuses.

Children over 4 years old

toilet of the nose is carried out using saline solution, saline solution or antiseptic drugs: "", "", "Chlorhexidine".

The medicinal liquid washes the nasopharynx and flows freely through the opposite nostril, neutralizing pathogenic microflora

. The procedure accelerates the regression process, relieves inflammation and swelling of soft tissues, and normalizes natural breathing through the nose.

Drug therapy

To prevent nasal sounds in a child, parents should monitor the condition of the nasopharynx and consult a doctor for minor deviations.

Treatment of ENT diseases such as swelling of the mucous membrane, sinusitis, frontal sinusitis or sinusitis, which provoke a nasal voice in a child, requires the use of drugs from different pharmaceutical groups

:

  • vasoconstrictors
    . The main task is to restore nasal breathing, reduce hyperemia of soft tissues, normalize nasal secretion, and aeration of the middle ear. The therapeutic regimen for children includes medications based on phenylephrine - “Nazol Baby”, “Nazol Kids”, “”, “”;
  • antibacterial
    .
    Prescribed for infectious etiology of inflammation to suppress the processes of growth and reproduction of pathogenic microorganisms. In the treatment of the upper respiratory tract, penicillin antibiotics (Amoxiclav), cephalosporins in tablets or injections (Ceftriaxone, Cephalaxin), and azalides (Azithromycin) are used. Intranasal agents with a wide range of actions have antimicrobial and anti-inflammatory activity - “”, “”. The recovery course varies from 5 to 10 days
    , taking into account the severity of the disease;
  • antihistamines
    . In order to eliminate an allergic reaction or prevent its occurrence, hyposensitizing drugs are used to inhibit the production of histamine. Most often, children are prescribed Loratadine in syrup or tablets, Kestin, Terfenadine;
  • corticosteroids
    . Hormonal agents reduce inflammation and swelling of the mucous membrane, thereby normalizing the sound of the voice, and restore the activity of the ciliated epithelium. The drugs "", "Flixonase", and "Avamys" have proven to be highly effective.

For reference!

To normalize low-grade fever and relieve pain, children are prescribed Aspirin, Nurofen, and Paracetamol.

The conservative technique is complemented by immunomodulatory medications: Sinupret, IRS-19. They restore mucociliary clearance, form local immunity, and accelerate epithelial regeneration processes.

What to do if a child speaks through his nose, but there is no snot? There is a possibility that the problem lies in the pathology of the nasal passages. If the suspicion of hypertrophic rhinitis or an anatomical change in the nasal septum is confirmed, it is pointless to treat the disease with conservative methods.

Surgically

To restore tissue structure in case of polyposis or soft tissue hypertrophy, gentle laser therapy is prescribed

, and correction of the nasal septum is
only possible through surgery
.

Treatment of adenoids as a nasal problem begins with increasing immune activity with vitamin complexes, symptomatic therapy and breathing exercises. If the pharyngeal tonsil is enlarged with complete occlusion of the nasal lumen, the problem is solved by surgical removal of the tonsils

.

Often nasality provokes hypothermia, acute respiratory viral diseases

Treatment and correction of the situation when a child breathes through his mouth, speaks through his nose, but there is no runny nose, begins with identifying the pathogen

. Taking into account the individual characteristics of the patient, the doctor draws up a medication regimen.

Parents' task

– strictly follow the doctor’s recommendations, create favorable conditions for regression of the pathology:

  • monitor the temperature and humidity levels in the room. The optimal temperature
    for daytime activities reaches
    20⁰С
    , for sleep it should be 2-3 degrees lower;
  • If the air is excessively dry, use a humidifier
    . If the house does not have an air conditioner, you can hang wet towels on the radiator or place containers filled with water;
  • regularly ventilate the room and carry out wet cleaning;
  • walk in the fresh air more often;
  • provide a balanced diet with an emphasis on vegetables, fruits, dairy products; provide an increased drinking regime
    to relieve intoxication of the body.

For reference!

Indoor plants help maintain humidity in the room.

Nasality as a result of impaired sinus drainage is provoked by powerful antigens: dust, pet hair, feather pillows. Therefore, special attention should be paid to cleanliness in the house.

Why does a child talk through his nose, but there is no runny nose or snot, how to treat it?

Quite often, parents notice that their child is mucking around without snot. When this problem occurs, babies begin to breathe only through the mouth, since gurgling and strong whistling are heard when breathing through the nose. If a child talks through his nose, it is necessary to immediately understand the causes of this problem and begin treating the baby.

Causes

It is imperative to understand the reasons for the appearance of nasality. There are several main reasons why children may nasal when speaking.

Physiological form of congestion in a newborn

The appearance of physiological congestion in infants is normal. In the first month of life, the mucous membrane begins to get used to the environment and in newborns the nose may become stuffy. Therefore, if a child under the age of one year has congestion without any other symptoms, then there is no need to worry.

Serious injuries

Often a child develops a nasal tone after damage to the nasal septum. This type of injury is considered one of the most common among children. More often than others, the nose is injured by boys aged six to ten years. If serious damage to the nasal septum occurs, you should immediately consult a doctor so that he can choose the best treatment method.

Deformation of the nasal septum

It is no secret that in children the cartilaginous septum is fragile and therefore it is easily injured and deformed.

Most often, such deformations are encountered by children under ten years of age, since it is up to this age that the formation of the septum lasts. At first, minor distortions do not appear at all.

However, over time, babies develop swelling of the mucous membrane, congestion of the nasal passages, deterioration in breathing, nasal sound and snoring.

Congenital anomalies

Much less often, children speak through their nose due to congenital abnormalities of the nose. When this problem occurs, the child’s breathing worsens at night and mucus begins to accumulate in the nasal cavity.

Over time, severe congestion may develop and the baby will be able to breathe only through the mouth. If a congenital anomaly was diagnosed in a child under five months, then you should urgently go to the hospital.

The fact is that newborns cannot breathe through their mouths and this can cause suffocation.

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Rhinitis

Often people start talking through their nose because they are actively developing rhinitis. Babies may develop two types of this disease:

  • Rear. This form of the disease is commonly called nasopharyngitis. When the disease appears, the patient develops a nasal tone, redness on the palate, slight tingling and burning in the nasopharynx. Some patients complain of pain in the lymph nodes and neck.
  • Medication. The medicinal form of the disease appears after prolonged use of vasoconstrictors. When such rhinitis occurs, the mucous membrane of the nasopharynx swells and becomes inflamed. The disease is manifested by increased lacrimation, deterioration of the sense of smell and itching in the nostrils.

Treatment

If your baby has a nasal sound, you should immediately start treating him. Often, medications are used for this, available in the form of drops or sprays.

https://youtube.com/watch?v=7A8kexP2h1w

Before treating a child, you should familiarize yourself with the most effective drugs.

Nazol Kids

When your nose is stuffy and there is no runny nose, you can undergo treatment with Nazol Kids drops or spray. The nasal preparation is made from phenylephrine hydrochloride, which relieves swelling in the paranasal sinuses and clears the nasal passages. Nazol Kids can be used continuously for 2-3 weeks, as it is not addictive and cannot damage the mucous membrane.

Before starting treatment with Nazol Kids, you need to familiarize yourself with its contraindications. This nasal drug should not be used by people with renal failure and thyrotoxicosis. It should also not be given to children under two years of age, as this may cause them to experience irritability, dizziness, arrhythmia, and sleep problems.

To prevent side effects in children, the correct dosages must be used during treatment. When using Nazol Kids spray, injections should be made three times every day. During the procedure, you need to carefully tilt the baby's head back so that the drug penetrates better into the nasal passages.

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Bioparox

You can relieve congestion and get rid of colds with the inhalation drug Bioparox.

The medicine is made from fusafungine, which has bacteriostatic functions, thanks to which it quickly gets rid of most harmful microorganisms in the nasal cavity.

Bioparox also has an anti-inflammatory effect and quickly eliminates foci of mucosal inflammation.

Bioparox is not suitable for treating infants, as it is contraindicated for children under three years of age. Also, this inhalation medicine should not be used by people with allergies or high sensitivity to fusafungine.

Some patients complain of side effects after using Bioparox. These include severe burning of the mucous membrane, asthma, laryngospasm, coughing and sneezing.

Less common are allergic reactions such as urticaria, itching and skin rash.

Bioparox is used for inhalation into the nasal passage or oral cavity. However, for congestion caused by sinusitis or rhinitis, it is better to inject the medicine through the nostrils. Injection should be done three times daily.

Kestin

You can restore breathing after a runny nose using Kestin tablets. Most often, this drug is used during the treatment of seasonal allergic rhinitis or congestion that appears after contact with household allergens.

You can drink Kestin at any time of the day, regardless of meals. When treating children under ten years of age, the child should be given half a tablet of the drug every day. This course of treatment should last about 2–3 weeks.

Types of nasality

A child talks through his nose with rhinolalia. Experts distinguish two types of nasal voice.

  1. Open twang. Appears with pathologies and paralysis of the hard and soft palate, when most of the air flows into the nose. Because of this, the child speaks nasally and unintelligibly even in the absence of snot.
  2. Closed nasality. Occurs when the passage of air flow is difficult. This can occur due to chronic rhinitis, neoplasms in the nasal cavity and adenoids. At the same time, breathing through the nose becomes more difficult, the letter “m” begins to sound like “b”, and “n” like “d”.

Separately, rhinolalia is distinguished, the cause of which is not physiological abnormalities. The child speaks nasally due to a habit that appears due to improper development of speech or partial deafness.

Causes of nasal voice

If a baby talks through his nose in the absence of a runny nose, this may be a symptom:

  • polyps in the nasal cavity;
  • inflammatory process in the nasopharynx;
  • congenital defect of the nasal passages;
  • rhinopharyngitis (when snot flows down the back wall of the nasopharynx);
  • curvature of the nasal septum;
  • congenital or acquired cleft of the hard or soft palate;
  • mucosal vasoconstriction due to drug treatment;
  • allergies (this makes it difficult for the child to breathe through the nose);
  • the presence of a foreign body (the child could have put a bead in his nose, etc.).

If you want to find out why your child speaks through his nose, contact a speech therapist. He will conduct an examination, collect anamnesis, look at how the baby is breathing and tell you what to do.

If necessary, the specialist will advise you to contact an ENT specialist, neurologist, surgeon or allergist. Remember that self-medication in this case is unacceptable.

Only a qualified specialist will help the child stop talking through his nose and breathe normally.

Diagnostic measures

It is difficult to find out on your own why a baby talks through his nose, which makes parents worry. Only an experienced doctor is able to make a correct diagnosis. This may require a number of studies and analyses. For diagnostics the following is used:

  • study of the speech apparatus;
  • breath quality assessment;
  • determination of the nature of sound distortion;
  • information about chronic and past diseases;
  • instrumental studies (doctors may prescribe x-rays, pharyngoscopy or electromyography);
  • blood and urine tests.

If the child breathes normally and does not have a runny nose, but speaks nasally, then you should not ignore the problem. First of all, it is necessary to establish the cause of rhinolalia.

In cases where the nasal tone is not physiological in nature, sessions with a speech therapist may be required. If a child breathes poorly through his nose, this may indicate various pathologies. Having identified them, the doctor will prescribe appropriate treatment.

In some cases, when the baby speaks through his nose, surgery cannot be avoided.

Recommendations for parents

If the baby breathes through his nose but speaks nasally, experts recommend massage of the soft palate. It is aimed at stimulating his mobility. Doing this massage is quite simple.

  1. Gently rub the area between the soft and hard palate. This will lead to a reflex contraction of the nasopharyngeal muscles.
  2. Ask your child to say the sound “a” and then stimulate the massaged area.
  3. Run your fingertip from the right side of the palate to the left in a zigzag pattern, and then in the opposite direction. In this case, the child should breathe through his nose.
  4. Lightly press the soft palate with your fingertip so that its muscles become toned.

Remember that massage should not be done when the child has snot, or after eating. It may cause vomiting. Ideally, if your baby speaks through his nose, you should massage him regularly on an empty stomach.

Forecast

If the child speaks through his nose, but there is no snot, then you should immediately consult a doctor. The defect requires timely and thorough treatment. Due to the fact that the child breathes incorrectly, speaks nasally and speaks indistinctly, he may begin to have problems with socialization. This will make him withdrawn, irritable and nervous.

When a baby speaks through his nose, parents should pay special attention to his problem. It is worth noting that the prognosis for timely treatment of rhinolalia is very favorable. However, you should not expect instant results.

Classes with a speech therapist should be long and regular. If you are faced with a similar problem and do not know what to do, then contact the NEAPL speech therapy and psychology center.

Experienced specialists will conduct an examination, identify the cause of nasality and select a correction program.

Source: https://neapl.ru/blog/rechevye-narusheniya/govorit-v-nos/

Forecast

Nasality at any age requires long-term and regular practice. The course of treatment for rhinolalia is usually quite long, so you should not expect a quick result. But with the correct diagnosis and proper treatment, nasal tone is highly treatable.

ENT (otolaryngologist)

Conducts prevention, treatment and diagnosis of diseases of the nose and paranasal sinuses (sinusitis, rhinitis), diseases of the outer and middle ear (otitis), nosebleeds, diseases of the pharynx and larynx (laryngitis, pharyngitis, tonsillitis).

Quite often, parents notice that their child is mucking around without snot. When this problem occurs, babies begin to breathe only through the mouth, since gurgling and strong whistling are heard when breathing through the nose. If a child talks through his nose, it is necessary to immediately understand the causes of this problem and begin treating the baby.

It is imperative to understand the reasons for the appearance of nasality. There are several main reasons why children may nasal when speaking.

Physiological form of congestion in a newborn

The appearance of physiological congestion in infants is normal. In the first month of life, the mucous membrane begins to get used to the environment and in newborns the nose may become stuffy. Therefore, if a child under the age of one year has congestion without any other symptoms, then there is no need to worry.

Serious injuries

Often a child develops a nasal tone after damage to the nasal septum. This type of injury is considered one of the most common among children. More often than others, the nose is injured by boys aged six to ten years. If serious damage to the nasal septum occurs, you should immediately consult a doctor so that he can choose the best treatment method.

Deformation of the nasal septum

It is no secret that in children the cartilaginous septum is fragile and therefore it is easily injured and deformed. Most often, such deformations are encountered by children under ten years of age, since it is up to this age that the formation of the septum lasts. At first, minor distortions do not appear at all. However, over time, babies develop swelling of the mucous membrane, congestion of the nasal passages, deterioration in breathing, nasal sound and snoring.

Congenital anomalies

Much less often, children speak through their nose due to congenital abnormalities of the nose. When this problem occurs, the child’s breathing worsens at night and mucus begins to accumulate in the nasal cavity. Over time, severe congestion may develop and the baby will be able to breathe only through the mouth. If a congenital anomaly was diagnosed in a child under five months, then you should urgently go to the hospital. The fact is that newborns cannot breathe through their mouths and this can cause suffocation.

Rhinitis

Often people start talking through their nose because they are actively developing rhinitis. Babies may develop two types of this disease:

  • Rear. This form of the disease is commonly called nasopharyngitis. When the disease appears, the patient develops a nasal tone, redness on the palate, slight tingling and burning in the nasopharynx. Some patients complain of pain in the lymph nodes and neck.
  • Medication. The medicinal form of the disease appears after prolonged use of vasoconstrictors. When such rhinitis occurs, the mucous membrane of the nasopharynx swells and becomes inflamed. The disease is manifested by increased lacrimation, deterioration of the sense of smell and itching in the nostrils.

How to stop talking through your nose? Causes and treatment of rhinolalia

How to stop talking through your nose? This question interests many people suffering from nasality. Such a defect interferes with clear and beautiful speech and complicates a person’s communication with others.

Most often, this disorder occurs in childhood and can significantly worsen the child’s socialization.

However, nasality in most cases can be corrected; it is only important to correct the speech defect in time.

Types of rhinolalia

Rhinolalia is the medical name for nasal sound. Why does this speech impediment occur? To answer this question, it is necessary to understand the mechanism of sound pronunciation.

Rhinolalia is especially pronounced when a person tries to pronounce the sounds “m” and “n”. It is during their reproduction that difficulties arise, for example, if a person has a stuffy nose. However, with a severe form of nasality, all sounds acquire a characteristic nasal sound.

If you examine your throat with a mirror, you will notice a small “tongue” between the tonsils. This organ is called the velum palatine. It is he who takes part in the formation of the sounds “m” and “n”. In phonetics they are called nasal consonants. When they are pronounced, the velum is lowered and air passes through the nose.

There are two forms of nasality:

  1. Closed. The uvula is constantly lowered, and air does not enter the nasal passages. A person has difficulty pronouncing the sounds “m” and “n”.
  2. Open. The velum never falls; air passes through the nose and mouth at the same time. With this form, the reproduction of all sounds, even vowels, is distorted. The patient's speech loses its sonority and becomes muffled and unclear.

Doctors also distinguish a mixed type of rhinolalia. This means that a person has signs of both forms of nasality.

Nasality is often noted during a runny nose and may persist for some time after recovery. This is due to nasal congestion and residual effects after rhinitis. The alarm should be sounded in cases where a person’s nose is already breathing, but rhinolalia still persists for a long time after the illness.

In medicine, the causes of nasality are divided into 2 groups. The first is associated with defects and injuries of the speech apparatus. The following diseases can lead to rhinolalia:

  • deviated nasal septum;
  • incorrect structure of the tongue;
  • congenital defects of the lip and palate (“cleft palate” and “cleft lip”);
  • shortening of the palate;
  • palate injuries.

How to get rid of nasality in such pathologies? Most often they have to be treated surgically. After this, the patient regains correct speech.

The second group of causes of rhinolalia is associated with diseases of the nasopharynx:

  • rhinitis and its consequences;
  • adenoids and polyps in the nasal cavity;
  • tumors of the nasopharynx;
  • swelling and proliferation of the nasal mucosa;
  • advanced forms of syphilis, occurring with the destruction of the palate.

Some of these pathologies are subject to conservative treatment. For tumors, polyps and adenoids, surgery is performed to remove the tumors.

https://youtube.com/watch?v=vFHgYQPHXYQ

In addition, rhinolalia can be associated not only with anatomical defects, but also with functional disorders. For example, a person can speak through his nose when the muscles of the velum are weakened.

How to stop talking through your nose? First of all, it is necessary to establish the causes of nasality. A patient with rhinolalia needs to undergo a comprehensive examination by a speech therapist, otolaryngologist and maxillofacial surgeon.

The speech therapist asks the patient to pronounce the sounds “i” and “a” with his nose pinched (Gutzmann test). Then the doctor conducts an external examination of the patient’s speech apparatus. If the speech therapy examination does not reveal any pathologies, the patient is referred to an otolaryngologist. The specialist conducts a thorough examination of the ENT organs using endoscopic instruments (rhinoscope and pharyngoscope).

Consultation with a maxillofacial surgeon is required if trauma to the speech apparatus is suspected. An X-ray of the jaws and nasopharynx is performed.

Surgery

For anatomical disorders, surgical treatment is necessary. Very often, nasal sounds in children are caused by polyps and adenoids in the nasal cavity. This defect can be corrected with mild surgery. Under local or general anesthesia, the doctor removes the tumors using a special loop.

For cleft palate and cleft lip, operations are performed to eliminate cleft palate (uranoplasty) and lip (cheiloplasty). These surgical interventions allow you to get rid of speech disorders and cosmetic defects.

Patients often ask the question: “What to do if there is a deviated nasal septum?” This defect is often a consequence of injuries to the nose and leads to breathing problems, snoring during sleep and nasal sounds.

With such a disorder, patients are advised to undergo plastic surgery of the nasal septum (septoplasty). The curved parts of the cartilage are removed under local anesthesia.

There is no postoperative scar left on the face, since the incision is made inside the nose.

Special exercises

Often the examination does not reveal any disorders or defects, but the person has severe rhinolalia. How to stop talking through your nose? In such cases, nasality most often has a functional origin.

If a speech impediment is associated with weakness or decreased tone of the muscles of the palate, then special exercises will help. For open rhinolalia, the following gymnastics are useful:

  • swelling of the cheeks;
  • releasing soap bubbles from a tube;
  • blowing out a burning match.

Such exercises help normalize breathing.

It is necessary to regularly perform gymnastics to improve articulation:

  1. The tongue is folded into a tube and slowly protruded from the mouth.
  2. The patient, with his mouth closed, touches the inner surface of each cheek with his tongue.
  3. The tongue is moved from one corner of the mouth to the other.

If you do such exercises systematically, then over time the nasal tone decreases and your speech becomes clearer.

Source: https://FB.ru/article/396206/kak-perestat-govorit-v-nos-prichinyi-i-lechenie-rinolalii

Treatment of children who speak through their nose

If a child speaks through his nose, it is necessary to show him to an ENT doctor to determine the exact reason for the appearance of such a sound. It is very important to identify the problem in time. The otolaryngologist’s tasks include determining the condition of the hard and soft palate, excluding cuts, adenoids, and prescribing the correct treatment.

In some cases, it may be necessary to undergo surgery aimed at. Such surgical intervention can be done at an early age, which provides the best conditions for the development of normal speech. Late surgery is fraught with the presence of a barrier that prevents you from giving up the habit of speaking through your nose.

Classes with a speech therapist

It is very important to consult a speech therapist before surgery, especially if the child is over three years old. You can continue classes with a speech therapist 2-3 weeks after discharge from the medical institution.

The tasks of a speech therapist include preparing the activity of the soft palate, normalizing breathing, and muscular activity of the organs of articulation. In the postoperative period, the speech therapist conducts classes based on special exercises and massage aimed at getting rid of pathological disorders in the functioning of the organs responsible for speech.

The child speaks through his nose – Pediatrist

The cause of speech disorders in children lies in disorders of brain activity (the speech center responsible for the perception and reproduction of speech) or in physiological pathologies. Incorrect pronunciation is associated with speech therapy problems, which can be eliminated by working with the child on articulation.

Rhinolalia is a common disorder in preschool children, a change in the timbre of the voice, which for physiological reasons becomes nasal. Translated from Greek, the term rhinolalia sounds like “nasal speech.”

A sign of such a disorder is that the child speaks through his nose, as if he has a runny nose, but there is no snot. If this occurs for speech therapy reasons, rhinophonia is diagnosed. Let's look at these two disorders and the factors that provoke them.

Adenoids

One of the common problems in childhood, which leads to changes in voice timbre and nasality, is adenoiditis, a pathological proliferation of the lymphatic tissue of the adenoids. The causes of inflammation in children are frequent acute respiratory viral infections due to reduced immunity.

Symptoms of inflamed adenoids:

  • mouth breathing;
  • snore;
  • violation of voice timbre;
  • breathing problems;
  • headache;
  • accumulation of snot on the back wall of the larynx.

This disease can be treated surgically and conservatively, depending on the form. For the first and second degrees of overgrowth, vitamin therapy, breathing exercises, and symptomatic treatment are used. If the child breathes through the nose and rhinoscopy shows that the adenoids are enlarged, but do not close the lumen, there is no need for surgical removal.

The third degree of adenoid proliferation is characterized by complete blocking of the vomer, which is why the child cannot breathe through the nose. Adenotomy, or surgical removal of enlarged tonsils, is used if drug treatment does not have the desired effect. But there is no guarantee that the lymphatic tissue will not grow again and the pathology will not resume.

Frontit

The paranasal sinuses are involved in purifying and warming the air during inhalation, and also form the timbre of the voice during pronunciation. In children under five years of age, only the supramillary maxillary sinuses are developed.

They become inflamed due to a viral disease and when snot gets into them when rinsing the nose, as well as due to injuries.

With frontal sinuses, the frontal sinuses become inflamed, which are also involved in the formation of the voice.

Sinusitis

There is no snot with sinusitis only in the initial stage of inflammation; later, mucous discharge from the nose and with admixtures of pus appear when a bacterial infection is attached.

Treatment

If your baby has a nasal sound, you should immediately start treating him. Often, medications are used for this, available in the form of drops or sprays.

Before treating a child, you should familiarize yourself with the most effective drugs.

Nazol Kids

When your nose is stuffy and there is no runny nose, you can undergo treatment with Nazol Kids drops or spray. The nasal preparation is made from phenylephrine hydrochloride, which relieves swelling in the paranasal sinuses and clears the nasal passages. Nazol Kids can be used continuously for 2-3 weeks, as it is not addictive and cannot damage the mucous membrane.

Before starting treatment with Nazol Kids, you need to familiarize yourself with its contraindications. This nasal drug should not be used by people with renal failure and thyrotoxicosis. It should also not be given to children under two years of age, as this may cause them to experience irritability, dizziness, arrhythmia, and sleep problems.

To prevent side effects in children, the correct dosages must be used during treatment. When using Nazol Kids spray, injections should be made three times every day. During the procedure, you need to carefully tilt the baby's head back so that the drug penetrates better into the nasal passages.

Bioparox

You can relieve congestion and get rid of colds with the inhalation drug Bioparox. The medicine is made from fusafungine, which has bacteriostatic functions, thanks to which it quickly gets rid of most harmful microorganisms in the nasal cavity. Bioparox also has an anti-inflammatory effect and quickly eliminates foci of inflammation of the mucous membrane.

Bioparox is not suitable for treating infants, as it is contraindicated for children under three years of age. Also, this inhalation medicine should not be used by people with allergies or high sensitivity to fusafungine. Some patients complain of side effects after using Bioparox. These include severe burning of the mucous membrane, asthma, laryngospasm, coughing and sneezing. Less common are allergic reactions such as urticaria, itching and skin rash.

Bioparox is used for inhalation into the nasal passage or oral cavity. However, for congestion caused by sinusitis or rhinitis, it is better to inject the medicine through the nostrils. Injection should be done three times daily.

It is a common phenomenon when children begin to speak through their nose due to respiratory diseases and a runny nose. This phenomenon is associated with nasal congestion and can be eliminated with comprehensive treatment. If a child speaks through his nose without snot, this causes particular concern for parents. This condition may indicate a violation of the drainage of the paranasal sinuses. Treatment in this case can be conservative or surgical. The treatment tactics are determined by the doctor, taking into account the specifics of the disease.

A nasal voice is a symptom of a dangerous disease

With certain diseases, our voice can change and acquire a sound that is unusual for it. Sounds become “dull” and unintelligible; in other words, we begin to speak “in our nose.”

Doctors call this nasal voice syndrome and classify it as dysphonia, an incomplete voice disorder.

What it is?

Nasality in the voice, or scientifically called rhinolalia , is a sound defect that occurs when pronouncing sounds. It is a consequence of excessive or insufficient resonance of the nasal cavity.

Air currents change their normal course and speech becomes slurred, sounds are distorted. With rhinolalia, the sound of some sounds completely changes: “m” begins to sound like “b”, and the letter “n” becomes similar to “d”.

A small red tongue, or in Latin – uvula, regulates air flow. You always see it when you open your mouth wide and pronounce the sound “a”. When the tongue hangs down, it is in a relaxed state and air flows freely into the nasal cavity.

This is how “nasal sounds” arise. When the uvula is tense, it blocks the nasal passage and air flows through the mouth. With a normal voice without nasal tone, the uvula muscle tenses when pronouncing almost all sounds except “m” and “n”.

When nasal sounds occur, air does not have the opportunity to pass through the nose, and we create these sounds exclusively through the “mouth,” without the participation of the nasal cavity.

Kinds

Types of nasality:

  • closed;
  • open;
  • mixed.

Closed nasality is the result of poor nasal obstruction and is called rhinophony or palatophonia. Open nasality is called nasality, in which sounds pass not only through the mouth, but also through the nasal passage.

In the mixed form, there is nasal obstruction and a weakened velopharyngeal seal.

Diagnostics

Nasality can be diagnosed independently. To do this, close your mouth tightly and try to hum a melody. If you feel puffs of air coming from your lips, then rhinolalia is not a threat to you. Another way to check is to say all the letters of the alphabet, except “m” and “n”, with your nose pinched.

If you notice the first signs of nasality, consult a doctor immediately. Depending on the symptoms and external examination, he will prescribe the necessary comprehensive examination and tests. When examined by a speech therapist, the structure and functioning of the speech apparatus is studied, and the quality of breathing is checked during a conversation.

For open rhinolalia, the Gutzmann method is used, the essence of which is to pronounce the vowel sounds “a” and “i” with alternate closing and opening of the nasal passages. Then the pronunciation of all other vowel sounds is examined.

Determining the cause of nasality depends on the following factors:

  • duration of the disease;
  • nature of sound defects;
  • past and chronic diseases.

It is often very difficult to identify the true cause of nasality; here it is necessary to consult with a number of specialists: a surgeon, phoniologist, endocrinologist, neurologist or speech therapist.

The most common types of examination are radiography of the nasopharynx, pharyngoscopy and electromyography. If necessary, you need to undergo a general and detailed blood and urine test.

Exercise

For open and closed rhinolalia, you should perform articulation exercises for the tongue:

  1. The tongue needs to be pulled down to the chin and fixed in this way for 5-10 seconds.
  2. Vibrate with your tongue out from one corner of your mouth to the other.
  3. Open your mouth wide, stick out your tongue and rotate in a circle, imitating the hands of a clock.

The second set of exercises for the treatment of nasality:

  1. Exercise according to Emelyanov’s method. Pronounce the vowels in the following order: "ooaee". When you hear the sound “y”, make a good yawn.
  2. Sing vocal exercises and your favorite songs using the sounds “u”, “o”, “yu”.
  3. "Yawn." Make yawning movements several times. This exercise is very effective for proper breathing.
  4. The sounds "mu" and "nu". Say these words slowly, separating the letters: “m, u, n, u.”
  5. Drink water in very small sips. This stimulates the uvula to rise and tighten.

With an open nasal tone, it is very important to learn how to breathe correctly . To do this, you need to perform simple exercises: blowing out your cheeks, blowing soap bubbles, imitating blowing out a fire.

When eliminating nasality, the patient must be taught to speak abruptly, very clearly, slowly, with his mouth wide open. It is important to be able to distinguish the correct pronunciation of sounds from the incorrect one.

If a child has a nasal voice, regular massage of the soft palate will be very useful. Its goal is to stimulate the mobility of the palate and activate its movement.

If the child is small, parents should do the massage:

  1. Using a clean pad of the index finger of the right hand, the border between the hard and soft palate is rubbed to stimulate a reflex contraction of the muscles of the nasopharynx.
  2. Repeat this action when the child pronounces the letter “a”.
  3. Perform zigzag exercises from the left edge of the palate to the right and in the opposite direction.
  4. The index finger makes light pressing and pushing movements of the soft palate.

Massage should not be performed immediately after eating, as it can cause a gag reflex.

Treatment of nasality in children must be carried out carefully and in a timely manner; in advanced forms, speech defects can cause isolation, nervousness and even anger in the child.

Usually, nasal speech requires long-term treatment and great effort on the part of both the speech therapist and the parents.

Prevention

To prevent the appearance of nasality and further complications, the following recommendations must be followed:

  • monitor the condition of the nasopharynx; if there is the slightest change, you should consult a doctor;
  • avoid colds and viral diseases;
  • pay attention to how you pronounce individual sounds and words;
  • if surgical intervention is necessary, do not delay, otherwise the consequences of such a delay can be very serious for health;
  • Avoid hypothermia and maintain a proper daily routine.

Reasons for a temporary change in voice timbre

In addition to pathological changes that are treated surgically, there are diseases in which the symptom of nasal sound is present, but there is no snot. This is sinusitis with complete blockage of the sinus and frontal sinusitis.

Frontit

The paranasal sinuses are involved in purifying and warming the air during inhalation, and also form the timbre of the voice during pronunciation. In children under five years of age, only the supramillary maxillary sinuses are developed. They become inflamed due to a viral disease and when snot gets into them when rinsing the nose, as well as due to injuries. With frontal sinuses, the frontal sinuses become inflamed, which are also involved in the formation of the voice.

Sinusitis

There is no snot with sinusitis only in the initial stage of inflammation; later, mucous discharge from the nose and with admixtures of pus appear when a bacterial infection is attached.

Swelling of the mucous membrane

Another reason for temporary nasality is swelling of the mucous membrane due to allergies and colds. In the initial stage, there may be no snot. Treatment of such ENT diseases is carried out with medication using vasoconstrictor drugs, antiviral and antiseptic. Sometimes antibiotics are prescribed for topical use or in the form of tablets and injections for complications.

If a child speaks through his nose, most parents for some reason try not to pay attention to it; moreover, they believe that the child is doing this on purpose. However, this is not the case.

Rhinophony is the name given to nasal sounds. Sometimes this disease occurs in children, but it is curable.

The child speaks through his nose and the reasons for this

  • Mental trauma
  • Fright
  • Sluggish articulation
  • Adenoid removal
  • Post-diphtheria paralysis of the palate
  • Hearing impairment
  • Polyps
  • Deviated nasal septum
  • Swelling of the mucous membrane

Open rhinophony is present if it affects all sounds except m and n. This is the most common form of rhinophony. The reason for this is the penetration of air into the nasal resonator, and when pronouncing oral sounds this should be excluded.

If the sounds m and n are amenable to changes during pronunciation, there is reason to talk about closed rhinophony. That is, the air stream does not penetrate the nasal resonator at all.

Functional rhinophonia often occurs after surgery or is present in children with sluggish articulation. With functional rhinophony, there are no changes in the soft and hard palate.

There is organic rhinophony, which is divided into congenital and acquired. The second can occur in case of perforation of the hard and soft palate, paralysis of the hard and soft palate.

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