Laryngotracheitis is a disease combining inflammation of the trachea and larynx. The causative agents of this disease are viral and bacterial infections. As the disease progresses, certain symptoms appear. First of all, this concerns changes in voice, painful sensations in the throat and enlargement of local groups of lymph nodes. Cough with laryngotracheitis is also a very typical sign that is worth paying significant attention to.
Laryngotracheitis is an inflammation of the larynx and the initial parts of the trachea.
A cough is a form of exhalation through the mouth, caused by contraction of the muscular muscles of the human respiratory tract due to certain factors irritating the receptors. Thus, the physiological function of a cough is to clear the throat of foreign substances that may be present in it. This allows you to prevent obstruction of the passageways, which prevents the possibility of suffocation and asphyxia.
Patients with laryngotracheitis often experience severe coughing attacks. This problem is associated with a number of important aspects that must be taken into account:
- When an inflammatory process occurs in the trachea, its lumen decreases slightly.
- Infectious lesions cause the constant formation of difficult-to-remove mucous contents, which irritate the receptors and disrupt the conduction of the entire system.
- Inflammation in the larynx affects the vocal cords. They become damaged and swell, as a result of which the area of the peri-ligamentous tissue gradually accumulates fluid and compresses the area of the larynx.
Thus, due to the above reasons, attacks of barking cough occur with laryngotracheitis. With the help of this not always pleasant symptom, the body tries to clear a person’s throat of substances that can lead to asphyxia.
Attacks of severe coughing can further damage the mucous membrane. Therefore, it is necessary to convert them from dry type to wet type.
What leads to laryngotracheitis
As a rule, this pathology is provoked by infection, which appears against the background of acute respiratory infections. However, in some situations, doctors come to the conclusion that laryngotracheitis is a reaction to an overly aggressive microflora. For example, this happens if the patient is at risk for chickenpox or rubella.
In this situation, as a rule, antiviral drugs are used, which should be used already in the first stages of the development of laryngotracheitis. It is worth paying attention to other provoking factors that lead to this pathology.
Most often, those who have had upper respiratory tract diseases that have progressed to a chronic or acute stage suffer from the disease. Accordingly, those who previously had tonsillitis, sinusitis and rhinitis are at risk of developing laryngotracheitis. Pathology can also occur against the background of intense or prolonged tension of the ligaments. In this case, those people who are forced to use their voice in the process of work are at risk.
Disease of the bronchi and lungs can also lead to a similar illness. For example, against the background of chronic or acute forms of emphysema, you can completely develop laryngotracheitis. Also, you should not discount factors such as polluted air, chemical and toxic fumes, etc. Therefore, it is worth considering the place where the potential patient lives and works.
Complications in the form of laryngotracheitis can result from stress, hypothermia, or too much fatigue. If there are not enough vitamins in the human body, this leads to a weakening of its protective functions, which becomes a favorable atmosphere for the development of a variety of pathologies.
Those who are fond of alcoholic beverages and drugs and often smoke cigarettes should also be careful.
Causes of the disease and its pathogens. Forms of laryngotracheitis
Doctors note that the vast majority of recorded cases of the disease are a consequence of the activity of viruses or bacteria. A similar complication is often observed after the acute stage of influenza, in the presence of adenoviral infections. Risk groups with unstable immune systems are especially susceptible to the disease. In children, the body, weakened after rubella, chickenpox or scarlet fever, is also easily susceptible to infection.
Infectious laryngotracheitis can be caused by staphylococci, chlamydia, and other bacteria of this series. The bacterial form may be an immune response to hypothermia or another external factor that increases the activity of pathological flora. Also, adult patients are difficult to tolerate types of disease caused by syphilis or tubercle bacilli.
Laryngotracheitis remains a contagious disease transmitted by airborne droplets. Less common is an illness caused by a chemical burn or mechanical damage to the mucous membrane of organs. Treatment of these types occurs according to a special scheme.
Infectious laryngotracheitis can occur:
- In the acute simple form, it will take a maximum of a month to treat inflammatory processes.
- In the form of false croup, this option is called stenosing laryngotracheitis. In this case, swelling of the tissue occurs in the subglottic space (below the glottis). Exudate accumulating in a narrow passage, muscle spasm causing hypoxia, aggravate the course of the disease and complicate treatment.
- In chronic - this option reminds itself for months, and often lasts for many years.
Treatment of laryngotracheitis, each of the listed types, requires a special approach and the prescription of different drugs. Stenosing laryngotracheitis most often manifests itself in childhood and adolescence, acute is universal, and all other types are characteristic of adults.
Laryngotracheitis during pregnancy
This type of pathology is quite rare in pregnant women; more often they suffer from other diseases of the ENT organs. However, it is worth considering that this disease is very dangerous due to its complications, which can have a very negative impact on the development of the unborn baby.
In such situations, the use of certain antibiotics is allowed, since they cause the least harm to health compared to the active disease itself. As a rule, pregnant women are recommended to take Flemoclav Solutab. This drug does not have a toxic effect on the fetus, but it is worth considering that its active components sometimes penetrate the placenta.
Also, when it comes to antibiotics for laryngotracheitis in adults, expectant mothers are often prescribed Amoxiclav. A similar drug is also used for bacterial laryngitis and pharyngitis. Also in some situations, Rovamycin is prescribed. This remedy helps against different types of cocci and is safe for the unborn baby.
It is also worth considering other antibiotics for laryngotracheitis in adults, which are used most often.
Possible complications
The main complication of taking antibiotics (apart from allergic reactions, which can be avoided if you take only suitable drugs) is the development of dysbiosis .
This disruption of the normal state of intestinal microflora occurs due to the fact that antibiotics cannot act selectively and destroy all microorganisms - from pathogenic and conditionally pathogenic to beneficial ones that facilitate the digestion of food and perform other vital functions.
Usually, such consequences are not terrible for an adult , and short-term dysbiosis is easily eliminated in three days of actively drinking yoghurt or kefir.
But small children or elderly people , whose body cannot restore the microflora on its own, have to undergo an additional course of treatment with probiotics .
Need to know! Also, treatment with such drugs can lead to the formation and development of bacteria resistant to specific antibiotics in the body.
As a result, such microorganisms are no longer exposed to these drugs, and the activity of such microflora can lead to the development of additional diseases that will be more difficult to treat.
Types of antibacterial products
As a rule, drugs from different groups can be used in the treatment of this disease. This is explained by the fact that often the causative agents of the disease become resistant to certain medications. Therefore, if after starting the drug does not have any effect within two to three days, there is no point in continuing to take it. It is best to choose a different type of remedy with your doctor.
Today, several groups of antibacterial drugs are used.
- Penicillins. In this case, suspensions, injections and tablets are most effective. Thanks to drugs of this type, it is possible to get rid of unpleasant symptoms quite quickly. In addition, penicillins are characterized by low toxicity, so they are used to treat not only adults, but also children.
- Cephalosporins. These products are similar to the previous group, but they have a wider spectrum of action.
- Macrolides. These drugs include drugs that have a fairly high level of antibacterial activity. Such remedies are the most effective in combating various types of cocci, which are the most common provocateurs of the development of laryngitis of varying complexity. With the help of macrolides it is also possible to destroy intracellular parasites, which include chlamydia, mycoplasma, etc.
- Fluoroquinolones. This group of drugs is considered the most powerful. These agents have a strong bactericidal effect, so they are most often prescribed when it comes to advanced pathology. However, this type of product is strictly forbidden to be given to children, pregnant women and mothers who are breastfeeding.
It is worth taking a closer look at the list of antibiotics for laryngotracheitis in adults that are used today.
Laryngotracheitis - give an antibiotic?
The doctor made this diagnosis today when I asked my son to cough and immediately prescribed ab suprax and said sarcastically, you will still have to drink it, don’t delay. Do you agree with this appointment? Further under cat. I noticed the temperature on Thursday evening quite by accident. 38.5. I gave Nurofen at night, and within half an hour it dropped to 36.4. Until five in the morning. Then it started to grow again. The second half of Friday and Saturday the temperature dropped poorly. Paracetamol didn’t help at all, Nurofen knocked it down to 38 for a couple of hours! I don’t remember anything like this here at all. The throat is red, the tonsils are enlarged, there is a slight runny nose. He did not complain about his throat and his lymph nodes were not inflamed. On Friday I started giving her gramidin because her tonsils were noticeably enlarged. From Friday to Saturday, Nurofen already slowed down the pace quickly and by 9 hours. I’ve also been sick since Saturday, my knees were aching, my head was hurting, and my temp was 38.5. Nurofen relieved all symptoms. Today the child woke up with a terrible cough in his throat. Cough very rarely (from snot or crying). What we do: airing, humidifiers for wear, aqualor in the nose, rinsing with chlorophyllipt and furatsilin, drinking tons and plus milk with Borjomi, also miramistin, but this is not due to increased anxiety. Question: is it worth drinking ab and how to quickly turn a cough into a wet one? How can I relieve my child’s condition? Am I really a fool, as the doctor made clear, that I want to wait a couple more days with ab? My son eats, drinks, and is active, but when he coughs, it hurts to look at him. I also prescribed Erespal, but I am a supporter of Rusmedsevrev, Komarovsky, etc., I will not give it. Sore throat was ruled out using streptatetest. We had a similar story two years ago, where my husband forced me to start giving Ab because my son ran away in pain. The next day of the appointment everything went away. But a month ago we took flemoxin; there was a complication after an acute respiratory viral infection - otitis media with fever. And again now the hand does not rise to give. Here is an excerpt from Komarovsky: An ardent opponent of groundless antibacterial therapy, Dr. Komarovsky, argues that for laryngotracheitis, antibiotics are useless, because the virus present in the child’s body cannot be treated with them. If the baby’s condition is stable, then it makes sense to abandon radical treatment in favor of proven methods: inhalation, drinking plenty of fluids, and regular wet cleaning of the room. Girls, called an ambulance, they arrived. They also don’t need any tests; after three days of fever, an antibiotic is given so that the bacteria does not join))))). There are simply no words. I'm afraid we'll probably drink suprax. Again 39, the fourth day has already started
Penicillins
Drugs of this type are drugs that belong to beta-lactants. As a rule, penicillins are made from special types of mold. Due to this, they are characterized by very high activity of pathogenic microorganisms. If drugs in this category are used in the form of injections, the substance spreads much faster throughout the human body.
Penicillin group drugs are:
Laryngotracheitis and its main symptoms
Laryngotracheitis is an inflammatory pathological condition of the mucous membranes of the nasopharynx and larynx .
Reference! In fact, this disease combines two ailments at once: tracheitis and laryngitis. This pathology often develops as a complication of the following diseases:
- rhinitis;
- pharyngitis;
- sinusitis;
- tonsillitis;
- laryngitis.
The symptoms of the disease may be similar to the signs of diseases that provoke this disease.
But in general, symptoms of laryngotracheitis include a dry cough, pain in the throat and behind the sternum, sputum production when coughing, hoarseness, sensation of a foreign body in the throat, enlarged cervical lymph nodes, noise in the lungs when inhaling and exhaling, pain when swallowing.
"Augmentin"
This product contains amoxicillin and clavulanic acid. The drug is sold in the form of tablets, powder and liquid for injection. "Augmentin" is a broad-spectrum drug. These antibiotics are prescribed for laryngotracheitis in adults and children over the age of three months. The use of the drug during breastfeeding is also allowed.
This product is considered the least toxic. If we talk about contraindications, then only those who have an individual intolerance to one of the components of the drug or those who suffer from kidney diseases should not take this drug.
General rules for the use of antibiotics
Antibiotics are potent antibacterial drugs that must be taken strictly according to the instructions , and also follow mandatory general rules, including:
- The need to take the drug at regular intervals .
- Compliance with the dosage schedule regarding meals (to do this, you need to find out in the instructions whether to take the medicine before or after a meal and how long after or before a meal you can use the drug).
- Mandatory accompaniment of the course of treatment with plenty of fluids , which helps remove excess drug and its breakdown products from the body.
- Avoid alcohol throughout the entire course of treatment.
- Complete completion of the course of medication, even if external symptoms completely disappear after a few days.
Particular attention should be paid to the post-therapeutic period, when it is necessary to take probiotics for a certain time, restoring the intestinal microflora destroyed during antibiotic treatment.
"Amoxicillin"
This drug is an acid-resistant antimicrobial agent that has a fairly broad effect and antibacterial properties. However, when it comes to viral pathology, these antibiotics for laryngotracheitis in adults become completely useless. Therefore, it is better to consult a doctor and choose a different type of therapy.
Perhaps drugs from the cephalosporin group will be more effective, since they have a wider spectrum.
Treatment
The basic rule for the treatment of laryngotracheitis is the exclusion of spicy, as well as cold, hot irritating foods from the diet, and complete cessation of smoking. It is necessary to completely eliminate vocal stress and reduce exposure to frosty air.
The patient is treated on an outpatient basis, hospitalization is indicated in case of threat of laryngeal stenosis, in severe conditions.
Local treatment
A good effect in the treatment of laryngotracheitis at home is achieved by local treatment using inhalation with a mineral water nebulizer, anti-inflammatory, aseptic drugs.
Moisturizing the mucous membrane with laryngotracheitis gives a noticeable result; saline solution is sufficient for inhalation with a nebulizer; using the mucolytic lazolvan through a nebulizer has a good effect.
In case of severe swelling of the mucous membrane, pulmicort suspensions are inhaled through a nebulizer. The product is diluted with saline solution in a ratio of 1:1. After inhalation it is necessary to rinse your mouth.
Steam inhalations for laryngotracheitis are prohibited.
I use sprays and aerosols with mucolytic, antibacterial effects for the treatment of laryngotracheitis; they use inhalation agents that contain hormones.
Humidification of the air in the room, frequent intake of warm drinks - compotes, chamomile decoction, breast milk, tea - have a positive effect on the patient's condition.
Physiotherapeutic procedures are indicated for patients with laryngotracheitis:
electrophoresis of potassium iodide, calcium chloride, hyaluronidase to the larynx area; laser treatment; endolaryngeal phonophoresis; microwave therapy.
Drug treatment
In case of swelling of the mucous membrane or the presence of viscous discharge, mucolytics are prescribed to thin the mucus. Dryness and thinning of the mucous membrane in atrophic forms of chronic laryngotracheitis are eliminated by prescribing secretolytics.
To speed up the processes of tissue regeneration and eliminate inflammation, agents are prescribed that improve microcirculation, absorb, and increase muscle tone.
When coughing, to improve sputum discharge, mucolytic drugs are prescribed, such as ACC, ACC-long, Codelac-broncho.
It is recommended to reduce high temperatures exceeding 38 °C with paracetamol, Tera-Flu, and Coldrex. In the first 3-4 days of illness, antiviral drugs Anaferon and Ergoferon are taken.
Antibiotics are added to the main treatment if a high temperature persists on the 5th day after the onset of symptoms. Streptococcal infection is highly sensitive to penicillins (amoxiclav, augmentin), macrolides (sumamed, klacid), cephalosporins (ceftriaxone).
Antibiotics are prescribed orally; in severe conditions, ceftriaxone injections are given intravenously or intramuscularly. For purulent abscesses in the pharynx, antibiotics are also used to treat laryngotracheitis. The drug of choice is amoxicillin with clavulanic acid and fluoroquinolones.
Attention is paid to general anti-inflammatory therapy, treatment of concomitant diseases of the nasopharynx and respiratory tract.
Surgery
In case of complicated laryngotracheitis, surgical treatment is resorted to. Complications of inflammation - neck phlegmon, abscess, mediastinitis - are treated surgically from an external approach.
"Ceftriaxone"
This remedy is often used in the fight against pathologies of this type. However, before use, it is worth studying in detail the instructions for use of the antibiotic Ceftriaxone. It indicates the dosage only for people over 12 years of age. Accordingly, this product must be used very carefully for young children. Only if the doctor independently calculates the dosage.
If we talk about adults, the instructions for use of the antibiotic “Ceftriaxone” indicate that for adolescents and older patients, 0.5 g of dry matter is sufficient, which is used for injections. It is also worth paying attention to the line with contraindications. This remedy should not be used by those who suffer from kidney or liver diseases.
Types and symptoms
As one of the types of acute respiratory infections, laryngotracheitis shows signs in the early stages:
- Discomfort and soreness in the respiratory tract;
- Hoarseness of voice;
- Frequent cough;
- Temperature 38 and above;
- Inflammation of the lymph nodes;
- Young children have increased moodiness.
The incubation period depends on age. In young children it ranges from 2 to 72 hours, and in older children from 1 to 2 weeks. Symptoms:
- Coughing;
- Loss of voice;
- Severe shortness of breath;
- White patches on the throat;
- Increased fatigue and weakness;
- Pain along the length of the neck and chest;
- Wheezing when breathing (stenotic breathing).
A number of classifications of laryngotracheitis:
- By form: acute and chronic;
- According to development: asymptomatic, symptomatic and gradual;
- According to the course: acute and chronic;
- According to the nature of inflammation: catarrhal, atrophic, hyperplastic.
"Suprax"
This drug can also be purchased in the form of tablets or suspension. This remedy is classified as a new generation of antibiotics. This means that it is relatively safe for humans (when compared with more aggressive analogues). Suprax can be taken by children over 6 months of age.
It is also worth considering drugs for laryngotracheitis of another group.
Manifestations of chronic laryngotracheobronchitis
The chronic form of the disease appears gradually. It is characterized by such manifestations as:
- vocal fatigue in case of prolonged talking or singing;
- hoarse voice, which can lead to complete aphonia;
- pain behind the sternum and larynx;
- coughing attacks that occur after deep breathing, laughter, or prolonged exposure to cold air.
Exacerbations of the chronic stage of the disease can appear in women during hormonal changes, stress, due to hypothermia, after overstrain of the ligamentous apparatus (singing with anguish, screaming).
As a rule, in this case, the cough is constant, and a small amount of mucus is released. But during exacerbations, coughing attacks become more frequent, and the amount of sputum increases.
In this case, a feeling of dryness and itching may occur in the area of the larynx and trachea.
Macrolides
These antimicrobial agents are considered to be among the most effective and harmless. Macrolides are used most often for diseases of the respiratory organs, including the described ailment. There are no special contraindications for children. Accordingly, we can say that when deciding which antibiotic is better for laryngotracheitis in adults or children, you should give preference to this particular group.
It is worth noting that macrolides are less likely than other drugs to cause allergic reactions. They are not so toxic, therefore the use of such drugs in the treatment of children is allowed (but only as prescribed by a doctor).
Treatment of different forms of the disease
How to treat laryngotracheitis? Doctors note that there is no universal technique. Therefore, a visit to the doctor and compliance with his prescriptions is necessary.
You should not immediately resort to antibiotics. Such drugs are indicated only for bacterial forms of laryngotracheitis, the treatment of which involves the destruction of pathogenic microflora. After a course of such medications, restorative therapy with probiotics is prescribed.
In recent years, a local antibiotic, Bioparox, has been popular, which suppresses the development of viruses and bacteria and supports phagocytosis. This medication acts directly on the affected areas, bypassing the gastrointestinal tract and reducing the risk of allergic reactions even in at-risk groups.
OSLT, or stenosing laryngotracheitis, rarely develops in newborns and practically does not occur after 8 years. His treatment is aimed at relieving inflammation and facilitating sputum discharge. Today, in hospital settings, aerotherapy sessions, moisturizing inhalations, sedative and antispasmodic therapy are widely used to relieve bronchial spasms. Antihistamines will remove swelling.
First aid for laryngospasm in a baby should be provided immediately. You need to urgently call a doctor or call an ambulance, but you can’t waste precious minutes. You should immediately provide access to fresh air, press on the root of the tongue with a safe object at hand - for example, a spoon. It is recommended to inject Suprastin or another similar drug. And after some relief, give a few sips of alkaline mineral water or a 2% soda solution (soda on the tip of a teaspoon plus a glass of liquid), maybe with milk. Adults need to remain calm so as not to cause a panic attack in children. Further measures will be taken by the arriving doctor, who knows exactly how to treat stenosing laryngotracheitis.
Before you begin treatment for laryngotracheitis, you need to determine an accurate diagnosis. For the simple form of acute pharyngitis, symptomatic measures are effective:
- Traditional warm drink - an adult will need about two liters of liquid per day.
- Regular ventilation of the room will also ease the general condition.
- At temperatures above 38o, you need to take an antipyretic.
- Inhalations using a nebulizer are desirable. Saline solution is universal; you can also add a few drops of Lazolvan or Budesonide for intensive treatment.
- It is mandatory to take antitussive and mucus-thinning medications - mucolytics. For example, doctors often recommend combining Ambroxol with Mucoltin or Gerbion syrup based on plantain.
If the causative agent is a virus, then it is reasonable to start taking an antiviral drug on the first day of illness. Anaferon, Arbidol or Amizon are often prescribed. But among doctors there is another point of view: the effectiveness of such drugs has not been proven and, perhaps, we are dealing with a banal “placebo”.
The use of aerosols and sprays of different compositions that have anti-inflammatory and analgesic effects is indicated. But many doctors are in no hurry to prescribe such drugs in the acute phase of the disease: almost all of them contain alcohol, its sharp effects can lead to laryngospasm.
"Sumamed"
This drug is also often called Azithromycin. The price of “Sumamed” today is about 220 rubles. By purchasing this product, the patient receives a bioavailable, long-acting component. This means you won't have to take the medicine often. As a rule, once a day is enough. “Sumamed,” whose price is lower than some broad-spectrum antibiotics, copes well with the manifestations of pathology and is widely used in medicine. This product also has a bactericidal effect.
However, it is worth saying a few words about the dosage of Azithromycin. If we are talking about tablets, then for lesions of the upper and lower respiratory tract it is recommended to take no more than 500 mg of the drug once a day. As a rule, the course lasts three days. Usually the doctor prescribes 1.5 g for the entire treatment.
If we are talking about a suspension, then the dosage of Azithromycin will depend on a more accurate diagnosis. However, in this case the course of treatment is also only three days. Doctors usually prescribe the drug at the rate of 10 mg per kg of a person’s weight.
Foot baths
Procedures related to heating cannot be performed with a fever above 37.5 degrees. The simplest procedure is foot baths. It has a warming effect, the result of which is an increased outflow of blood from the upper half of the body and its deposition in the veins of the lower extremities.
- To carry out the warming procedure, you should prepare a small basin with warm water (temperature about 40 degrees). Then you need to lower your legs into the basin for a quarter of an hour. After the end of the session, you must put on warm wool socks. Within 10 minutes your breathing will become easier;
- another method involves rubbing your feet with turpentine, after which it is also recommended to wear woolen socks;
- You can put mustard powder in your socks to keep your feet warm throughout the night. If the mustard starts to burn too much, you can replace it with other socks (without powder).
The gargling procedure can be carried out using the following means:
- 15 g of elderberry, St. John's wort, and coltsfoot should be mixed, crushed and poured with 450 ml of boiling water. The container with the medicine must be boiled over low heat for 10 minutes, then left to infuse for two hours, covered with a lid. The prepared medicinal medicine must be filtered, add 40 ml of sea buckthorn oil;
- soda-salt solution (5 g of ingredients per glass of water).
Don't forget about oral medications:
- In the fight against cough, radish is a powerful medicine. A medium-sized root vegetable is suitable for this recipe. It should be washed well, cut off the top and carefully make a small indentation using a knife. Pour honey into it and leave overnight. When you wake up in the morning, you can notice juice in the cavity. It must be drained and taken 10 ml three times a day. The recess is closed again with honey;
- To restore your voice, warm milk with honey is suitable;
- a medium-sized onion needs to be peeled, finely chopped and mixed with 15 g of sugar. Then pour 220 ml of boiling water and boil over low heat for 10 minutes until a thick consistency is obtained. After filtering the mixture, you need to take 5 ml three times a day, after holding it in your mouth without swallowing;
- The carrots are thoroughly washed, peeled, chopped with a grater, then the juice is squeezed out. For 220 ml of juice you will need 15 g of honey. You need to take the medicine 4 times a day, 50 ml;
- Lemon and honey can be used to combat cough. You need to cut the lemon from different sides and cook it for a quarter of an hour until a soft consistency appears. After this, you need to cool and squeeze out the juice. To the seedless lemon pulp you need to add honey of a liquid consistency (1:1). The resulting mixture is mixed with 15 g of glycerin (you can buy it at the pharmacy). After thorough mixing, children should take 5 ml three times a day, and adults – 15 g;
- Another effective remedy is fig infusion. For the recipe you need 100 g of fresh fruits and 240 ml of boiled milk. You need to soak the ingredient in milk, leave for 7 hours, mash the berries and drink the medicine three times a day, 70 g;
- treatment at home is carried out with ginger. You should chop the ginger root, add honey (about 100 ml) and cook for 5 minutes, remembering to stir. The resulting sweetness can be added to tea before bed;
- A garlic decoction can be prepared from five cloves, which need to be peeled, crushed with a garlic clove and mixed with 300 ml of milk. Then you need to boil the milk, cool it and take 5 ml 6 times a day;
- Apricot kernels need to be peeled, dried and ground into powder. 3 g can be added to tea or milk, taken three times a day.
Oil preparations should not be used in the treatment of laryngotracheitis. They settle on the mucous membrane of the respiratory tract and make breathing difficult.
Antibiotic "Cefuroxime"
This type of drug belongs to the second generation drugs. Its main component has a bactericidal effect. The product is considered quite effective, but it is worth considering a number of contraindications.
For example, this drug should not be taken by those who may experience an allergic reaction. You should also be careful when it comes to diseases accompanied by bleeding in the stomach. You should not take the drug for peptic ulcers and some other pathologies. Do not use by pregnant women.
Treatment with antibiotics
mainly caused by viruses , and in such cases, antiviral drugs are considered the only effective treatment .
Attention! In some cases, the development of the disease is provoked by pathogenic bacteria that develop against the background of other diseases or are activated under the influence of various disposing factors.
Antibiotic therapy would be appropriate here , but only the attending physician can prescribe a medicine based on the results of diagnostic measures that make it possible to accurately determine the pathogen.
Typically, such treatment takes from one to two weeks , but if the disease does not subside during this period, the duration of the course of treatment can be extended.
Although in most cases this is a useless measure, since if the drug has not dealt with the pathogen in two weeks, it means that the latter has developed resistance to the drug (then it is necessary to select another medicine).
Diagnostics
In the process of establishing a diagnosis, the doctor takes into account the patient’s complaints typical of laryngotracheobronchitis (pain behind the sternum, dry cough, hoarse voice). In addition, the doctor listens to the trachea, lungs and conducts an examination.
In addition, it is advisable to conduct laboratory tests, including:
- general blood test;
- bacteriological examination of secretions;
- general urine examination;
- serological analysis for respiratory viruses.
Additionally, microlaryngoscopy and tracheoscopy are performed; during these procedures, the doctor examines the larynx and vocal cords using a special apparatus. If necessary, an X-ray and CT scan of the trachea and larynx are performed.
If laryngotracheobronchitis is chronic, then laryngoscopy may be necessary, in which tissue is removed for a biopsy to rule out cancer. When there is wheezing, a chest x-ray is taken to rule out the presence of pneumonia.
In addition, the disease must be distinguished from a foreign body that could enter the trachea or larynx, retropharyngeal abscesses, papillomatosis and diphtheria.
