Your Baby's Hoarse Voice: Causes and Concerns - Pediatrics

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Baby has a hoarse voice?


I would like to ask about my one-and-a-half-month-old baby who suddenly has a hoarse voice.
Recently, there has been a lot of crying, but this is the first time it has happened since birth.
I checked the temperature and there is no fever, and the appetite is normal.
Could drinking milk that is too hot cause this?

wa, 20~29 year old female. Ask Date: 2016/01/27

Dr. Pei Rensheng reply Pediatrics


Hello: Possible causes of hoarseness in young children include: 1.
Common cold, 2.
Croup, 3.
Foreign body aspiration, 4.
Loud shouting.
If there is no improvement after 2-3 days, it is advisable to consult a pediatrician.
Wishing you health and happiness.
Sincerely, Dr.
Pei Ren-Sheng, Chief of Pediatrics, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/27

More Info


When a baby around one and a half months old suddenly develops a hoarse voice, it can be concerning for parents. There are several potential causes for this change in vocal quality, and understanding them can help alleviate worries.

One common reason for a hoarse voice in infants is laryngitis, which is inflammation of the larynx (voice box). This can occur due to a variety of factors, including viral infections, excessive crying, or exposure to irritants such as smoke or strong odors. In your case, since you mentioned that your baby has been crying a lot recently, this could be a contributing factor. Crying can strain the vocal cords, leading to temporary hoarseness.

Another possibility is that your baby may have experienced some irritation from drinking milk that was too hot. Infants have sensitive throats, and consuming hot liquids can cause discomfort or inflammation, potentially resulting in a hoarse voice. It's crucial to ensure that the milk is at a safe temperature before feeding.

Additionally, environmental factors such as dry air, especially during winter months or in air-conditioned spaces, can lead to dryness in the throat, which may also cause hoarseness. If your home environment is dry, consider using a humidifier to add moisture to the air.

In terms of concerns, it's reassuring that your baby does not have a fever and is maintaining a normal appetite. These are positive signs indicating that the hoarseness may not be due to a serious underlying condition. However, if the hoarseness persists for more than a few days, or if you notice other symptoms such as difficulty breathing, wheezing, or a significant change in feeding habits, it would be wise to consult a pediatrician. They can perform a thorough examination to rule out any serious issues, such as infections or structural abnormalities in the throat.

In summary, a sudden hoarse voice in a young infant can often be attributed to factors like excessive crying, irritation from hot liquids, or environmental conditions. While it is generally not a cause for alarm, monitoring your baby's symptoms and seeking medical advice if they worsen or persist is always a prudent approach. Remember to ensure that your baby's feeding environment is safe and comfortable, and keep an eye on any changes in their behavior or health.

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