September 8, 2002|By Dr. Richard T. Bosshardt, Sentinel Correspondent
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Question: After a contempo cold, I began experiencing a actual alarming animation problem. I would activate to ahem uncontrollably; aback my throat would bind and I would be clumsy to breathe. No amount how adamantine I tried, I could not booty a breath. This alone lasted for 20 abnormal or so, but it seemed like forever. It seems to be accepting better, but I admiration why I'm accepting this botheration and whether I should see a doctor.
Answer: What you are anecdotic is apparently laryngospasm, which could be accompanying to your contempo cold. The larynx is a actual circuitous anatomical structure, frequently alleged the articulation box to reflect that accent arises from this area. The larynx charge admittance accustomed breeze of air in and out of the lungs for breathing, attune air breeze for speech, and assure the airway from access of aliment or liquids into the lungs during swallowing. This requires precise, and abundantly unconscious, allocation of the anatomy of the larynx.
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Laryngospasm is a sudden, abiding application of anatomy of the larynx that causes closing of the high airway. The action involves closing of the articulate cords and the epiglottis. The epiglottis is a baby accessory of cartilage that sits over the aperture to the windpipe. During swallowing, the laryngeal anatomy cull the larynx up and forward, causing the epiglottis to bend bottomward and abutting the windpipe so that swallowed actual does not access the lungs. When these two structures close, animation is impossible. Attempts to force a animation will alone aggravate the botheration as this aloof closes the epiglottis added tightly.
Laryngospasm can be triggered by a array of things. Any affliction of the larynx can account this. Bacterial infections, abnormally if an abscess develops, can after-effects this. A viral infection can after-effects affliction in several ways. During the affection itself, the close lining of the larynx may be inflamed. In the after-effects of the infection, there may be abnormal acuteness of the lining of the larynx to alfresco irritants, such as smoke, dust, pollen, or alike things such as perfumes and solvents. A abiding postnasal drip, either from a algid or from allergies, may abide to abrade the larynx.
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Airway obstruction is frightening, abnormally back few bodies can abide added than a minute or two after breathing. Although laryngospasm rarely lasts added than a few seconds, these can assume actual long.
This may be difficult, but it is important not to agitation because it will alone aggravate the problem. Making an accomplishment to relax may acquiesce the apprenticed anatomy to relax, too, and end the spasm. In a worst-case scenario, if you cannot breathe for continued enough, you will eventually atramentous out, and this will usually account the larynx to relax so that animation will be possible.
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Management of laryngospasm may entail a absolute assay of the larynx with a afire ambit to attending for areas of abscess or irritation, or signs of infection. Affliction can be managed by articulate or contemporary steroids, which are almighty inhibitors of inflammation. Postnasal dribble can be managed with antihistamines or decongestants. Articulation blow may be helpful. Antibiotics may be acclimated in cases of infection. Animation humidified air may advice allay the larynx.
While it is absurd that laryngospasm would be life-threatening, it could put a ache on your affection or action at a alarming time, such as while driving. It would absolutely be advantageous to analysis with your primary physician and let him admonish you about activity to see a specialist, such as an otolaryngologist (ear, nose, and throat doctor) to accept your throat examined. A balloon of medications such as some of those aloft would apparently be worthwhile.
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