In the US, we'd refer to an otorhinolaryngologist, coloquially called an
ENT (for ear, nose, throat) doctor.
Catherine Watson Genna BS, IBCLC NYC cwgenna.com
On 2/8/2011 7:01 AM, nandan fogelman wrote:
> Thank you so much for your responses. What kind of specialist would you
> refer this boy too (if any)?
> Thanks again,
> Chayn in rainy (yea!) Israel
>
> On Tue, Feb 8, 2011 at 6:06 AM, Catherine Watson Genna BS, IBCLC<
> [log in to unmask]> wrote:
>
>> The whoop sound is called stridor, it's caused by turbulent airflow through
>> a narrowing airway. There are many reasons for airway narrowing or collapse.
>> A few are laryngomalacia/bronchomalacia/tracheomalacia, a laryngeal web,
>> subglottic stenosis, or unilateral vocal cord paralysis.
>>
>> Subglottic stenosis usually causes biphasic stridor (inspiratory and
>> expiratory) as well as a tendency to recurrent croup, and a quiet voice.
>>
>> If a vocal cord is paralyzed closed, it could affect the airway,
>> effectively narrowing it. Usually a baby with a paralyzed cord has a hoarse
>> cry. One that's paralyzed open will make swallowing difficult when the baby
>> lays on that side (when the paralyzed cord is down).
>>
>> He could also have an undiagnosed cardiac defect that causes an increased
>> effort of breathing and the need for a loud, fast "catch up" breath after
>> any 'work', including feeding or speaking aloud.
>>
>> The fact that he's unusually small could mean that he's not completely
>> compensating for whatever it is. Usually airway instabilities
>> (laryngomalacia, tracheomalacia) are outgrown by 6-24 months of age.
>> Interesting that this young man is still having difficulties.
>>
>> Catherine Watson Genna BS, IBCLC NYC cwgenna.com
>>
>>
>>
>> On 2/7/2011 7:28 PM, Larisa Walk wrote:
>>
>>> Maybe a posterior tongue tie?
>>>
>>> -----Original Message-----
>>> From: Lactation Information and Discussion
>>> [mailto:[log in to unmask]] On Behalf Of nandan fogelman
>>> Sent: Monday, February 07, 2011 6:39 AM
>>> To: [log in to unmask]
>>> Subject: whooping while nursing and difficulty while speaking
>>>
>>> Dear Friends,
>>> This is not a really a breastfeeding question but is breastfeeding
>>> related.
>>> I told the mother that I would ask (though I brought up the subject
>>> actually.) My neighbor is 13. When he was breastfeeding, he was the
>>> noisiest feeder ever. He basically whooped after every suck (or swallow
>>> - I
>>> didn't check from so close.) I was just taking my first lactation
>>> management
>>> course and was glad that the mother never asked me about this noise
>>> since I
>>> had no idea what was going on. Her pediatrician said that as long as
>>> baby
>>> was growing well, there was no need for concern. He was growing well
>>> (though he is now the size of a 10 year old but completely healthy.)
>>> Anyways, this boy has always had trouble speaking. It sounds as if he
>>> has
>>> to work really hard to get his voice, it is high pitched out. His bar
>>> mitzvah was a few weeks ago, and as his reading progressed, he became
>>> progressively quieter. His mother took him for therapy but could not
>>> continue for logistical reasons. I am wondering, could the whooping
>>> while
>>> breastfeeding and the difficult speaking be related? It just seems like
>>> it
>>> could not be a mere coincidence. I mentioned it to the mother who said
>>> she
>>> would be happy to know if I could find some information, so of course I
>>> turned to the wisest women I "know."
>>> Sorry if this if too off topic, but it is kind of interesting.
>>>
>>> Thanks so much,
>>> Chayn Fogelman IBCLC Israel
>>>
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