baby snoring - Homegym

Do babies snore ?

Snoring is a common problem for most people. Snoring means noisy breathing when sleeping. But we do not discuss more snoring in babies. Snoring and Snorting may happen in babies. This article explains the possibility of snoring in newborn babies.

If your baby is snoring when sleeping, that implies some sort of blockage in the airway. Breathing should be silent during the day and night. The most common reason for snoring in everyone is enlarging the tonsils and adenoids. These not visible through the throat. Tonsils are the two round lumps in the back of your throat. Adenoids are high in the throat behind the nose and the roof of the mouth.

baby snoring
baby snoring

Newborns baby nasal passage is very small, so if dryness, baby cold or extra mucus in the nose can take have noisy breathing.

Especially when they’re sleeping. This breathing can sound like snoring. In most cases, these noises are not a sign of something dangerous. But we have to make sure that those noises are not symptoms of some serious. Read about possible causes of snoring in babies.

What Causes Snoring And Snorting in Newborn babies

The parents are very anxious about snoring in newborn babies. The following reasons may make your baby snoring and snorting.

Nasal Congestion

Newborns baby nasal passage is very small, so if dryness, baby cold or extra mucus in the nose can take have noisy breathing

Baby snoring

Stuffy nose in baby

The most common problems in a newborn baby are a stuffy nose. These make newborn babies will not get proper sleeping and feeling uncomfortable in breastfeeding. The stuffy nose will make noise when sleeping and during the day time also.

We can use saline drops for clearing the noise blockage, more block, we can use a nasal aspirator.

After using these methods also your baby’s snoring continues and getting worse day by day, record with a camera show your pediatrician.

baby snoring

Laryngomalacia

Laryngomalacia is the most common cause of stridor in a newborn baby or infant. This laryngomalacia consists of two words Layngo and Malacia. Laryngo-means larynx and malacia mean tissue is soft. This is the development of the condition that the larynx does not form right and end up soft and floppy. This is a birth defect of the larynx and these are noted in babies like 4 to 8 months old. Most of the children will outgrow laryngomalacia without any medications or surgery

Normally epiglottis which is a flap of cartilage just above the vocal codes makes an arc over the airway. This arc is connected to by larynx by the cartilaginous structure called the aryepiglottic fold.

In children born with laryngomalacia their aryepiglottic fold shorter than normal. So pulling the arc-shaped epiglottis down into a distinctive omega shape. Weak larynx muscle tone is thought to cause the condition

Feeding modification in a newborn baby with Laryngomalacia 

Prop the child up during and after the feeds

Smaller and more frequent feeds

Loosen diapers, avoid tight waisted pants

Thicken milk or formula

Burp frequently

Respiratory Distress

Respiratory Distress

Respiratory distress is one of the most common presenting sign of illness in a newborn baby. It can represent a problem that does not necessarily primarily involve the lungs. A systematic problem like sepsis or heart failure or compensation for metabolic acidosis may occur in severe dehydration or toxic ingestion.

But most of the time, respiratory distress can be traced back to some primary problem with the pulmonary system and different types of problems can be present with different characteristics of signs and symptoms.

Tachypnea

Tachypnea

When a baby has a problem of any kind that interferes with a gas exchange or they need to excrete more gases, in the case of a time when they are producing more co2 than normal. Their very first attempt at compensating for that is to increase respiratory rate and so tachypnea is by far the most common and universal sign of respiratory distress.

Unlike an adult who does have a more expandable chest cavity and stronger intercostals muscles. The newborn baby breathes already at a fairly high lung capacity. So their ability to increase volume, tidal volume, by compensatory mechanisms is limited. It’s much more efficient for them to breathe fast and that’s why tachypnea is the somewhat uniform or universal sign of respiratory distress.

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And by being more tachypnea, they will increase minutes ventilation, which is tidal volume times respiratory rate. The quiet, comfortable tachypnea can get to pretty significant rates. It is not unusual for a young infant to be able to breathe at 70,80,90 even 100 times in a minute and not look particularly uncomfortable until one stops to count that respiratory rate.

Of course, breathing that fast uses a lot of energy and so while the newborn baby may be able to maintain that for some time, it’s one warning sign that respiratory failure or decompensation may develop.

Nasal Flaring

Nasal Flaring snoring

The other sign of respiratory distress that is important to take for is nasal flaring. This is essentially a way of increasing the size of the upper airway, which is a somewhat high resistance place for air to flow into and by flaring the nostrils, one is making that passage just a bit larger.

Retractions 

Retractions 

Retractions can be seen in several places. Suprasternal retractions or the jugular notch is commonplace. In between the ribs, called intercostal reactions. A very common place is substernal or subcostal which you can see being demonstrated on this baby.

In the term of the patterns that one might see, anything that results in obstruction to airflow outward is likely going to show you excessive use of abdominal muscles. And excessive use of abdominal muscles can oftentimes be seen in what’s called see-saw breathing.

See- Saw breathing  

In the term of the patterns that one might see, anything that results in obstruction to airflow outward is likely going to show you excessive use of abdominal muscles. And excessive use of abdominal muscles can oftentimes be seen in what’s called see-saw breathing.

Head Bobbing

One specific sign that tends to occur along this progression is smoothing we call head bobbing and head bobbing occurs in a baby who is becoming lethargic but is still using a significant amount of accessory muscle use, i.e. have a significantly increased work of breathing and what you will typically see is that their effort to expand the chest cavity results in the head bobbing up and down with each breath they try to take.

Stress Response 

The infant who has significant respiratory distress is likely to be stressed in other ways and to demonstrate some aspects of the stress response. The most common sign of stress response of course would be tachycardia.

And so the degree of tachycardia may give some information about how significantly stressed the baby is because of its results from endogenous catecholamine production in a sympathetic response.

Respiratory Failure

The newborn baby who can no longer exchange gas using these compensatory mechanisms may develop respiratory failure. The formal definition of respiratory failure would be one where you have inadequate oxygenation and ventilation.

So in a pure sense, one would want to look at an arterial blood gas to prove that those abnormalities existed. However, there are clinical correlates to those changes that we can use to try to recognize respiratory failure at the bedside.

With oxygenation, it’s relatively straight forward. The use of pulse oximetry to detect desaturation will give you information about the adequacy. This is easily corrected with the administration of a supplement of oxygen.

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