A child’s voice is considered hoarse when it sounds rough, raspy or deeper than usual. In some cases, a child may only be able to whisper.

Hoarseness is common in children and may be caused by many different conditions. In most cases, the hoarseness only lasts a few days. But sometimes it can last for weeks or months.

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What are the signs and symptoms of hoarseness?

Symptoms of hoarseness can include:

  • Raspy, strained or breathy voice
  • A change in the pitch or volume of the voice

What causes hoarseness?

A hoarse voice can have many causes. These can include:

  • Infections or viruses like a cold or the flu
  • Allergies
  • Nodules on the vocal cords
  • Growths on the voice box (larynx)
  • Straining the vocal cords from crying, yelling or singing
  • Paralysis of the vocal folds
  • Gastroesophageal reflux disease (GERD)
  • Thyroid conditions
  • A laryngeal cleft

How is hoarseness treated?

In some cases, the hoarseness will improve on its own. Treatment for hoarseness depends on the cause and may include both surgical and non-surgical options.

  • Behavioral changes or training with a speech therapist may help the child develop good vocal habits
  • Medications may help if the child has allergies, GERD or a thyroid problem
  • Surgery may be needed if the child has nodules or growths or paralysis of the vocal folds

Doctors at Connecticut Children’s can determine the right plan if your child requires treatment for hoarseness.