Laryngomalacia

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Counseling

Laryngomalacia is a floppy voice box that makes a noisy, squeaky sound with breathing in. It is often louder with feeding, crying, or lying on the back, and it usually goes away on its own by 1 year of age. Recommended supportive care with an emphasis on holding your baby upright during and after feeds. Always place your baby to sleep on the back on a flat, firm surface. Return precautions given including trouble feeding, poor weight gain, pauses in breathing, blue color around the lips, pulling in at the ribs or neck, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

CounselingNot in the note with these choices

Because of the feeding or breathing concerns, the ENT doctor will look at the airway with a small camera to see how much it is narrowing and whether treatment is needed. Until then, recommended supportive care with an emphasis on holding your baby upright during and after feeds, and always place your baby to sleep on the back on a flat, firm surface. Call 911 or go to the emergency department for pauses in breathing, blue color around the lips, or hard, fast breathing. Return precautions given including trouble feeding, poor weight gain, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Laryngomalacia
November 2026: Doing great!
• Inspiratory stridor, worse with feeding, crying, excitement, or lying on the back
• Feeding well and gaining weight, with no apnea, cyanosis, or retractions
• Continue monitoring breathing, feeding, and growth
• Follow up at the next well check

Laryngomalacia is a floppy voice box that makes a noisy, squeaky sound with breathing in. It is often louder with feeding, crying, or lying on the back, and it usually goes away on its own by 1 year of age. Recommended supportive care with an emphasis on holding your baby upright during and after feeds. Always place your baby to sleep on the back on a flat, firm surface. Return precautions given including trouble feeding, poor weight gain, pauses in breathing, blue color around the lips, pulling in at the ribs or neck, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Inspiratory stridor worse with feeding, crying, supine
Red flags: feeding difficulty, weight faltering, apnea, cyanosis, retractions: ENT
Monitor; per ENT; resolved
Reflux precautions, thickened feeds, acid suppression
Upright feeds

Return precautions in the template

trouble feedingpoor weight gainpauses in breathingblue color around the lipspulling in at the ribs or neck

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.