Drug treatment of laryngitis in adults. Features of the course of laryngitis in adults

The name of the disease laryngitis comes from the ancient Greek word λάρυγξ, which means larynx in translation. Laryngitis is an inflammation of the mucous membrane of the larynx caused by one or more causes.

Inflammation of the mucous membrane of the larynx is a common disease. According to statistics, such a diagnosis is made every year to two million people, a third of whom are children.

In a normal course, laryngitis is practically harmless. Full recovery of the diseased organ with proper therapy takes ten days. The danger of the disease is in complications. Therefore, they must be avoided.

Classification of laryngitis

According to the form of the course, laryngitis is classified into acute and chronic.

Acute laryngitis is an independent or concomitant disease caused by any of the possible causes of the disease. The main symptom of acute laryngitis is the primary manifestation and high efficiency of therapy, as a result of which there is no trace of the disease after two weeks.

The acute form is rarely an independent disease. Often it develops as a concomitant pathology of a respiratory viral infection. This happens due to the natural spread of inflammatory processes from the upper to the lower respiratory tract.

The chronic form of laryngitis is the result of incomplete or insufficient treatment of inflammation of the larynx, or the constant exposure of the body to factors that provoke the development of the disease. Most often, chronic laryngitis is the result of several cases of an acute variant of the disease. The main factors that lead to it are smoking and constant overexertion of the vocal cords.

The chronic form of the disease is classified according to the duration of the course and the frequency of complications, among which catarrhal inflammation is the most common.

Due to the fact that acute and chronic forms of laryngitis are often considered as separate diseases, in this article we will position them separately where necessary. Separate points will consider the diagnosis, treatment and possible complications of each form of pathology.

Classification of laryngitis by causes

The main reason for the development of the disease is inflammatory processes on the mucous membrane of the larynx. But dozens of factors can provoke inflammation. Allocate forms of laryngitis for the reasons for the development of the inflammatory process. Let's consider them in more detail.

allergic

Inflammation of the mucous membrane of the larynx occurs against the background of an allergic reaction in this organ. The allergen enters the body with food or air and provokes swelling of the larynx.

With allergic laryngitis, there is a high risk of developing asphyxia.

This type of disease is diagnosed with a fairly clear clinical picture:

• the rapid development of edema,
• suffocation
• blue lips and nasal triangle,
• allergic rash on the skin.

atrophic

The atrophic form of the disease is characteristic, in almost all cases, for adults. It develops against the background of age-related dysfunction of the larynx. Violation of the organ is associated with a decrease in the restorative capacity of the cells of the larynx, a decrease in tissue size and extensive fibrosis. As a result, connective tissue grows, which cannot perform the specific functions of the larynx.

Reasons for the development of atrophic laryngitis:

• disturbances in the functioning of the organs of the gastrointestinal tract with manifestations in the form of vomiting, due to which the mucous membrane of the larynx is burned by gastric juice;
• dry and dusty air;
• traumatic lesions of the throat;
• neoplasms in the nasopharynx;
• problems with the heart or lungs, the accompanying manifestations of which are congestion in the respiratory system.

Hemorrhagic

A type of disease provoked by problems with the hematopoietic organs, organs of the cardiovascular system, or a toxic form of influenza.

The peculiarity of its morphological process is hemorrhages in the mucous membrane of the larynx and the subsequent separation of veins or blood clots during expectoration.

Hypertrophic or hyperplastic

It is manifested by a rather characteristic coarsening of the voice due to thickening of the vocal cords. At the physiological level, this is due to the replacement of cylindrical epithelial tissue with squamous keratinized tissue.

The hypertrophic form develops against the background of:

• activities associated with constant stress on the throat;
• bacterial pathologies of the nasopharynx;
• diseases of the oral cavity (stomatitis, periodontal disease, hypertrophic gingivitis);
• prolonged inhalation of high temperature air;
• complications after surgery on the throat.

fungal

A form of laryngitis caused by the development of the Candida fungus on the mucous membrane of the larynx. The name of the fungus gave this form another name - candidal laryngitis.

The disease of this pathogenesis often develops against the background of taking antibiotics.

A distinguishing visual sign is a white coating of curdled consistency on the mucous membrane of the larynx.

diphtheria

Children's subspecies of the disease. It is most often diagnosed in preschool children. It develops as a result of penetration of corynebacterium into the mucous membrane of the larynx, causing an inflammatory process and general intoxication with a severe course.

Corynebacterium is transmitted by airborne droplets. Predisposition to the development of diphtheria laryngitis are those who have a history of frequent stress, chronic infections, systemic diseases, lack of vitamins, weakened immunity.

catarrhal

The simplest, but rather rare form of the disease in its pure form. It develops as a complication of an acute respiratory viral infection.

All those factors that are characteristic of this disease in general can cause catarrhal laryngitis.

The catarrhal form of the disease proceeds easily and practically without complications. Passes along with SARS for five to seven days.

professional

The form of the disease provoked by the work of the patient. Laryngitis of this pathogenesis is typical for those who work heavily on the vocal cords: singers, teachers, speakers.

Such work is the cause of the formation of seals on the vocal cords and the manifestation of hoarseness in the voice.

There are also forms of laryngitis according to the diseases in parallel with which they develop: syphilitic, tuberculosis and others. All of them are manifested by classical signs and are treated by therapy of the original pathology.

Is laryngitis contagious?

The question of contagiousness of laryngitis is ambiguous. The infectiousness of the patient depends on what provoked the development of the disease. If we are talking about infectious forms, then they are definitely contagious (contagious).

The disease can be transmitted in three ways:

• airborne,
• contact,
• transplacental (from a pregnant woman to a fetus).

The same forms of laryngitis that are caused by allergens or the profession are not transmitted from person to person.

Reasons for the development of laryngitis

To clearly understand the pathogenesis of laryngitis, it is worth delving into what is happening in the larynx during illness.

The muscles and cartilage in the larynx are covered with two folds of mucous - the vocal cords. In their normal state, they move softly and smoothly, passing air, forming sound with their movement.

Laryngitis is an inflammation of this mucous membrane of the larynx. That is, the vocal cords. Edema leads to the fact that the mechanism of their movement is disturbed. The lumen of the larynx narrows, the sound passes in a completely different way. The narrowing of the lumen is a direct path to the violation of the passage of air - suffocation - the most dangerous complication of the disease.

Having analyzed the mechanism of the disease, you can go to its causes. Each of them acts according to a single mechanism: it provokes inflammation of the mucous membrane of the larynx. We list some of them:

• infection,
• allergic reactions,
• prolonged inhalation of cold or hot air,
• traumatic impact,
• breathing air contaminated with pollutants
• strain on the vocal cords.

Any external factor can cause inflammation of the mucosa. Therefore, the causes of laryngitis are surprising. Determining the cause of the development of the disease is the most important task for the doctor to build treatment tactics. Because only the elimination of the prerequisites will give the result in the form of a complete recovery.

Symptoms of laryngitis

The classic symptomatology of inflammation of the mucous membrane of the larynx can be easily identified by anyone who is familiar with the processes inside the larynx during illness.

Secondly, the narrowing of the lumen of the larynx leads to breathing problems. Therefore, the second main symptom of laryngitis is difficulty breathing, which, especially in children, often develops into a false croup - one of the most dangerous, especially visually, complications of laryngitis.

On these two points, the discussion about the symptoms of laryngitis could be ended. But still, let's delve into the issue and consider the symptoms that, with inflammation of the mucous membrane of the larynx, are not always and not always bright.

Associated symptoms of laryngitis are:

• general weakness,
• lack of appetite,
• subfebrile temperature,
• chills,
• headache.

It is noted that these manifestations are secondary to the main symptoms. In particular, from labored breathing. But they are not specific, they do not make a diagnosis.

Diagnosis of laryngitis

To diagnose this disease, often a medical examination of the patient and a survey of his complaints are sufficient. An altered voice and breathing problems clearly indicate the diagnosis.

But it happens that the symptoms of inflammation of the laryngeal mucosa do not appear clearly enough: the voice sits down slightly, breathing is so difficult that it looks like banal shortness of breath, the accompanying symptoms are minimal. With such symptoms, a deeper diagnosis is necessary - a visual examination of the larynx. This procedure is called laryngoscopy and is done with a laryngoscope.

With the help of a mirror and illumination, which is equipped with a laryngoscope, the doctor conducting the study examines the larynx for swelling of the mucosa and the nature of the vascular pattern.

The classic laryngoscopy picture in a patient with laryngitis is hyperemia (overflow of vessels with blood) of the vocal cords, an increase in their vascular pattern, and bilateral development of the pathology.

That is, after laryngoscopy, the diagnosis is unambiguous.

To determine the severity of the inflammatory process, the doctor prescribes radiography or computed tomography of the larynx, a study of respiratory function, and endofibrolaryngothracheoscopy. All these studies do not relate to direct diagnosis and are prescribed if certain prerequisites are present.

In some cases, with laryngitis, differential diagnosis can be carried out to exclude cancer of the larynx and tuberculosis of the larynx.

Treatment of laryngitis in adults at home

We have already said above that the acute and chronic forms of laryngitis differ quite significantly. This also applies to treatment. Therefore, considering the issue of treating inflammation of the mucous membrane, it is necessary to separately describe it for the acute and chronic forms of the disease.

Treatment of any form of laryngitis in most cases is carried out at home. Hospitalization is necessary for indications, which we will discuss below.

Treatment of acute form of laryngitis

Therapy of the acute form of pathology is divided into non-drug and drug part.

The main part of non-drug treatment is the maximum limitation of voice loads. And this is not a ban on loud conversations and screaming, but a ban on any voice loads, including whispering.

With the normal course of the disease, restrictions on voice loads are imposed for one to two weeks. In cases where the patient needs a voice in his work, disability persists until the voice function is fully restored. But even after the removal of voice restrictions, these categories of patients (singers, speakers, teachers) need to be monitored by a phoniatrist for another two to three months.

In acute laryngitis, non-drug methods of treatment are also used:

• phonopedia - a complex of pedagogical influences for the gradual activation, development and coordination of the neuromuscular system of the larynx;
• physiotherapeutic procedures (microwaves, phonophoresis, therapeutic laser, electrophoresis);
• stimulation therapy.

The volume of non-drug therapy required by the patient is determined by the doctor. The determining factor in this matter is the need for a voice in the work of the patient. If it is not used, the methods of this group are assigned minimally and the vocal cords are restored naturally.

In case of professional necessity, non-drug therapy is prescribed in full.

Now about the drug therapy of the acute form of laryngitis. It consists of a whole complex of drugs, the selection of which mainly depends on the causes of the disease.

The main question that arises in connection with acute laryngitis is whether antibiotics are needed for this form of the disease.

The answer will be unequivocal: antibiotics are needed when the patient has severe inflammatory manifestations and purulent exudation.

Under these prerequisites, broad-spectrum antibiotic preparations are prescribed.

Also, antibiotics for acute laryngitis are prescribed in the absence of the expected effect of anti-inflammatory therapy for four to five days and when the inflammatory processes began to spread to the lower respiratory tract.

With this course of the disease, systemic antibiotic therapy is prescribed. A complex of amoxicillin and clavulanic acid or macrolides is used. In particular, in the antibiotic therapy of laryngitis, the following are used:

The selection of antibiotics for acute laryngitis is based on the pathogenesis of the disease and the patient's history. The dosage of a particular drug is determined empirically by the doctor.

In addition to antibiotics, drug therapy of the disease consists in the use of drugs to eliminate the causes of the disease.

With allergic laryngitis, injections of antihistamines, which relieve angioedema of the larynx, demonstrate a good effect. Depending on the characteristics of the patient, antihistamines are prescribed:

In the fungal form of laryngitis, drugs of the antimycotic group are effective. Have sufficient efficiency:

Symptomatically, in the acute form of laryngitis, antitussive and expectorant drugs are prescribed.

The first group of drugs is used at the initial stage of the disease, when the patient has a dry non-productive cough. Antitussive drugs reflexively suppress cough, reducing irritation of the mucous membrane of the larynx. Popular among antitussive drugs:

Among the expectorant drugs for acute laryngitis are prescribed:

Symptomatic therapy is often prescribed in the form of inhalations with a nebulizer. Mucolytics, antimicrobial and anti-inflammatory drugs, when inhaled, go directly to the site of inflammation and act more efficiently. Nebulizer therapy is prescribed in a hospital setting.

Treatment of chronic laryngitis

Treatment of the chronic form of the disease has three goals:

• complete elimination of the inflammatory process in the larynx;
• complete restoration of the patient's voice function;
• prevention is possible degeneration of inflammation of the mucous membrane of the larynx into neoplasms of a malignant nature.

It is impossible to completely get rid of the chronic form of the disease. But with proper therapy - drug and non-drug, you can minimize the frequency of periods of exacerbations and return to a full life.

Antibiotics for chronic laryngitis are prescribed during periods of exacerbation. As in the acute form of the disease, antibiotic therapy is selected from broad-spectrum drugs, and the dosage is determined empirically for each patient and depending on the nature of the course of the disease.

The most commonly used antibiotics are similar to those we gave in the previous section.

The main prerequisite for the appointment of antibacterial drugs in chronic laryngitis is a pronounced inflammatory process, which is typical for periods of exacerbation of the disease and the parallel development of purulent exudation.

Also, antibiotics are prescribed if there are indications for surgical intervention, which we will discuss below.

The remaining drugs for chronic laryngitis are prescribed depending on the symptoms and characteristics of each specific case.

Drug therapy for the chronic form of the disease is purely individual, so we present the main theses of treatment in the form of a table:

In chronic laryngitis, drug therapy is effective enough during periods of exacerbation to stop the symptoms.

To reduce the frequency of exacerbations and improve the general condition, it is necessary to change the way of life. There are a lot of recommendations for a patient with a chronic form of the disease. But all of them are aimed at reducing irritation of the mucous membrane of the larynx by external factors.

1. Smoking.

A dangerous factor that causes exacerbation of chronic laryngitis. Tobacco smoke irritates the mucous membrane of the larynx, provokes inflammation, coughing and brings it out of the necessary state of rest.

Both active and passive smoking have a negative effect.

The patient must stop smoking and avoid visiting indoor areas where they smoke.

1. Gentle mode for the vocal cords.

A patient with chronic laryngitis needs to forget about loud conversations and, moreover, screaming. Any increase in voice during illness will lead to its exacerbation. If the voice is a professional instrument, it is necessary to change the profession. It is impossible to restore ligaments to the level when they will adequately respond to loads using therapeutic methods.

1. Diet.

In choosing a diet, it is necessary to take into account the fact that the mucous membrane of the larynx needs rest and the absence of external stimuli. Aggressive food: hot, cold, spicy, must be forgotten.

Drinking in chronic laryngitis should be plentiful, but soft. No soda, hot or cold drinks. Alkaline mineral waters demonstrate a good effect. It is useful to regularly drink warm milk with the addition of honey.

1. mode of residence.

In chronic laryngitis, the patient's environmental conditions are important. The main condition: the absence of hypothermia. You need to dress adequately for the weather, avoid prolonged exposure to frost or cold water.

In the room where the patient lives, it is necessary to constantly maintain a comfortable temperature in the range of 18-21 degrees Celsius and a humidity of 50-70 percent. The room must be ventilated several times a day.

Only such an approach, together with drug therapy during periods of exacerbation, can make the life of a person with chronic laryngitis full. Of course, many will not call such a life comfortable, but the opportunity to live normally with chronic laryngitis is worth certain sacrifices.

Indications for hospitalization

Treatment in a hospital with laryngitis is rarely required. There are few indications for hospitalization:

• the course of the disease with highly developed swelling;
• development of inflammation or suppuration (abscess) of the epiglottis;
• chance of developing stenosis.

Any of these indications can lead to respiratory dysfunction and, in order to exclude dangerous consequences, the patient is placed in a hospital to relieve dangerous symptoms under the constant supervision of doctors.

Surgical treatment of laryngitis

Also, patients who have indications for surgical treatment of laryngitis are placed in the hospital. These indications include:

• abscessed laryngitis,
• development of phlegmon (purulent inflammation of the cellular space of an acute nature) of the neck,
• the rapid development of stenosis (narrowing of the lumen) of the larynx,
• lack of effect from drug therapy.

In all these cases, the issue of surgical intervention is considered.

Operations for laryngitis prevent the degeneration of tissues affected by the inflammatory process into malignant tumors.

Surgical intervention partially or completely eliminates the main symptoms of the disease and minimizes exacerbations of the chronic form of the disease.

Alternative methods of treatment of laryngitis

Treatment of laryngitis requires drug therapy. This issue is non-negotiable. The lack of necessary treatment leads to serious and dangerous consequences.

Traditional medicine in the treatment of this disease is also effective, but only under two conditions:

• you need to use folk recipes together with classic medicines;
• any of the recipes of traditional medicine is used only after consulting a doctor.

The second condition is especially important due to the fact that many factors can provoke the disease. And if, for example, allergic laryngitis, then the accidental use of an allergen in a folk recipe as a constituent component can lead to irreparable consequences.

The main goal of traditional medicine for laryngitis is to relieve symptoms and reduce the aggressive effects of environmental factors. Therefore, any infusions or teas are consumed warm, and they do not contain components that can irritate the mucous membrane of the larynx.

The first assistant in the treatment of laryngitis with traditional medicine recipes is honey. Everyone knows that it helps to fight throat diseases well.

There are dozens of recipes with honey for laryngitis. Here are a few of them:

1. Pour a teaspoon of honey with a glass of boiling water and boil for a minute over low heat. We cool the solution to a temperature of 30 degrees and gargle their throat three times a day.
2. Pour two tablespoons of black elderberry flowers with half a liter of boiling water and insist under the lid for about an hour. Then we filter the infusion and add a tablespoon of honey. The resulting warm liquid is taken three times a day, 100 milliliters
3. Mix freshly squeezed horseradish juice with honey in a one-to-one ratio. The mixture is taken at night, one tablespoon, washed down with a small amount of warm water.
4. We brew 40 grams of raspberries, 30 grams of rowan fruits and 30 grams of rowan flowers in a thermos with a liter of boiling water and insist all night. Strain the infusion and add honey at the rate of a tablespoon per glass of liquid. We drink a glass of infusion every four hours.
5. Honey inhalations. You need to do them with an inhaler, and not by inhaling hot steam over a pan. Dissolve a tablespoon of honey in half a glass of water and inhale for ten minutes once a day.

What besides honey is useful for laryngitis? There are also many such recipes. Here are some of them:

1. Boil a small carrot in half a liter of milk. Strain the milk, cool to a temperature of 30-35 degrees and drink in small sips. The recipe is effective for restoring the voice.
2. Freshly squeezed cabbage juice is useful for gargling. It can also be drunk in small portions, preheated.
3. Compote from dried apples helps well with aphonia. You need to cook it quite concentrated. Add a little honey to the compote to make it tastier and drink warm in a glass twice a day.

These are not all traditional medicine recipes that alleviate the symptoms of the disease. But when using them, you need to remember what was already mentioned at the beginning of this section: any prescription - only after consulting a doctor. Self-administration can do more harm than good.

Complications of laryngitis

Laryngitis is not a complex disease. Of course, if we talk about the acute form. A timely diagnosed disease and appropriate therapy already after 7-14 days give the result in the form of a complete recovery.

But the lack of treatment and the development of pathology into a chronic form can cause very dangerous complications. Most of them are associated with respiratory dysfunction, since the larynx is part of the respiratory system.

There are seven main complications of laryngitis.

Bronchitis

Widespread respiratory disease is one of the frequent complications of laryngitis.

Bronchitis occurs against the background of a gradual flow of the inflammatory process from the larynx to the bronchi. Like laryngitis, if left untreated, bronchitis quickly becomes chronic and causes serious problems.

It must be remembered that bronchitis is not a common cold, although initially they are similar in symptoms. Bronchitis requires medical treatment.

Loss of sonority

The classic complication of laryngitis in adults is vocal aphonia (loss of sonority of the voice). Inflamed vocal cords lead to vocal aphonia, which is critical for those who have a voice - a professional instrument.

The complication is dangerous because without proper treatment, damage to the vocal cords and a permanent impairment of voice function can occur.

false croup

The most common complication of laryngitis in children. Inflammation of the mucous membrane of the larynx leads to a narrowing of its lumen and the appearance of wheezing, threatening to develop into attacks of suffocation.

In case of visual danger, stopping false croup is simple: it is enough to moisten the air around the patient and breathing will quickly recover.

It is necessary to act clearly in order to prevent the development of stenosis of the larynx, which in certain circumstances can lead to serious problems. Even a short-term lack of oxygen causes irreversible changes in brain function. Many functions may be impaired, the child may fall into a coma and even die.

In adults, such a development of events is unlikely due to physiological characteristics. The larger lumen of the larynx is not blocked even by highly developed edema.

Airway obstruction

Another most dangerous complication that provokes problems with respiratory function. The mechanism of obstruction is the superposition of two factors:

• narrowing of the lumen of the larynx against the background of the inflammatory process;
• accumulation of excess mucus in the throat.

The mucus clogs the narrowed air passages and leads to acute breathing problems.

With obstruction of the airways, it is necessary to remove the guardianship of the mucosa in order to open the way for air. This is done with antiallergic drugs.

Mediastinitis

Inflammation of the space between the mediastinal sections of the right and left pleura - the mediastinum. The development of the inflammatory process in mediastinitis proceeds quickly and is a life-threatening process.

The reason for the development of mediastinitis, as a complication of laryngitis, is an infectious lesion of the organs adjacent to the larynx, without proper treatment.

Patients often confuse mediastinitis with respiratory infections, which is why this disease in many cases leads to disability or death.

Paresis of the larynx

A decrease in the motor activity of the muscles of the larynx is a complex and dangerous disease - paresis of the larynx. Considering that air enters the body through the larynx, paresis is dangerous with respiratory dysfunction.

Laryngitis can turn into paresis of the larynx if left untreated and lead to damage to the nerves in this organ.

A complication in the form of paresis of the larynx is a direct indication for surgical intervention in the affected area. It is possible to eliminate paresis only with a successful fight against the disease that provoked it.

Phlegmon of the neck

We have already mentioned this complication in the section on indications for surgical intervention.

Phlegmon of the neck is an acute purulent inflammation in the cell spaces of the neck. Against the background of laryngitis, it can develop due to the lack of treatment and the spread of the inflammatory process to adjacent areas.

Phlegmon is clearly diagnosed due to the pronounced swelling of a dense nature. It is treated with surgery, by cleaning the affected areas of the cell space.

Prevention of laryngitis

Speaking about the prevention of laryngitis, it must be remembered that the basis of this disease is inflammation of the mucous membrane of the larynx. Any inflammation occurs as a result of exposure to the tissue of third-party factors.

To prevent inflammation, it is necessary to minimize the risk of exposure to these factors, in this particular case, on the mucous membrane of the larynx.

The factors for the development of this pathology are diverse: viruses, bacteria, infections, fungi, pollutants from the environment.

And the first point in the prevention of the disease will be the general strengthening of immunity. That is, the development of the protective functions of the body. This topic has been written up and down, so let's just recall its main theses:

• the body needs to be tempered,
• food should be wholesome, nutritious and healthy,
• need to get rid of bad habits,
• all hygiene rules must be followed.

If a person has strong immunity, he will be able to fully resist the factors that cause laryngitis.

The second point of prevention is clean air. It is especially important in large cities, where one can only dream of clean air. No one can walk around with an oxygen mask, but preventive inhalations, air purifiers in the house are a good solution.

The third point is an attempt to protect yourself from respiratory diseases. Especially in autumn and winter, when the chance of catching a cold is high. At this time, you need to avoid crowded places, protect the airways with a gauze bandage, and drink prophylactic drugs. This will not be a panacea, but the risk of catching a cold will decrease significantly.

It must be remembered that any, even minimal ailment caused by a cold, requires treatment. Relying on the body's defenses, you can prevent the development of complications, including laryngitis. And this is a more complicated story.

The pathological process associated with inflammation of the mucous surface of the larynx is called laryngitis (lat. Laryngitis - “larynx”). It can manifest itself as an independent disease or as one of the clinical symptoms of colds and viral infections.

Laryngitis - symptoms

The first signs of laryngitis manifest themselves as dryness and perspiration, the patient makes frequent swallowing movements, he has a sensation of a lump in the throat. Puffiness of the larynx leads to a narrowing of the glottis, hyperemia of the mucous membrane, the voice becomes rough, the patient speaks in a whisper. There is a dry cough, a hoarse voice, the temperature is kept within subfebrile limits or does not rise at all. Causes of laryngitis:

• the habit of breathing through the mouth, smoking;
• colds;
• viral infections;
• hypothermia of the body;
• contaminated air;
• spicy, spicy food;
• allergic reactions;
• overvoltage of the vocal cords;
• professional affiliation;

Acute laryngitis

Inflammation is accompanied by unpleasant sensations in the pharynx: tingling, scratching. In addition, the cough is wet, breathing is difficult, the nasolabial triangle becomes bluish. If acute laryngitis occurs as a symptom of a viral infection, the temperature rises to high levels, weakness and headache increase.

The edematous membrane of the larynx has dilated blood vessels, the mucous membrane is covered with red dots. The acute course of the disease lasts for 6-7 days, residual effects disturb the patient for a week. Particular attention should be paid to the prevention of complications: tracheitis, edema and stenosis of the larynx can complicate the course of the disease. Treatment depends on the etiology of the disease.

Chronic laryngitis

Timely untreated acute form, frequent relapses lead to the chronic course of the disease. Gastroesophageal reflux disease causes symptoms of chronic laryngitis. This disease is characterized by the throwing of gastric acid to a height reaching the larynx. Thyroid diseases associated with hypertrophy and inflammation can provoke symptoms of the disease-causing process of the upper respiratory tract. The chronic form has several varieties:

• catarrhal;
• hyperplastic;
• atrophic;

catarrhal laryngitis

The clinical picture of catarrhal laryngitis is less pronounced than in the acute form of the disease. You can cure the disease at home. A tickling sensation in the throat causes a cough reflex, the inflammatory process is accompanied by a slight secretion of mucus. At the beginning of the day, speech remains sonorous, but towards the evening there is hoarseness. On examination, a slight reddening of the mucous membrane and dilated vessels are found. This type of disease develops for the following reasons:

1. The presence of pathogenic microflora in the larynx.
2. Chronic foci of infectious processes.
3. Difficulty breathing through the nose.
4. Abuse of alcohol, smoking.
5. Sudden changes in air temperature.

Hyperplastic laryngitis

Singers, teachers, announcers, lecturers often encounter hypertrophy of the vocal cords and mucous membranes. Stable loads on the vocal cords cause their compaction, thickening, and the vocal tonality changes. Hyperplastic laryngitis is localized or diffuse, extensive. The following causes influence the development of the disease associated with inflammation of the larynx:

1. Age-related changes in the laryngeal muscles.
2. Congenital, acquired deformation, hypotonicity of the vocal cords.
3. Complicated allergic reactions.
4. Trauma, surgery.
5. Decreased immunity, violation in the circulatory system.

Atrophic laryngitis

This type of disease is rare, in most cases it is preceded by nasopharyngitis. Patients complain of not drying out of the mucosa, lump in the throat, dysphonia, hacking cough with streaks of blood in the mucus. The mucosa has a smooth, thinned surface, on which mucus accumulates, sometimes forming dry crusts. They can appear in the lumen of the vocal cords, causing complete loss of voice. Causes of atrophic laryngitis:

1. Adverse environmental impact.
2. Harmful work in hot, dusty workshops.
3. Congenital anomalies of the respiratory tract.
4. Late treatment of acute forms of the disease.

Laryngitis - treatment in adults

The main condition for the patient's recovery will be compliance with the therapeutic regimen of silence. Talking, even in a whisper, is prohibited - a whisper loads the vocal cords no less than loud speech. Treatment will depend on the etiology of the disease, concomitant factors and complications. Feeling unwell, the patient should seek medical advice. Laryngitis - the symptoms and treatment in adults of this disease have much in common, as well as the scheme of the main recommendations - how to treat laryngitis:

1. Compliance with bed rest at home.
2. Drink warm milk, mineral alkaline water.
3. Humidification of the air in the patient's room.
4. Setting mustard plasters, alcohol compresses.
5. Soda, herbal inhalations.
6. Application of Lugol's solution (quick method).
7. Refusal of alcoholic beverages, cigarettes.
8. Eliminate hot, spicy foods from the diet.

How to treat laryngitis

The treatment is complex, medicines, physiotherapy procedures, folk methods are used. For irrigation use medicinal substances, oil solutions that have an anti-inflammatory effect. To thin sputum, soften cough, use abundant alkaline drink, ACC, mucolytics. Therapy includes vitamin complexes, the use of biostimulants, resorption of menthol-containing lozenges.

How to treat laryngitis that caused complications, what antibiotics, antibacterial drugs are needed for this - the doctor decides.

Tablets from laryngitis

Drug treatment is aimed at alleviating the patient's condition. In severe cases, it is necessary to take measures to prevent laryngospasm when the disease is complicated by tracheitis, stenosis. Inhalation with a nebulizer with Berodual solution helps to stop bronchospasm, and Chymotrypsin aerosol is used for painless rejection of crusts.

In uncomplicated forms, antiseptics Miramistin, Dioxidin, antibacterial spray Bioparox are widely used. The cure for laryngitis in adults is not limited to the use of drugs aimed only at relieving symptoms. Antibiotic treatment for laryngitis in adults is combined with digestive enzymes. Depending on the clinic of the disease, apply:

• bronchodilators;
• mucolytics;
• antihistamines;
• antitussives;
• antibiotics;
• enzymes;

Folk remedies for laryngitis in adults

Combining medical prescriptions with folk remedies for laryngitis in adults, it is possible to cure the disease completely. Herbal rinses, compresses, herbal teas alleviate the patient's condition. What to take with laryngitis in adults, if the disease is complicated by laryngotracheitis? A quick folk method to cure is vegetable juice therapy: freshly squeezed juice of carrots, red beets and potatoes is heated and drunk every two hours, one tablespoon, after mixing the ingredients. Continue treatment for 3-5 days, in combination with medical prescriptions.

Not everyone knows the answer to this question. In this regard, we decided to devote the presented article to this topic.

General information

Before you find out how to treat laryngitis in adults, you should understand what this disease is in general. As you know, this disease is characterized by chronic or acute inflammation of the larynx. During laryngitis, both the entire mucosa of the named organ and its individual parts (for example, the mucosa of the vocal folds, the epiglottis, or the walls of the subglottic cavity) can enter into the pathological process.

Laryngitis in adults: symptoms of the disease

After the onset of the disease (after 7-11 days), laryngitis is usually called acute. In the event that the symptoms persist for a longer time, then we can safely talk about a chronic process. In this situation, the main signs of the disease, or rather their intensity, subside slightly, and the patient becomes better. But this does not mean that treatment of such a serious disease as laryngitis in adults should be stopped. The symptoms of this disease are as follows:

• there is a burning sensation, tickling, perspiration, dryness and a feeling of a foreign body in the throat;
• pain during swallowing;
• first superficial and dry, and then wet cough;
• fairly quick fatigue;
• the appearance of hoarseness and hoarseness of the voice (sometimes to the complete absence of sonority);
• an increase in body temperature to subfebrile values ​​​​(up to 38 ° C);
• general weakness and headache.

It should be especially noted that the symptoms in adults and children are almost the same. But in a young child there is a high probability of developing stenosing acute laryngotracheitis or the so-called false croup. With such a deviation of the pharynx, it swells, and spasms of smooth muscles appear. During such a process, children may experience suffocation, and a little later, oxygen starvation of the most important organs, including the brain.

Causes

Laryngitis in adults, the symptoms of which have been described above, in most cases does not develop as an independent disease, but in parallel with inflammation of other parts of the respiratory tract (for example, nose, trachea, throat, lungs and bronchi). The cause of such deviations may be acute respiratory infections (parainfluenza, influenza, adenovirus infection, etc.). It is also worth noting that the larynx begins to be involved in the pathological process in diseases such as measles, diphtheria, whooping cough, syphilis and tuberculosis.

Quite rarely, acute laryngitis in adults can be caused by a bacterial infection, namely staphylococcal and streptococcal. As a rule, this occurs against the background of secondary infection of the pharyngeal mucosa, if the immune system is weakened due to SARS or other chronic infections.

Among other things, the causes of acute and chronic laryngitis can be:

• particles of steam, dust and gases that are contained in the air;
• thermal effects on the mucous membrane of the larynx (for example, when eating hot or cold food or drink);
• any external allergens (for example, plant, chemical, food, etc.);
• excessive load on the vocal apparatus (for singers, speakers, etc.);
• smoking cigarettes.

Diagnosis of the disease

Before treating laryngitis in adults, you should definitely consult a doctor. After all, only a doctor can suspect the presence of this disease after the patient's complaints, an objective examination of the respiratory tract and anamnesis data.

As you know, with laryngitis, which is of an infectious nature, a general blood test can show an increased level of ESR and leukocytes. As for an allergic disease, the number of eosinophils significantly increases with it.

In the event that the doctor doubts and cannot make the correct diagnosis, then the patient is assigned additional studies, including laryngoscopy. This procedure is an examination of the mucous membrane of the larynx using equipment such as an endoscope. If necessary, during such an examination, pieces of altered tissues can be taken from the patient for their further analysis.

Acute laryngitis in adults: treatment of the disease

Treatment of an acute illness should be carried out on an outpatient basis only by a general practitioner or such a narrow specialist as an ENT doctor.

In the case of laryngitis, which is of an infectious nature, the patient is prescribed bed rest. In addition, the most important factor that affects the speed of recovery is the observance of complete vocal rest. So, the patient is not recommended to talk even in a whisper.

Before the doctor is obliged to prescribe a strict diet, during which only sparing food should be consumed. However, it should not be too cold or hot. In addition, attention should be paid to drinking plenty of water (warm milk with lime honey, alkaline mineral waters without gas).

Medical therapy

In adults? This is the question that patients who are faced with such an unpleasant disease ask their doctors. As you know, people suffering from can be assigned:

• local preparations in the form of sprouts, lozenges that contain anti-inflammatory and antimicrobial substances (for example, Camphomen, Tera-flu, Ingalipt, Isla, Neo-angin, Strepsils, etc. );
• expectorants based on ivy, plantain or marshmallow ("Mukaltin", "Gedelix", "Alteika", "Prospan", "Eucabal" or "Gerbion");
• antihistamines ("Loratadine" or "Cetirizine");
• an aerosol containing an antibiotic (if nature is suspected);
• installation procedures (i.e. infusion of drugs into the larynx using a laryngeal syringe);
• physiotherapy (electrophoresis using novocaine, UHF);
• antibiotic agents (appointed only when the bacterial nature of the pathogen is known).

How is chronic laryngitis treated?

Treatment of chronic laryngitis in adults should be directed to the therapy of infections that contributed to this disease. The rest of the procedure is the same as in the acute form. However, it is worth noting that if recovery from acute laryngitis occurs after about 7-11 days, then with a chronic illness you will hardly achieve such a quick effect. In this case, all the efforts of the doctor should be aimed at minimizing the symptoms that cause inconvenience to the patient.

Non-drug treatment

At the first signs of this disease, the patient is advised to observe the following rules:

• stop smoking for the entire period of illness;
• do not come into contact with tobacco smoke even passively;
• not be outdoors in rainy, cold or foggy weather;
• maintain an adequate microclimate in the room;
• often ventilate the room in which the patient stays;
• carry out thermal local procedures (for example, apply a half-alcohol compress on the neck and carry out inhalation activities);
• use mustard plasters, which should be applied to the chest or calf muscles;
• take hot foot baths.

Acute viral diseases affecting the nasopharynx become a source of infection for the rest of the ENT organs. Inflammation of the larynx is manifested by hoarseness of voice, rawness, cough with sputum. Treatment of laryngitis in adults is to restore the functions of the larynx.

How does laryngitis manifest itself?

At the initial stage of the disease, it is easy to confuse it with acute respiratory infections, the symptoms are similar:

• there is a sore throat, aggravated by swallowing, laughing, talking, coughing;
• cough is dry, sputum is produced in small quantities;
• weakness, muscle and headache;
• rhinitis;
• hoarseness of voice, up to its complete loss

Forms of laryngitis

There are various forms of laryngitis. Depending on the type of disease, the prescribed treatment is adjusted.

1. the acute form often becomes a complication of the flu. The mucous membrane of the larynx is edematous, reddened. Separate points on the mucosa are more brightly colored due to small hemorrhages. The larynx and trachea produce phlegm that is coughed up. Cough - paroxysmal, exhausting the patient.
2. chronic form becomes a consequence of constant inflammatory processes in the nasopharynx. Sore throat accompanied by hoarseness. The disease worsens when favorable conditions arise for it:
   hypothermia
   smoking
   burns of the larynx
   stress on the vocal cords
   co-infection
3. the most favorable in terms of treatment and complete recovery is considered catarrhal laryngitis. The body temperature rarely rises above 370C, a sore throat appears, the patient feels a constant desire to clear his throat. Dry cough causing sore throat. The timbre of the voice decreases, hoarseness, hoarseness appear, in some cases there is a loss of voice.
4. in the case when the pathological process affects the vocal cords, the doctor makes a diagnosis " hypertrophic form laryngitis". Nodules form on the ligaments, which do not allow complete closure, the voice becomes hoarse.
5. chronic laryngitis leads to thinning of the mucous membrane of the larynx, the process can affect the deeper layers. Atrophic laryngitis provokes the abuse of spicy hot food. The timbre of the voice is always lowered, hoarseness appears, unpleasant sensations in the throat - perspiration, soreness, become habitual. During the cough, a small amount of sputum streaked with blood is expectorated.

The symptoms of different forms of laryngitis are similar, and the methods of treatment are largely the same.

How to treat an acute form

Acute laryngitis can be cured at home in 7-10 days.

It is important to know that the patient should speak, if necessary, in a full voice, and not in a whisper, as it may seem logical. When whispering, the ligaments receive a greater load than during a normal conversation.

The room in which the patient is located should be regularly ventilated. The air temperature in it should not exceed 180C, in addition, the air must be constantly moistened with an electric humidifier or wet towels hung in the room. Dry air irritates the mucous membrane, aggravating the patient's condition.

It is important to pay attention to nutrition:

• hot, spicy, salty dishes, marinades are excluded from the diet;
• optimal food are broths, liquid cereals;
• warm drinks are recommended - milk, fruit drinks, compotes, teas (including herbal ones), carbonated drinks should be discarded.
• well softens the mucous membrane of the larynx mineral water "Borjomi"

Otolaryngologists say that a sore throat loves water. You need to drink as much as possible, without abusing hot and cold drinks.

Inhalations, rinses, sore throats are shown to relieve lozenges and sprays.

Drug treatment is to eliminate the source of inflammation. Antibiotics should be prescribed by a doctor, they will only be beneficial if the disease is bacterial in nature. On an outpatient basis - tablets, inpatient - intramuscular and intravenous injections. Against viral or allergic laryngitis, antibacterial drugs are powerless.

Severe swelling of the larynx is removed with the help of antihistamines. To combat dry cough, mucolytic drugs are recommended that stimulate the production of sputum and liquefy it.

Treatment of chronic laryngitis

Chronic laryngitis- a protracted form of the disease, reminiscent of itself several times a year. Factors that aggravate the state of health are:

1. chronic diseases of ENT organs;
2. reproduction of conditionally pathogenic microflora of the oral cavity;
3. endocrine, metabolic disorders;
4. allergens;
5. vocal cord overload;
6. living in ecologically polluted areas;
7. harmful working conditions;
8. smoking, drinking alcohol;
9. decreased immunity

Treatment includes non-drug measures, the same as for acute laryngitis, as well as the appointment of drugs:

• drugs against viruses (with appropriate etiology);
• antibiotics (in the case of a bacterial nature of the disease);
• cough medicines;
• expectorants;
• local anesthetics, anesthetics;
• immunomodulators and vitamin complexes;

In a hospital, electrophoresis, ultrahigh-frequency therapy are additionally prescribed.

Prevention of exacerbation of chronic laryngitis is:

1. strengthening immunity - hardening, proper nutrition, walking, playing sports, quitting smoking and alcohol;
2. timely elimination of foci of infection in the body;
3. minimizing contact with sources of infection;

Treatment of laryngitis with folk remedies

Traditional medicine offers a large number of recipes to alleviate the patient's condition and relieve inflammation of the vocal cords.

• in 0.2 l of carrot juice add 1 tbsp. l. honey. Drink 1 tbsp. l. each hour;
• mix 0.2 l of honey and 0.1 l of lemon juice, take 1 tsp. after 15-20 minutes;
• add 0.1 kg of finely chopped carrots to 0.5 l of milk and boil until softened. Strained milk drink 0.2 liters in the morning and evening;
• Grind 2-3 medium teeth and boil in 0.2 liters of milk. Drink strained milk in small sips;
• peel the turnip, chop it, pour boiling water over it and cook over low heat for 15-20 minutes. Take ¼ cup of strained broth;
• chop the horseradish root, pour 0.1 l of boiling water. Insist in a glass bowl for 30 minutes, take an infusion of 1 tsp. each hour. You can add sugar and honey for taste;
• 1 st. l. dried black elderberry flowers, 1 tbsp. l. coltsfoot leaves, 1 tbsp. mix the leaves of the golden mustache, pour 0.2 liters of boiling water. Insist 20 minutes. Strain and gargle 3-4 times a day;
• To rinse in 0.2 liters of warm water, stir 1 tsp. glycerin, 1 tsp starch and add 4-5 drops of iodine solution. You need to gargle 4-5 times a day;
• Mogul-mogul, a remedy that softens the throat and returns the lost voice: 2 egg yolks are beaten with sugar until white foam and drunk in small sips;
• The simplest and most affordable means is rinsing soda saline solution. For 1 liter of hot water, add 1 tsp. drinking soda, 1 tsp salt, 10 drops of iodine. Gargle every 3-4 hours;
• 2 tsp calamus rhizomes pour 0.2 liters of boiling water, leave for 40 minutes. Gargle with warm infusion 4-5 times a day;
• With laryngitis, rinsing with freshly squeezed water helps beetroot juice, diluted with boiled water in a ratio of 2:1;
• Relieve laryngospasm and help the ligaments close together a teaspoon of cognac. This tool is used by singers, presenters, announcers - people whose work is associated with an increased load on the ligaments. This method cannot be considered a medicine in its pure form, since the effect lasts 1-2 hours, but as an emergency it is quite effective

Treatment of laryngitis in adults with inhalation

Mandatory means of treating laryngitis in acute and chronic form are inhalations. For hot inhalations, you will need dishes with a wide mouth (a bowl, an enamel pan, a small basin). Breathing steam with medicinal ingredients dissolved in it must be done carefully so as not to get burns of the mucosa. The duration of the procedure is 5-7 minutes.

1. The most accessible and simple inhalation with baking soda and table salt. The solution is prepared in the same ratio as for rinsing;
2. For inhalations, alkaline mineral water is used - "Borjomi", "Narzan", "Essentuki";
3. For inhalation, decoctions of chamomile, sage, mullein, calendula are used;
4. Essential oils of eucalyptus, fir, lavender have anti-inflammatory and antibacterial effects.

Therapeutic baths

Decoctions and infusions of herbs are added to the bath. In this case, the body warms up completely, skin contacts with herbs, and inhalation occurs. The duration of the procedure is 20 minutes. Baths are contraindicated at elevated body temperature.

There are many ways to cope with laryngitis at the initial stage, the main thing is to speed up the process, prevent the infection from spreading in the respiratory tract and prevent complications, the transition of the disease to a chronic form.

Laryngitis is an acute or chronic disease that is localized in the larynx and affects the vocal cords, which leads to partial or complete loss of voice and severe pain. In the absence of competent therapy, the disease can progress rapidly, which will lead to the spread of infection to the respiratory organs. Treatment can be carried out in a traditional and non-traditional way, while it is worth remembering that traditional medicine plays the role of ancillary and cannot act as a replacement therapy.

When eliminating the symptoms of the disease, it is important to observe the following principles of therapy:

• constantly keep the throat warm, for this it is enough to wrap a scarf or scarf around the throat, while it is desirable that the fabric of the object be natural;
• do not heat the affected area with eggs, salt, mustard plasters and similar means, as there is a risk of warming the lymph nodes, which will cause their inflammation;
• drink warm drinks as much as possible in small sips, raspberry tea, warm milk or honey with water are ideal for this, coffee and strong tea will cause additional irritation;
• the acute form of laryngitis necessarily requires the use of broad-spectrum antibiotics;
• do not talk for three to five days or minimize communication so as not to overload the vocal cords once again;
• use warm compresses on the sternum and calf muscles, mustard plasters are also excellent for applications on this area.

Attention! The above tips should be followed in the treatment of laryngitis, not only folk, but also traditional means. According to available statistics, if the recommendations are followed, recovery occurs 30% faster and avoids complications.

Inhalations in the treatment of laryngitis

Butter

A specific recipe that allows you to reduce the symptoms of the disease after the first use. It is very important to sit out the recommended procedure time. For inhalation, add three tablespoons of butter per liter of boiling water and dissolve it. After that, the patient should cover himself with a towel and breathe the resulting remedy for 5-15 minutes. The procedure should be carried out one hour before bedtime. Butter will moisturize and saturate the ligaments and tissues affected by inflammation, which will relieve redness, pain and facilitate swallowing. Inhalations are carried out once a day until the patient is completely recovered.

soda solution

Soda solution is an effective assistant in the treatment of laryngitis

Soda is a universal remedy that can also help with the appearance of laryngitis. For cooking, you need to take three teaspoons of soda for two liters of hot water and mix everything thoroughly. Breathe the resulting steam for 10 minutes, after which the solution can be used as a rinse. The procedure should be carried out for 1-3 minutes. You can repeat soda inhalations up to two times a day, gargle up to six times. If these solutions are not well tolerated, you can breathe plain water for 15 minutes.

Attention! To treat laryngitis and its accompanying symptoms, it is better to purchase a medical inhaler or nebulizer. Devices are able to evenly distribute the active substance, which leads to a faster recovery.

Honey for laryngitis

carrots and honey

To prepare an effective folk remedy, you need to take 250 ml of fresh carrot juice and add 15 ml of honey to it. After bringing the components to complete homogeneity, 15 ml of the solution should be taken up to six times a day after and before meals. Preliminary it is recommended to slightly warm the juice in a water bath or in a microwave oven to room temperature. The recommended duration of treatment is one week. If after this the symptoms of the disease still persist, you can take the juice for another three days.

Cranberries and honey

It is necessary to mix 100 ml of freshly squeezed cranberry juice and 200 ml of honey. The ingredients must be brought to complete uniformity. Take the resulting home remedy should be one tablespoon every 10-15 minutes. A maximum of 300 ml of cranberry-honey juice can be drunk per day. Therapy using such a tool continues for five days. If the patient does not tolerate such an amount of honey because of the strong specific taste, you can combine the ingredients in equal proportions of 100 or 150 ml.

Attention! These recipes are not suitable for the treatment of patients who have been diagnosed with an allergy to any bee product.

Decoctions for laryngitis

Garlic decoction

To prepare a decoction, take 200 ml of warm milk and add garlic puree from three cloves of garlic to it. After mixing, the milk is boiled for a couple of 5 minutes. The resulting decoction should be drunk in small sips so that the antiseptic penetrates as deeply as possible into the affected areas of the vocal cords and throat. The procedure is repeated daily until complete recovery. With the same remedy, you can gargle up to three times a day until complete recovery.

Raisin-onion broth

For 500 ml of boiling water, you should take 50 g of any raisins, it is better to take dark varieties. It is boiled for 10-20 minutes. Immediately after removing from heat, add 20 ml of onion juice to the broth and mix the ingredients thoroughly. As soon as the solution becomes pleasant to drink at a temperature, it should be taken at a dosage of 50 ml up to four times a day. Ready broth should be used within two days. It is possible to be treated with raisins and onions until complete recovery and removal of all symptoms of laryngitis, including coughing.

Attention! In some cases, such treatment leads to severe intestinal disorders and nausea. Typically, such body reactions are associated with individual intolerance and exceeding the recommended dosage of the drug.

Tinctures for laryngitis

Oregano officinalis

For every 250 ml of boiling water, 10 g of the plant mixture should be taken, which, after mixing, is covered with a tight lid. The grass should be infused for 5-8 hours so that it gives up the maximum of its beneficial substances. For treatment, it is necessary to divide the amount of water obtained after decanting the thick into three equal portions and drink them after the main meals. Treatment with oregano continues for five days.

Dry nettle

To prepare the infusion, only dry leaves of the plant should be taken. For 200 ml of boiling water, you need to take 10 g of nettle. The drug should be infused for three hours under the lid away from direct sunlight. As soon as the nettle is infused, it should be drained. For treatment, you need to drink a tablespoon of infusion during the day. The duration of therapy is determined by the patient's condition, it continues until the complete disappearance of all unpleasant symptoms,

Attention! In some cases, these infusions caused allergic reactions in the form of swelling of the throat, so they should be drunk with great care. It is better to take the first dose first and evaluate your condition. If the mucous membranes have not changed their properties, the drug is suitable for treatment.

Video - How to treat laryngitis with folk remedies

Rinsing for laryngitis

beetroot juice

For the procedure, 150-200 ml of fresh juice should be squeezed out. For better efficiency, 15 ml of apple cider vinegar is added to it, a concentrate of 6% should be taken. Gargle in this way should be up to three times a day at regular intervals after meals. After the session, you should not drink for 30-60 minutes. The duration of therapy is 5-7 days.

potato juice

For the preparation of the medicinal product, only good potatoes should be taken without traces of rot, wilting and unripeness. For one procedure, you need 150 ml of potato juice. The first procedure should be carried out 30 minutes before breakfast, and the last one an hour before going to bed. For knocking, you can do five procedures. Treatment with potato juice can continue until the patient has fully recovered.

Attention! These procedures must be carried out without fail after a simple gargling with ordinary clean warm water. This is necessary for cleansing the mucosa and better penetration of the active ingredients.

Video - Laryngitis

Preparations for combination therapy at home