What to do when a child has a hoarse voice. Hoarse voice in a child: why and what to do? Inflammatory ENT diseases and systemic drugs


Situations in which a child develops symptoms such as hoarseness and fever are not frequent, but parents strive to find out the causes of such pathologies. O hoarse voice- this is a rather unpleasant phenomenon in which the child feels a general malaise, loss of strength and loss of appetite. A high temperature, as well as a hoarse voice in a child, arise on the basis of the development of a certain kind of disease, such as laryngitis, asthma, tracheitis, and others. If the cause of hoarseness was not infectious diseases, then this could be due to a strong cry or overexertion of the larynx. In more detail about what constitutes a hoarse voice in a child, as well as the causes this phenomenon, we will find out further.

Why does a child have a hoarse voice

If a child shows signs of hoarseness, then parents should not resort to rash actions that will eventually provoke complications. First you need to find out what could provoke the development of such a phenomenon. There are enough reasons why a child has a hoarse voice. These include:

  1. Overvoltage. Children have a rather sensitive larynx, therefore, at the slightest sign of its damage, blood flow to the capillaries is observed. The joints of the larynx swell, as a result of which the baby may have a hoarse voice. Overexertion of the voice in a child occurs with a loud cry, squeak, as well as a long conversation. It is important to note that these symptoms disappear after a while, if you give your voice a rest. With an overstrain of the larynx, symptoms of fever are not observed.
  2. Allergen exposure. Absence cold symptoms does not mean that a hoarse voice in a child does not pose a serious danger. If, together with signs of hoarseness, difficulty breathing is observed, then the cause of this phenomenon may be the effect of the allergen on the body. Allergic reactions carry a mortal threat, since when exposed to allergens, the development of stenosis of the larynx is observed, as a result of which the baby suffocates and loses consciousness. If medical attention is not provided immediately, the child may die. When exposed to an allergen, the baby has symptoms such as hoarseness, such as sharp rise fever to febrile, cough, runny nose, swelling, redness skin and rashes. To eliminate symptoms allergic reaction it is required to eliminate the effect of the allergen on the body.
  3. Infectious diseases. Each person has a certain amount in the body, as beneficial bacteria as well as pathogens. If the child's immune system is supported, then pathogenic bacteria are suppressed at the expense of beneficial microorganisms. As soon as the immune system decreases, the number of pathogenic bacteria increases, as a result of which the disease develops. Each child has a cold from 1 to 5 times a year, which depends on the characteristics of strengthening immunity. Viral and infectious diseases are manifested with diseases such as runny nose, cough, sore throat, headaches. For the treatment of infectious diseases, it is required to resort to the use special medicines. If the cause of the disease is bacterial in nature, then antibiotics are used to combat it.
  4. Chemical injuries of the larynx. In other words, chemical poisoning is a fairly common occurrence diagnosed in children aged 1 to 4 years. Children strive to try everything that is wrong. Chemical poisoning develop through tasting gels, varnishes, perfumes, creams and ointments. If the composition of the tested drug includes chlorine, then this leads to the fact that the child may have a hoarse voice. When poisoning with chemical liquids, the child has a fever and develops various diseases, depending on which organ was affected.
  5. Dehydration. If an insufficient amount of fluid enters the body, this leads to the development of dehydration symptoms. A dangerous phenomenon in which cell death and depletion of the body are observed. If help is not provided in a timely manner, the child may die. Symptoms of dehydration are signs such as hoarseness, fever up to 38 degrees, complete exhaustion of the body.
  6. Laryngeal injuries. Children often put everything that comes to hand into their mouths. If these are toys, then the presence of microbes on them leads to the development of infectious diseases. If a sharp object comes under the arm, then it is possible that with its help the baby will injure himself. If a child damages the ligaments of the larynx, then hoarseness is only the main sign of serious disorders. To eliminate the signs of hoarseness, it will be necessary to conduct a comprehensive examination of the larynx and make a diagnosis.

Laryngitis and its features

A disease such as acute laryngitis occurs quite often in children, so the most common cause the fact that the child has a hoarse voice is the soreness of the larynx. Laryngitis occurs through the development of inflammatory processes in the mucous membrane of the larynx, as a result of which the child has symptoms of difficulty breathing. The main reasons for the development of laryngitis are the following reasons:

  • The presence of diseases such as influenza, SARS, and measles.
  • Negative reactions to various smells or when the child comes into contact with pets.
  • Stressful situations and a strong overstrain of the nervous system.
  • The presence of dry air in the room, which leads to the drying of the mucous membrane of the laryngeal cavity.
  • Hypothermia of the body.

Symptoms of laryngitis include:

  1. Heat.
  2. Swelling of the throat.
  3. Dry cough.
  4. Rattling and change in the timbre of the voice.
  5. Headache.

To make a correct and accurate diagnosis, the doctor will need to conduct a detailed examination of the patient. If not treated sharp shape laryngitis, the disease is complicated by inflammatory processes. For treatment, you will need to include a whole range of techniques to eliminate the symptoms of the disease.

How to deal with hoarseness

Before starting the treatment of a hoarse voice in a child, it is necessary to make sure of the reasons for its disappearance. For this, you need to see a doctor. It is strictly forbidden for parents to carry out therapy on their own, otherwise the baby may completely lose his voice.

If the child has a hoarse voice and at the same time there is an increase in temperature, then the treatment is carried out using various ways. Often, doctors prescribe for small patients taking lozenges, tablets, as well as the use of aerosols and sprays. The composition of the treatment regimen must necessarily include such drugs that have a detrimental effect on various harmful microorganisms. At a high temperature above 38 degrees, the child necessarily requires the use of antipyretic drugs.

It's important to know! If the body temperature does not rise to 38 degrees, then the use of antipyretics is strictly prohibited.

With angina, lozenges are prescribed, which should be absorbed. One of the most effective drugs for resorption are:

  • Doctor Mom;
  • Lizak;
  • Strepsils.

Be sure to read the instructions before use. If the diagnosis of the disease is associated with fungal infections, then in this case, you should resort to the use of the following drugs:

  • Nystatin;
  • Quinosol;
  • Hexoral.

If the baby has signs of a hoarse voice associated with suspicions of illnesses such as measles or diphtheria, then treatment should be carried out in a hospital. Self-medicate such serious illnesses it is impossible, since the consequences can be the most unforeseen.

You can treat the throat with iodine-containing drugs, such as Lugol, Iodinol and others. No less popular for diseases of the throat is a drug such as Chlorophyllipt. advantage this drug is his vegetable composition which makes the product completely safe and effective.

If there is a need to relieve swelling, irritation and tickling of the throat, you will need to resort to the use of such drugs: Ketotifen, Zyrtec, Loratadin, Erius. Antibiotics are prescribed in exceptional cases when, after the tests, the presence of a bacterial nature is confirmed. Children are prescribed antibiotic options for drugs such as Bioparox, Penicillin, Macrolide. Which antibiotic should be used in a given situation, the attending physician decides.

Attention to the baby and elementary knowledge of medicine will help parents avoid many diseases.

  • overvoltage vocal cords. Toddlers like to scream and squeak, this affects the vocal cords, the capillaries of which are oversaturated with blood when stressed. Voice restoration is possible without treatment.
  • Allergic reaction accompanied by various signs including laryngeal stenosis. Along with a change in voice, the child has difficulty breathing, he may even lose consciousness.
  • The defeat of the body by viruses and bacteria, in which there is a closure of the ligaments associated with swelling of the respiratory system.

    Microorganisms contribute to the development of inflammation in the larynx, changing its structure and narrowing the glottis. Hoarseness is accompanied by cough, runny nose, sore throat and sore throat.

  • With chronic laryngitis, the voice remains hoarse for a long time, sometimes for life. The child does not have any sore throat or discomfort.
  • During hormonal changes in adolescent boys, the reproduction of sounds changes due to mutation of the vocal cords.
  • When the body is dehydrated, the mucous membranes of the larynx suffer, causing irritation and discomfort.
  • With chemical and burn lesions of the mucous surfaces of the throat. The curiosity of a child can end in tragedy - poisoning or burns. In addition to hoarseness and swelling, it can lead to asthma attacks - which is very life-threatening.
  • When traumatizing the ligaments with a foreign object.

hoarseness children's voice- one of the harbingers of a false croup, in which there is a sharp narrowing of the ligaments, called stenosis of the larynx. It is observed in babies from newborn to three years of age, requires urgent intervention "emergency care".

Cause How to fix a hoarse voice
Broken voice Rest is needed, a ban on screaming, singing and other stresses on the voice. Drink warm milk, you can with honey or soda.
Allergy Urgent application antihistamines discharged by a pediatrician, you can "Suprastin" or "Zodak".

The appearance of Quincke's edema from the bite of any insect is dangerous.

Foreign object hit Immediate contact with specialists.

You can feed your baby a piece of stale bread to push down the esophagus foreign object.

But this applies if something edible is stuck in the throat.

Injury to the neck or throat contact medical institution. It is possible to use a special probe for breathing.
Disease laryngitis Comprehensive treatment as prescribed by a specialist: the use of antihistamines, expectorant and antitussive drugs, anti-inflammatory drugs.

Note! When buying drugs for treatment, carefully read the instructions, especially the column on contraindications and side effects.

  • Treat the child according to the recommendations of the otolaryngologist or pediatrician.
  • Drinking liquids: warm milk, herbal decoctions, teas with lemon and raspberries - will help wash the virus out of the child's body.
  • We ventilate the room more often, monitor the humidity of the air. The mucous membrane of the larynx suffers from dry air and, if necessary, it is necessary to moisten the room.
  • Using inhalation for treatment, use the following solutions: soda, herbal chamomile or sage, mineral water.
  • Treatment of infants with a drug prescribed by a doctor begins only after 6 months.

Folk remedies

Self-medication is dangerous, especially in cases with babies. But drug treatment in combination with folk remedies always efficient.

How to restore the voice of a child at home:

  • We use hot milk with the addition of 2 - 3 drops of iodine and half a teaspoon baking soda. We drink in small sips.
  • Thanks to the honey in the honeycombs, the throat softens, you just need to chew it. We put simple honey in milk or tea.
  • With inflammation of the tonsils, they can be wiped with gauze dipped in water and vinegar. The solution is prepared in proportions: water - 3 parts, vinegar - 1.
  • We prepare warm gargles for the throat from soda, chamomile or a ready-made pharmacy collection. We carry out rinsing after 2-3 hours.
  • We warm the baby's legs in warm water, older children can be added to the water mustard powder.
  • Effectively inhale the vapors of boiled potatoes.
  • Warm compresses on the chest and neck can be made from mashed boiled potatoes or heated salt wrapped in gauze.
  • Give the baby boiled milk mixed with borjomi in equal proportions with the addition of a spoonful of honey twice a day.
  • We are treated with gogol - a mogol from two egg yolks, a spoonful of sugar and butter. We drink half a teaspoon between meals.
  • In diseases of the throat, teas from rose hips, sea buckthorn, viburnum, raspberries, and currants are effective. Great benefit from fruit drinks from forest and garden berries.
  • We make inhalations from medicinal herbs.

Note! When using warm compresses, it is important not to burn the baby's skin. Try applying a compress to sensitive areas of your body, you can to the chest or to the crook of the arm.

Be attentive to the condition of your kids, take care of their health, love your children!

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Good day, dear readers. All parents, without exception, are concerned about the health of their own child. Often a hoarse voice is an alarming symptom. Before panicking, it is necessary to understand the causes of the problem and if the child has a hoarse voice - how to treat and how to prevent the recurrence of this syndrome.

Depending on the age of the child, the reasons for the change in voice may be different. Most likely, the occurrence provokes infection of the oropharynx. Swelling of the larynx due to inflammation interferes normal operation vocal cords and causes the appearance hoarse voice.

The main provoking diseases

  1. Laryngitis - hoarse voice one of the pathognomonic symptoms of the disease, in addition, is characterized by a "barking" cough. Laryngospasm is possible, in which the voice disappears completely and suffocation may occur.
  2. Bronchial asthma - the onset of an attack is accompanied by hoarseness, after stopping the voice is restored.
  3. Viral infections - with a viral infection of the pharynx, swelling and inflammation occur. Characterized by cough accompaniment.
  4. Inflammatory diseases of the lungs and bronchi - a painful, rough cough can also be the cause of hoarseness.
  5. Prolonged overload of the ligaments - screaming, long singing or loud crying.

Cause differences for young children

Along with the above diseases, babies may develop a hoarse voice due to prolonged crying. When the ligaments in a newborn are overstretched, the baby may begin to "wheeze" when crying or cooing. Therefore, it is better to find out the cause of the child's anxiety, if inflammatory diseases excluded.

  • gas problems and colic,
  • mother's lack of milk
  • high fever accompanied by headache
  • runny nose (mucus dripping down the nasopharynx causes a "horizontal cough" and hoarseness of the baby)

If hoarseness is not caused by an infection, then check with the child for these reasons. Carry out a control weighing after feeding, massage and spread on the tummy more often. When reaching 11 months, these problems are rarely relevant.

Treatment and prevention

As a general rule, for any cause of hoarseness, it is imperative to protect the vocal cords and talk as little as possible. This will save your baby from additional injury to the ligaments and help you recover faster.

Be sure to drink warm drinks, it is preferable to give fruit drinks and jelly. The vitamins contained in fruit drinks (especially vitamin C) increase the body's resistance to infection. Kissels envelop sore throat making it easier to speak.

These methods will help with loss of voice due to screaming or crying, with the infectious nature of the disease, the root cause must be treated. And these methods are used as auxiliary. In treatment, trust the attending pediatrician, do not rely on the recommendations and advice of friends and relatives.

With bacterial sore throats, antibiotic sprays help well, they act locally and fight microorganisms locally. For kids early age do not use drugs containing alcohol and alcohol solutions.

ethnoscience

The means that our grandmothers used will help to effectively solve the problem of a hoarse baby. If use folk recipes as an adjunct therapy - you can quickly cure an unpleasant symptom.

Recipes

  1. The use of warm decoctions of chamomile, raspberry, eucalyptus and mint for rinsing disinfects well and relieves inflammation. To prepare a decoction, take a tablespoon of dried plants and pour a glass of boiling water. Let it brew and strain. It is better to rinse with a warm decoction.
  2. In the absence of temperature, soak your feet in warm water. For older children, to improve blood circulation, you can add mustard powder to the water. Enough two tablespoons of powder for 5 liters of water. If the foot bath begins to cool, you can add hot water. After the procedure, be sure to wipe your feet dry and put on warm socks.
  3. Compresses. Mash boiled potatoes with a fork and wrap in dense fabric. The main thing is that the compress is warm. Put the prepared compress on the neck and collarbone area and leave for 20 minutes. After the procedure, wipe the child dry and cover with a blanket.

Prevention

Protect your child from excessive hypothermia. Walk more often to rule out infections. fresh air and carry out hardening procedures. Train your vocal cords by singing and reciting poetry loudly with your child (you will develop your child creatively at the same time). Watch your baby's diet and routine.

Disease is better to prevent than to cure. Carrying out simple preventive measures they will save your child from a hoarse voice and do not have to wonder “what to do?” If the child is sick.

Understanding that a child is sick is usually not difficult for attentive parents. The baby has a fever, a runny nose, cough, appetite disappears. Sometimes adults notice that the crumbs have a hoarse voice. And that's enough alarm symptom A must for all moms and dads to know about. Famous children's doctor Evgeny Komarovsky tells why this happens, why it is dangerous and what to do if hoarseness is observed.


The reasons

In the larynx there are vocal cords that are directly involved in the formation of sounds. These ligaments themselves are very mobile. However, their mobility is easily impaired, modified if edema occurs and inflammatory process in the throat, where the ligaments attach.

Many parents mistakenly believe that if a child has a hoarse voice, then this is solely a consequence of hypothermia or a cold.

Anything can cause inflammation of the larynx, and most often the reason lies in viral infection.



  • Majority respiratory viruses enter the body of the child through the nose, and this leads to a runny nose. The mucus that is produced in response to the penetration of a foreign foreign agent accumulates and disrupts nasal breathing. But some of the viral particles survive and pass further - through the nasopharynx to the larynx, and there an inflammatory process begins, which changes the parameters of the functioning of the vocal cords.
  • The second most common reason, according to Evgeny Komarovsky, is an allergic reaction. An antigen protein that is immune system the baby is a stranger, causes rejection in his address, and therefore the allergy is quite "resourceful" to various symptoms including sore throat.
  • Hoarseness may occur after trauma to the larynx, for example, from a burn if a child swallows something very hot. Often, caring mothers, in an attempt to quickly cure a baby from SARS or flu, do steam inhalation, during which the child also gets a burn of the mucous membrane of the throat. After such “procedures”, a sick, but not hoarse child becomes hoarse.
  • Also, the voice can be hoarse. after a long heart-rending cry from mechanical trauma to the vocal cords. It goes away on its own - the ligaments are restored quite quickly.
  • Less commonly, but this can also happen, inflammation in the throat causes bacteria. Typically, such an ailment will not only be accompanied by hoarseness, but also by high fever.


Danger

The danger of this symptom, whatever it is caused, according to Evgeny Komarovsky, is that any inflammatory process in the larynx in a child can lead to impaired patency respiratory tract and normal ventilation.

Additional risk is created anatomical feature children's throat - it is narrower than in adults, and therefore the swelling develops much faster and more aggressively.

The appearance of hoarseness is a clear reason to see a doctor, and the sooner the parents provide a consultation with a specialist, the better, because the child may have difficulty breathing at any time. The doctor's task is to quickly identify the cause, the focus of inflammation and prescribe appropriate therapy.


Sometimes a hoarse voice is a sign of such a deadly dangerous disease like diphtheria croup. Now that all children in without fail vaccination against diphtheria is being carried out, the incidence of this disease has decreased significantly. But it is impossible to exclude such a possibility even in a vaccinated baby. For this, a doctor is needed, who first of all will check if the crumbs have diphtheria.

In case of severe sudden hoarseness, it is necessary to call an ambulance. Before the arrival of doctors, parents should provide first aid to the baby on their own, especially if there are already signs of difficulty breathing - this is plentiful drink and complete peace.


Treatment

Treatment depends on the cause of the hoarseness.

In acute respiratory viral infection, no specific therapeutic measures are necessary.

It will be good if the parents give the child more abundant water to prevent the mucus in the nose, larynx and bronchi from drying out, and also create favorable conditions for the recovery of the baby: the humidity in the room is 50-70%, and the air temperature is 18-20 degrees.

And no heaters. Additionally, you can bury in the nose saline solution, and gargle with them.

In case of allergies, the child will definitely need to consult an allergist, who will help to establish, with the help of special tests, the type of allergen that caused an inadequate reaction of the body. Treatment is to eliminate the cause of the allergy. In severe cases, antiallergic antihistamines are prescribed.



In case of bacterial inflammation of the child, the doctor will prescribe antibiotics without fail. Which ones - it will become clear when examining, analyzing other symptoms. Usually, these are drugs of the penicillin group.

In trauma, the child needs rest. And this will be the main medicine. You should play silently, do not try to talk at any cost.

In severe cases, the doctor will complain about rinsing with furatsilin, treating the larynx with an antiseptic, such as Miramistin, and inhaling with special formulations based on adrenaline, which cause spasm of the vessels of the larynx. As a result of their use, swelling decreases, the glottis opens, breathing is restored.



Hoarseness after sleep

Sometimes parents pay attention to the fact that the child wakes up hoarse in the morning and clears his throat and recovers for some time after waking up. This phenomenon is connected, according to Evgeny Komarovsky, with the fact that in the larynx, in particular in the region of the vocal cords, natural secretory mucus dries up at night.

This is due to the fact that the baby breathes too dry air. It is enough to moisten it, and the nightly hoarseness will stop.


Child hoarse after illness

This symptom is worrisome. If ARVI is already left behind, and the baby feels better, then sudden hoarseness may indicate the addition of a secondary infection, very likely bacterial. You should not wait for it to go away on its own, or for shortness of breath to still appear, but you need to immediately call a doctor at home.


Young mothers often notice that the baby has a hoarse voice, although visible reasons for this no. The problem can occur both in a month-old and in an adult child. In some cases, this is in no way connected with a cold and appears, most likely, due to the habituation of the vocal cords to new living conditions. But it can also be a symptom of a serious illness.

Since the health of the child is very important, you should not diagnose and treat yourself. If you notice any changes in your child's voice, be sure to go to the doctor. A hoarse voice in a child can be the result of a prolonged load, for example, after screaming or singing.

A child's respiratory system is different from an adult's, and when bacteria get inside, they immediately affect the larynx. Therefore, many diseases respiratory system accompanied by a hoarse voice.

Why does the child have a hoarse voice?

This problem may occur in the baby different reasons because it all depends on the individual. Although among all the most common causes can be distinguished.

Prolonged cry. Quite often, especially young parents leave a crying child, because they believe that in this way they teach him to be independent. Prolonged crying leads to the fact that the child breaks his voice.

Tracheitis. This disease is an inflammation of the tracheal mucosa. Main reasons: cooling or infection. Can take place in acute and chronic form, and there is also allergic tracheitis.

Colds. This is the most common cause of a hoarse voice in a child. As we have already said, the body of each person is individual, and someone loves heat, while others love cold. Many parents try to temper the baby and often ventilate the room, which leads to respiratory diseases.

If the child is still sick, then be sure to visit a doctor, maintain the required temperature in the house and do not let him cry, as the cry will finally break his voice.

Laryngitis. This disease is an inflammation of the mucous membrane of the larynx.

There are several types:

  • Catarrhal laryngitis causes not only hoarseness, but also a sore throat and cough. This option is considered the most mild form illness;
  • Hypertrophic laryngitis has the same symptoms, but they are more pronounced, and small growths may also occur. If you found high temperature and a hoarse voice in a child, then be sure to consult a doctor;
  • Children 6-8 years of age may develop a special form of laryngitis called false croup. Attacks of the disease occur unexpectedly and most often at night. Breathing becomes difficult, hoarseness and coughing and also the lips turn blue. If the temperature rises, then it is quite insignificant. If symptoms of this disease are detected, it is urgent to call ambulance and give the child a warm drink;
  • The most dangerous for the baby is acute laryngitis. In addition to a hoarse voice, the child will also have a cough. In addition, there is swelling of the larynx, which makes it difficult to breathe without medical care everything can end in death due to suffocation. If you notice a hoarse voice in a child, barking cough, loud breathing, as well as signs that the baby does not have enough air, call an ambulance.

Most often, laryngitis occurs in the off-season, when there are strong changes in temperature and humidity.


  • Laryngeal injuries. Swelling of the vocal cords may occur due to an accidental blow to the anterior or anterolateral surface of the neck. In this case, the baby needs urgent hospitalization;
  • If a foreign object gets into the throat, then a hoarseness of voice may initially occur, but it can also lead to blocking of the airways, which will end in death. In this case, there may be a cough, a change in skin color, and even loss of consciousness.

What is needed to treat a hoarse voice in a child?

In general, all the treatment that is offered in this case can be divided into home and medication. The first thing to do if you find a child with a throat problem is to give him a warm drink, and you need to do this often.

Give preference herbal tea, for example, based on chamomile, lime flowers or pine buds. The baby should drink such drinks at least 5 times a day. By the way, instead of sugar, it is recommended to add honey.

If the reason why the voice is hoarse is a cold and laryngitis, then give it warm milk, in which you need to add a pinch of soda and 1 teaspoon of butter. Please note that for sore throat high temperature differences are not recommended, so the liquid should not be hot.

Treatment of this disease can be carried out with the help of inhalations. Due to the fact that the flow of warm air, saturated with medicinal essential oils, envelops the ligaments, irritation disappears and inflammation disappears.

For the treatment of respiratory problems, it is recommended to use eucalyptus, calendula, St. useful bath, in which it is necessary to put sea ​​salt with essential oil.

Concerning drug treatment, then it will be based on the results of the inspection. When the disease is detected, the doctor may prescribe antibiotics and antimicrobials, but this is done only if there is a bactericidal infection. In other cases, symptomatic therapy is prescribed.

For children with fever, drugs are most often prescribed to get rid of inflammation. If there is a pronounced spasm, then the doctor prescribes bronchodilators. It is allowed to use drugs that include vitamins, minerals and agents that strengthen the immune system and increase the protective functions of the body.

Important Tips:

  • If you find a hoarse voice in a child, do not allow him to talk a lot, as this further strains the ligaments, which will only exacerbate the problem. If this is not possible, make sure that the baby does not scream or whisper;
  • It is recommended at this time to adjust the diet. Do not give salty, spicy and heavy food. Also, avoid very hot and cold dishes, as we have already said that temperature changes are harmful to the voice. It is recommended to eat chicken broths. By the way, this advice has scientific confirmation;
  • Use humidifiers at least in the child's room, as dry air is especially harmful when there is such a disease. Also clean regularly. All this will help remove germs;
  • It is not recommended to use rinsing, although many believe that it is, on the contrary, useful. The fluid does not reach the ligaments and leads to a tighter closure and increased swelling.

Summing up