The infant’s nasal cavity produces a phlegm-like sound.

May 26, 2022 Source: Cainiu Health
Dr. Zhang Weiling
Introduction
The gurgling or rattling sound heard in an infant’s nasal cavity is typically caused by nasal secretions—commonly referred to as “nasal mucus.” Inflammation of the nasal mucosa leads to increased mucus production, resulting in these noisy breathing sounds (e.g., snorting or snuffling). In some cases, postnasal drip causes mucus to drain into the throat, producing similar gurgling or rattling sounds there. This condition is known as rhinitis.

When parents describe a “phlegm-like sound” in an infant’s nasal cavity, this description warrants careful analysis. If the sound truly originates from the nasal cavity, it is most likely due to nasal secretions—commonly referred to as “nasal mucus.” Nasal inflammation can trigger increased mucus production, resulting in audible “gurgling” or “rattling” sounds within the nose. In some infants, postnasal drip may occur, wherein mucus drains from the nasal passages into the throat, producing similar gurgling sounds in the throat. This condition is typically allergic or infectious rhinitis.

For such infants, caregivers should observe for accompanying symptoms—including fever, nasal congestion, coughing, and others. Management strategies include gently washing the infant’s face and nasal passages with warm water, which provides local heat therapy and helps clear nasal secretions. Additionally, physiological saline nasal sprays (available over-the-counter at pharmacies) may be used to loosen mucus and facilitate its clearance. If symptoms persist or worsen, timely medical evaluation is essential. A healthcare provider will assess the infant’s specific clinical presentation and prescribe appropriate treatment; parents should follow the prescribed regimen precisely.