Four-year-old child hoarseness may be associated with intense crying, acute laryngitis and other factors, can be soothed by the baby, medication and surgery to relieve the symptoms. 1. violent crying: when the baby is hungry or by external stimuli after parents did not timely appeasement can lead to the baby’s violent crying makes the vocal cords overworked, further leading to hoarseness of the toddler’s voice, at this time the need for timely feeding or appeasement of the baby to stabilize the baby’s mood, after appropriate rest the child’s hoarseness of the voice and other symptoms will be relieved. 2. Acute laryngitis: caused by viral or bacterial infections, can make the baby hoarse, severe cases affect respiratory function. At this time to comply with medical advice oral prednisone, intravenous dexamethasone, hydrocortisone or methylprednisolone, inhalation of budesonide suspension, etc. can promote the decline of mucosal edema, to maintain a smooth airway. If caused by viral infections, there are no special drugs; if caused by bacterial infections, antibacterial drugs should be given in time, usually penicillin, cefixime, ceftriaxone and other drugs are given. All of the above drugs need to be used under the guidance of a doctor, to avoid self-medication. There are many other causes of hoarseness in a four year old child, it is recommended to consult a doctor in time to be evaluated by a specialist for treatment or therapy.