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At this point. The major concern is his airway, and a problem called epiglottitis, which is where the epiglottis swells and can close the airway. This usually happens within the first hour or so, but if he is wheezing, you might want to take him to the ER, where they can visualized the problem with a laryngoscope, and spray some steroid spray on his vocal cords if needed to reduce swelling. If he is not wheezing, and his airway seems clear, you should continue to ice it for a few hours and look for improvement, if no improvement, he needs the ENT doctor, so make an appointment. Dr Frank.