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The winter months for your baby are typically the worst as far as catching colds, flu, or whatever else seems to be going around during the season. Cold, dry air is a perfect environment for the transferring of viruses and bacteria. Between the months of October and March, it may seem your baby is constantly suffering from a runny nose or a cough of some type. The first time you hear a croupy cough in your baby, you may be certain your baby is about to die. It can be terrifying for parents who have never dealt with croup to hear their baby cough and watch him struggle to take a breath. Fortunately, most cases of croup can be managed at home, and only in rare cases involve medical intervention.
Croup is most common in children between the ages of 6 months and 5 years, and occurs most frequently in the winter months than in the summer months (though it can happen at any time). Children who suffer from croup once are far more likely to have it several times throughout childhood than a child who has never had it. It is a respiratory condition, and it is characterized by a barking type of cough, and is usually much worse at night than during the day. A child who is suffering from croup is usually sick prior to the onset of the barking cough, though sometimes a virus will present with croup symptoms. Your child may be struggling to breathe, and you may notice rib retractions with every breath taken and stridor which is a harsh crackling sound your child will make when he breathes in. The reason the cough sounds so terrible is there is usually a swelling of the vocal chords caused by parainfluenza (in about 75% of cases).
If it is the first time your child has had croup, you should certainly call your child’s pediatrician–even if it is in the middle of the night. Oftentimes a physician or nurse can diagnose croup right over the phone by listening to your child breath and listening to his cough. In most cases, there is no need to bring your child to the doctor or hospital for treatment, as home remedies are typically very effective.
One of the first things your child’s doctor or nurse will advise is to bring your baby into a steamy bathroom for about twenty minutes. You should almost immediately notice improvement in your child’s labored breathing and a significant decrease in the cough. The barking sound of the cough will improve immediately, as well. Another option for alleviating the symptoms of croup in your baby immediately is to bring the child outside to breathe in cold, dry air. The cool air will almost immediately reduce the swelling of the vocal chords making it much easier for your child to breath and alleviating much of the painful, loud cough.
Unless directed by your child’s pediatrician, do not administer cough syrup to treat croup, as it has been shown they are largely ineffective in children and often do more harm than good. Instead, warm liquids will help soothe an irritated throat, and a dose of acetaminophen or ibuprofen will help make your child more comfortable. Ibuprofen also gives the added benefit of being an anti-inflammatory which means it will not only help make your child more comfortable but also help in reducing the swelling of your baby’s vocal chords.
In some cases, it may be necessary to get your child seen immediately for croup. If your child is having extreme difficulty or labored breathing, if his skin turns a bluish color, or he doesn’t respond to any home remedies, it is important to have him seen by a doctor. If croup lasts more than a few days, as well, be sure to visit your child’s pediatrician to rule out any other possible complications. Often, the pediatrician will administer a dose of oral steroids in order to help reduce inflammation immediately.
Croup in a baby or child can be extremely frightening if you have never seen the symptoms before. The horrible, barking cough makes it sound like your child is in grave danger. It is fairly well managed at home, however, without medical intervention or with instruction via phone to help guide you through treating the symptoms of croup. The most commonly recommended treatments include bringing the child into a steamy bathroom for 20 minutes, or bringing the child outside for a few minutes to breathe in the cool, dry air. Treatment with fever reducers and pain relievers will help keep your child more comfortable and help manage other symptoms, and pushing warm liquids (other than milk) will help soothe a sore throat in a child and thin mucous to make breathing much easier. While it sounds horribly frightening, most cases of croup are fairly mild, and your child should be much better within just a few days.
Croup is a medical ailment that typically affects young children between the ages of 3 months and 5 years. This particular condition causes swelling of the larynx or voice box. The windpipe is also affected by croup as well. Breathing becomes difficult because the airway below the vocal cords is constricted when croup occurs. Younger children are more prone to contract croup because their airways are smaller and swelling takes up more space in their throats.
When croup occurs it is characterized by a cough that resembles a form of barking and wheezing. Children also have hoarse throats and they will have a hard time getting air. When younger children cry they can agitate croup which in turn makes it more difficult for them to breath. Croup is often accompanied by fever and other cold like symptoms.
Croup is caused by viral or spasmodic means. A child that contracts a viral form of croup will experience symptoms that resemble the common cold. The barky cough will eventually result and a childs voice will become hoarse while their breathing will get noisier. Most children will have an elevated temperature but in some cases it can go up to a dangerous range. Spasmodic croup is caused by a bacterial infection and it is started by an allergy or reflux from the stomach. This type of croup can affect a child with little or no warning and causes them to wake up gasping for breath.
Parents can use some at home remedies to help their child to overcome the affects of croup. Turning on a hot shower will create steam which can be used to help a child to breathe a lot easier. Parents need to remain in the bathroom for at least 15 to 20 minutes with their child if they decide to perform this type of treatment. The warm and moist air will help to open up a childs airways and help them to breathe a lot easier. Some medical professionals also recommend taking a child outside into the cool air at night. This sometimes helps to ease the symptoms of croup. Using a humidifier can also help a child to overcome the symptoms of croup. Holding a child in an upright position, getting them to rest and giving them fluids are other useful actions that can help to reduce the problems associated with croup.
In most cases a hospital visit isnt necessary for children who have croup but a trip to the emergency room might be necessary if their breathing becomes extremely hard or rapid. Also, if they have bluish lips or fingernails or they are wheezing when at rest then a trip to the hospital might necessary. Parents should also consider taking their children to the hospital if the child has an earache or if theyre having trouble sleeping.
Sometimes these different types of remedies are not enough to keep a child with croup from having to visit a medical facility. Children typically gain priority over other people within emergency rooms. Parents wont have to wait for an extended amount of time once they arrive. Croup is classified by the use of the Westley scale. This guide ascribes various levels of croup based off of the symptoms that a child displays when theyre admitted into an emergency room. Doctors and emergency room medical staff will then provide the right type of treatment that corresponds to a childs level of croup. When most children are admitted for croup at least 85% have a mild form of this disease. Less than 1% of all cases are severe.
Emergency room personnel generally treat croup with the use of steroids such as dexamethasone and budesonide. Epinephrine is a hormone that is sometimes used in severe cases and it can quickly clear up the symptoms of croup within an hour. Oxygen is also given to children to help them breathe. Doctors use a method called blow-by and this process is carried out by placing a mask near a childs face as opposed to putting it directly over their nose and mouth. Blow-by reduces the irritation a child receives from using a mask.
Croup typically lasts between 3 to 7 days and it is contagious. This disease will not cause death except in extremely rare cases. Children with croup should be isolated from their siblings and other children as much as possible. Once the condition is subsided it usually does not reappear but in the event that it does a child should be taken back to the emergency room or to their family doctor for further care.
