![]() ![]() In patients with moderate to severe croup, the addition of nebulized epinephrine improves symptoms and reduces length of hospitalization. Randomized controlled trials have demonstrated that a single dose of oral, intramuscular, or intravenous dexamethasone improves symptoms and reduces return visits and length of hospitalization in children with croup of any severity. Radiography and laryngoscopy should be reserved for patients in whom alternative diagnoses are suspected. Viral cultures and rapid antigen testing have minimal impact on management and are not routinely recommended. Laboratory studies are seldom needed for diagnosis of croup. Less commonly, stridor can be associated with acute epiglottitis, bacterial tracheitis, and foreign body airway obstruction. Many patients experience low-grade fevers, but fever is not necessary for diagnosis. Croup is a manifestation of upper airway obstruction resulting from swelling of the larynx, trachea, and bronchi, leading to inspiratory stridor and a barking cough. It accounts for 7% of hospitalizations annually for fever and/or acute respiratory illness in children younger than five years. Your child’s lips, skin or fingernails turn blue or white.Croup is a common respiratory illness affecting 3% of children six months to three years of age. ![]() Your child is having trouble breathing.Your child begins to drool or cannot swallow.Your child will not drink fluids and has not had a wet diaper or urinated for 12 hours.Its quite common and scary for both kids and parents. Your child’s cough keeps him from sleeping. Symptoms Severity How to Tell a Cough From Croup Treatment Tips for Preventing Croup Croup is a viral infection in children that causes swelling in the trachea (windpipe) and larynx (voice box).Your child has retractions (skin tugs between and under ribs during breathing).Your child’s breathing or coughing doesn’t get easier in 20 minutes in moist air.Your child’s fever is higher than 102° F (38.9° C) or if he develops a high fever suddenly.Do not let anyone smoke around your child in the house or in the car. Try warm apple juice, lemonade, Jello water or tea. Having your child swallow warm, clear liquids may help the cough more than medicine.You may want to sleep in the same room with him. While your child has croup, he needs to be watched more closely.The following causes, alone or in combination, are responsible for the majority of cases of chronic. In many cases, more than one cause is involved. However, a cough that persists for weeks is usually the result of a medical problem. During the summer, you may open the freezer or refrigerator door and allow your child to breath the cool air. An occasional cough is normal it helps clear irritants and secretions from your lungs and prevents infection. ![]() Wrap your child warmly and take him outside to breathe night air for 10 to 15 minutes. Take your child back to bed when his coughing and breathing are better. Watch him carefully so he doesn’t get burned by the hot water. Sit with your child on your lap in the bathroom. Run hot water in the sink, tub or shower to make steam. (Be sure to keep the vaporizer clean and change the water every day.) Clean it once a week by running 1/2 strength vinegar water through it for 2 hours, then rinse with clear water. Run it all the time while your child is sick. A harsh barking cough, due to the inflammation of the vocal.
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