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Croup
Causes

Croup is a viral infection of the vocal cords, voice box (larynx) and windpipe (trachea). It is usually part of a cold. Swelling of the vocal cords cause hoarseness. All children with croup have a tight, low-pitched "barking" cough.

Stridor occurs as the opening between the vocal cords becomes narrower. Stridor is a harsh, raspy vibrating sound when your child breathes, and is usually present only with crying or coughing. As the disease becomes worse, stridor also occurs when he is sleeping or relaxed.

Expected Course
Croup usually lasts for 5 - 6 days and generally gets worse at night. The symptoms are usually worse in children under 3 years of age.
Home Care For Attacks Of Stridor With Croup

1. Medications

Your doctor may prescribe Dexamethasone to your child. This is a steroid which helps to reduce the swelling of the windpipe and vocal cords, and thus relieves the breathing difficulties.

Cough medicine may be given to help clear the secretions.

2. Warm fluids for coughing spasms

Coughing spasms are often due to sticky mucus caught on the vocal cords. Warm clear fluids may help relax the vocal cords and loosen up the mucus.

3. Smoke exposure

Avoid anyone smoking around your child. Smoke makes the croup worse.
4. Close observation

Sleep in the same room as your child so that you can monitor him closely.

Consult your doctor if:
Breathing becomes difficult or the stridor returns (when your child is at rest)
The child is lethargic
There is poor feeding
Your child appears pale or blue - LATE SIGN!
Croup lasts more than 1 week
Useful links:
Children's Clinics | Children's Emergency | General and Ambulatory Paediatrics |
Prepare your child for healthcare experiences
Useful phone numbers:
New/Change/Cancel appointments 6294 4050