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They may need a breathing treatment racemic epinephrine to calm their breathing and a period of observation to ensure symptoms do not recur. There are few children who are admitted to the hospital for recurrent treatment and observation, and the most severe cases may need additional breathing support. If a child has repeated bouts of croup, especially more than two illnesses a year, they are said to have recurrent croup and should be seen by a pediatric otolaryngologist , a doctor that specializes in conditions of the ears, nose and throat ENT , to determine the underlying cause of the condition.
For more advice that will help you keep your child healthy, happy and safe, subscribe to our Health Tip of the Week e-newsletter. Find out whether an urgent care center or the emergency department is the best choice for your child. General Inquiries. Get Directions. What is croup? Who does croup affect? Croup is most commonly seen in: Children 6 months to 3 years old The fall and winter months How serious is croup?
Symptoms are often worse at night and can wake the child from sleep. Children with mild croup usually improve in three to seven days. Can I treat croup at home?
Hughes suggests the following: Use a cool mist humidifier. Take the child into a steamed bathroom. Take the child outside into cool, moist, night air. Encourage the child to drink lots of fluids. Engage the child in a calming activity to keep them as quiet and calm as possible, which will make it easier for them to breathe.
The tissues of the windpipe trachea and voice box larynx become swollen. The swelling narrows the trachea, which makes it harder for air to get into the lungs. Croup occurs most often during the fall and winter seasons, but it can occur year round. It usually affects children 3 months to 5 years of age.
Croup is contagious can be spread to others. A child can get croup more than once. At first, your child may have a stuffy or runny nose and may have a low fever. As the swelling gets worse, he or she will get a barky cough and his voice may sound hoarse. When your child breathes in, you may hear a "crowing" or a high-pitched squeaking sound, called stridor.
He may also breathe very fast or have retractions. Your child may become frightened or upset. Croup refers to an infection of the upper airway, which obstructs breathing and causes a characteristic barking cough. The cough and other signs and symptoms of croup are the result of swelling around the voice box larynx , windpipe trachea and bronchial tubes bronchi.
When a cough forces air through this narrowed passageway, the swollen vocal cords produce a noise similar to a seal barking. Likewise, taking a breath often produces a high-pitched whistling sound stridor. Croup typically occurs in younger children.
Croup usually isn't serious and most children can be treated at home. Croup often begins as a typical cold. If there's enough inflammation and coughing, a child will develop:. If your child's symptoms are severe, worsen or last longer than three to five days or aren't responding to home treatment, contact your child's doctor.
Your child may contract a virus by breathing infected respiratory droplets coughed or sneezed into the air. Virus particles in these droplets may also survive on toys and other surfaces. If your child touches a contaminated surface and then touches his or her eyes, nose or mouth, an infection may follow.
Most at risk of getting croup are children between 6 months and 3 years of age. Because children have small airways, they are most susceptible to having more symptoms with croup.
Most cases of croup are mild. In a small percentage of children, the airway swells enough to interfere with breathing. Rarely, a secondary bacterial infection of the trachea can occur, resulting in trouble breathing and requiring emergency medical care. To stave off more-serious infections, keep your child's vaccinations current. The diphtheria and Haemophilus influenza type b Hib vaccines offer protection from some of the rarest — but most dangerous — upper airway infections.
There isn't a vaccine yet that protects against parainfluenza viruses. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Normal airway Open pop-up dialog box Close.
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