Croup is a terrifying
illness for parents--and kids--to suffer through. In the middle
of the night, your child may sit up in bed gasping for air, often
coughing like a barking seal. These symptoms are so unsettling
that panic is usually the first reaction. However, most of the
problems associated with croup can be safely and easily treated
at home.
Croup is a viral
infection that causes a swelling in the larynx (voice box), trachea
(windpipe), and other airways leading to the lungs, making breathing
noisy and difficult. The swelling is not visible in the tonsils
and cannot be heard when a doctor listens to the lungs with a
stethoscope, so you won't know your child has it until he or she
wakes up with the distinctive barking seal cough.
Most common in
the fall and winter in children under four, the swelling is also
accompanied by increased secretions in the air passageways that
become dried out. The dried, thick secretions in turn block the
respiratory tract and make breathing even more difficult. Children
outgrow croup as the airway passages enlarge; it is unusual after
age seven.
The best treatment
for this swelling and narrowing of the respiratory tract is cool,
moist air. The best way to get this "dose" is by driving
towards or along the beach or another body of water with the windows
rolled down. Dress warmly, including a hat, and take a late night
ride for 20-40 minutes and your child will probably experience
almost instant relief from the frightening sounding cough. As
these dried, hard secretions are dissolved and the air can again
pass freely into the lungs, the child's discomfort will subside.
You may be thinking
about your mother's admonition that "You'll catch your death
of cold" if you go outside late at night, especially with
your precious baby in your arms. Well, forget the idea that you'll
catch a cold from the brisk night air. That idea is a myth--you
cannot catch pneumonia or any other illness from cold air. Colds,
flu and pneumonia are spread by viruses which like to stay nice
and warm... and in humans.
Another option
is to steam up your bathroom to create a moist, soothing environment.
Close all the doors and windows and run a warm shower to create
steam, but avoid really hot water as it may scald the child. To
avoid slipping while holding your child, do not stand in the shower.
Remember too, that steam rises, so do not set the child on the
floor, but hold him or her upright in your lap. Usually after
ten minutes you'll see improvement, but continue comforting the
child.
You can also purchase
a cool mist humidifier and place it in the child's room for several
nights. Position the humidifier as close to the bed as possible
so the moist air can make its way to the child's airway passages.
Croup is a "self-limited"
viral illness, meaning you have to let it run its course. Unfortunately
the second night is often worse than the first. There may be a
few more scary nights of the barking cough, but continue with
the car rides or steam treatments to relieve symptoms. The illness
then changes into a long, mucousy cold which can last for another
week or more. The fever rarely rises above 102 or 103 degrees
and can be treated with anti-fever medications, long lukewarm
baths, and light clothes to allow the body to cool itself.
Take your
child to the emergency room if he or she:
- shows no improvement
in breathing with either of these mist therapies after 30 minutes;
- cannot talk
because of lack of breath;
- has difficulty
swallowing, drools, and breathes with chin jutting out and mouth
open, this could be a rare infection called epiglottitis;
- struggles when
inhaling or appears to be in severe respiratory distress.
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