What is croup?
Croup is a viral infection of the vocal cords, voice box (larynx), and windpipe (trachea). There is a distinctive, tight, low-pitched barking cough accompanied by hoarseness due to swelling of the vocal cords. A harsh, raspy vibrating sound (stridor) is heard when your child breathes in, usually only with crying or coughing. Symptoms typically last 5 to 6 days and tend to worsen at night. The viruses that cause croup are highly contagious until the fever subsides or for up to 3 days after the onset of the illness.
What type of first aid helps alleviate croup symptoms?
Warm, moist air seems to relax the vocal cords. If your child develops stridor or tight breathing, steam up the bathroom and take him/her into the humidified bathroom for at least 10 minutes. Allay fears by cuddling, as stress can exacerbate symptoms. Use a cool mist humidifier, running 24 hours a day during this illness.
What medications will ease croup symptoms?
Medication is less helpful than either mist or warm fluids. Encourage fluids, such as warm apple juice or herbal tea. You may try an expectorant as needed for a persistent cough, and older children can take cough drops as needed. You may treat fever < 100.5 with Tylenol (acetaminophen) or Motrin/Advil (ibuprofen) as needed.
When to contact us
Call immediately if:
- Breathing becomes difficult (when your child is not coughing)
- Your child develops drooling, spitting, or great difficulty swallowing
- You note retractions (tugging-in) between the ribs
- Warm air fails to clear up stridor in 20 minutes, or your child becomes very sick
Pediatric Specialists of Plano
(972) 473-7777
