If your child wakes up at night with a barking cough and has trouble breathing, it may be due to croup. Croup is known colloquially as pseudocylasia, pseudo-diphtheria or acute laryngitis. Medical Park Bahçelievler Hospital Child Health and Diseases Specialist Dr. Pınar Balgöz Ergül, while giving information about croup, also warned the families.
Common croup (acute laryngotracheobronchitis) in children aged 6 months to 3 years is upper respiratory tract obstruction due to infection. Croup is a cough and shortness of breath caused by the swelling of the main windpipe entrance. The cause of croup, which is more common in autumn, winter and spring, is viruses. Medical Park Bahçelievler Hospital Child Health and Diseases Specialist Dr. Pınar Balgöz Ergül said the following about the disease and its treatment;
Even a small amount of edema can block the airway
Compared to adults, babies and young children have smaller airways. The tongue is larger than the oropharynx, that is, the mouth-nasal area. Even a small amount of edema in the airway in children can cause significant airway obstruction and increased respiratory frequency.
They apply to the emergency room with complaints of cough like barking.
Croup disease usually begins with signs of upper respiratory tract infection accompanied by mild fever. Hoarseness or coarseness and thickening of the voice are seen. Patients typically present to the emergency room with a barking cough that awakens from sleep, especially at night, and accompanying stridor (snoring during breathing). As the congestion increases, the child may experience difficulty in breathing, rapid breathing, restlessness, bruising around the mouth, lips and nails.
Croup is contagious!
Fire may not always be. Symptoms are usually aggravated at night when the child is lying down. Croup requires hospital treatment in 5-10 percent of patients. Croup is a medical emergency. It is transmitted by direct contact or by direct contact with the airborne droplets when the sick person coughs or sneezes.
Edema in the windpipe and vocal cords is reduced
Viral croup does not require antibiotic treatment. Traditionally, cold steam has been used as the initial treatment, but its effectiveness has not been shown in recent studies. Even if the child increases discomfort and requires oxygen, cold steam therapy should be terminated. Head should be raised while lying down to facilitate breathing of the child. In addition, the child should be kept in a calm and quiet environment, as shortness of breath will increase during crying. ‘Corticosteroid’ is given as drug therapy. Corticosteroids are effective by reducing edema in the trachea entrance and vocal cords. It can also be applied via nebulized steam. In patients with pronounced shortness of breath, “epinephrine” is applied as steam therapy. If there is a fever, antipyretics can be used. Plenty of fluid intake is important.
Suggestions for families
It is very important to calm the child and ensure that he gets fresh and cool air. In cold weather, it can be made to open the window and breathe for 10-15 minutes. In hot weather, breathing in front of the refrigerator can relax the child. However, if the child has symptoms such as difficulty in breathing, restlessness, confusion, tight and wheezing, chest wall withdrawal, high fever and bruising of the skin and nails, it is necessary to apply to a health institution as soon as possible.