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<p style="">Croup is a disease caused by an infection of the respiratory system, commonly found in young children aged 6 months to 3 years. It is mostly caused by viral infections such as Parainfluenza virus, RSV (Respiratory Syncytial Virus), and Influenza virus, among others. When infected, inflammation occurs from the larynx down to the upper trachea, causing swelling and narrowing of the airway. Since children&#8217;s airways are small, the symptoms are more pronounced.</p>
<h2 style=" color: #008080;"><span style="color: #00826a; ">Is your child having croup? Parents can observe these symptoms</span></h2>
<ul>
<li style="">Fever, cough, runny nose, which usually appear about 2 days before</li>
<li style="">Noisy breathing, especially when inhaling</li>
<li style="">Barking cough, hoarse voice</li>
<li style="">In severe cases, the child will have difficulty breathing, chest retractions, and the area around the collarbone will sink in when inhaling. If these symptoms occur, the child should be taken to see a doctor immediately.</li>
</ul>
<h2 style=" color: #008080;"><span style="color: #00826a; ">How is croup treated?</span></h2>
<ul>
<li style="">The doctor will assess vital signs, oxygen levels, and the child&#8217;s breathing pattern to check for signs of respiratory distress.</li>
<li style="">Assess the severity of the disease using the Croup score, based on symptoms such as cough, breathing pattern, breath sounds, lung air entry, and oxygen levels, with a score ranging from 0-10 points.</li>
</ul>
<p style="">** For children assessed with mild symptoms and a score less than 4, the doctor will prescribe steroids either orally, intramuscularly, or intravenously. If the child&#8217;s condition improves, they can go home but will be scheduled for a follow-up within 24-48 hours.</p>
<p style="">** For children with moderate severity, scoring between 4-7, the doctor will administer adrenaline inhalation in addition to steroids and monitor the child at the hospital for 2-4 hours. If the child&#8217;s condition improves or the score decreases, they can go home and have a follow-up appointment.</p>
<p style="">** For children with severe symptoms or those at risk of respiratory failure, scoring above 7, hospitalization is required for close medical supervision.</p>
<p style="">Since croup can recur, it is necessary to schedule follow-up appointments for all children within 24-48 hours after going home. Symptoms usually resolve within 3-7 days. Most cases of croup are not severe enough to cause life-threatening complications, but there is a risk that airway swelling may affect breathing.</p>
<h2 style=" color: #008080;"><span style="color: #00826a; ">Croup prevention methods</span></h2>
<ul>
<li style="">Avoid taking children to crowded places such as playgrounds, ball pits, and shopping malls. Wash hands thoroughly after touching toys or public play equipment.</li>
<li style="">Wear masks if someone in the household is sick to prevent spreading the infection to the child.</li>
<li style="">For young children, continue breastfeeding to provide immunity from mother to child.</li>
<li style="">Take children for vaccinations to build immunity against infections, such as the influenza vaccine.</li>
</ul>
<p style="text-align: right; ">&nbsp;</p>
<p style="text-align: right; "><span style="">Dr. Rujira Mongkolkul (Leelasukaram)<br /></span><span style="">Medical Center: Pediatric Clinic<br /></span><span style="">Phyathai 2 Hospital</span></p>
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Croup is a disease caused by an infection of the respiratory system, commonly found in young children aged 6 months to 3 years, which parents can recognize from these symptoms.

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Wheezing child, noisy breathing, beware! Croup disease... a danger that parents should not overlook

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