L.T. asks from Bethel Park, PA on January 17, 2009
Recurring Croup
My son is 4.5 yrs and is startng with another bout of croup. This is the third time since March. The cough lasts for 2-3 months. I have tried a bunch of home remedies - steam, cool air, elevating head, hydration, etc. I take him to the ped (or ER) for evaluations and have recently had him to an allergist, but we aren't finding a cause or a "cure". I am curious if any other moms have kids with recurring or long lasting croup? What worked for you? Were you able to pinpoint the cause? Any ideas beyond the cause being viral infections/cold or asthma/allergies?
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So What Happened?™
Thanks for all your responses. My son hasn't experienced stridor or any other alarming symptoms with his croup so I take him to the ped as opposed to the ER - except for the first incident which scared us both. I took him to the ped on Saturday and discussed the fact that this is recurring. She didn't feel there was much need for alarm and explained that some kids are more prone to getting croup and it isn't unusual for some kids to get it several times a year. She has always been good about listening to my concerns, ordering tests, working with specialists and I trust her. I was looking for some assurance that this isn't the sign of a bigger, serious health issue. In the last month he has had food allergy testing and a chest x-ray for other issues not related to croup. He has a peanut allergy but we've known that for the last 2 years so we keep him away from peanuts. The inhaler he uses doesn't seem to have an effect on this cough so I am thinking it is not asthma/allergy related. However, I am going to see if I can find any environmental sources. In addition, my son has leukemia and picks up viruses a bit more easily than other kids so maybe when his chemo ends and his immunity returns to a normal level this won't be an issue. At that point he will also be 5 1/2 years old which is when many kids grow out of the croup stage. I have a feeling we are going to have to play the waiting game until the bigger health concerns are no longer an issue. Thanks again for your input.
More Answers
J.R. answers from Philadelphia on January 18, 2009
Hey! I am a ped nurse, so I can say yes, toddlers get croup! It sometimes does take awhile to clear up completely. Has he ever been given steroids? Steroids help to decrease the inflammation in the airway and a short course may help. You may want to take him to an ENT doctor for evaluation of aa chronic problem. The home remedies you are doing are the standard treatment and even in the hospital there is nothing more we do for kids than that! Good luck!
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D.C. answers from Pittsburgh on January 18, 2009
Croup definately happens with toddlers and even older children and the stridor or seal cough is the main symptom that I'm aware of. I was told it has to do with the smaller size of the childs airway and children even into early grade school can get croup. My six year old son still gets it occasionaly. I was also suprised when the doctor told me that my (at the time) 3 year old had croup becasue I thought that only babies got croup but I was told that age has nothing to do with it. While it can be very serious, our doctor told us to run a vaporizer in the room and if neccessary take them into a steamy bathroom to help breathing. I was very scared the first time but both of my kids have had it multiple times and had no real issues, and with in a week the coughs were gone. I hope your child recovers and feels better soon. I was told they can continue to get croup until their airway gets bigger. I do hope you get the answers you are looking for because I would be curious to hear for the next time my kids get it.
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B.K. answers from Pittsburgh on January 18, 2009
HI L., My friend who is actually a RN went through the same thing with her son for years. They kept telling her it was "just croup" and keep on doing all the things you mentioned. His runny nose never stopped! Then she took him to an allergist and had him tested. All along the poor kid had mild allergies to milk, wheat and house dust!! My friend was full of guilt and wondered why she had never thought of allergies before. They took the carpet out of his bedroom, cleaned it from top to bottom and got an air cleaner for his room, changed his diet and all the "croup" symptoms went away!! He can, now a few years later eat small portions of mac'n cheese, or even chocolate milk with no side effects if he is carefull. There is even hope that he will outgrow his allergies to milk and wheat completely. Take your son to an allergist and get to the bottom of things. At his age "croup" is not a real diagnoses. Best wishes.
C.G. answers from Philadelphia on January 18, 2009
My son and daughter had the croup a lot when they were younger and it took me four years to figure out what was causing it. They were allergic to christmas trees or pine trees. I figured it out finally because, they slept over at in-laws one weekend and had developed the croup by the next and we hadn't gotten our tree yet. Three weeks later I was at my in-laws again and noticed their tree and said "did you have that up when the kids slept over last...and they said yes, they had gotten it earlier that season than normal." This year, no real trees, but got sick at the in-laws again. Finally I noticed they had a potted plant by the fireplace that was of the Pine tree family and it sits right near the pullout bed our kids sleep in. The in-laws graciously got rid of the plant. They can also get croupy when they play at the park around alot of mulch( could be pine mulch). I tell them not to pick up the mulch and to stay far away from certain trees. Now none of this has ever been confirmed through tests, just a bunch of research on my own of what could have caused it. What helped the most medicine wise with my kids was Singulair. No other allergy medicine worked, so I can't give them generic unfortunately. Singulair is a mix of allergy medicine and asthma combined, that is why I think it works so well for them. Good luck. This was my first Christmas without the croup and yes our lasted months too.
S.A. answers from Pittsburgh on January 18, 2009
L.
If it is what the others are saying a stridor,my daughter had a stridor and has been seen by an ENT specialist Dr Dohar and his office is at Childrens at both Bethel and Oakland give them a call and schedule an appointment. He is an amazing Dr and it wouldnt hurt for a second opinion!
-S.
D.P. answers from Pittsburgh on January 17, 2009
My son (5) has a friend who recently had a bout of croup. I believe they put him on a course of steroids. He gets it periodically. As I understand it stridor is a symptom (a way of labored breathing) of other problems. Here is how it is defined:
Stridor is a high pitched sound resulting from turbulent air flow in the upper airway. It may be inspiratory, expiratory or present on both inspiration and expiration. It can be indicative of serious airway obstruction from severe conditions such as epiglottitis, a foreign body lodged in the airway, or a laryngeal tumor. Stridor is indicative of a potential medical emergency and should always command attention. Wherever possible, attempts should be made to immediately establish the cause of the stridor (e.g., foreign body, vocal cord oedema, tracheal compression by tumor, functional laryngeal dyskinesia, etc.) That examination requires visualization of the airway by a team of medical experts equipped to control the airway.
So IF the croup is accompanied by stridor, I would go to the ER asap.
L.A. answers from Pittsburgh on January 18, 2009
I have 3 boys (the youngest being only 5 months and so he hasn't really been sick yet, knock on wood) but the older two get croupy every time they get a virus. It has progressively become less severe as they get older (currently 6 1/2 and 3 1/2). We have tried the steam from the shower thing, the going outside in the cold but what I think has worked the best is just putting a vaporizer in their room when they are sick (and add salt to make the water harder and produce more steam). We have also used Vicks Vapo Rub and the Vicks product that you put directly in a little cup in the vaporizer. I luckily have not needed to take anyone to the ER yet. Personally I just believe that some kids just have smaller airways than others and so are more susceptible. I don't know that you will get an answer, you will probably just have to ride it out until he gets bigger.
Good luck and try not to worry if he doesn't look too distressed when it is going on. It may sound worse to you than it feels to him.
S.S. answers from Scranton on January 18, 2009
L.,
Please if you have carpets REMOVE them. My son went through many bouts of croup,allergies, sinusitis,etc. only to find out it was our carpets. I am a registered nurse and took it upon myself to remove our carpets. Low and behold, all his symptoms stopped. The carpets were here when we purchased our home and were jute back-terrible for the respiratory system. My son has not had a cold,sinus infection,allergy or allergy medication since and it has been 6 years.Another type of allergy may be causing his symptoms so research everything.Another cause might be his tonsils and/or adnoids-take him to an ears,nose and throat specialist.Please keep us posted as to how he is doing.
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