Skip to content
My WebMD Sign In, Sign Up

Children's Health

Font Size

Croup - Topic Overview

What is croup?

Croup is a common respiratory camera.gif problem in young children. It tends to occur in the fall and winter. Its main symptom is a harsh, barking cough. Croup causes swelling and narrowing in the voice box, windpipe, and breathing tubes that lead to the lungs. This can make it hard for your child to breathe.

An attack of croup can be scary, but it is rarely serious. Children usually get better in several days with rest and care at home.

What causes croup?

Croup usually occurs a few days after the start of a cold and is usually caused by the same viruses that cause the common cold. Croup is contagious. The germs that cause it can be passed from one person to another through coughing and sneezing and through close contact. Regular hand-washing and limiting contact with others can help prevent the spread of croup.

As children grow older and their lungs and windpipes mature, they are less likely to get croup. Getting a flu vaccine each year may help your child fight off some of the viruses that can lead to croup.

What are the symptoms?

Symptoms of croup are caused by narrowed airways. They may include:

  • A barking cough. The cough is often compared to the sound of a barking seal. You'll know it when you hear it.
  • A raspy, hoarse voice.
  • A harsh, crowing noise when breathing in. Sometimes children breathe fast and need to sit up to breathe better.

Symptoms of croup often improve during the day and get worse at night. Sometimes children have croup attacks that wake them up in the middle of the night for a couple of nights in a row. Unless the illness is severe, a child with croup is usually alert and active. The child's temperature is usually normal or only slightly higher than normal.

The illness usually improves in 2 to 5 days.

How is croup diagnosed?

Your doctor will probably be able to tell whether your child has croup based on your child's symptoms and a physical exam. The doctor may be able to identify the barking cough of croup over the phone.

The doctor may place a small clip called a pulse oximeter on your child's finger, toe, or earlobe to make sure that enough oxygen is reaching the blood.

How is it treated?

Even though your child's coughing and troubled breathing can be frightening, home treatment usually eases the symptoms.

  • Try to stay calm during an attack, and soothe your child. Your child's crying can make the swelling in the windpipe worse and make it even harder to breathe.
  • Breathing in moist air seems to help. Fill your bathroom with steam from the hot water faucets, and sit in the room with your child for 10 minutes. Or hold your child directly over a humidifier, and let the vapor blow directly in his or her face.
  • Breathing cool night air also seems to help sometimes. Dress your child in warm clothes, and go outside for 10 minutes.
  • If symptoms improve with these methods, put your child back in bed with the humidifier blowing nearby. If the symptoms happen during the middle of the night, it is a good idea to sleep in or near your child's room until morning.
  • Be sure to keep your child well hydrated. Offer water, flavored ice pops (such as Popsicles), or crushed-ice drinks several times each hour.
  • Do not let anyone smoke around your child or in the house.
  • Do not give your child over-the-counter cough or cold medicines. They don't help with croup, and they may not be safe for young children.
1|2

WebMD Medical Reference from Healthwise

Last Updated: May 29, 2012
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
Next Article:

Today on WebMD

child with red rash on cheeks
What’s that rash?
plate of fruit and veggies
How healthy is your child’s diet?
 
smiling baby
Treating diarrhea, fever and more.
Middle school band practice
Understanding your child’s changing body.
 

worried kid
fitArticle
boy on father's shoulder
Article
 
Child with red rash on cheeks
Slideshow
girl thinking
Article
 

babyapp
New
Child with adhd
Slideshow
 
rl with friends
fitSlideshow
Syringes and graph illustration
Tool
 
6-Week Challenges
Want to know more?
Chill Out and Charge Up Challenge – How to help your tribe de-stress and energize.
Spark Change Challenge - Ready for a healthy change? Get some major motivation.
I have read and agreed to WebMD's Privacy Policy.
Enter cell phone number
- -
Entering your cell phone number and pressing submit indicates you agree to receive text messages from WebMD related to this challenge. WebMD is utilizing a 3rd party vendor, CellTrust, to provide the messages. You can opt out at any time.
Standard text rates apply