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Croup



Croup is an infection of the upper airway and is usually viral in origin. The term “croup” comes from an old English term meaning “to cry hoarsely”. Typical features include a barking cough and an abnomal noise that sounds a little like a wheeze on breathing in.

In the younger child they usually present with a runny nose followed by a cough and then wheeze. The wheeze in a young child (particularly those less than 18 months) is usually as  a result of the increased movement of air through an airway that has narrowed slightly due to inflammation and secretions. This is the same way that a whistle makes a noise when air is blown rapidly through it. The noises that a child makes during breathing can be split into 2 main groups, those made when the child breathes in (which originate at the top end of the airway including the area around the throat) and those that are made when the child breathes out (which originate in the lower parts of the airway).

Croup specifically refers to the inspiratory noise (when you breathe in) and typical “barking cough” that occurrs after a common viral infection affecting the upper airway. Sometimes there are rarer causes for this condition including allergic reactions but these can usually be relatively easily identified following an assessment by a healthcare professional.

The following video demonstrates the typical cough and increased work of breathing experienced with croup.

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