Childhood Diseases

Question
Posted by: KC | 2008-12-09

Q.

Croup/Laryngitis

Hi Dr
I know I am probably being a very impatient mom here but please can you tell me more or less how long it will take to see results from the treatment.
I had to take my baby (13 months) into casualties as he was experiencing breathing difficulties which started off as a bad cough. (He had no flu/cold symptoms prior to the cough which wnr from mild to really bad in a matter of hours) They nebulised him (I think it was a steroid solution) and gave him a suppository for his temp as well as an antibiotic which I started giving him straight away. After he was nebulized his chest cleared nicely and we were able to take him home even though his temp had not come down. After a few hours he was back to battling again and coughing badly. I saw my paed first thing the next morning (yesterday) and he checked my baby and said it was laryngitis/croup. He said to continue with the antibiotic as well as to keep his temp down with panado and he prescribed celestimine to clear the airways. It is now day two and he is still not well. My paed said he should only be on the celestimine for three days which means his chest needs to clear tomorrow??? All the phlegm/mucous is making him vomit quite alot which means I do not know how much of the medicine he is actually getting. He is not eating but that is nothing new (he is going through a bad " phase" ) and has only managed to keep a little juice down today (he has brought up two milk bottles). I have managed to get him down for a nap this afternoon which will be the first time he has slept today and he sounds a little clearer but I have just felt him and he feels very hot. I have not taken his temp or given him anything as I don' t want to wake him. His cough is still quite " barky" .
I always tend to panic and rush him back to the paed only for him to confirm all is fine and after that he gets better so I don' t know if I should be rushing him back now???
Thanks so much for your response. I do hope you are taking a long and well deserved break over the holiday season. I really appreciate your input on this forum!

Expert's Reply

A.

Paediatrician

Thank you. Your son does seem to have croup which has affected him quite severely. Croup is in most cases a viral infection involving the upper and lower airways. The best treatment is nebulisation with a steroid solution for a few days. Your baby does seem to be on the road to recovery now. I am sure that he will be better in a few days.

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