Knowledge Is Power to Fight Croup

Croup: The ‘Barking Cough’

A cough is a reflex action; it is an involuntary reaction to an irritation in the lungs or airways caused by foreign particle, such as dust. An inflammation or infection of the inner lining of the throat and windpipe also causes coughing. The barking cough is medically termed as “croup”. This name comes from the Early Modern English verb croup, which meant "to cry hoarsely". The name was first given to this cough in Scotland and became popular in the 18th century. cough congestion

Of the 7 types of common coughs, the barking cough is typically the quickest to treat and usually the least dangerous. While other coughs may be symptoms of pneumonia or asthma, the barking cough is caused due to an infection in the throat. Here is a simple break down of the when, what and how of the Barking Cough.

When is it a ‘Barking’ cough? Coughs following a common cold, usually worsening at night, and sounding similar to a seals or sea lions’ call are ‘Barking’ coughs. They are distinctive dry coughs, causing wheezing and hoarseness of voice. The harsh sound produced is called as ‘stridor’. The barking cough is often followed by a fever, and is aggravated by crying and agitation.

What causes a Barking cough? The cough is typically caused by a viral infection. The Parainfluenza Virus is the specific virus which causes swelling, inflammation and infection along the throat; more specifically, around the windpipe, bronchi and the larynx. Due to the swelling, the air passage is constricted, causing breathing to be restricted and noisy - resulting in the dry, rasping cough. The virus is highly contagious. Droplets in the air caused by an infected persons’ cough, sneeze or saliva can be easily contracted by the people close by.

How is the Barking cough treated? A barking cough is usually not an emergency case, and can be dealt with at home. By avoiding all sorts of stress and agitation, the cough can be reasonably controlled within a few days. Inhalation of steam may help some patients in breathing, while others have shown betterment after breathing in cold, fresh air in the morning. An adequate supply of liquids and soothing gruels is recommended. wet cough

What medicines are used to treat a Barking cough? Barking cough is commonly treated with steroid medications such as Glucocorticoid to reduce inflammation. A longer lasting steroid is Dexamethasone which works up to 72 hours. While Glucocorticoid takes up to 6 hours to start working, Epinephrine is a fast acting medication providing quick relief. However, the effect wears off quicker. These medicines are oral steroids and should not be taken without consultation of your doctor.

When is it an emergency? Although the barking cough is a typically mild illness, there are several reported cases of medical emergencies. A barking cough may need immediate medical action if the patients’ breathing becomes ragged and unnaturally fast or slow. Drooling, lucidity and severe agitation are also signs of distress. In the case of the skin around the nose, mouth and fingernails turning blue or grey, contact your nearest emergency clinic immediately.


 * This article is for your information. Consult your doctor before using any medications.