Does your child have harsh, noisy breathing and/or a barking cough?

call your doctor now

Possible cause and action Croup, in which the throat becomes swollen and narrowed due to a viral infection, is the likely cause. Your doctor may give your child inhaled corticosteroid drugs. Self-help measures for relieving a cough (p.108) may also help.

yes no

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us call an ambulance possible cause Epiglottitis, inflammation and swelling of the cartilage flap that prevents food entering the main airway, may have resulted in blockage of the airway. This condition is now rare because of routine immunization against the Haemophilus influenzae type b (Hib) bacterium, which is the cause.

action Your child will need emergency admission to hospital for treatment with oxygen and antibiotics.

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