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Symptomatic treatment of Croup, psoriasis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Vaccinations
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1754 Questions
User :   how do you treat croup?
Doctor :   hi
Doctor :  
ok
Doctor :  
since when is this happening?
User :   i think my 1 1/2 year old has croup..it started tonight
Doctor :  
could you describe the symptom in detail?
User :   just out of nowhere he swoke up with just a little cough and a bit of wheezing. but he went back to sleep and the wheezing noise faded
Doctor :   is a common childhood viral illness. there is no cure for it, but there are many symptomatic treatments that can help your child to feel better faster.
Doctor :   it has abrupt or sudden onset always
Doctor :  
with the croupy cough and breathing trouble coming when they are sleeping
Doctor :  
the harsh noise will be during inspiration or when the child is taking the breath inside
User :   so what do i do? should i take him to the er?
User :   hes my first child so it kinda scares me.
Doctor :   it happens due to inflammation, swelling and the buildup of mucus in the larynx, trachea (windpipe) and bronchial tubes
Doctor :   is he having fever also?
User :   no.
Doctor :  
is he having chest retractions?
User :   no that i can see
Doctor :  
does his chest in center goes inside when he takes breath inside?
User :   no
Doctor :  
how is the air entry? do you feel its fine or decreased?
Doctor :  
what are his peripheral limb /finger toes color?
Doctor :  
is it nice warm and pink? or is it cyanosed/bue and cold?
Doctor :  
*blue
User :   when he first woke he was having a little bit of trouble breathing but now he's breathing normal and they are warm and pink
Doctor :  
is the child alert? or restless? or lethargic?
Doctor :   what i suggest you is call up his pediatrician, and discuss symptoms again. he seems to have a mild croup.
Doctor :  
avoid cold environments, and night time conditions
User :   no not at all. before he went to sleep he was running around and playing.and he is sleeping fine right now
Doctor :  
giving acetaminophen syrup for fever or a mild non-narcotic cough syrup will help
User :   well i gave him some childrens tylenol
Doctor :   if the symptoms go worse or recur again, then you should take him to the ER. as he will require oxygen treatment
User :   is this a deathly illness?
Doctor :  
if fever is there you can continue giving him pediatric tylenol
Doctor :   usually it is not when mild, but with severe croup and inatttentiveness, child can have complications
Doctor :  
so early intervention is very much necessary
Doctor :  
parainfluenza, adenovirus, respiratory syncytial virus (RSV), and influenza (the flu virus) are known to cause repeated croup
User :   so i should take him to er now or wait to see if it gets worse? well he has a breathing machine that was gprescribed to him a while ago for cold. would that help?
Doctor :  
and using simple measures like strict handwashing, avoiding sharing of foods and drinks can help to lessen the repetitions of croup
Doctor :  
if he has a repeated attack, take him to ER, or call up his pediatrician
Doctor :  
have you followed what i have said?
User :   yes. i think so. but is there anyway it could be something else like a cold?
Doctor :  
if the symptoms are what i have described earlier then it will not be a cold
Doctor :  
i wil repeat the characteristics of croup for you
User :   thank you
Doctor :  
to be able to differentiate from common cold
Doctor :  
it has abrupt or sudden onset always. with the croupy cough and breathing trouble coming when they are sleeping. the harsh noise will be during inspiration or when the child is taking the breath inside
Doctor :   it will be like a viral infection.
Doctor :  
if it fits any of these criteria, then it is not a cold
Doctor :  
and any repeated episode should be reported to ER or pediatrician
Doctor :  
Is there any thing else I can help you with?
User :   what does abrupt or sudden onset mean?
Doctor :  
it means it wil start all of a sudden, with no pre-existing illness
Doctor :   the child will usually be perfectly fine
User :   well that was actually how it started.
User :   no signs or anything. just out of the blue.
Doctor :  
then any repeated episodes should be reported to the pediatrician and/or ER.
User :   i know i keep asking the same thing over and over again but im a first time mother and it just scares me to think my child could be badly ill.
Doctor :  
its ok, i appreciate your concern
Doctor :  
do not be worried
Doctor :  
keep watch on him
Doctor :  
if he develops these symptoms again
Doctor :  
take him to ER or to his pediatrician
Doctor :   it is a viral illness like i told you
Doctor :  
if not severe, then it will subside on its own.
Doctor :  
else it needs immediate medical attention
User :   and i have one more question.
Doctor :  
follow the suggestions given above
Doctor :   yes, please proceed
User :   he also was diagnosed with a syriosis like skin problem and i was wondering what you recommended?
Doctor :  
Please fill the feedback form, and comment box, and say done when done while i answer your next question.
User :   done
Doctor :   do you mean to say syriosis? or psoriasis?
User :   im not sure but i cant think of the term to use for his skin problem. its dry skin
Doctor :  
could you describe the skin condition to me in detail such that i can try to understand what he has?
User :   well its dry skin and flakyness and it kinda like turns into sores
Doctor :  
ok
Doctor :  
i suggest you to get it re-examined by a dermatologist and get a skin lesion test done for the confirmation of diagnosis
Doctor :  
such that proper treatment can be initiated
User :   well they prescribed some ointment and it worked but i was just wondering what i could do to prevent it from returning. like a certain of lotion or something
Doctor :  
if it is psoriasis, then it is a chronic condition which will require continuous treatment with the disease waxing and waning in between
Doctor :  
continue to use the ointment
User :   it isnt psoriasis but its like it
Doctor :  
and get the skin patch test done
Doctor :  
such that psoriasis and other skin problems can be differentiated
Doctor :  
also, you can use Vit-E iol for him
Doctor :  
apply all over after bath, to keep skin smooth and supple
Doctor :   *oil
User :   they told me what it was but i cant remeber right now
Doctor :  
its ok.
Doctor :  
do not worry
Doctor :  
try and recollect, or get the test done and take a second opinion for it
Doctor :  
you can take a second opinion from our panel specialists too
User :   ok
Doctor :   by sending scanned copy of reports and photograph of the skin lesions.
User :   im trying to remeber

Doctor :  
WWW.WWWW.WW Doctor :   follow this link for taking second opinion
Doctor :  
from our panel dermatologist
Doctor :  
specializing in children skin diseases also
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