Subglottic laryngitis, or croup, is a respiratory illness primarily caused by viruses transmitted through droplets. It mainly affects children, and after infecting the mucous membranes of the upper respiratory tract, it causes characteristic swelling and a wheezing sound while breathing. It's essential to consult a specialist to initiate the proper treatment.
A hallmark of subglottic laryngitis is the worsening of symptoms in the evening and at night. It typically starts with a fever, followed by a cough and mild hoarseness. After a few days, breathing difficulties begin to emerge, with shortness of breath, wheezing, and episodes of a "barking cough." In severe cases, these symptoms can wake the child from sleep, and the attacks may last up to 30 minutes, sometimes causing nausea and vomiting.
If symptoms worsen, seeing a specialist is a must. Occasionally, the doctor may recommend an X-ray of the child’s neck or a virological test if the symptoms aren't clearly indicative of croup.
Initial home treatment for subglottic laryngitis includes ensuring well-ventilated rooms, as fresh and cool air helps with breathing. More intense croup symptoms can be relieved with warm steam inhalation (e.g., having the child inhale steam over a bowl of hot water). However, a doctor's visit is always necessary to prescribe the appropriate medication. Mild cases often require glucocorticosteroids administered via injection, inhalation, or orally. In most cases, symptoms subside quickly, allowing the child to return home.
Treatment for more severe cases may differ, requiring the child to be hospitalized. Depending on the doctor’s decision, medication may be combined with intubation. In managing this illness, it's crucial to ventilate rooms regularly and strictly avoid exposure to tobacco smoke.