Author's details
- Hakim A Abubakre
- BA (Hons) International Business Management, Msc Digital Marketing.
Reviewer's details
- Dr. Khashau Eleburuike
- MBBS (Ilorin) MSc. Global Health Karolinska Institute.
- Resident doctor in family medicine in Northen Sweden.
- Date Published: 2025-09-07
- Date Updated: 2026-01-02
False Croup (Pseudocroup)
Key Messages
- False croup is a viral infection that causes airway narrowing and breathing problems, mostly in children aged 6 months to 5 years.
- Typical symptoms include a barking cough, noisy breathing, hoarse voice, and sometimes bluish lips.
- Keep the child calm, upright, and hydrated; use paracetamol or ibuprofen for fever, but do not give antibiotics.
- Go to the hospital immediately if the child has trouble breathing, bluish lips, is very weak, or has trouble swallowing.
- Prevent false croup by practicing good hygiene, keeping vaccinations up to date, and avoiding tobacco smoke.
Introduction
What is False Croup?
- A viral infection of the throat and windpipe (voice box and trachea).
- Makes the airway narrow and causes breathing problems.
- Common in children 6 months – 5 years.
- It is usually worse at night and better in the day.
Discussion
Signs and Symptoms
- Barking cough (like a seal or dog).
- Noisy breathing (high-pitched or whistling sound).
- Hoarse voice or no voice.
- Runny nose, mild fever, cold-like symptoms.
- Shortness of breath (child struggles to breathe).
- Bluish lips (sign of low oxygen).
What You Can Do at Home
- Keep your child calm and comforted – crying makes it worse.
- Sit them upright (not lying flat).
- Make the child with pillows to reduce coughing
- Give lukewarm water to soothe the throat.
- Make sure the room has fresh, cool air.
- Use paracetamol or ibuprofen for fever if needed.
- Do not give antibiotics (they don’t work against viruses).
- Avoid smoke, dust, or strong smells.
When to Go to the Hospital Immediately
- Child is struggling to breathe (ribs sucking in, fast breathing).
- Bluish lips or face.
- Child is too weak, floppy, or difficult to wake.
- Persistent noisy breathing even when calm.
- Drooling or trouble swallowing.
How to Prevent False Croup
- Wash hands with soap and water often.
- Teach children to cover coughs and sneezes.
- Keep toys and surfaces clean.
- Keep sick children at home until they are better.
- Ensure vaccinations are up to date.
- Avoid tobacco smoke near children.
Conclusion
False croup is usually mild, but sometimes it can become dangerous.
Most children get better in a few days, but if breathing is hard or lips turn blue – go to the hospital immediately.
References
- WHO. Pocket Book of Hospital Care for Children, 2nd Ed. 2013.
- Bjornson CL, Johnson DW. Croup in children. CMAJ. 2013.
- Cherry JD. Croup. N Engl J Med. 2008.