Skip to content

Author's details

Reviewer's details

A viral infection of the throat and windpipe (voice box and trachea). Makes the airway narrow and causes breathing problems.

False Croup (Pseudocroup)

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

Key Message

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.