What are the symptoms of croup that parents should be aware of?

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Croup, a condition that affects children under the age of 5, accounts for approximately 7% of hospital admissions in the United States. The National Health Service (NHS) states that if a child display any of the following signs or symptoms of croup, immediate medical attention is necessary:

  1. A worsening cough or a rasping sound while breathing.
  2. Severe breathing difficulties.
  3. Rapid breathing, which may make it difficult for the child to eat or speak.
  4. Absence of breathing sounds from the chest.
  5. Tightness or inward pulling of the skin around the ribs.
  6. Inability to drink fluids.
  7. Skin that appears dark, bluish, or pale.
  8. Unusual drowsiness or sleepiness.
  9. Signs of distress or agitation.

If parents or caregivers observe any of these signs or symptoms in their child, they should promptly take the child to the nearest hospital emergency room (ER). Symptoms of croup may include a cough that sounds like a bark, stridor (a high-pitched sound during inhalation), difficulty breathing, and a hoarse voice. Additional signs and symptoms may involve nasal congestion, a sore throat, fever, increased respiratory rate, and increased heart rate.