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In an adult or an older child, these viruses might just cause an ordinary cold. In a baby or a young child, however, the windpipe is quite narrow to begin with. This means that the swelling caused by infection can make the windpipe dangerously narrow, causing croup. Try to give medicines at about the same times each day, to help you remember. If your doctor decides to stop prednisolone, they will reduce the dose gradually before stopping it completely. You can give your child medicines that contain paracetamol or ibuprofen, unless your doctor has told you not to.
Your child may become irritable and have mood swings, and even revert to earlier childhood behaviour, such as temper tantrums. Increased fluid retention can also cause weight gain.Take steroid medicines with meals or after food to reduce stomach irritation. Your child’s doctor, pharmacist or nurse will be able to give you more information about dexamethasone and about other medicines used to treat croup. We take great care to make sure that the information in this leaflet is correct and up-to-date. However, medicines can be used in different ways for different patients. It is important that you ask the advice of your doctor or pharmacist if you are not sure about something.
Speak to your pharmacist or GP if you are unsure about what type of painkiller is suitable for your child. Comforting your child is also important because their symptoms may get worse if they are agitated or crying. If your child is distressed, sitting them upright on your lap will help to comfort and reassure them.
Attacks normally occur at a single site; the life time risk of laryngeal involvement during an attack is about 70%, although uncommon in children . Other presentations are subcutaneous angioedema and abdominal attacks. Your child needs to be closely monitored while on steroid treatment, which may include checking their weight, blood pressure and urine. Your GP surgery, local hospital or local community nurses will usually run these check ups. A child taking steroids is at an increased risk of infection. If they have a fever, or become unwell, contact your doctor or nurse.
Your child is unlikely to suffer many side effects if given a short course of steroids. Any they do encounter are temporary and will stop when the course is complete. Our adrenal and reproductive glands naturally produce hormonal substances called steroids. There are many types of steroids and all have different effects on the body.
Full recovery with no long-term morbidity is expected in the vast majority of children. Children under 6 years of age require urgent intubation, ideally in theatre by an experienced anaesthetist with an ENT surgeon present . If there is no time to transfer the child to theatre, then a difficult intubation trolley and cricothyroidotomy kit must be ready. There is a rapid onset of pyrexia, sore throat, muffled speech, drooling and stridor. The child usually looks unwell; sitting forwards, mouth open, drooling with tongue protruding .
If your child is sick more than 30 minutes after having a dose of Prednisolone, do not give them another dose. If your child is sick less than 30 minutes after having a dose of Prednisolone, give them the same dose again. Prednisolone should start to help your child’s wheezing soon after taking it, but usually takes 4–6 hours to have its full effect.
As with all drugs, corticosteroids should only be prescribed when the benefits to the mother and child outweigh the risks. When corticosteroids are essential however, patients with normal pregnancies may be treated as though they were in the non-gravid state. Blood pressure and renal function (s-creatinine) should therefore be routinely checked. When renal crisis is suspected, blood pressure should be carefully controlled.
EC tablets are 1.5x the price of plain tablets without any substantial evidence that they confer any GI benefits and in some cases have worsened disease control. If you miss a dose of Extra Super Viagra and you still intend to engage in sexual activity, take it as soon as you remember. Paracetamol can be used if they are in pain and feverish and, as things are typically worse at night, having someone stay with them can be helpful. A sign to look out for that might warrant getting your child checked by a doctor is if the stridor is very loud while at rest along with a real struggle to breathe.
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