Re: Repeat Croup attacks & Asthma...
Yes, there is such a thing as Cronic Croup. My oldest son has it, and has had it for many years. (He is 12.) He was born with birth defects that affect his skull and midface, and also has a narrow airway. When he has an episode, his throat will completely close w/o proper medication. His trigger is usually sickness...if he gets a cold, he is likely to have an episode. Our pediatrician has given us a nebulizer with Pulmacort for at home, along with oral Pediapred to keep on hand. My son can sometimes tell in the morning or afternoon if he's going to have an episode that night (not sure how, but he often can), and we'll go ahead and give him a dose of the Pediapred. Since it takes 6-8 hours to kick in, it's important to get it in him as early as possible. He also gets the Pulmacort every 6 hours when he feels like a possible episode will occur. This has really changed our lives. Before we switched to this pediatrician, we had an old one who had the attitude that 'nothing can be done'. We took many emergency rides in an ambulance because his throat would swell closed and he would stop breathing & turn blue. Then for a while we kept Dechadron at home, but it was really a really nasty liquid and my son hated it, so the new pediatrician suggested the Pulmacort, and it's really helped along with the Pediapred. One thing you might want to ask your doctor is about having a scope test done. (Laperoscopy? I can't remember the name of it, since we had it done years ago.) It's a procedure done in the hospital...they sedate the child and look down their throat with a scope to see if there are any abnormalities there than can be a part of the problem. My son just had a slight sore throat afterwards, which was mainly a good excuse for some ice cream, lol. Anyway, that's how they diagnosed that he has a narrow airway, and knowing that has really helped us to understand why this happens. BTW, he does not have asthma, but he has had the RSV before (when he was 2) and ended up in the hospital with it...rough stuff! Good luck!