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  • With Mayo Clinic emeritus consultant

    Jay L. Hoecker, M.D.

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Mayo Clinic Health Manager

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Question

Croup treatment: Does high humidity relieve symptoms?

My mother and I are having a disagreement about whether steam treatment relieves croup symptoms. She says that her experience as a mother tells her it does. But I say it doesn't. Who's right?

Answer

from Jay L. Hoecker, M.D.

You're both right. Changes in humidity and air temperature have long been considered useful in managing mild croup at home. But in a 2006 study, high humidity provided no benefit for cases of moderate to severe croup treated in an emergency room.

The primary symptom of croup is a distinctive barking cough caused by inflammation around the vocal cords. Other signs and symptoms include fever and a hoarse voice.

For mild croup, use a cool-air humidifier in your child's bedroom or have your child breathe the warm, moist air in a steamy bathroom. Weather permitting, you may also wrap your child in a coat or blanket and stand in the cool night air. For severe croup — such as a barking cough accompanied by noisy, labored breathing (stridor) — a doctor may prescribe corticosteroids, epinephrine or another medication to open your child's airways.

References
  1. Woods CR. Pharmacologic and supportive interventions for croup. http://www.uptodate.com/home/index.html. Accessed Aug. 27, 2008.
  2. Woods CR. Approach to the management of croup. http://www.uptodate.com/home/index.html. Accessed Aug. 27, 2008.
  3. Scolnik D, et al. Controlled delivery of high versus low humidity versus mist therapy for croup in emergency departments. The Journal of the American Medical Association. 2006;295(11):1274-1280.

AN01480

Nov. 22, 2008

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