Croup often begins without warning, in the middle of the night. The symptoms are often worse at night, and are at their worst on the second or third night of the illness. The signs and symptoms of croup may last for three to four days; however, a cough may linger for up to three weeks. A mild attack of croup is when your child has the harsh, barking cough but does not have stridor when they are calm and settled, and they are not struggling to breathe. No medical treatment is necessary for mild croup, or the virus that has caused it. You can usually manage mild croup at home with the following care: If your child has mild croup that lasts for more than four days, or if stridor returns after your child has recovered from croup, take them to see a doctor. prednisolone or dexamethasone) to be taken by mouth. The steroids help reduce the swelling in the airway, which will make breathing easier. Antibiotics do not work on viruses and are not given to children with croup. buy generic cialis online india Prednisone is also used to treat children with juvenile rheumatoid arthritis (JRA), acute leukemia, congenital adrenal hyperplasia, adrenocortical insufficiency, and nephrotic syndrome. It is also indicated for a variety of other endocrine, collagen, dermatologic, allergic, ophthalmic, respiratory, hematologic, neoplastic, edematous, gastrointestinal, and nervous system disorders. There is confusion between prednisone and the anabolic steroids used by bodybuilders. But, after the discovery of antibiotics, prednisone may be one of the more important types of medicines ever discovered. The most common side effects of taking prednisone include muscle weakness, osteoporosis, fractures, Cushing's syndrome, pituitary-adrenal axis suppression, growth suppression, glucose intolerance, acne, edema, hypertension, hypokalemia, alkalosis, cataracts, glaucoma, peptic ulcer, nausea, vomiting, headache, vertigo, seizures, psychoses, pseudotumor cerebri, and skin atrophy. Some kids also develop mood swings, become irritable, and have trouble sleeping when they take prednisone. Most side effects, especially growth suppression, edema, and immune system problems are going to be worse with long-term use of prednisone and less likely with the short term course that most children take for typical asthma attacks or for relief from poison ivy, etc. Although one of the more useful medicines in pediatrics, especially when you see the dramatic effects prednisone has on a child with a severe asthma attack, steroids can have serious side effects when overused or misused and they should only be prescribed when it is really necessary. Where to buy retin a micro gel Glucocorticoids are a type of corticosteroid hormone that is very effective at reducing inflammation and suppressing the immune system. 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Professor Paul Little is Professor of Primary Care Research within Medicine at the University of Southampton. Professor Little was the first GP to be awarded a Wellcome HSR training fellowship (for research on health promotion), and the first to be awarded an MRC Clinician Scientist Fellowship (for research on common self-limiting illness), and in addition current major areas of research are in enabling behaviour change both for health professionals and also in empowering patients. BA Physiology, Oxford (1981)MBBS, London (1984)MRCP, London (1989)MD, London (1992)MRCGP, London (1992)DLSHTM, London (1995)MSc, LSHTM (1995)FRCGP, London (2000)FMed Sci, London (2010) Wellcome HSR Fellow, University of Southampton (1993-1997) MRC Clinician Scientist, University of Southampton (1998-2003) Current Post: Professor of Primary Care Research. 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