Diseases 77

roseola PRECAUTIONS • If the pupils of your child's eyes are not equally black, smoothly round, and the same size, see your doctor. • If your child's eyes are not parallel, see your doctor to avoid the development of a lazy eye. • All children should have their vision checked annually beginning at the age of four or five. MEDICAL TREATMENT Your doctor will check the eye muscles and vision and inspect the insides of the eyeballs. This examination can be done on any child at апУ age. If your doctor diagnoses or suspects crossed eyes, you will Probably be referred to an ophthalmologist (a physician who specializes |n disorders of the eyes). Treatment will depend on the cause. It may mclude eye surgery, glasses, placing a patch over one eye, daily use of еУе drops, or eye muscle exercises guided by a specialist. RELATED TOPICS: Lazy eye: Vision problems Croup SYMPTOMS Croup: • Barking cough • Hoarseness • Difficulty in breathing, especially inhaling • Crowing sound when inhaling Epiglottitis: • Fever (as high as 105°F) • Difficulty in breathing • Difficulty in swallowing • Sore throat • Drooling • Sitting with head forward, mouth open, and tongue hanging out HOME CARE • If a child has serious difficulty in breathing, do not treat at home. Notify your doctor, and go immediately to the nearest hospital emergency room. • For mild, repeated attacks of croup (if there is no serious breathing problem), add moisture to the air to make breathing easier. Use a vaporizer or humidifier. Sit with the child in a closed bathroom with a hot shower running to build steam. If steam does not relieve the symptoms, call your doctor. • The first time you suspect that your child has croup (even a mild case), call your doctor. PRECAUTIONS • If your child has a high fever, has difficulty in breathing and swallowing, is drooling, or sits with the head forward, mouth open, and tongue hanging out, get medical help immediately. • Do not give cough medicine to a child who has croup or any difficulty in breathing. • Do not give ipecac to a child with croup. Mucus Trachea (windpipe) Mucus Bronchi up can be complicated by mucous blockage oj the windpipe and the Pr hfhi leadin9 into the lungs. This may lead to serious breathing °blems and become a medical emergency. Croup Croup Croup is an inflammation and swelling of the larynx (voice box), usually caused by an infection. Croup is common and is passed on in the same manner as a common cold-by airborne droplets or by direct contact with an infected person. Croup causes a tight, dry. barking cough and hoarseness. Difficulty in breathing develops quickly, with more trouble in inhaling than exhaling. Efforts to inhale cause the crowing sound that is typical with croup. (This is in contrast to asthma, in which there is more difficulty in exhaling and a wheezing sound is heard when the child breathes out.) Croup can be serious, but milder cases, especially repeated ones, can usually be handled safely at home. hand