We are currently seeing cases of croup, a viral respiratory illness that most often is caused by various viruses. The cough and breathing that are associated with croup make it distinctly different from other viral colds or respiratory illnesses. Often the symptoms of croup start out like a typical viral "cold" but the virus also infects and irritates the voice box, the vocal cords, and the windpipe. Often the child sounds hoarse. The cough is worse at night, and it has a distinct "bark" that sounds much like a seal's bark. Associated with the barky cough, your child may have difficulty when inhaling air, making a labored and raspy or whistling sound when breathing in -- called stridor. Humidified air from water in a cool mist humidifier and fluids often are the most helpful first treatments. Sometimes spending time with an adult in a steamy bathroom, or being outside for a few minutes in the cool night air helps. if the stridor or signs of respiratory difficulty persist, please do not wait to seek medical advice or attention. Call the office to have your child evaluated by the doctor if he/she has symptoms of croup.