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Can a Baby Sleep with Croup? Understanding Croup and Your Baby’s Sleep

For many parents, the prospect of a baby sleeping through the night is challenging enough without adding illness into the mix. When your child develops croup, it can significantly impact sleep for both you and your baby. In this article, we’ll delve into what croup is, how it affects your baby’s sleep, and how you can navigate these challenging times effectively.

What is Croup?

Croup is a common illness that occurs in young children, affecting the windpipe (trachea), voice box (larynx), and bronchial tubes (bronchi). Characterized by a “barking” cough, hoarse voice, and noisy breathing, croup can be scary for both the child and the parents. It typically worsens at night, making sleep a particular challenge.

How Do Babies Catch Croup?

Babies typically catch croup from exposure to a virus, often the same ones that cause the common cold. It spreads through the air when an infected person coughs or sneezes, or by touching infected surfaces.

Can My Baby Sleep with Croup?

It can be concerning when your baby is ill, but understanding the illness can help alleviate some fears. Here’s what you need to know about croup and sleep:

Impact of Croup on Sleep

The symptoms of croup, including coughing and difficulty breathing, often worsen at night. This can disrupt your baby’s sleep, making them more irritable and tired. Moreover, laying flat can sometimes worsen the symptoms, making sleeping uncomfortable for your child.

Creating a Safe Sleeping Environment

While sleep may be more challenging during this time, it’s essential to maintain a safe sleep environment. Your baby should continue to sleep on their back in a crib or bassinet with a firm mattress. Avoid using pillows, blankets, or sleep positioners to prop your baby up as these items increase the risk of SIDS (Sudden Infant Death Syndrome).

Managing Sleep with Croup

When your baby has croup, frequent check-ins during the night become even more critical. You may need to offer comfort more often, and in some cases, holding your baby upright can help ease symptoms and allow them to get some sleep.

Recognizing Croup Symptoms in Babies

What Are the Symptoms of Severe Croup?

The most notable symptom of croup is a “barking” cough, which often worsens at night. Other symptoms may include fever, a hoarse voice, noisy or labored breathing, and a raspy sound when the baby is inhaling, known as stridor.

Can a Baby Have Croup Without a Fever?

Yes, it is possible for a baby to have croup without a fever. Though fever is a common symptom of croup, it does not occur in every case.

Is Croup Painful?

While croup can cause significant discomfort due to the difficulty breathing and persistent cough, it is not typically painful in itself. However, your baby may feel irritable or fatigued due to the illness.

How Croup Affects Sleep

Does Croup Get Worse When Sleeping?

Yes, croup symptoms often intensify during sleep times, especially at night. The reason is not completely understood, but it could be due to the body’s natural cycles and the relaxing of throat muscles during sleep.

Is Croup OK in Day but Bad at Night?

Croup can seem better during the day, with symptoms flaring up or worsening at night. This pattern can be particularly challenging for parents and babies alike, as it can disrupt sleep.

Managing Croup During Sleep

What is the Best Position for a Baby to Sleep with Croup?

While back sleeping is generally recommended for babies, a baby with croup may be more comfortable and breathe easier when sleeping in a slightly upright position. This can be achieved using a crib wedge or by providing supervised sleep in a car seat or bouncer.

How Do I Stop Croup Coughing at Night?

Strategies to alleviate a croup cough at night include using a humidifier, providing comfort and reassurance, and trying a brief exposure to cool night air.

Is a Warm or Cold Room Better for Croup?

A cool, moist environment can often help soothe croup symptoms. Using a humidifier in the baby’s room can help create this environment.

When to Seek Medical Attention

When Should You Go to the ER for Croup?

While most cases of croup can be managed at home, immediate medical attention should be sought if the baby is struggling to breathe, becomes very distressed, has a blue or dusky color around the mouth and nose, or is unusually quiet or inactive.

Do Babies Get Hospitalized for Croup?

Babies are occasionally hospitalized for croup if they are having severe difficulty breathing or if they are not responding to home treatments.

Treatment Options for Croup

What Do Doctors Do for Croup in Babies?

Treatment for croup often involves measures to improve breathing, such as the use of a humidifier, and medications to reduce inflammation in the throat. In some cases, a nebulizer might be used to administer these medications.

Does Albuterol Help Croup?

Albuterol, a medication used to treat asthma, can sometimes be used in the treatment of croup if the baby is having significant difficulty breathing.

What is the Best Medication for Croup?

Steroids, such as dexamethasone, are often the first line of treatment for croup to reduce inflammation in the throat.

Does Benadryl Help Croup?

Benadryl is not typically used to treat croup. It’s an antihistamine, which can dry up secretions, potentially making a croup cough worse.

Does Tylenol Help Croup?

Tylenol (acetaminophen) won’t treat the croup itself, but it can help relieve any associated fever or discomfort the baby might be feeling.

Prevention and Precautions

How Contagious is Croup?

Croup is highly contagious, especially in the first few days or until the fever has gone. It is essential to maintain good hygiene practices, such as frequent hand washing and disinfecting common surfaces, to prevent the spread of the virus.

What Should I Avoid with Croup?

Avoid exposing the baby to irritants such as cigarette smoke, as it can make croup symptoms worse. Additionally, try to prevent the spread of the virus by keeping your baby home and away from other children until symptoms improve.

How Can Help

Sleep is essential for babies, especially when they are unwell. At, we understand the importance of good sleep for your little one and are here to help. We provide numerous resources to help your child get the sleep they need, offering advice tailored to various situations, including when your child is unwell.

In addition to general sleep tips and methods, we offer specific advice to help you manage difficult periods like illness. Our guides can help you understand how croup impacts sleep and provide practical tips to help you through this challenging time. We believe in the importance of comfort and safety for your child during sleep, especially when they’re not feeling their best.

When to Seek Medical Help

While most cases of croup can be managed at home, there are times when medical attention is required. Seek immediate medical help if your child is struggling to breathe, has blue lips or face, is unusually quiet or still, or is struggling to swallow.


Having a baby with croup can be a challenging time for any parent. While sleep can be affected, understanding how croup influences your baby’s sleep and knowing how to manage these symptoms can help you navigate this difficult period. Remember, at, we’re here to help guide you through these sleep challenges. Always consult with a healthcare provider for any severe symptoms or concerns.

10 thoughts on “Can a Baby Sleep with Croup? Understanding Croup and Your Baby’s Sleep”

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