CROWING DISEASE: Larynigismus stridulus, laryngospasm, spasms of the glottis, is a spasmotic affection of the windpipe (trachea), which closes the glottis and threatens suffocation. The term crowing disease or crowing inspiration, is applied to the condition because the patient makes a noise similar to that attending the inhalation of air in croup or whooping cough.

The paroxysms occur at irregular intervals. During these periods the patient struggles for breath and seems to be actually suffocating or strangling. In some cases the struggling terminates in a general convulsion. If crying or coughing occur the paroxysm is ended.

The disease looks more dangerous than it really is. It occurs almost wholly in rachitic children. The paroxysms are brought on by emotions, indigestion, or irritating and exciting influences. Fatal cases are rare.

CARE OF THE PATIENT: The paroxysm lasts only a few seconds, but may recur frequently. Rest, quiet and warmth are all that are required during the paroxysm.

The real care of these children is to correct their diet and general hygiene and get rid of the rickets. See the care of this condition.