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is a viral infection of the bronchioles (small airways) in your child's lungs. It causes the small airways to become swollen and filled with fluid and mucus. This makes it hard for your child to breathe. Bronchiolitis usually goes away on its own. Most children can be treated at home.
Signs symptoms of mild bronchiolitis:
Bronchiolitis begins like a common cold. Symptoms usually go away within 1 to 2 weeks. Some symptoms, such as a cough, may last several weeks. Your child's symptoms may be worse on the second or third day of his or her illness. Your child may have any of the following:
- Runny or stuffy nose
- A fever
- Fussiness or not eating or sleeping as well as usual
- Wheezing or a cough
Signs and symptoms of severe bronchiolitis:
- Very fast breathing (60 to 70 breaths or more in 1 minute), or pauses in breathing of at least 15 seconds
- Grunting and increased wheezing or noisy breathing
- Nostrils become wider when breathing in
- Pale or bluish skin, lips, fingernails, or toenails
- Pulling in of the skin between the ribs and around the neck with each breath
- A fast heartbeat
- Loss of appetite or poor feeding, or being fussier or more irritable than usual
- More sleepy than usual, trouble staying awake, or not responding to you
Call 911 for any of the following:
- Your child stops breathing.
- Your child has pauses in his or her breathing.
- Your child is grunting and has increased wheezing or noisy breathing.
Seek care immediately if:
- Your child is 6 months or younger and takes more than 50 breaths in 1 minute.
- Your child is 6 to 11 months old and takes more than 40 breaths in 1 minute.
- Your child is 1 year or older and takes more than 30 breaths in 1 minute.
- Your child's nostrils become wider when he or she breathes in.
- Your child's skin, lips, fingernails, or toes are pale or blue.
- Your child's heart is beating faster than usual.
- Your child has signs of dehydration such as:
- Crying without tears
- Dry mouth or cracked lips
- More irritable or sleepy than normal
- Sunken soft spot on the top of the head, if he or she is younger than 1 year
- Having less wet diapers than usual, or urinating less than usual or not at all
- Your child's temperature reaches 105°F (40.6°C).
Contact your child's healthcare provider if:
- Your child is younger than 2 years and has a fever for more than 24 hours.
- Your child is 2 years or older and has a fever for more than 72 hours.
- Your child's nasal drainage is thick, yellow, green, or gray.
- Your child's symptoms do not get better, or they get worse.
- Your child is not eating, has nausea, or is vomiting.
- Your child is very tired or weak, or he or she is sleeping more than usual.
- You have questions or concerns about your child's condition or care.
may depend on how severe your child's symptoms are. Most children with bronchiolitis can be treated at home. A child with symptoms of severe bronchiolitis may need monitoring and treatment in the hospital. Your child may need the following to help manage symptoms:
- Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
- Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
- Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.
Follow up with your child's healthcare provider as directed:
Write down your questions so you remember to ask them during your visits.
Manage your child's symptoms:
- Have your child rest. Rest can help your child's body fight the infection.
- Give your child plenty of liquids. Liquids will help thin and loosen mucus so your child can cough it up. Liquids will also keep your child hydrated. Do not give your child liquids with caffeine. Caffeine can increase your child's risk for dehydration. Liquids that help prevent dehydration include water, fruit juice, or broth. Ask your child's healthcare provider how much liquid to give your child each day. If you are breastfeeding, continue to breastfeed your baby. Breast milk helps your baby fight infection.
- Remove mucus from your child's nose. Do this before you feed your child so it is easier for him or her to drink and eat. You can also do this before your child sleeps. Place saline (saltwater) spray or drops into your child's nose to help remove mucus. Saline spray and drops are available over-the-counter. Follow directions on the spray or drops bottle. Have your child blow his or her nose after you use these products. Use a bulb syringe to help remove mucus from an infant or young child's nose. Ask your child's healthcare provider how to use a bulb syringe.
- Use a cool mist humidifier in your child's room. Cool mist can help thin mucus and make it easier for your child to breathe. Be sure to clean the humidifier as directed.
- Keep your child away from smoke. Do not smoke near your child. Nicotine and other chemicals in cigarettes and cigars can make your child's symptoms worse. Ask your child's healthcare provider for information if you currently smoke and need help to quit.
Help prevent bronchiolitis:
- Wash your hands and your child's hands often. Use soap and water. A germ-killing hand lotion or gel may be used when no water is available.
- Clean toys and other objects with a disinfectant solution. Clean tables, counters, doorknobs, and cribs. Also clean toys that are shared with other children. Wash sheets and towels in hot, soapy water, and dry on high.
- Do not smoke near your child. Do not let others smoke near your child. Secondhand smoke can increase your child's risk for bronchiolitis and other infections.
- Keep your child away from people who are sick. Keep your child away from crowds or people with colds and other respiratory infections. Do not let other sick children sleep in the same bed as your child.
- Ask about medicine that protects against severe RSV. Your child may need to receive antiviral medicine to help protect him or her from severe illness. This may be given if your child has a high risk of becoming severely ill from RSV. When needed, your child will receive 1 dose every month for 5 months. The first dose is usually given in early November. Ask your child's healthcare provider if this medicine is right for your child.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.