What is Bronchiolitis?
Bronchiolitis is a viral infection, usually caused by the Respiratory Syncytial Virus (RSV). When a baby catches the virus, they may have a runny nose, temperature and cough. Bronchiolitis causes swelling in the tiniest airways in the lungs. This makes it harder for your baby to breath and this can mean they have difficulty feeding.
Most children will have caught RSV by the time they are two. Most will have a ‘cold’ like illness and get better on their own. It is much more common during the winter season and easily spread, so is very difficult to prevent.
How can I help my baby?
- If they are finding it hard to feed, they will find it easier to take smaller amounts more frequently.
- As it is a viral infection, antibiotics do not help the infection.
- If your baby normally takes any medications, carry on giving them.
- Do not expose your baby to tobacco smoke. Passive smoking makes breathing problems worse.
- Children with bronchiolitis may have signs of distress and discomfort. You may wish to give either paracetamol or liquid ibuprofen. These may also help lower your childs temperature. please read and follow the instructions on the medicine bottle.
When will my baby get better?
- Most babies start to improve after four days and are usually better by two weeks.
- The cough can last for several weeks.
- Most babies will only get bronchiolitis once but sometimes, they can get it again.
- Bronchiolitis does not usually cause any long-term problems.
- If your baby is getting better, then you do not need to see your doctor.
When should I seek further medical attention?
- If your baby is only taking half their normal feeds over several feeds.
- If your baby has not wet a nappy for 12 hours
- If your baby is very tired or not waking as normal.
- Dial 999 if:If your child is under three months and has a temperature of 38oC or above. If your child is over three months old and has a temperature over 39oC.
- If your baby is working hard to breath.
Ring 111 for over the phone advice.
Dial 999 if:
There are long pauses in your baby’s breathing or your baby starts grunting;
or
Their lips and tongue are turning blue;
or
Your baby is having lots of difficulty breathing;
or
Your baby is pale, sweaty, mottled or abnormally cold
to touch.