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How to Recognize and Manage Bronchiolitis in Children

By Dr. Ankit Parakh in Paediatric Pulmonology & Sleep Medicine

Jun 18 , 2024 | 3 min read

Bronchiolitis is a common respiratory illness that affects infants and young children. Understanding its causes, symptoms, and preventive measures is essential for parents and caregivers to provide the best care for their little ones.

Bronchiolitis is characterized by inflammation and swelling of the small airways in the lungs, known as bronchioles. It is most commonly caused by respiratory syncytial virus (RSV) and can lead to breathing difficulties, especially in infants under the age of two.


What Are the Signs of Bronchiolitis in Children?

Recognizing early symptoms of bronchiolitis in children can help ensure timely treatment and reduce complications.

Signs of Bronchiolitis in Children

Common Symptoms Include:

  • Coughing and Wheezing: Infants with bronchiolitis often have a persistent cough and wheezing sound when breathing.
  • Fast or Difficulty Breathing: Rapid breathing or difficulty catching breath may be noticeable, especially during feeding or sleeping.
  • Nasal Congestion: Nasal congestion and a runny nose are common symptoms, making breathing more challenging for infants.
  • Fever: A low-grade fever may accompany other symptoms of bronchiolitis.
  • Irritability and Fatigue: Infants with bronchiolitis may appear irritable, tired, or have a decreased appetite.

While whooping cough is a serious respiratory infection, bronchiolitis can also cause severe breathing difficulties in young children—learn how to recognize and manage its symptoms effectively.

Explore the expert guide about - Effective Home Remedies for Cough & Dry Cough.


What Causes Bronchiolitis in Babies?

1. Respiratory Syncytial Virus (RSV)

RSV is the most common cause of bronchiolitis, typically affecting infants and young children during the winter months.

2. Other Viral Infections

In addition to RSV, other viruses such as:

Read more about - RSV (Respiratory Syncytial Virus) Season and Exploring Influenza & Respiratory Complications in Children.


What Are the Possible Complications of Bronchiolitis?

Most children recover at home, but in some cases, bronchiolitis can lead to serious health concerns.

  • Severe Respiratory Distress: In some cases, bronchiolitis can lead to severe respiratory distress, requiring hospitalization and oxygen therapy.
  • Dehydration: Difficulty feeding due to breathing problems can lead to dehydration in infants.
  • Increased risk of Asthma: Children who develop bronchiolitis may have an increased risk of developing asthma later in life.
  • Sudden Infant Death Syndrome (SIDS): Although rare, severe bronchiolitis can increase the risk of SIDS, especially in infants with pre-existing health conditions.
  • Bronchiolitis Oblitrans: In very few children, bronchiolitis can lead to permanent changes in the lungs which require long-term care.

Learn more about - Asthma Types & Symptoms, and Asthma Causes.


How to Care for a Child with Bronchiolitis

Helpful At-Home Tips

  • Monitor Breathing: Keep a close eye on your child's breathing patterns and seek medical attention if you notice rapid or labored breathing.
  • Relieve nasal congestion: Use a cool mist humidifier to ease congestion and ensure your child gets plenty of rest.
  • Encourage Hydration: Offer frequent breastfeeding or formula feeding to prevent dehydration.
  • Keep Your Child Upright: Keeping your child in an upright position can help ease breathing difficulties.
  • Follow Doctor's Advice: Follow your doctor's recommendations for managing bronchiolitis, including medication and follow-up appointments.


How to Prevent Bronchiolitis in Infants and Children

Simple Preventive Strategies

Prevent Bronchiolitis in Infants and Children
  • Hand Hygiene: Wash hands frequently with soap and water, especially before handling infants or touching their face.
  • Avoid Sick Individuals: Minimize contact with individuals who have respiratory infections, especially during bronchiolitis season.
  • Breastfeed if Possible: Breastfeeding provides antibodies that can help protect infants from respiratory infections.
  • Avoid Exposure to Smoke: Keep your home smoke-free to reduce the risk of respiratory infections and exacerbations of bronchiolitis.


When to Seek Medical Help

You should contact your pediatrician immediately if you notice:

  • Your baby is coughing while feeding
  • Fast breathing while your child is sleeping
  • Lips or skin turning blue or gray
  • Refusal to eat or feed for multiple hours
  • High fever or unresponsiveness


Final Thoughts

Bronchiolitis is a common respiratory illness that can cause discomfort and breathing difficulties in infants and young children. It can have few long term implications which can be prevented with timely treatment. Parents must seek advice at the earliest if they suspect their baby has symptoms of bronchiolitis.


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