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What is bronchiolitis? Bronchiolitis is a chest infection caused by a virus. It affects the small breathing tubes in the lungs. It is common in babies under 6 months of age, although it can occur in babies up to 12 months.

, as the symptoms are often the same

However, it is a different condition and requires different treatment. in the household increases the risk of babies getting bronchiolitis or any other respiratory illness.

After a day or so, the baby begins to cough and their breathing gets rapid and wheezy.

Babies are usually sick for 3 to 5 days and the cough may last 2 to 3 weeks. are more at risk of severe bronchiolitis. The symptoms of bronchiolitis include: Bronchiolitis can appear to be like asthma but it is a different condition.

Because the airways in young babies are immature and floppy, they do not constrict as they would in a child with asthma. Your baby may be coughing so much and having such difficulty breathing that it is hard for them to drink. Children can quickly become if they do not get enough to drink.

Offer small amounts of fluids regularly so that your child does not get too tired when feeding and is less likely to become dehydrated.

It is best treated like any other viral infection

Suggestions include: Make sure your baby rests as much as possible. or give formula or water more often than usual.

Baby paracetamol can be given if required

Make sure you follow instructions carefully as baby doses may be different to adult doses. Avoid smoking around your baby – in the car or house – as this will make the symptoms worse.

If your baby is very distressed and having trouble feeding, they may need to be admitted to hospital where they can be closely observed, given oxygen and possibly fluid through a drip into the vein (intravenous therapy).

Vaporisers, humidifiers or other methods of putting steam into the air have not been shown to be helpful for babies with bronchiolitis. Treatments that work for older children with asthma usually do not help with bronchiolitis. Bronchiolitis can make babies sick for 3 to 5 days, but the cough can last for weeks.

Often the illness is mild and does not need any special treatment. Very young babies, less than 8 weeks of age, should always be taken to a GP as they are at increased risk of severe disease and dehydration. You should seek medical advice if you are worried or if your baby: seems tired, pale and sweaty and is very irritable.

Bronchiolitis is an infectious disease

Avoid contact with other babies in the first few days. Keep your child home from childcare or other places where there may be young children. Older children and adults can catch the virus that causes bronchiolitis, but it is most common in young children and babies.

Wheezing or bronchiolitis in babies does not mean that a baby will progress to more persistent symptoms and develop asthma in childhood. Bronchiolitis in babies can be confused with asthma Smoking Bronchiolitis usually starts as a cold Bronchiolitis usually starts as a winter cold Premature babies (especially those who have had breathing problems) and babies with heart disease or major birth defects Symptoms of bronchiolitis coughing wheeziness rapid breathing flaring of the nostrils difficulty breathing sucking in of the chest while breathing reduced appetite fever Beware of dehydration dehydrated Treatment for bronchiolitis Medicines such as antibiotics don’t help because bronchiolitis is a viral infection Offer small amounts of fluids regularly – for example, breastfeed When to seek medical help is breathing rapidly or irregularly, or both refuses food and drink turns blue Bronchiolitis can be passed on to others Bronchiolitis does not mean a child will develop asthma Where to get help In an emergency, always call 911 Emergency department of your nearest hospital Your GP (doctor) Maternal and Child Health Line 13 22 29 (24 hours, 7 days) Parentline 13 22 89 (24 hours, 7 days) NURSE-ON-CALL (616) 555-0400 – for expert health information and advice (24 hours, 7 days) The Royal Children’s Hospital Grand Rapids (616) 555-0200.

Key Points

  • What is bronchiolitis? Bronchiolitis is a chest infection caused by a virus
  • common in babies under 6 months of age, although it can occur in babies up to 12 months
  • , as the symptoms are often the same
  • However, it is a different condition and requires different treatment
  • in the household increases the risk of babies getting bronchiolitis or any other respiratory illness