Symptoms Bronchiolitis often starts like a cold with a runny nose and mild fever, followed by cough, wheeze, crackling sounds, rapid breathing and reduced feeding. Symptoms may worsen over the first few days before gradually improving.
Home care Most cases improve with supportive care. Offer smaller, more frequent feeds, keep the baby upright while awake and clear nasal secretions gently before feeding. Avoid cigarette smoke. Cough medicines and routine antibiotics do not help viral bronchiolitis.
Hospital treatment Some babies need oxygen, fluids through a tube or vein, or closer monitoring. Routine inhalers and steroids are not beneficial for most infants with typical bronchiolitis, although clinicians assess each child individually.
Higher-risk babies Premature infants and babies with heart disease, chronic lung disease, immune problems or very young age have a greater risk of severe illness.
Urgent warning signs Seek urgent help for pauses in breathing, blue or grey lips, severe chest recession, grunting, exhaustion, feeding less than half the usual amount, significantly fewer wet nappies or a baby who is difficult to wake.
Frequently Asked Questions
Is bronchiolitis the same as bronchitis?
No. Bronchiolitis affects the smallest airways and mainly occurs in infants.
Are antibiotics needed?
Not for typical viral bronchiolitis unless a bacterial infection is also diagnosed.
Can a baby be fed normally?
Smaller, more frequent feeds may be easier when breathing is fast.
How long can the cough last?
The cough may continue for several weeks after the worst symptoms improve.
This information is for education only and does not replace medical assessment or treatment by a qualified physician.