Cough/colds (under 1's)

Coughs and colds are extremely common in young children and tend to occur more frequently over the autumn and winter months. They are usually caused by an infection and most children get better by themselves. In general, antibiotics do not make them better more quickly. If they are finding it hard to breath or are too breathless to feed, they may need to be look after in hospital.

When should you worry?

If you child has any of the following:

  • Has blue lips
  • Has pauses in their breathing (apnoeas) or has an irregular breathing pattern
  • Becomes pale, mottled and feels abnormally cold to touch
  • Becomes extremely agitated, confused or very lethargic (difficult to wake)
  • Develops a rash that does not disappear with pressure (the 'Glass Test')

    You need urgent help.

    Go to the nearest Hospital Emergency (A&E) Department or phone 999

    If your child has any of the following:

    • Has laboured/rapid breathing or they are working hard to breath - drawing in of the muscles below their lower ribs, at their neck or between their ribs.
    • Seems dehydrated (dry mouth, sunken eyes, no tears, drowsy or passing less urine than usual)
    • Is becoming drowsy (excessively sleepy)
    • Is under 3 months of age with a temperature about 38°C/100.4°F or 3-6 months of age with a temperature above 39°C/102.2°F (but fever is common in babies up to 2 days after they receive vaccinations)
    • Has a fever for more than 5 days
    • Seems to be getting worse or if you are worried

    You need to contact a doctor or nurse today.

    Please ring your GP surgery or call NHS 111 - dial 111

    If none of the features in the red or amber boxes above are present.

    Self care

    Continue providing your child’s care at home. If you are still concerned about your child, call NHS 111 – dial 111

    Treatment

    • Keep your child well hydrated by offering them lots of fluids. If your child is not feeding as normal, offer smaller feeds but more frequently.
    • Cough syrup does not tend to help with coughs
    • You can try using saline nose drops or spray if your baby has a blocked nose.

    If your child has a runny nose and breathing difficulties, it is most likely that they have a condition called bronchiolitis. Most children with bronchiolitis get better by themselves with no specific treatment. Bronchiolitis is caused by a viral illness, so antibiotics are not helpful.

    Symptoms of bronchiolitis:

    • Your child may have a runny nose and sometimes a temperature and a cough.
    • After a few days your child's cough may become worse and their breathing may get faster/more laboured.
    • As breathing becomes more difficult, your baby may not be able to take their usual amount of milk by breast or bottle.
    • Your child may vomit after feeding and you may notice fewer nappies than normal.

    How long does bronchiolitis last?

    • Most children with bronchiolitis will seem to worsen during the first 1-3 days of the illness before beginning to improve over the next two weeks. The cough may go on for a few more weeks.
    • Your child can go back to nursery or day care as soon as he or she is well enough (that is feeding normally and with no difficulty in breathing).

    Prevention

    It is not always easy to avoid catching these infections. However, good hygiene practices can prevent infections spreading

    • Wash your hands regularly and thoroughly
    • Use a tissue when coughing or sneezing and put it in the bin
    • Avoid sharing glasses or utensils with people who are unwell

    This guidance is written by healthcare professionals from across Hampshire, Dorset and the Isle of Wight.

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