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Bronchiolitis Treatment for Children

This page has been medically reviewed by Dr Gabriel Chain, March 2025.

What is bronchiolitis?

Bronchiolitis is a common viral respiratory infection that affects the small airways in the lungs, known as bronchioles. It primarily impacts babies and toddlers under 12 months of age and is often caused by the respiratory syncytial virus (RSV) or other common cold viruses. While bronchiolitis is usually mild, it can cause significant discomfort and, in some cases, lead to breathing difficulties.

What are the symptoms of bronchiolitis?

The symptoms of bronchiolitis often begin like a common cold and can progress over time. Key symptoms include:

  • Runny nose
  • Mild fever
  • Persistent cough
  • Congestion and nasal flaring
  • Difficulty breathing, including rapid or shallow breathing
  • Recession (sucking in of the skin between the ribs during breathing)
  • Fatigue or reduced energy
  • Difficulty feeding or drinking

In severe cases, symptoms may include:

  • Very fast breathing
  • Skin turning blue or pale (cyanosis)
  • Lethargy or extreme tiredness
  • Decreased urine output (fewer wet nappies)

If you notice any of these more serious symptoms, seek urgent medical attention. Call 111, 999 or go to your nearest emergency health centre.

How is bronchiolitis diagnosed?

Diagnosing bronchiolitis typically involves a clinical examination by a paediatrician. In some cases, additional tests may be recommended, such as:

  • Viral PCR Panel (nasal swab): To identify the specific virus causing the infection.
  • Oxygen Level Monitoring: To assess the impact on breathing.

How is bronchiolitis treated?

Most cases of bronchiolitis can be managed at home with supportive care. Treatment focuses on keeping your baby comfortable and hydrated. Key steps include:

  • Hydration: Offer small, frequent sips of fluids or feeds to prevent dehydration.
  • Rest: Encourage plenty of rest to help the body fight the infection.
  • Nasal Saline Drops: Help clear nasal congestion for easier breathing and feeding.
  • Humidified Air: A humidifier or steam can help ease breathing discomfort.

Medical treatment may be necessary if symptoms worsen. Severe cases could require oxygen therapy or hospitalisation for closer monitoring.

How we can help

At Kidswell Health, our expert paediatricians have extensive experience managing bronchiolitis in babies and toddlers. We provide compassionate, family-centred care to help your child recover comfortably and safely. Whether it’s a thorough assessment, guidance on at-home care, or further treatment, we are here to support your family.

Additional Resources

NHS: Bronchiolitis 

NHS: RSV

Disclaimer: Information contained on this page is intended as general advice and does not replace a medical assessment. If you are concerned about your child’s health, please contact your doctor for advice. In an emergency or for urgent care, call 999 or visit your local A&E.

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