Babies and children can normally catch several colds each year. Catching them can be a miserable time for them as well as for you.
Colds are infections of the nose, throat and sinus caused by one of many different viruses. They are most commonly spread through droplets produced when someone coughs or sneezes, and can be easily spread through hand-to-hand contact.
The main symptoms of a cold will develop gradually and can include:
- A runny or blocked nose
- A cough
- Red eyes
- Possibly a mild fever (a temperature higher than 37.5C)
- Loss of appetite
- Being generally unsettled.
- These symptoms can last a few days, a week, or possibly longer with very young babies.
Colds are caused by a virus and viruses cannot be treated with antibiotics. These medicines will only be prescribed by your GP if they suspect a bacterial infection, for example, in the chest. This is because antibiotics only act on bacteria, and will not have any effect on a cold caused by a virus. Cough and cold medicines should not be taken by children under the age of six. It is generally thought by professionals that most of the treatments you can buy in the shops are ineffective.
There are other ways to help with the symptoms of a cold. It is important to make sure your baby drinks enough fluids. Offer your baby plenty of breast milk or formula, and, if your baby is over four months, you can offer water. If your baby is not passing as much urine as usual, has sunken eyes or a sunken soft spot at the top of the head, this could be a sign of dehydration and you should see your GP.
You may be worried that your baby should be wrapped up more when they have a fever. This isn’t the case. NEVER use pillows, loose towels or blankets in your baby’s cot, as these can be potential suffocation risks and are linked to an increased risk of Sudden Infant Death Syndrome (SIDS). This risk can also be increased if the baby is too hot. Make sure you regularly check the temperature of the room and feel your baby for signs of being too warm. For more information on safer sleep for your baby, visit The Lullaby Trust.
Watching your baby fight a cold for the first time may be distressing for you and them. In time you will learn how your baby likes to be comforted, and this will help you to treat your child with confidence.
To help avoid infection, you can follow the steps at the beginning of this information.
Most colds can be managed at home. However, if your baby’s symptoms do not improve, or they worsen, you should contact your GP. If your baby is dehydrated, or has difficulty breathing you should contact your GP immediately.
Bronchiolitis is the swelling of the small airways in the lungs, caused by infection. This leads to a build-up of mucus, causing breathing difficulties. It is a common illness that affects babies and young children. It is often caused by a cold virus or an infection called Respiratory syncytial virus (RSV).
Many adults, children and babies catch RSV and have very similar symptoms to that of a cold. In fact, in most cases you would not know whether your illness was caused by this virus, or many of the other viruses which cause similar symptoms.
Whatever the cause, if premature babies or those born with lung or heart problems develop bronchiolitis, they may need extra care.
The symptoms to look out for are:
- Cold like symptoms
- Rapid shallow breathing
- A persistent cough
- Mild fever.
The length of the illness varies from a couple of days to a week, or possibly two with a lingering cough. It is common for a cough or wheeze to continue for several weeks after your baby has had bronchiolitis, even if they seem to have otherwise recovered.
Your baby should be encouraged to drink extra fluids and should be kept cool and not overdressed if a fever develops. Liquid paracetamol designed especially for children may also be given to help ease pain or other symptoms.
ALWAYS check the label carefully for the right dosage for your baby’s weight and age whenever using this medicine.
If your baby has breathing difficulties they might need to be admitted to hospital. Staff may give oxygen, and possibly ventilate your baby, or they may give medicines to help.
To help avoid infection, you can follow the steps at the beginning of this information. Unfortunately, catching RSV once does not protect your baby from catching it a second time.
If the symptoms of a cold are becoming worse, you should contact your GP to check for bronchiolitis. They may recommend your baby goes to the hospital if they need help breathing. If your baby ever shows signs of struggling to breathe, you should contact your GP immediately.
Pneumonia is an infection of the lungs causing the tissue to swell and the air sacks to fill with fluid, making it harder to take in oxygen. It can take hold after a cold, flu or other illness, and can be caused by bacteria, viruses or fungi.
Signs of the infection can appear over a day or two, or can develop more slowly. The symptoms can include:
- A fever
- A cough
- Rapid breathing
- Breathing difficulties
- Pain or discomfort in the chest
- Your baby could also show signs of feeling generally unwell, like not feeding as usual.
You should see your GP if you think your child has pneumonia. Some cases can be treated at home with antibiotics if the GP believes bacteria has caused the infection. But high risk babies might need a short stay in hospital to help with their breathing. The Hib vaccine included in the 5-in-1 injection, and the pneumococcal (PCV) vaccine, are both given to babies at eight weeks. These injections can protect against some types of pneumonia.
Call your GP if your baby shows any of the symptoms listed above, or appears to be sleepier than usual. If your baby has any trouble with breathing, you should contact your GP immediately.
Influenza, or flu, is a viral infection of the lungs and upper airways. It is caused by several different viruses. Those at risk of becoming more seriously ill from a flu infection are the very young, over 65s, or those with long-term health problems such as asthma or diabetes. Flu viruses spread like cold viruses, through droplets produced when you cough or sneeze and hand-to-hand contact.
Symptoms are very similar to a cold but with the addition of:
- A sudden fever
- Possibly a dry cough.
Fever may be the first sign of the illness. Other symptoms include:
- Aching muscles
- Runny nose
- Diarrhoea or vomiting
- Loss of appetite
The worst of the symptoms tend to last a few days and the cough and weakness can last up to two weeks.
Plenty of rest and extra fluids are essential. Liquid paracetamol for children can be given to relieve symptoms in the meantime.
If your baby is at home, is more than six months old, and has been diagnosed with Chronic Lung Disease (CLD), your GP or health centre may contact you during the winter months (October to March). They may offer your child (and sometimes you) the flu vaccine to protect against complications brought on by the flu. This is because your baby will be more at risk if they have been diagnosed with CLD. It’s common to get the flu more than once, so it is best to avoid crowded places during the winter months and to wash your hands often and thoroughly. See the section on reducing the risk of infection for more tips on protecting your baby.
If you think your baby might have flu, a fever, or you are concerned at all, you should call your GP.
Norovirus and Rotavirus (as well as some other stomach bugs) are very common. Hundreds of thousands of people every year catch these infections. You may have heard Norovirus described as the ‘winter vomiting bug’ because the illness is more common in winter. However, any of these viruses can be caught at any time of the year. They are highly contagious, meaning they can spread to other members of your family quickly.
Norovirus, Rotavirus and other stomach bugs cause vomiting and diarrhoea. This can come on very suddenly. Other symptoms include a fever, headaches and painful stomach cramps.
There is no specific cure for these viruses, so you have to let the illness run its course. It should not last more than a couple of days. You can usually care for your baby at home, making sure that they keep taking in plenty of fluids.
Very young babies, especially those at higher risk, are more likely to become very poorly from stomach infections. If you are at all worried, you should always visit your GP. Extra care should be taken to prevent babies and small children who are vomiting or have diarrhoea from dehydrating.
If your baby is eating solid foods and they feel like eating, try to give them foods that are easy to digest.
Following our tips on preventing infection will help to protect your baby. These viruses are particularly infectious, so if you or anyone else in the family becomes ill, follow our tips for reducing the risk of infection to help avoid it spreading. If anyone else is planning on coming into contact with your baby and they have been sick or had diarrhoea recently, ask them to not visit until they are fully recovered.
A Rotavirus vaccine is offered to babies at eight and 12 weeks, along with their other vaccines. See our Vaccinations section for more information.
Contact your GP for advice if your baby’s symptoms last longer than a few days, if they have a serious illness that might be made worse by their symptoms, or if you are struggling to keep your baby hydrated. If the symptoms are particularly bad, or you are at all worried, you should always seek help.
CLD (or Bronchopulmonary Dysplasia (BPD) as it’s sometimes referred to) is most common in premature or sick babies who have been ventilated to help with their breathing after birth. Premature babies who have been ventilated for a long time are very likely to be diagnosed with this condition. A diagnosis of CLD will usually be given to your baby when they are in the neonatal unit.
CLD is not an infectious illness, but it does mean that your baby may be more vulnerable to catching other infectious conditions, such as RSV (which can cause Bronchiolitis), and Influenza.
Almost all babies with CLD who remain healthy after they have been discharged from hospital show steady improvement with their breathing difficulties. When a baby first comes home, ordinary coughs and colds may make them wheeze more than a baby without CLD.
Your baby might need to go back into hospital for a few days to monitor their breathing, and sometimes babies need help from a ventilator.
If your baby has been discharged from the unit but they are still on oxygen, they are at higher risk of infections and conditions that affect the lungs.
If your baby has CLD, following our steps to prevent the spread of infection will help to protect your baby. They may be offered the flu vaccine when they are old enough, as your baby may be more vulnerable to this illness.