Bronchiolitis Treatment in Kids

Bronchiolitis is a common lung infection in young children and infants. This article covers essential information about bronchiolitis, how it is diagnosed, treatment options, home remedies, prevention tips, and when to consult a doctor. 

At Bootin and Savrick Pediatric Associates in Houston, Texas, we have experience treating various pediatric conditions, including bronchiolitis. Contact us today to schedule an appointment! 

A doctor examining a child with bronchiolitis in Houston, Texas.

What is Bronchiolitis?

Bronchiolitis is a viral infection that affects the smallest air passages in the lungs, called bronchioles. It often occurs in children younger than two years, with a peak incidence between 3 to 6 months. 

The most common cause of bronchiolitis is the respiratory syncytial virus (RSV), although other viruses can also lead to this condition. Symptoms typically start like a common cold with a runny nose and mild cough but can progress to more severe symptoms like wheezing, trouble breathing, and feeding difficulties.

How is Bronchiolitis Diagnosed?

A child’s doctor will typically diagnose bronchiolitis based on the history of the illness and a physical examination. The doctor may listen to the child’s lungs with a stethoscope to detect wheezing or other abnormal sounds. 

In some cases, pulse oximetry might be used to measure oxygen levels in the blood. If the child presents severe symptoms or if the diagnosis is unclear, further tests, such as a chest X-ray or testing for respiratory syncytial virus infections, may be recommended.

Preparing for the Appointment

Before visiting the doctor, note any symptoms your child has been experiencing, including when they began. Record any changes in appetite, sleep, or behavior, and make a list of any medications your child is currently taking. 

It’s also helpful to be prepared to discuss whether your child has been around anyone with a cold or other respiratory infections. Bring any questions you have, as understanding your child’s condition is key to managing their health.

How is Bronchiolitis Treated?

In most cases, bronchiolitis treatment starts at home. The primary treatment focuses on relieving symptoms and ensuring the child is comfortable. For more severe bronchiolitis, especially if the child breathes with difficulty or has a high fever, hospitalization may be necessary. 

Treatments in the hospital might include oxygen therapy, intravenous fluids, or medications to open the airways.

Home Remedies for Bronchiolitis

For mild cases of bronchiolitis, the following home remedies can help alleviate symptoms:

  • Saline Nose Drops: Using saline drops in the child’s nose can help loosen mucus, making it easier to clear with a bulb syringe.
  • Humidifier: A cool-mist humidifier can keep the air moist, which may help ease breathing.
  • Hydration: Ensure your child is well-hydrated. Offer frequent sips of fluids to prevent dehydration.
  • Rest: Encourage plenty of rest, as it helps the body fight the infection.
  • Elevate the Head: Slightly elevating your child’s head during sleep may reduce congestion.

Can Bronchiolitis Be Prevented?

While it’s impossible to prevent all cases of bronchiolitis, certain steps can reduce the risk:

  • Hand Washing: Frequent hand washing can prevent the spread of viruses.
  • Avoiding Sick Individuals: Keeping infants away from people with colds or other respiratory infections is crucial.
  • Clean Surfaces: Regularly disinfecting toys and surfaces can help reduce the risk of bacterial infections and viruses.
  • Breastfeeding: Breastfeeding can provide antibodies that help protect against infections.

When to See a Doctor

You should contact your child’s doctor if you notice severe symptoms, such as:

  • Trouble Breathing: If your child breathes rapidly, has difficulty breathing, or their skin appears pale or bluish, seek medical attention immediately.
  • Mucus with Blood: Coughing up blood or mucus with blood
  • Not Drinking: If your child is unable to drink because of their breathing or does not want to
  • Weakness: If your child becomes slow-moving or appears very tired.
  • Worsening Symptoms: If your child’s symptoms are getting worse instead of better.

Expert Pediatric Care for Your Child's Health

At Bootin and Savrick Pediatric Associates, we understand how concerning respiratory conditions like bronchiolitis can be for parents. Our team in Houston, TX, is here to provide experienced care and guidance for your child’s health needs. Call one of our offices today to book an appointment for your child. 

For more information on our services, including asthma and allergies, visit our Asthma and Allergies page.

Medically reviewed by Dr. Patti Savrick