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TCACH-***Bronchiolitis*** [Health Info - Diseases Section One]
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***Bronchiolitis***
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Bronchiolitis



Bronchiolitis is a common chest infection in young children. It usually occurs in babies under 6 months, but may occur in children upto two years of age.

It is caused by a virus in the lungs which causes your child to have more difficulty with breathing.  Medicines do not usually help babies with bronchiolitis. They need to rest and have small feeds more often, so they don’t get too tired when feeding and do not get dehydrated.

How does it Begins?

Bronchiolitis begins as a cold. After a day or so, your baby begins to cough, and the breathing becomes fast and sounds wheezy. This fast, wheezy breathing can make it difficult for your baby to eat or drink. Some children may need to be admitted to hospital because of these problems.

The first symptoms your child may have are the same as a common cold. These symptoms last 1-2 days:


  • Runny nose

  • Mild cough

  • Stuffiness.


They are followed by an increase in problems related to breathing, such as:


  • Very fast breathing

  • Poor feeding

  • Noisy breathing (wheezing)

  • Drawing in of the chest with each breath

  • Fever. 


Babies with bronchiolitis are usually worst on the 2nd or 3rd day and are often sick for 7-10 days.   Their cough may continue for 2-4 weeks.

Things to get worried about are:


  • If the child has difficulty breathing  (very fast or not regular breaths).

  • Cannot feed normally because of coughing or wheezing.

  • Is changing colour in the face when they cough.

  • Turns blue or has skin that is pale and sweaty.


Treatment Plan:

Never smoke in the home or around your baby.  This is especially important around babies with any respiratory illness.


  • Medicines do not usually help babies with bronchiolitis. Antibiotics are not given because bronchiolitis is caused by a virus.  Antibiotics don't not cure viruses. In cases where it may be alongside of some other infection antibiotcs are used.

  • Babies need to rest, and to take small amounts of fluid more often, so they don't get too tired when feeding.

  • Give more frequent breastfeeds or smaller amounts of formula or water more often. If children do not get enough drinks they can get dehydrated.

  • You can give paracetamol (eg. Panadol, Tempol) if your child is irritable.


If your baby is distressed and having trouble feeding, they may need to be admitted to hospital. Staff may need to:


  • Watch them closely that they do not get more sick.

  • Give them some extra oxygen. as the child may not appear cyanosed but actually there is Hypoxia.

  • Give them extra fluids through a drip into a vein (intravenous/IV therapy). Quantity should not Exceed otherwise it would worsen the child's condition.








Posted on: 2007/3/23 15:30
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