What are the first signs of bronchiolitis?

Bronchiolitis mainly affects babies and young children. It often starts with a runny or blocked nose, reduced appetite, and a mild Fever, then the cough and breathing may become more noticeable. You may see the skin between the ribs pull in, hear crackling or Wheezing, or notice that a baby pauses during feeds because breathing is harder. Respiratory Syncytial Virus Infection is a common cause, but other viruses can also produce bronchiolitis.

Offer smaller, more frequent feeds and keep the child upright while awake. Clear nasal mucus gently if it interferes with feeding, and monitor wet nappies and alertness. Arrange a Child Health Consultation if breathing, feeding, or sleep is becoming more difficult. A clinician can decide whether observation, oxygen, or treatment such as Nebuliser Treatment is appropriate.

Call emergency services if the child is struggling to breathe, has pauses in breathing, looks blue or grey, is unusually floppy, or cannot stay awake. Seek same-day assessment for markedly reduced feeding, fewer wet nappies, persistent vomiting, or breathing that is getting faster. Young infants and children with underlying heart or lung problems may need earlier review.

Ask how hard the child is working to breathe, how much fluid is enough, and which signs mean you should return urgently. Ask whether the illness fits bronchiolitis, how to manage the blocked nose, and whether any prescribed medicines are suitable.