Childhood illnesses

Bronchiolitis in children and babies


The bronchiolitis in children and babies It is an acute respiratory disease, common in the first years of life, in which the bronchioles, the terminal part of the bronchi, are affected. To prevent this disease in babies and children, pediatricians emphasize prolonged breastfeeding.

Pay attention to the main symptoms of bronchiolitis in children and babies. Learn to recognize this disease and what treatment is the most appropriate.

Bronchiolitis in children and babies is the same as a catarrhal picture with cough and mucus; later, it affects the bronchioles, manifesting clinically in the form of respiratory distress. The boy probably a runny nose and a low fever for two or three days.

Then it is likely that you start coughing, breathing fast and with difficulty, and having a whistling sound (wheezing) in the chest for another two to three days. You have to be patient, because the illness can last between 7 and 10 days and the cough, for example, can last up to four weeks.

Parents have to be careful with certain alarm symptoms that would mean an immediate visit to the pediatrician. These are:

- The child breathes very quickly

- You have trouble breathing (your ribs poke) or you stop breathing at some point

- Presents such a state of exhaustion that he is not able to eat any food

- He vomits the little he eats

- Reject liquids

- Does not wet the diaper, does not pee

- Is continuously sleepy

- Stays for everything

- His face is pale

- Lips and fingertips turn blue

It is an infection of the bronchi caused by various kinds of viruses, therefore, it is considered a contagious disease. The virus that causes this disease is frequently called Respiratory Syncytial Virus (RSV), which causes this infection 75 percent of the time.

It produces an initial catarrhal picture and, shortly after, descends into the lungs damaging the bronchi. It mainly affects children under one or two years of age because in them the terminal part of the bronchi is small enough to be obstructed in the presence of inflammation, preventing the adequate passage of air.

During winter and early spring, bronchiolitis is one of the most common pathologies between children. About 70 percent of infants younger than 12 months are infected with RSV during their first year of life, and 22 percent develop symptomatic illness.

Diagnosis is made by auscultation of the lungs. At home, it is important to keep the child well hydrated, with ambient humidity, offering frequent oral fluids, frequent nasal washes and suctioning of secretions with a rubber bulb.

It is helpful to place the child in the half-up position (to facilitate breathing) and physical therapy (pats on the back and chest) to mobilize the mucus secretions in the bronchial tubes. The bronchiolitis it lasts for about a week.

The routine use of antibiotics is not recommended in children diagnosed with acute bronchitis, as they do not prevent or lessen the severity of bacterial complications.

Tobacco smoke is very harmful to these children, so parents should refrain from smoking in front of them.

Another of the measures that pediatricians advise, once the treatment is completed, is to postpone the child's return to the nursery to avoid new infections, since a greater susceptibility seems to be demonstrated if the reincorporation is immediate.

To keep the humidity in the room, you can use a vaporizer with cool (not very cold) water in the room while the child is sleeping. Let the hot water run in the shower or tub to make the bathroom steamy, and sit there with your child if they are coughing forcefully and having trouble breathing.

The disease is spread like a cold: through close contact or through saliva or mucus that is suspended in the air when coughing or sneezing. The spread can be prevented by keeping the sick child at home until the cough is completely gone. Try to wash your hands after caring for the sick child to prevent the virus from spreading to others.

There are groups of risks with which the measures must be extreme. These are children who were born prematurely, those who are infants under 3 months, also those with heart or lung problems or those with a picture of immune deficiency.

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Video: Common Pediatric Respiratory Problems by Monica Kleinman, MD for OPENPediatrics (September 2020).