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A Guide to Bronchiolitis

Bronchiolitis is a “Chest Cold” that is most severe in infants less that 2 yrs old. Infection and inflamation of the breathing tubes (“bronchioles”, hence the name), can cause difficulty breathing  requiring Hospitalization.

 Symptoms:

Most infants start with a “head Cold” then breathe faster and harder, coughing in spasms. Wheezing, like an asthmatic, can progress to difficulty breathing. Most cases are from Viruses, the worst one called “RSV”. The younger the infant, the more rapid and severe the illness can become. If severe enough, extra oxygen and Hospitalization may be needed to aide the child’s breathing difficulty.

Treatment:

Antibiotics don’t treat Viral Bronchiolitis, but are sometimes used for secondary bacterial infections. Asthma drugs (Albuterol and Theophylline) help open up the airways clogged with mucus, so they can cough and clear blocked breathing airways. Decongestant medicines help control the “Head Cold”.  Cough Suppressants should not be used as they can make it harder to clear secretions. Fluids are important, as infants can dehydrate when they have trouble breathing.

Important Caution:

Infant’s breathing can rapidly change to the worse if you’re not careful. Breathing fast (1 ½ to 2 times the normal rate) and Breathing hard (sucking in between the ribs and collar bone) are important warning signs to watch for. Cyanosis, or a bluish gray color change in the face or hands is a dangerous warning sign for needing oxygen. Call if you see these changes.

If you have any additional questions about bronchiolitis, you can contact our office at:

    Info@LaramieKids.com

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