Bronchiolitis
A common viral chest infection in babies under 2, causing cough, wheeze and difficulty feeding.
Quick Summary
Runny nose and cough, then fast or noisy breathing, wheezing, poor feeding and sometimes pauses in breathing in young babies.
Most babies get better at home with fluids and rest; some need hospital care for oxygen and feeding.
Age under 1 year, premature birth, heart or lung conditions and exposure to smoke.
Overview
Bronchiolitis is usually caused by respiratory syncytial virus (RSV). It inflames the small airways in the lungs.
Symptoms peak around days 3–5 and the cough can last weeks. Watch for breathing difficulty and dehydration.
Symptoms
Cough and wheeze
After cold symptoms.
Fast breathing
Or difficulty breathing.
Poor feeding
Fewer wet nappies.
Danger signs
Pauses in breathing, blue lips or drowsiness: call 112.
Causes & Risk Factors
Biological Causes
Viral infection, usually RSV, of the small airways.
Key Risk Factors
- Age Babies under 6 months.
- Prematurity Premature babies.
- Smoke exposure Second-hand smoke.
Management & Treatment
01. Home care
Small frequent feeds, saline nose drops, upright position.
02. Watch closely
For breathing difficulty and dehydration.
03. Hospital
Oxygen and feeding support if needed.
Frequently Asked Questions
Do antibiotics help?
Do inhalers help?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Respiratory Syncytial Virus Infections | RSV(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Bronchiolitis(opens in a new tab) · NHS