Is it normal for one-year-olds and under to have a cough?
Written in association with:Coughing in children under the age of one can be a common symptom of various conditions. It’s often a natural reflex that helps clear the throat and airways, but it can also be an indication of an underlying issue. Also, a breathing issue or cough from birth is very unusual, and needs attention. Here to tell us more is leading consultant respiratory paediatrician Dr Mark Rosenthal.
Why do babies cough?
Babies may cough due to colds, respiratory infections or irritants like smoke or dust in the air. Since their immune systems are still developing, they’re more vulnerable to infections, and even minor irritants can trigger coughing.
When should I worry about my baby's cough?
While coughing is common in young children, certain signs can indicate a more serious problem. You should consult a healthcare provider if your child:
- Has a cough lasting more than a week
- Struggles to breathe or is breathing rapidly
- Has a cough when feeding. This may suggest aspiration, where something swallowed goes into the airways or lungs.
- Has a high fever accompanying the cough. While it's important to act upon a high fever, it's important to remember that characteristically, RSV bronchiolitis rarely presents with a fever above 38°C.
- Produces a barking or whooping sound when coughing
- Turns blue around the lips or face during coughing fits
These symptoms can be signs of more severe conditions like bronchiolitis, pneumonia or whooping cough, which may require medical treatment.
How can I help ease my child's cough?
There are several ways to help manage your baby's cough at home:
- Ensure proper hydration: Keeping your child hydrated can help thin mucus, making it easier for them to breathe.
- Elevate your baby's head while sleeping: Slightly elevating the head can reduce coughing during sleep.
- Avoid irritants: Ensure that your baby is not exposed to smoke, strong odours, or other irritants that can trigger coughing.
If the cough persists or worsens, it's important to seek professional advice.
If you’re concerned about coughing in your child, arrange a consultation with Dr Rosenthal via his Top Doctors profile.
