It is clear in our office that we are in the heart of respiratory season with RSV in full swing. Although this is a common condition, it can be scary to a parent when it comes to their child and can leave them with many questions and fears. How did my child get this? How long will it last and what can I do to make it better? What signs and symptoms should I look for?
RSV and an acute respiratory tract infection (a cold) have a lot of similarities. They are both caused by viruses. They can both can present with fevers. They can both cause a wet cough with a runny nose and congestion. So what makes these two different? The differentiating factor between RSV and a cold, and what makes it more concerning, is that it can affect the lower respiratory tract and spread into the lungs. This can become problematic for younger children causing increased work of breathing and respiratory distress. Signs of worsening respiratory symptoms are if you see your child tugging or pulling in between the ribs or under the ribs while breathing or if you notice them grunting, head bobbing or wheezing. As a parent, you are never in the wrong to bring your child in to be evaluated as it is often hard at home to determine how sick your child may truly be.
So what can you do at home? First, know what to expect. RSV can last up to a week and can peak and seem the worst on days 3-4. It is a virus and will not respond to antibiotics so symptomatic care is pertinent. Fevers are normal, but you can treat with appropriately dosed Tylenol (all ages) or Ibuprofen (if older than 6 months). Humidified air and nasal suctioning are helpful. Encourage fluids to ensure your child does not become dehydrated. Pedialyte is a good supplement for milk or formula if secretions are making it hard to swallow. And most of all, know the signs and symptoms to look for and never hesitate to take them to their pediatrician to have them evaluated.
As with most childhood illnesses, RSV is highly contagious, but there are things you can do to help prevent the spread. Wash your hands. Avoid allowing your younger children to be around sick contacts and if your child has been diagnosed with RSV, make sure they are fully recovered and fever free before sending them back to school or daycare. We hope everyone stays healthy this season, but trust your parental instincts and do not hesitate to call or visit our office with any questions, concerns or sick kiddos.
Resource: https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/RSV-When-Its-More-Than-Just-a-Cold.aspx.
Joshi Pediatrics, Crawfordsville, contributed this column.
