Respiratory Syncytial Virus (RSV) is a common respiratory virus that affects the lungs and breathing passages. While RSV can cause mild, cold-like symptoms in most children, it can become a serious infection, especially in infants, young children, and those with weakened immune systems. At Intown Pediatric & Adolescent Medicine, we provide expert care for children with RSV, offering support and treatment options to ensure their recovery. Serving families across Atlanta with locations in Glenwood Park, Brookhaven, and Decatur, we are committed to helping your child through RSV and other respiratory illnesses.
RSV Infection Symptoms in Children
RSV symptoms often begin as mild, cold-like symptoms but can quickly escalate into more serious respiratory issues, especially in infants and younger children. Early detection and treatment are essential to prevent complications. Common symptoms of RSV in children include:
Runny Nose
One of the earliest signs of RSV infection.
Cough
Persistent coughing, which may worsen as the infection progresses.
Fever
Low-grade fever is common, although it can sometimes be higher in young children.
Wheezing
A whistling sound heard during breathing, indicating respiratory distress.
Difficulty Breathing
Rapid or shallow breathing, sometimes accompanied by flaring of the nostrils.
Decreased Appetite
Reduced interest in feeding, especially in infants.
Irritability or Lethargy
Children may become fussier or unusually tired due to respiratory discomfort.
Bluish Skin
In more severe cases, especially around the lips and fingernails, this can be a sign of oxygen deficiency and requires immediate medical attention.
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RSV in Infants
Infants are particularly vulnerable to RSV because their airways are smaller and more prone to blockages from inflammation and mucus. According to the Centers for Disease Control and Prevention (CDC), RSV is the leading cause of bronchiolitis (inflammation of the small airways in the lung) and pneumonia in children under 1 year of age in the United States. Infants younger than 6 months, premature infants, and those with chronic lung or heart conditions are at the highest risk of severe RSV complications.
Symptoms of RSV in infants can be more severe than in older children, often requiring closer monitoring and, in some cases, hospitalization. RSV in infants may present with:
Severe Coughing
Coughing fits that can interfere with breathing or feeding.
Wheezing or Grunting
These sounds occur when the infant has difficulty exhaling due to airway inflammation.
Labored Breathing
Fast breathing, retractions (the skin pulling in around the ribs or chest during breathing), or pauses in breathing (apnea).
Poor Feeding
Infants may refuse to nurse or take a bottle due to difficulty breathing while feeding.
Dehydration
Signs of dehydration, such as fewer wet diapers, dry mouth, or lack of tears when crying, may indicate your baby is not receiving enough fluids.
RSV Treatment From Our Atlanta Pediatricians
There is no specific antiviral treatment for RSV, but supportive care can help alleviate symptoms and prevent the infection from worsening. Treatment for RSV focuses on:
Hydration
Ensuring your child drinks plenty of fluids to prevent dehydration, especially if they are having difficulty feeding.
Oxygen Therapy
For infants and children with severe symptoms, oxygen therapy may be provided to help them breathe easier.
Humidified
Air Using a cool mist humidifier in your child’s room can help keep their airways moist and reduce discomfort.
Suctioning
In infants, gentle suctioning of the nose can help clear mucus and make breathing easier.
Fever Management
Over-the-counter fever reducers such as acetaminophen or ibuprofen (for children older than 6 months) can help manage fever and discomfort. Always consult your pediatrician for the correct dosage.
Hospitalization
In severe cases, infants may require hospitalization for closer monitoring, intravenous fluids, or additional oxygen support.
Preventing RSV
While it’s difficult to completely prevent RSV, especially during the fall and winter months when the virus is most prevalent, you can take steps to reduce your child’s risk:
Frequent Handwashing
Teach your child to wash their hands regularly and avoid touching their face.
Avoid Crowded Places
During peak RSV season, it’s best to avoid crowded public spaces where the virus can spread more easily.
Disinfect Surfaces
Regularly clean and disinfect frequently touched surfaces, such as toys, doorknobs, and countertops.
Limit Exposure to Sick Individuals
Keep your child away from people who are showing symptoms of a cold or flu.
For infants at high risk of severe RSV infection, preventive measures such as a monthly injection of palivizumab during RSV season may be recommended. This medication can help reduce the likelihood of severe RSV-related complications.
When to See a Doctor for RSV
Most RSV infections resolve on their own with home care, but it’s important to monitor your child closely for worsening symptoms. Seek immediate medical attention if your child:
- Has difficulty breathing or is breathing very rapidly
- Exhibits wheezing or grunting sounds when breathing
- Develops a bluish tint to their skin, lips, or fingernails
- Is unusually drowsy or lethargic
- Shows signs of dehydration, such as reduced urine output or a dry mouth
- Has a persistent high fever
At Intown Pediatric & Adolescent Medicine, we provide expert care for children with RSV and other respiratory infections. Our pediatricians are here to help manage your child’s symptoms and ensure they recover safely.
Frequently Asked Questions about RSV
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RSV spreads through direct contact with respiratory secretions, such as mucus or saliva, and through surfaces contaminated with the virus. It can also spread through droplets in the air when an infected person coughs or sneezes.
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While RSV often starts with cold-like symptoms, it can quickly progress to more serious respiratory issues, such as wheezing, rapid breathing, or difficulty feeding in infants. If your child’s symptoms worsen, it’s important to consult your pediatrician.
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RSV typically lasts 1 to 2 weeks, but the symptoms can vary in severity. Coughing and wheezing may persist for up to three weeks in some children.
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Yes, children can get RSV more than once, even in the same season. However, subsequent infections are usually less severe than the first one.
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If your child has difficulty breathing, wheezing, a persistent high fever, signs of dehydration, or turns blue around the lips or fingernails, seek medical attention immediately.
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Currently, there is no vaccine available for RSV. However, high-risk infants may receive monthly injections of a medication called palivizumab during RSV season to help prevent severe complications.
Schedule an Appointment for Pediatric RSV Care in Atlanta
If you suspect your child has RSV or is showing symptoms of respiratory distress, contact Intown Pediatric & Adolescent Medicine at (404) 446-4726 to schedule an appointment. Our dedicated team is ready to provide compassionate, expert care for your child at our convenient locations in Glenwood Park, Brookhaven, and Decatur.