URTI and the Common Cold

On average, toddlers get 8-10 viral infections per year so you can see that frequent upper airways infections are the norm for toddlers. That is how they develop their immunity, so it's a good thing. But it does mean that some children will have less than 8-10 infections per year and some children will have more than 8-10 infections per year and so if your child is the latter, it can mean he seems to have a constant runny nose. Don't worry, though. It's normal

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What causes the common cold?

The common cold is caused by a virus. The most common viruses that cause cold symptoms in children are:

• RSV (or Respiratory Syncitital virus)
• Parainfluenza
• Rhinovirus

What are the symptoms of a cold?

Children get a runny, snotty nose. This excess mucus (snot) can block their nose and make breathing noisy. Children often get a mild fever which can make them feel miserable and grumpy. They can also be off their food.

What is the treatment for the common cold?

Treatment is what we call supportive - so making your child comfortable while their body does the work of clearing the virus causing the cold.

If your child has a fever, give some Paracetamol (Acetominophen for those in the United States), which should make your child comfortable.

Give your child plenty to drink. Don't worry if she doesn't eat much.

If you have a baby and the blocked nose is interfering with breathing, normal saline nose drops put in each nostril before a feed can help.

How long does a common cold last?

Viruses last about 7-10 days, so your child can have symptoms for that long. Generally, the cold starts off with only minor symptoms, reaches a peak when things are worst about day 4 and then by 7-10 days your child should be back to normal.

If the snotty nose is getting worse after 7 days then see your doctor as occasionally the common cold will be complicated by sinusitis.

Are there any complications from a common cold?

Usually, children get through a cold with no problems. Sometimes, having a cold will make a child more susceptible to getting a bacterial infection. The child's immunity is lowered so it is easier for the bacteria to take hold. Bacterial infections generally require antibiotics, so if you are worried that things are not improving, you need to see your doctor.

However, frequent upper airway infections in toddlers are very common and mostly do not lead to complications.

When should I see my doctor?

You should see your doctor any time you feel really worried about the health of your baby or toddler.

If you have a baby, see your doctor if he:

• is very irritable
• is feeding poorly
• is more drowsy than usual when awake (it doesn't matter so much if he's sleeping more as long as he's alert when he's awake)
• is working very hard at breathing
• has any colour change (looks grey or blue)
• is unusually floppy
• is making you really concerned
• is not starting to get better by day 7

For toddlers, see your doctor if she:

• is drowsy when awake
• is not drinking
• is working very hard with breathing
• is very irritable
• has a high fever for more than 5 days
• is making you really concerned
• is not starting to get better by day 7

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To go to the top of the Common Cold page, click here

To read about signs of Serious Illness, click here

To go to the main Ear Nose Throat page, click here

To return to the Home page, click here

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Last reviewed 17 September 2007

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