Q: My 6-year-old has RSV and adenovirus with severe nasal congestion. Will a saline nebulizer and Nasonex spray help him breathe at night?

Medically reviewed by Sang Hyun Ahn, MD

Content edited by Myeongchan Kim, MD

This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

Question:

My 6-year-old son tested positive for RSV and adenovirus today. He is experiencing severe nasal congestion at night and is having a very hard time breathing. I was wondering if doing a nebulizer treatment with normal saline and using Nasonex nasal spray would help relieve his symptoms?

Answer:

It is completely understandable that you are worried watching your child struggle to breathe due to RSV-induced congestion.

Regarding your specific questions about treatments to help him breathe:

1. Saline Nebulizer: Yes, this is very helpful! The mist can help loosen the mucus. You can use it as frequently as every 15-20 minutes if needed to provide relief.

2. Nasonex Spray: This medication has limited effectiveness during the acute phase of an RSV infection, as it is primarily designed to treat chronic inflammation or allergies.

Immediate Relief Methods at Home:

• Steam Therapy: Turn on the hot water in your bathroom with the door closed and let your child breathe in the steam for 5-10 minutes.

• Elevate the Upper Body: Prop his head and shoulders up with 2-3 pillows while he sleeps. If he is struggling significantly at night, it can help to hold him upright at a 45-degree angle.

• Humidifier: Keep a humidifier running in his room to maintain a humidity level of 40-60%.

• Nasal Aspirator: Gently suction out the mucus after loosening it with saline drops or a nebulizer.

Please note that RSV symptoms typically peak and are most severe around the 3rd to 5th day of the illness. Make sure your child continues to drink plenty of fluids to stay hydrated.

When to Seek Emergency Care:

Please observe your child's breathing closely at home. You should go to the emergency room immediately if you notice any of the following warning signs:

• Wheezing sounds when he breathes

• Bluish discoloration of the lips or fingernails

• Chest retractions (the skin pulling in deeply between the ribs or at the base of the neck when breathing)

• Severe flaring of the nostrils

• He is breathing exclusively through his mouth and becomes extremely fussy, lethargic, or cannot be consoled.

For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.

fevercoach.us

Apple App Store

Google Play

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