Babies can get a cough for many reasons: allergies, asthma, common cold, croup cough (viral infection), sinusitis and teething (yes, teething cough is a thing).

It can be quite worrying when your baby gets the sniffles—especially if you are new parents. However, you need to remember that it's perfectly normal for babies to get a common cold and develop a cough after about six months of age. Around this time, the immunity that babies are born with starts to fade and their immune system starts to learn how to fend for itself.

Indeed, the UK’s National Health Service (NHS) says that it’s normal for babies and children to have eight or more colds in a year. (Read more: Common cold in babies)

Why so many infections year after year?

This happens predominantly because there are hundreds of different cold viruses and babies have little immunity to any of them. It’s only after getting a few colds that babies develop immunity against some viral strains that cause a cold. And yet, you’ll find that your baby will continue to get a cold now and then throughout the childhood years. (Perhaps you still get a cold now and again, for the same reason.)

You can help your baby avoid a cold to some extent by following good respiratory and hand hygiene, keeping the baby’s environment clean and staying away from people who have a cold. But remember that viral infections like the common cold aren’t completely avoidable because babies tend to touch, grasp and even chew on toys and other objects as they grow. Many of these objects carry microbes that can give your baby an infection sooner or later.

Even if your baby does develop a cough, there’s no need to worry unduly. That said, you should take immediate action to control it. Most colds get better in five to seven days, but it can take about 14 days in very small babies. You can easily adopt simple home remedies to ease the symptoms of cough in your baby, and even clear the infection without any medications.

Before we get into the home remedies, remember that you need to take your baby to a doctor if:

  • Your baby's cough is making it difficult for him or her to breathe
  • Infections are normally accompanied by a fever. See a doctor
    • If your child is under three months old and has developed a fever
    • If your child is three to six months old, has developed a fever and seems sick. Or if your child's body temperature is 102 degrees Fahrenheit or more
    • If your child is over six months old and is running a fever of 102 degrees Fahrenheit or more
    • If your child's fever does not come down even after three days (irrespective of the child's age)
  • Your baby's excessively cranky or sleepy (much more than usual)
  • Your baby doesn't want to eat or drink anything

Remember also that babies should never be given aspirin without a doctor's recommendation.

  1. Home remedies versus medicines for baby cough
  2. Home remedies for cough in babies
  3. When to see a doctor
  4. Takeaways

Your immediate instinct when your baby develops a cough might be to reach for cough medications that provide relief from:

  • Congestion and phlegm in the case of a wet cough
  • Throat irritation in the case of dry cough

However, you should not give any medicines to children—not even a paediatric expectorant—without checking with your doctor first.

The US Food and Drug Administration (FDA) strongly advises against using over-the-counter cough and cold medications for babies, as they may cause serious side-effects in little ones. These effects include convulsions, rapid heartbeat, decreased levels of consciousness and death.

The use of decongestants, expectorants and antihistamines for children under the age of two years is also strongly discouraged. This means even vaporising, menthol rubs are out until your baby is older.

The FDA adds that respiratory illnesses like the common cold and cough are self-limiting, and will get better by themselves. Parents should concentrate on managing the symptoms with simple remedies, and call the doctor to deal with fevers. If the symptoms do not improve, then consult a doctor because that may indicate a more severe respiratory illness like bronchitis, asthma or pneumonia.

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The NHS says that babies often cough because they have a cold and the mucus trickles down around the back of their throat. While it can be upsetting to hear your baby cough, it’s important to know that unless your baby is wheezing and is unable to feed, drink, eat or breathe properly, there’s nothing to worry about. You should consult your doctor when the baby gets a cough in any case. But when it comes to managing the symptoms, it’s best to follow the following home remedies:

Breast milk for cough in babies

Believe it or not, breastfeeding your baby when he or she has a cough can actually speed up the recovery process. Breastfeeding is anyways a soothing process for babies, but that’s not the whole reason why you should continue to breastfeed your baby when they have a cough. 

Breast milk contains antibodies, white blood cells, stem cells and protective enzymes—all of which your newborn lacks, especially against the hundreds of strains of the common cold. It’s also likely that the mother has previously come across the same strain of the cold virus and has ample antibodies for it to pass on through breast milk. In such a case, the breast milk composition also changes to supply an increased amount of leukocytes (white blood cells) to the baby. The other nutrients in breast milk also play a huge role in helping the recovery process of the baby along.

It’s important to note that if your baby has a cold and nasal congestion (blocked nose) due to it, breastfeeding can be difficult. He or she might come up for breath often or get fussy when not able to feed properly. Get ready for shorter and more frequent feeds if your baby has a cough. Feeding the baby in an upright position (for example, in a koala hold) is recommended in such a case. You may also want to use other methods to clear out the congestion to make breastfeeding easier.

Humidifiers for cough in babies

A cough can cause an accumulation of mucus in the lungs and dry out the baby’s respiratory tracts. Moisture and humidity can help loosen the mucus and ease the coughing and the congestion. However, hot steam or humidity is not ideal for young children and babies.

Cold-air or cold-mist humidifiers are better suited for the needs of your baby when he or she has a cough. Invest in a good humidifier when you have a newborn in the house because you will need it every time your baby develops a cough or cold. 

Put distilled or clean water in the humidifier and run it in the room where the baby spends most of his or her time. If you don’t have a humidifier, run a hot shower in the bathroom and let the steam build up properly. Sit in the steamy bathroom with the baby for a few minutes to relieve the congestion.

Oil massage for cough in babies

A cough often also causes mild body ache, and massaging the baby with a good oil can both loosen the mucus and alleviate muscle stiffness and pain. Almond oil, coconut oil, olive oil and mustard oil are all equally effective for this but do consult your doctor before using mustard oil.

This is because refined oil is best for your direct application on your baby’s skin and less likely to cause skin reactions or rashes, and mustard oil is often available in kacchi ghani or unrefined states. If your doctor approves the use of refined mustard oil, then you can also heat it with a few cloves of garlic and carom seeds, cool it down completely, and then massage your baby’s chest with it.

Honey to cure cough in babies

Honey should never be given to babies below 12 months of age at any cost, because it can cause botulism. Caused by the bacteria Clostridium botulinum, the risk of this rare but fatal condition is much higher in babies below the age of one year.

However, if your baby is more than 12 months old, you can consult your doctor and give the baby honey as a home remedy for cough. Honey has antibacterial and antiviral properties, and soothes the throat as well. A spoonful of honey may be difficult for the baby to swallow, in which case you can mix it with a glass of warm water and half a teaspoon of lemon juice, and then feed it to the baby. This will also rehydrate the baby, which is another necessity during a cough.

Read more: Honey water benefits and side effects

Fluids to cure cough in babies

Staying properly hydrated during a common cold or cough is as important for babies as it is for adults. If your baby is less than six months old and neither water nor milk has been introduced to their diet, then stick to breast milk for fluids. 

If your baby can consume water and milk, then offer him or her both freely when he or she has a cough. If your baby is over 18 months old, then warm but clear soups and broths can also be given to increase the intake of fluids. You can also make turmeric milk or turmeric water, sweeten it with jaggery and feed it to your baby to relieve the symptoms of cough.

Sleeping positions to relieve cough in babies

While babies below the age of 18 months should not sleep on or with pillows, if your baby is older, then you can easily try this method after consulting your paediatrician:

  • Raise the baby’s head with a couple of pillows when he or she sleeps. This can help the mucus loosen and shift, and relieve the cough faster.
  • If your baby is a fidgety sleeper, you can also elevate the side of the mattress where his or her head rests at night.

While a cough may not be reason enough to rush to the doctor’s and can be handled easily at home with the home remedies mentioned above, it’s important to know when to take your baby to the doctor. This is crucial in case the cough is a symptom of a deeper infection or if it leads to other infections, like ear infections. If your baby has any of the following symptoms, it’s time to take your baby to the doctor:

  • The cough has continued for more than 10 days without getting any better
  • A fever of 100.4 degrees Fahrenheit or 38 degrees Celsius has shown up for three days
  • The baby has laboured or wheezy breathing
  • The baby has chest pain
  • The muscles around the baby’s neck or rib cage are pulling or stiffening while breathing
  • The baby is tugging on the ears (an indication of ear infection).

The baby should be taken straight to the hospital if:

  • The baby is too ill and unable to stay awake
  • Has rapid heart rate and is unable to catch his or her breath
  • Shows signs of dehydration
  • Has a blue tinge on the lips, skin or nails, indicating a lack of oxygen supply and suffocation
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Caring for your baby’s health when he or she is sick is very important, and you should take every precaution possible to avoid the common cold or cough. However, a growing baby is very likely to get viral infections and develop a cough. While over-the-counter medications should not be given to babies below the age of two years, you can try some home remedies which are known to ease the symptoms of cough until the baby develops antibodies.

Breast milk can provide fluids, nutrients and antibodies your baby needs to make a quick recovery. Humidifiers and oil massages can also help loosen the mucus and relieve the symptoms of cough. If your baby is more than 12-18 months old, then it might be safe to try other home remedies like honey water, turmeric water, warm broths and an elevated sleeping position. If your baby’s symptoms don't get better for a week or 10 days, then you should contact a doctor without delay.

References

  1. HealthyChildren.org [internet] American Academy of Pediatrics. Illinois, United States; Coughs and Colds: Medicines or Home Remedies?.
  2. Ashkin, Evan. et al. A spoonful of honey helps a coughing child sleep. J Fam Pract. 2013 Mar; 62(3): 145–147. PMID: 23520585
  3. National Health Service [Internet]. UK; Colds, coughs and ear infections in children
  4. Nemours Children’s Health System [Internet]. Jacksonville (FL): The Nemours Foundation; c2017. First Aid: Coughing
  5. National Childbirth Trust [Internet]. London. United Kingdom; Eight facts about baby and newborn coughs and colds
  6. Food & Drug Administration [Internet] United States Department of Health and Human Services. Maryland. USA; OTC Cough and Cold Products: Not For Infants and Children Under 2 Years of Age
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