Newborns with Nasal Congestion

Understanding Nasal Congestion in Newborns: What Parents Need to Know

Seeing your newborn struggle to breathe through their tiny nose can be alarming. Nasal congestion in newborns is common, but it can sometimes be confusing for new parents. This guide will help you understand why it happens, how to manage it safely, and when to seek medical care.

Why Newborns Get Nasal Congestion

Newborns have very small nasal passages, which can easily become blocked. Even a small amount of mucus can make it hard for your baby to breathe, feed, or sleep comfortably. Common causes include:

• Common cold or mild viral infections: These are the most frequent causes.

• Dry air: Central heating or dry climates can dry out nasal passages, leading to congestion.

• Allergies: Less common in newborns but possible, especially if there is a family history.

• Environmental irritants: Smoke, perfumes, or dust can trigger congestion.

Signs of Nasal Congestion

Some signs to watch for include:

• Noisy breathing or snuffling

• Frequent sneezing

• Difficulty feeding or taking pauses during feeding

• Restlessness or trouble sleeping

• Mild fussiness

Safe Ways to Relieve Nasal Congestion

It’s important to approach congestion gently in newborns. Here are some safe methods:

1. Saline drops or spray:
   Use saline drops to moisten nasal passages and loosen mucus. Apply 2–3 drops in each nostril before feeds or sleep.

2. Gentle suctioning:
   Use a bulb syringe or a nasal aspirator to remove mucus after using saline drops. Avoid over-suctioning as it can irritate delicate nasal tissues.

3. Humidifier:
   A cool-mist humidifier in the baby’s room can help keep nasal passages moist and ease breathing.

4. Proper positioning:
   Slightly elevating your baby’s head while they sleep or feed (always under safe sleep guidelines) can help drainage.

5. Frequent nasal clearing:
   Newborns breathe primarily through their nose, so clearing their nose before feeding can make nursing or bottle-feeding easier.

When to Call a Pediatrician

Most nasal congestion in newborns is mild and resolves within a few days. Contact your pediatrician if your baby:

• Has difficulty breathing or is breathing rapidly

• Shows bluish lips or face

• Has a fever (temperature over 100.4°F or 38°C in babies under 3 months)

• Refuses to feed or shows signs of dehydration

• Has congestion lasting more than 10 days without improvement

Bottom Line

Nasal congestion in newborns is common and usually not serious, but it can be distressing for both baby and parents. Gentle care, using saline drops, suctioning, and maintaining a humid environment, can make your newborn more comfortable. Always trust your instincts—if something feels wrong, reach out to your pediatrician.