Colds can be a real booger. (Pun intended). They are one of the most common reasons parents visit the pediatrician or emergency department. As a pediatrician in the emergency department, I’ve seen firsthand how even a mild cold can make both babies and their parents miserable. Babies can’t blow their own noses, and they rely heavily on clear nasal passages to breathe, feed, and sleep comfortably. In addition to this, it can seem that kids are always sick. Cold are caused by viruses that can be spread though droplets or touching contaminates surfaces, such as toys. Babies and toddlers aren’t exactly known for their hand washing abilities or cleanliness in general, so, what can you do to help out your little one when they inevitably get sick?
Why does congestion even matter?
For babies, congestion can be a major issue. It can affect multiple aspects of their lives that older kids and adults don’t have to worry about. Infants are obligate nose breathers—meaning they rely mainly on their noses to breathe. This is especially important when babies are trying to feed. Congestion can make nursing or bottle-feeding frustrating. If their noses are congested, they have to choose between breathing and eating, and they choose breathing every time. If your baby is sick with a cold, make sure you suction their nose before trying to feed them to help minimize this. Babies also have smaller nasal passages that get clogger easier than bigger kids. What might be the worst part is that babies can’t blow their own noses. Think about how many times a day when you’re sick that you have to blow your own nose? Now think of a baby whose nose clogs up easier and they can’t blow on their own? It can feel like you are drowning in a sea of snot. However, suctioning a baby’s nose can be one of the best things you can do to help out your baby when they are sick.
Congestion sucks. Things you can do to help
When suctioning out infants’ noses, there are a few things to keep in mind. Make sure to Moisturize the nasal passages with saline spray or mist to soften mucus. This helps to soften up the mucus to make it easier to suction out. Think of instead of trying to suction out rocks, the saline helps loosen the mucus to slime, which is much more suction-able. That’s where suction devices like the Momcozy BreezyClear™ 2-in-1 Electric Nasal Aspirator come in handy. This combines both steps in one tool. This helps to simplify the steps of moisturization and suctioning into one step, which can be greatly appreciated when you have a baby or toddler who is fighting for their lives against your suctioning, especially given the frequency which you will likely be needing to suction their noses. In addition to this, 65kPa Suction makes sure this aspirator sucks in the best way possible. Make sure to not only suction before feeding, but before bedtime, naps, or whenever it feels like they are getting congested again.
How to Comfort a Congested Baby at Home
Beyond suctioning, a few supportive measures can make a big difference during cold season. A humidifier in your baby’s room keeps nasal passages moist and reduces irritation. Be sure to clean it frequently to prevent mold and bacteria buildup. Encourage frequent feeding. Breast milk or formula keeps babies hydrated. They might need to take smaller amounts more frequently. Make sure to keep an eye on their urine. As long as they are still peeing the same amount, they are staying hydrated. While your baby is awake, holding them upright or slightly elevated can ease breathing. Avoid pillows in the crib. Use safe sleep practices at all times. Warm baths and sitting in a steamy bathroom for a few minutes can loosen congestion naturally.
Pediatrician-Backed Cold Care Tips

While the desire to help you’re your sick little one in any way possible is strong, there are a few things to keep in mind. Skip over-the-counter cough/cold medicines. The AAP advises against them in children under 6; they don’t help and can be harmful. If your child is over 1 year old, you can try honey to help soothe their cough. Avoid medicated nasal sprays or menthol rubs in infants. They can irritate delicate skin and mucosa and be absorbed into skin and causes unwanted toxicity. However, as the old saying goes, the best defense is a good offense. Handwashing is your best defense, especially before feeding or touching your baby’s face. Make sure you wash your hands frequently in order to minimize their germ exposure and keep yourself safe.
When to call the doctor or seek out emergency care
While most colds improve with time and comfort care, certain symptoms signal that your baby or toddler needs medical evaluation. Contact your pediatrician or seek emergency care if you notice any of the following things in your child. Fever greater than 100.4 °F (38 °C) in infants < 2 months can be indicative of a serious bacterial infection. Rapid or labored breathing, flaring nostrils, head bobbing or rib retractions when the child is calm (never judge an angry baby) and afebrile can be signs of respiratory distress. If they do have a fever, try to give them an age-appropriate fever reducing medication (no ibuprofen if they are less then 6 months) as fevers can make them breathe faster. Less than 4 wet diapers in a 24 hour period can be indicative of dehydration. Most importantly, Trust your instincts. If your child seems “off” or you have any concerns at all it’s always better to have them checked.
