Treating Cold Symptoms at Home in Children 0-4 Years Old

When sick it is always good to increase fluids and rest.   

Symptom control is the primary treatment of viral upper respiratory infection (colds), but appropriate treatment at home may differ depending on the age of your child and what symptoms are present. 

Over-the-counter medications, such as cough suppressants, lozenges, and decongestants should be avoided in children under 4 as they are considered potentially unsafe, ineffective, or both. 

Congestion/runny nose/cough –  

• 0-3 months old – Nasal saline drops with suction and a cool mist humidifier. 
• 3-12 months – Nasal saline drops or spray followed by suction and a cool mist humidifier. Sit the child next to a steaming shower to breathe in the warm steamy air.  
• 12-24 months – The same 3-12 months but you may also use ½ teaspoon of honey to help with cough. (honey should never be given to children under 12 months of age due to the risk of botulism)  
• 24-48 months – Mentholated rubs (Vapor rub), in addition to nasal saline/suction, humidifier, sitting next to steamy showers, and honey.   

Fever/fussiness/pain – 

• 0-3 months – In this age, a fever is a potential emergency, and you should seek medical care immediately for a fever of 100.4 °F or greater.  
• 3-6 months – Acetaminophen (Tylenol) only along with close follow up with your pediatrician.  
• 6+ months – Acetaminophen (Tylenol) or Ibuprofen (Motrin/Advil) for 6-12 months.   

Ibuprofen should not be given if upset stomach, vomiting, or signs of dehydration are present.  

If you have questions when pediatric offices are closed, ask our board-certified pediatricians.