When to Worry About Baby Congestion

It is common for babies especially newborns to become congested. Their airways are small and still developing so even a small amount of mucus can make their breathing sound worrying. In most cases baby congestion is harmless and clears up on its own but there are times when it can be a sign of something more serious. In this article we will look at what baby congestion sounds like, what causes it, how to ease it at home and when it is time to contact your healthcare provider. 

Baby Congestion: What Does It Sound Like? 

When your baby is congested, they may snort, sniffle, or rattle when they breathe. When they are feeding or lying down, you may notice it more. Additionally, it is common for infants to grunt occasionally. Your baby may experience congestion in the chest (chest congestion), the nose (nasal congestion), or both. Most of the time, your infant is completely unaffected by their congestion (1). 

What Causes Baby Congestion? 

There are several reasons your baby might sound congested. Dry indoor air, especially in winter months can irritate delicate airways (1). If your baby spits up frequently, small amounts of milk or formula might irritate the nose or throat making them sound stuffy. Mild colds or exposure to irritants like smoke, perfume or dust can also cause short term congestion. Since babies can’t blow their noses, even small amounts of mucus can build up and make breathing sound noisier than it is (2). 

When It’s Likely Nothing to Worry About 

Most of the time, baby congestion is nothing to be concerned about. If your baby is feeding normally, gaining weight, sleeping well, and not showing signs of distress, it’s likely just mild congestion. Their nose may sound stuffy, but as long as they’re otherwise well it’s usually best to keep them comfortable and observe (2). 

Using a humidifier in your baby's room, keeping them hydrated, and gently clearing their nose with saline drops can help (3).   

When to Call Your Doctor 

While mild congestion is normal there are a few signs that mean you should speak with a healthcare professional. If your baby is breathing rapidly, seems to be struggling to catch their breath, or if you see their nostrils flaring or skin pulling in around the ribs while they breathe, it’s time to call your doctor (3).  

You should also seek advice if your baby refuses to feed, seems very sleepy or irritable, or develops a high fever especially if they’re under three months old (3). A bluish tint around the lips or nails should always be treated as an emergency (3). 

Caring for Your Baby’s Skin During Congestion 

When your baby has a runny nose, the skin around their nostrils and mouth can become sore or irritated. This is where gentle care can make a big difference. WaterWipes® Original Baby Wipes are made with 99.9% purified water and a drop of fruit extract, providing a clean, soothing option for wiping sensitive skin. They're gentle enough for newborns and effective for quick clean-ups throughout the day. 

While it's quite normal to be concerned when your infant sounds congested, this is typically a brief and harmless phase of early life. Don't be afraid to consult a doctor if something appears strange or your infant doesn't seem well. Additionally, keeping them clean, hydrated, and comfy might make you both feel more at ease as you keep checking on their symptoms.