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Health · 0-12 months

Stuffy nose and colds in babies

Checked against current guidance on October 8, 2026. General information, not medical advice.

Illustration of a parent giving saline drops to a baby held upright.

The 10-second answer

  • Noisy, stuffy breathing is common in newborns and usually harmless if your baby feeds well.4
  • Saline drops and gentle suction before feeds and sleep help most.245
  • Don't give cough or cold medicines to babies.2
  • Fast or hard breathing, a fever under 3 months, or poor feeding: get medical help.134

General information from published guidance, not a diagnosis or medical advice for your baby. If you are worried, call your doctor, midwife or local health line, whatever this page says. In an emergency, call your local emergency number.

What are you noticing?

Common signs, and what the guidance says to do

Usually normal

Very common in newborns: their noses are tiny. Saline drops help. No treatment needed if your baby feeds and sleeps well.42

Watch and log it

Use saline drops and gentle suction just before feeds. Call your doctor if your baby is taking much less than usual.253

Guidance: call your doctor today

Under 3 months, call your doctor today at the first sign of a cold, even if your baby seems well: colds can get worse quickly at this age. Older babies: colds usually last 7-10 days. Keep up feeds, use saline, watch breathing, and call if it lasts more than 10 days or gets worse.123

Guidance: call emergency services now

A fever at this age always needs checking straight away: call your local emergency number or go to an emergency department. If your baby otherwise seems well, you can call your doctor's urgent line right away instead (in the UK, 111).13

Guidance: call emergency services now

Your baby is working hard to breathe. Call your local emergency number or go to an emergency department now.1345

Guidance: call emergency services now

Call your local emergency number.35

Guidance: get medical advice now

Your baby may be getting dehydrated. Get medical advice now.3

Clear a blocked nose

  1. Step 1 of 5

    Saline drops

    Lay your baby on their back and put 2 drops of saline (salt water) in each nostril.52

  2. Step 2 of 5

    Wait a moment

    Wait a moment for the saline to loosen the mucus. Your baby may sneeze, which helps.5

  3. Step 3 of 5

    Gentle suction

    Squeeze the bulb first, then place the tip gently just inside the nostril and release slowly. A nasal aspirator works too.5

  4. Step 4 of 5

    Before feeds and sleep

    Clear the nose about 15 minutes before feeds and sleep, when the stuffiness is bothering your baby.52

  5. Step 5 of 5

    Keep them upright to feed

    Hold your baby more upright for feeds, offer smaller, more frequent feeds, and keep them on their back for sleep.35

Log feeds and wet diapers in Ella to see if your baby is taking less than usual. Open Ella

Get medical help now if

  • your baby is under 3 months with a temperature of 38°C or more3
  • breathing is fast, noisy with every breath, or the ribs pull in134
  • pauses in breathing, or blue or grey lips35
  • far fewer wet diapers, or your baby won't feed3

Call your doctor or midwife today if

  • your baby is under 3 months and has a cough, runny nose or other cold symptoms1
  • a cold lasts more than 10 days or gets worse after getting better13
  • ear pulling with fever and fussiness1
  • a daytime cough that lasts more than 10 days1

If your baby stops breathing, turns blue or grey, is floppy or cannot be woken, call your local emergency number now.

The details

Why babies sound so snuffly

Newborns have small, narrow airways, so a little mucus or milk makes a lot of noise. When a newborn's breathing sounds unusual, the most common reason is a blocked nose, not a cold.

4

No cough and cold medicines

Over-the-counter cough and cold medicines aren't safe or effective for babies and young children. Don't give honey before age 1, and don't use vapor rubs on babies. Saline, suction, feeds and rest are what help. Ask your doctor before giving anything for a fever.

2

Bronchiolitis and RSV

In winter, colds in babies can turn into bronchiolitis, often caused by RSV. Watch for fast breathing, ribs pulling in, wheezing and poor feeding, usually around days 3-5 of the illness, and get medical help if you see them.

13

Keep it from spreading

Wash hands before touching your baby, ask visitors with colds to stay away, and keep your baby away from smoke.

13

Questions parents ask

How can I clear my newborn's stuffy nose?

Put 2 saline drops in each nostril, wait a moment, then gently use a bulb syringe or aspirator, especially before feeds and sleep.25

Is it normal for a newborn to sound congested?

Yes, often. If your baby is feeding well, breathing comfortably and has no fever, a snuffly nose is usually nothing to worry about.42

Can I give my baby cold medicine?

No. Cough and cold medicines aren't recommended for babies. Use saline and suction, and talk to your doctor.2

Should my baby sleep propped up with a cold?

No. Babies should always sleep flat on their back, even with a cold.5

Ella

How much is your baby feeding?

Log feeds and wet diapers in Ella, so you can tell the doctor exactly how much your baby has taken.

Sources

  1. AAP, HealthyChildren.org: Children and colds
  2. AAP, HealthyChildren.org: Coughs and colds: medicines or home remedies?
  3. NHS: Bronchiolitis
  4. AAP, HealthyChildren.org: Common conditions in newborns
  5. AAP, HealthyChildren.org: My baby has a stuffy nose. How can I help them sleep safely?

Guidance can differ between countries. Where it does, we show both. Follow your own doctor or health service.

Checked against current guidance on October 8, 2026. General information, not medical advice. Written by the Ella team at Muchita AI from published guidance by the AAP, NHS, NICE, WHO and CDC, with AI-assisted drafting and translation checked against those sources by our team. These organisations have not reviewed or endorsed this page. General information, not a diagnosis or medical advice. If you are worried about your baby, trust your instinct and call a doctor.

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