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Babies: 0 - 3 Months
RSV recovery time
LO tested positive for RSV last Weds. It's been a very challenging week because the poor guy just doesn't feel good. I feel awful for him but we're lucky we haven't had to go to the hospital. Today the pedi said his lungs sounded a little better but his breathing is still a bit labored and he now has a double ear infection. We have been using saline, auctioning and cool mist faithfully. He's also on amoxicillan for his ears. I was hesitant to start the antibiotic but doc said it may be bacterial.
Has anyone dealt with RSV yet this season and how long was it before your LO started to feel better?
Oh...and a vent. The CRNP at our practice seems like a bit of alarmist. She is already mentioning the possibility that DS has asthma. I would think that would be hard to tell after 2 months!
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Re: RSV recovery time
DS was hospitalized at 3 weeks old with RSV for 4 days.
DS was also hospitalized last month at 14 months old with RSV for 4 days.
He may seem to be coping but here's the problem...babies will work REALLY hard to keep themselves well...and then, it becomes to much and when they crash they crash REALLY fast and really hard. With how bad the RSV was with my son both times I would say the $1,000.00+ hospital bill was well worth it! They do breathing treatments every 4 hours around the clock, suction as much as you want which is really the only way to help them get better...I personally would not risk having a small baby at home with rsv...something can go wrong very quickly. For example, I had Dean hooked up to a pulseox at my house and his stats were great...always above 95...but like I said...their bodies are designed to fight and work really hard..I think if I would have kept him for one more today instead of taking him in he would have crashed and it wouldn't have been pretty. Obviously you know your baby and your PCP knows way more than I do BUT I have been down this RSV road TWICE in the last 2 years and it's something to take very seriously...in fact, if you were to take him to the ER and he was diagnosed with RSV they would automatically admit him..that says something right there. In AZ, if a baby under 2mo is diagnosed with RSV they are admitted not matter what. And then when he tested + for RSV at 14 months old they admitted him without blinking an eye.
Hope LO feels better soon! Suction ALL THE TIME, give him breathing treatments of pulmicort and albuterol if you have them, and pat his back and chest with a cupped hand...you want to help him break up the gunk in his chest.
Also, because Dean had RSV at 3 weeks old he now has been diagnosed with Reactive Airway Disease which basically means nothing until he can do a pulmonary test to determine if he has asthma..I guess 30% of little ones who get RSV end up developing asthma later on. This is why Dean is on pulmicort daily until July..try to keep him strong since he is now compromised.
When Dean had RSV at 3 weeks old they told me to extend his burping sessions by 5 minutes every time I burped him to help break it all up. RSV secretions are EXTREMELY thick and LO's airway tubes are TINY.
You and your PCP know your baby better than me..I am speaking from the loads of info I have learned regarding RSV and from my experience with my son. My LO was retracting all the way up in his throat and choking to breath and running a fever of 102. SO this being said, sounds like your baby is doing much better than mine. Hopefully you can control it at home. GL mama.
We're dealing with the same thing here! I have the same questions so I have little to offer in terms of how long it will last. We started dealing with an ear infection and congestions and got the RSV diagnosis at the 2 week follow up appointment. I'm not sure if she's had it all along or not. It's been about a week since her diagnosis and I'm starting to see some improvement.
One thing my husband discovered a few days ago seems to REALLY help with suctioning. After using saline drops, we make sure to use a finger to close off the other nostril (just like adults do when blowing nose). Maybe this is a super obvious thing that everyone does...but I had no idea. With this simple change, we went from barely being able to remove anything to sucking out a lot of snot every time.
They mentioned asthma at our appointment and I thought it was a bit alarmist as well.
Good luck!!!!
I'm a Peds ICU nurse and deal with RSV bronchiolitis all the time. Days 4-6 are typically the worst. Lots of snot, lots of coughing. It typically gets better from there, though the rate depends on the child. Granted the kids I see are the worst of the worst, but I've seen some kids ready to go home a day or 2 after admission, and others require the tiniest bit of oxygen for a couple weeks. Those kids usually have other health issues though.
As for the asthma issue, I'm sure the NP is just warning you. Bronchiolitis can be a precursor to asthma. Many of our RSV patients are later re-admitted for reactive airway disease (RAD) and then later asthma. The "requirements" for asthma change, but last I heard, it's RAD until age 2, and then asthma after that.