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Baby colds and coughs: what helps, and when to worry

Last verified: July 9, 2026

The short answer

  • Colds are normal and frequent: 5 to 8 a year, most gone in 2 weeks
  • Fluids, saline nose drops, and time are the main treatment
  • No over-the-counter cough medicine for young children, and no honey under 1
  • Trouble breathing is the sign that means get help now
Illustration of a box of tissues

A baby with a cold feels like something has gone wrong. Almost always, nothing has. This guide covers what is normal, what genuinely helps, the products to skip, and the small number of signs that do need a doctor.

How many colds are normal

More than you would think. Children have 5 to 8 colds a year on average, because there are hundreds of different cold viruses and a young child has met none of them yet (NHS: Colds, coughs and ear infections). They build immunity slowly, one virus at a time, and get fewer colds as they grow. Most colds in younger children get better within 2 weeks.

5 to 8 colds a year is normal for a young child NHS

What actually helps

There is no cure for a cold. The job is comfort while it passes. Both the NHS and the AAP suggest the same simple things.

Care at home
  • offer plenty of fluids, and keep breastfeeding if you are
  • use saline (salt water) nose drops or spray to loosen dried snot, especially before feeds
  • gently suction a blocked nose with a bulb syringe if feeds are hard
  • if the air is dry, a humidifier or the steam from a warm shower can ease a stuffy nose
  • if your baby has a high temperature and is distressed, children's paracetamol or ibuprofen can help, following the packet for their age

The AAP makes a point worth repeating: if the cold is not bothering your baby, they probably do not need anything at all. Plenty of babies with a runny nose or a cough are still happy, playing, and sleeping fine. Treat the discomfort, not the symptom.

The medicine trap

This is where good intentions can do harm.

Do not give over-the-counter cough and cold remedies to young children. The NHS says children under 6 should not have them, including decongestants, unless a GP or pharmacist advises it. The AAP goes further and says these medicines are not recommended under age 4, and only on a doctor’s say-so from 4 to 6, because the risks outweigh any small benefit.

And honey. It helps a cough in older children, and research shows it can beat store-bought cough syrup for night-time coughing. But it must never be given to a baby under 1 year, because it can cause a serious illness called infant botulism (AAP: Coughs and colds, medicines or home remedies). For a child over 1, the NHS suggests warm water with lemon and honey, never a hot drink for a small child.

About the cough

A cough sounds alarming and usually is not. Children often cough with a cold because mucus trickles down the back of the throat, and coughing is how the body clears it. The NHS puts it plainly: if your child is feeding, drinking, eating and breathing normally, and there is no wheeze, a cough is not usually anything to worry about.

A few coughs are worth a closer look. A cough lasting more than 3 weeks should be seen by a GP. A cough that is worse at night, or brought on by running around, can be a sign of asthma and is worth checking. And a barking cough with a harsh sound when breathing in is croup, which a GP can usually diagnose and treat at home.

Ear infections

Ear infections are common in babies and often follow a cold. Your baby might pull or rub an ear, run a temperature, feed poorly, be irritable, or sleep badly. For the pain, the NHS says you can give paracetamol or ibuprofen at the right dose. Try one first, and only use the other if the first does not help, not both at once unless a professional tells you to.

One firm don’t: never put oil, eardrops or cotton buds into your baby’s ear unless a GP tells you to. Most ear infections clear up on their own within about 3 days.

When to see your GP

See your GP or call 111
  • a sore throat lasting more than 3 days, with a high temperature and feeling generally unwell
  • a cough that has lasted more than 3 weeks
  • earache that is not starting to improve after 3 days
  • a very high temperature, or feeling hot, cold or shivery, which can point to a chest infection
  • a cough that is worse at night or with activity, in case it is asthma

When to call 999

Call 999 now
  • your baby is finding it hard to breathe, or is breathing very fast
  • you notice grunting, or the stomach sucking in under the ribs
  • they cannot swallow fluids or their own saliva
  • a croupy cough turns severe and breathing becomes difficult

Trouble breathing is the signal that overrides everything else. And, as on every page here, your own concern is reason enough to get help. You know your baby better than any checklist does.

Keep reading

Sources

Peanutbean provides general information for educational purposes only. It is not medical advice. Every baby develops at their own pace. Always talk to your pediatrician about your child’s health.

Common questions

How many colds is normal for a baby?

Children average 5 to 8 colds a year, because there are hundreds of cold viruses and young children have met none of them yet. Most colds get better within about 2 weeks, and the number falls as your child builds immunity.

Can I give my baby cough medicine or honey?

Not cough medicine. The NHS says children under 6 should not have over-the-counter cough and cold remedies unless a pharmacist or GP advises it, and the AAP does not recommend them under 4. Honey should never be given under 1 year because of the risk of infant botulism. For children over 1, a little honey can help a cough.

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Peanutbean provides general information for educational purposes only. It is not medical advice. Every baby develops at their own pace. Always talk to your pediatrician about your child's health.