Boston Respiratory Season Guide for Parents: What to Keep at Home for Sick Kids
As pediatricians in Boston, we know that late fall through early spring brings a predictable rise in respiratory illnesses among children.
With RSV, influenza, COVID-19, and other seasonal viruses circulating more widely, this time of year is often referred to as “respiratory season.” Preparing your home with a few key items can make a significant difference in managing mild symptoms safely and comfortably.
Essential Items to Keep at Home
1. A Reliable Thermometer
- Rectal thermometers are the gold standard for infants.
- Axillary (underarm) or oral thermometers work well for older children.
- Accurate temperature readings help determine when to call your child’s pediatrician.
2. Age-Appropriate Pain Relief
- Acetaminophen (Tylenol) and ibuprofen (Motrin/Advil) can help ease fevers and discomfort.
- Infants under 2 months: Call your pediatrician before giving acetaminophen.
- Infants under 6 months: Do not use ibuprofen.
Correct dosing is based on weight; please ask if you are unsure.
3. Nasal Saline Spray or Drops
Saline helps loosen mucus, making it easier for young children to breathe, especially before feeds and naps.
4. A Bulb Suction or Nasal Aspirator
Infants and toddlers who cannot effectively blow their noses often benefit from gentle suction to relieve congestion.
5. Cool Mist Humidifier
A humidifier adds moisture to dry indoor air, helping ease coughs, nasal irritation, and congestion, especially overnight.
6. Honey for Children 12 Months and Older
For children over age one, 1 teaspoon (5 ml) of honey can help soothe coughs naturally. Do not give honey to infants under 12 months due to the risk of botulism.
At-home kit to test for Flu and COVID.
7. At-Home Flu and COVID-19 Tests
Keep an at-home flu and COVID-19 test. These tests should allow you to know sooner whether your child’s illness is either of the two.
8. Avoid Over-the-Counter Cough Medications for Children Under 6
These products are not recommended for young children due to potential side effects and a lack of evidence to support their effectiveness.
When to Call Your Pediatrician
If your child develops the following respiratory symptoms, please contact your pediatrician right away:
- Fever of 100.4°F (38°C) or higher
- Increased work of breathing (fast rate, belly breathing, rib pulling, wheezing, flaring nostrils)
- Decreased urine output
- Poor hydration or feeding difficulties
- Any concerns that your child seems worse or is not improving
You know your child best, but please never hesitate to reach out. Our Boston-based Essential Pediatrics team is here to guide you through each stage of the respiratory season with confidence.
