Table of Contents

Introduction

Blocked nose is when there is difficulty in breathing through the nose. It can happen due to an obstruction in the nasal passage or more commonly due to swelling in the lining of the nose (occurring due to several reasons).

Blocked nose can be very distressing as it can interfere with breathing. In babies, it can further lead to sleep disturbance, irritation and poor feeding¹. Sadly, as the little ones cannot even express what they are going through, they just tend to cry, become irritated or even miserable at times. Moreover, when it comes to babies, blocked nose can be difficult to manage as only very few medications can be prescribed by doctors to these young ones.

Well, following some simple measures at home can help you ease your little one’s discomfort, but it is also important to know when to take medical advice.

In this blog, we will discuss about the signs of a blocked nose in babies, share certain tips that can help avoid your baby from getting a stuffy nose, some simple measures you can take at home to ease their symptoms and when you must check with a doctor. So, let’s get started!

Why Does a Baby’s Nose Gets Blocked?

Common causes of blocked nose can include some external and internal factors. These are^1,2:

External Factors like

Viral infection: The most common reason for blocked nose is a common cold usually caused by a viral infection. Viral infections can occur due to viruses like Rhinovirus, Influenza virus and Respiratory syncytial virus (RSV).
Bacterial infection: Bacterial infections like sinusitis commonly caused by organisms like Streptococcus pneumonia or Haemophilus influenza can also lead to a blocked nose³.
Exposure to allergens: Allergy causing agents like pollen grain, dust, smoke and perfumes causes irritation in the nasal cavity leading to cold or stuffy nose.
Climatic changes: Sudden change in climate or exposure to dry air or cold weather can lead to common cold in babies.
Foreign body inhalation: Inhalation of foreign objects like nuts or any small food particles can obstruct the airway.

Internal Factors like

Nasal septum deviation: Nasal septum is the thin wall of bone and cartilage that divides the inside of your nose into two separate air passages, or nostrils⁴.
Injury: Some babies get nasal injury during the process of birth; this can also be a cause for blocked nose⁴.
Gastroesophageal reflux in newborns: This condition results from the backflow of stomach acid into the food pipe making it difficult for the baby to breath⁵.
Nasal polyps: A small soft lump that is formed inside the nasal passages or sinuses⁴.
Enlarged adenoids: These are swollen tissue behind the nose that can block a babies’ nasal passage, making it difficult to breathe. This can lead to issues like loud breathing and restless sleep. ⁶

External factors lead to nasal congestion, commonly known as a stuffy nose, by irritating the membrane of nasal mucosa. In response to this, the nasal lining swells and increases its mucus production, leading to the sensation of a blocked or congested airway. The excessive mucus may sometimes start oozing out of the nose causing a runny nose².

Nasal Congestion Symptoms in Babies

A blocked nose can present with a variety of symptoms, including^7,⁸.

Noisy breathing: This is the most common symptom that happens due to narrowed airway passage.
Breathlessness: Due to increased mucus secretion, which narrows the nasal cavity, a baby may have difficulty breathing or may breathe rapidly.
Reduced appetite: When a baby’s nose is blocked, their appetite can be reduced. They may refuse to feed for long periods because the congestion makes them feel breathless.
Lack of sleep or Snoring: When a baby experiences shortness of breath, their sleep may be disturbed. Blocked nose can also lead to snoring sounds.
Irritability: When a baby’s nose is congested, it can make them irritable and fussy.
Cough: Baby might cough or gag in an attempt to clear the mucus dripping down their throat.
Sneezing: Particularly if congestion is associated with exposure to allergens, it causes nasal irritation, which often results in sneezing.
Watery and red eyes: As the eyes, nose, and tear ducts are all connected, a runny nose and sneezing can cause the baby’s eyes to become red and watery.
Fever: If a baby’s blocked nose is caused by an infection, they may also develop a fever.
Runny nose: Sometimes, you might see clear, watery, or even thick and discoloured mucus coming from their nose.

While nasal congestion symptoms in babies can vary from one to the other, it’s important for parents to keep a close eye on all the signs, no matter how minor they seem.

Natural and Safe Ways to Unblock Babies Blocked Nose

Dealing with a stuffy baby nose is never easy, but you can help them feel better with these simple, natural methods you can use right at home^2,9,10.

1. Nasal wash

nasal spray — _{Image Source: freepik.com}

A saline nasal wash is beneficial for cleansing and moisturizing nasal passages. It works by flushing out irritants like pollen, dust and other debris. This will also help to remove extra mucus in the nasal cavity. Normal saline drops or spray are available in all pharmacy stores. Some nasal washing devices like neti pots, rubber nasal bulb are also available at the stores^11,18.

2. Use of suction bulb or mucus extractor

For this, firstly moisten the nasal cavity with a saline spray and squeeze the bulb of suction to expel the air. Then gently insert its tip into the nose and release the bulb to suction out the mucus. If the mucus is properly moistened it will be easily expelled using the bulb. Make sure to do this before feeding because a clearer airway will help the baby feel better, leading to more successful feeds¹².

3. Cool mist vaporizer

This helps to moisten the air and clear the nasal cavity. Place the unit 2 meter away from the bed. Avoid running the vaporizer continuously and keep humidity between 40% to 50% to prevent mould and mildew (type of fungus) growth because it can cause breathing issue. Use distilled water instead of tap water, minerals in the tap water can cause harmful white dust and breathing problems. Make sure to clean and dry the vaporizer before and after each use to prevent from bacterial infection¹³.

4. Steam

Giving direct steam for babies is not safe as it can cause burn so, create a steamy environment by running a hot shower and sitting with your baby in the bathroom for some time before bed.

5. Proper hydration

Make sure your baby stays well-hydrated. Continue breastfeeding or formula feeding and if you feel child is struggling to eat try offering smaller amounts more frequently. Giving them plenty of warm fluids helps thin out mucus and prevents dehydration.

6. Elevate bed

To reduce nasal congestion and to help your child breathe easier, you can raise the head of their bed. Try placing a pillow under the head of the mattress or putting some blocks under the bed’s legs at the head.

7. Rest

baby sleeping — _{Image Source: freepik.com}

To reduce their fussiness and irritation it’s important to have a good sleep and rest. Following the above steps should help the baby feel better to a certain extent and promote proper sleep and rest.

When your baby has a stuffy nose, these simple, natural tricks can make some difference. By helping them breathe easier, they will be more comfortable and will be able to get the rest they need to feel better.

Note: You must not rely only on these home remedies for the treatment of the condition.

Finding out how to treat congestion depends on what is causing it. Your baby’s doctor can help you find out what is going on and suggest the best ways to help your little one feel better.

How to Prevent Frequent Nose Blocks in Babies?

Preventing frequent nose blocks in babies is often a matter of taking a few simple, proactive steps. By focusing on some points mentioned below, you can help your little one breathe easier and stay more comfortable^14,15,16.

Safety first: To keep your little one healthy, it’s important to keep their surroundings clean. Make sure to regularly disinfect the floor, their toys, and pacifiers to protect them from germs.
Maintaining good hygiene: Babies explore everything with their hands, and then those hands often go into their mouths. So, make sure to wash your own hands frequently, and gently wipe your baby’s hands clean to prevent the spread of germs.
Routine immunization: Keeping up with your baby’s immunizations is a simple yet powerful way to protect them. These shots help their little bodies build strong defences against common illnesses like flu, that can lead to congestion and other complications.
Protect your babies: Limit their exposure to sick people, their little immune systems are still developing, so something as simple as a cold can cause significant discomfort and congestion.
Boost their health: Support a healthy lifestyle with a nutritious diet and plenty of fluids. A healthy body is better at fighting off germs.
Keep airways moist: During dry air climate, use a humidifier in rooms, to add moisture to the air. You can also use saline sprays or washes often to keep their nasal passages from drying out.
Discourage nose picking: Digging or pricking into nose can lead to nose bleeding or infections. So, make sure to moisten the nasal cavity with the use of saline drops and use suction bulb for cleaning.
Limit irritants: Protect your child from smoke and other things that can cause allergies. Avoid smoking around them or in your home.

Taking these few simple precautions, you can make a big difference in preventing frequent nose blocks in your baby. By focusing on good hygiene and creating a healthy environment, you can help them stay healthy.

When to Consult a Doctor?

It’s natural to worry when your baby is sick. Knowing when to call a doctor or seek emergency care can make a big difference. You should call your primary care provider if they have any of the following symptoms^15,16,18 :

Unusual Cough: Watch out for a barking or a wheezing cough this could be a potential sign of pneumonia (infection in the lungs) or another chest infection like bronchiolitis (infection in the tiny airway that leads to the lungs).
Persistent Cold: If their nasal discharge has been thick for more than 10 days, it might be more than just a simple cold.
Feeding issues: If the baby is refusing to feed or not feeding properly, or you observe that the baby is breaking away while feeding to gasp for air, it is always better to consult a doctor for immediate relief.
Unusual Fussiness and Crying: When a baby cries for a long time and seems unusually cranky, it could be a sign they’re in pain, possibly from an earache or a headache.
Change in Colour of Mucus: If the mucus colour seems to be greenish yellow for more than 10 days, it’s another possible sign of a chest infection like pneumonia.
High or Persistent Fever: Call the doctor if their fever repeatedly spikes, or if a fever over 100.4°F lasts more than three days.

Seek emergency care if you see below symptoms:

Breathing difficulties: This includes trouble in breathing or taking short, rapid breaths.
Bluish Discoloration (Cyanosis): If their lips or fingernails look bluish, it’s a serious sign that they aren’t getting enough oxygen.
Severe Cough: If baby chokes or vomits due to cough, it means the baby needs immediate medical attention.

Knowing these important signs gives you an idea of what action to take. Like when to call a doctor for a persistent problem and when to rush to the emergency room for breathing trouble. This will ensure your little one gets exactly the right care when they need it.

Conclusion

A stuffy nose can be tough on the little one but remember that it’s a very common hurdle for parents. The good news is that, by staying calm and trying some simple, gentle home remedies, you can help your baby feel a lot more comfortable. Look out for signs that need medical attention, and if you have any concerns or questions, remember that your doctor is always there to provide guidance and reassurance. With a little care and patience, your baby will be breathing easy and be back to their cheerful self in no time.

Frequently Asked Questions (FAQs)

How can I unblock my baby’s nose fast?

Using a suction bulb and normal saline drops is the better way to reduce nasal congestion. If mucus is too thick and dry, moisten the nasal cavity first and then use suction bulb to remove out the mucus².

What medicine is good for baby blocked nose?

There are many over the counter (OTC) medicine available in pharmacy for blocked nose and cold, but doctors do not recommend any medicine before the age of 2 years. If in case of any emergency, it’s always better to consult doctor before giving any medicines¹⁹.

What is the best sleeping position for a baby with a blocked nose?

Sleeping on their back (supine position) with slightly elevated head will help to drain out the mucus from nose. This can be done either by placing pillow below the mattress or by lifting head end of the cot with the help of blocks. Please note: Do not place any pillow or stuffed toys on their crib or bed; this can increase the chance of suffocation during sleep time^2,19.

Can a blocked nose affect oxygen levels?

Yes, blocked nose can affect a child’s oxygen levels. Since babies mostly breathe through their noses for the first few months, a blocked nose can make it hard for them to get enough oxygen. When that happens, their body has to work much harder to breathe, a condition called respiratory distress. If you observe symptoms like bluish discoloration, decreased urine output, nasal flaring, rapid or shallow breathing and unusual chest movements, seek immediate medical attention^20,21.

Where to put Vicks for a stuffy nose?

Some people believe that applying Vicks to a baby’s chest, neck, back, and the soles of their feet can help with congestion. However, since babies are sensitive, you should always check with your doctor before using any topical medicine.

What is the pressure point for a stuffy nose?

As per the Chinese medicine trial, giving circular pressure in LI-20 and LI-4 will help to breathe easier
LI-20: It is located at the base of the nose, both side near the wing of nostrils.
Use index finger and give slight pressure bilaterally for 4 minutes.
LI-4: It is located between the thumb and index finger
Compress for 2 minutes on both right and left hand²².

Does vicks on the feet help a stuffy nose?

It’s a common practice for many parents to rub Vicks on their baby’s feet. However, it is always safest and best to check with your paediatrician before using any topical product on your child.

References

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Understanding Bronchiolitis in Children [Internet]. Lakecountyin.gov. Official Website of the Lake County Indiana Government; 2025 [cited 2025 Nov 17]. Available from: https://lakecountyin.gov/departments/health/nursing-clinic/diseases-and-conditions/childrens-conditions/understanding-bronchiolitis-in-children

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