How to manage HMPV in children?

Question

Hello doctor,

My toddler has been suffering terribly. He is two and a half years old and has not been able to breathe properly for days. It started with a runny nose, but now he is wheezing so badly it sounds like he is struggling underwater. His temperature keeps spiking between 101 to 103° Fahrenheit, and he is refusing to eat anything. The pediatrician mentioned something about HMPV, but I am terrified. He is getting weaker, and his lips look slightly bluish when he coughs. Daycare called to say multiple kids are sick, and now I am worried about complications. Can this become serious? What should I watch out for?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

I am really sorry your little one is going through this. Human metapneumovirus (HMPV) is a common but potentially severe respiratory virus, especially in young children. Your child's symptoms indicate possible respiratory distress, which can lead to hypoxia (low oxygen levels).

If you notice any of the following symptoms, I suggest you take your child to the hospital immediately:

Bluish lips or face (a sign of low oxygen).
Severe wheezing or struggling to breathe.
Lethargy, excessive sleepiness, or unresponsiveness.
Signs of dehydration: No wet diaper for more than six hours, dry mouth, no tears when crying, sunken eyes.

If the situation is not as serious, here are some steps I suggest you follow at home:

Keep him hydrated. Offer small sips of fluids frequently (water, breast milk, coconut water).
Try to let him inhale steam. It helps with wheezing and coughing by keeping the airways moist.
Use a humidifier.
Clear his nose with a saline spray and suction bulb before feeding or sleeping.
For fever, you can give him 5 milliliters of syrup Paracetamol three times a day.

As many children are sick in the daycare, I suggest you avoid sending your child back for some time even after recovery to prevent reinfection. Ensure the daycare has disinfected all the common areas and toys.

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.