From the Research
For a 4-month-old infant with a cough who is otherwise acting normally, the best approach is supportive care at home without medications. This approach is based on the most recent and highest quality study available, which emphasizes the importance of avoiding over-the-counter cough and cold medications in young children due to their ineffectiveness and potential harm 1.
Some key points to consider in the management of a 4-month-old infant with a cough include:
- Keeping the baby well-hydrated with breast milk or formula
- Using a cool-mist humidifier in the room to moisten airways
- Elevating the head of the crib slightly by placing a towel under the mattress
- Using saline nose drops followed by gentle suctioning with a bulb syringe to clear nasal congestion if present
- Avoiding over-the-counter cough and cold medications, as they are ineffective and potentially harmful
It's also important to monitor the infant's condition and seek medical attention if they develop any of the following symptoms:
- Fever over 100.4°F
- Difficulty breathing
- Poor feeding
- Lethargy
- Cough persisting beyond 10-14 days
These symptoms could indicate a more serious condition requiring medical attention. Regular hand washing and limiting exposure to sick individuals can help prevent future respiratory infections 2, 1.