Phlegm in a newborn’s throat, often perceived as a rattling sound or congestion, can worry new parents. This thick mucus, produced by the body’s respiratory system, is a common occurrence in infants. Understanding its presence and how to manage it can help alleviate parental concern.
Common Causes of Phlegm
Newborns frequently accumulate phlegm due to several developmental and environmental factors. Their swallowing reflexes are still maturing, meaning they might not efficiently clear mucus and saliva that naturally builds up in their throat. This immature coordination can lead to sounds of congestion, particularly when lying down.
Increased saliva production also contributes to mucus in a newborn’s throat. Babies produce a significant amount of saliva, and as they learn to manage it, some may pool in the throat, creating gurgling or rattling sounds. Dry indoor air, especially with heating systems, can dry out nasal passages and thicken mucus.
Minor illnesses, such as a common cold, are a frequent cause. Newborns are obligate nasal breathers, primarily breathing through their noses. Even mild nasal congestion can significantly impact their breathing comfort and lead to audible phlegm as mucus drains into the throat.
Safe Home Remedies for Clearing Phlegm
Addressing phlegm in newborns involves gentle home remedies that help thin and clear mucus. Nasal saline drops and aspiration are effective. Administer 1-2 drops of saline solution into each nostril to loosen dried mucus. After 30-60 seconds, a bulb syringe or nasal aspirator can be gently used to suction out the loosened mucus, clearing nasal passages and reducing post-nasal drip.
Using a cool-mist humidifier in the baby’s room helps by adding moisture to the air. This humidity thins mucus in the respiratory passages, making it easier for the baby to clear. Clean the humidifier regularly according to manufacturer’s instructions to prevent mold and bacteria growth.
Positioning the infant with their head slightly elevated during awake periods can also assist in mucus drainage. For example, placing them in an infant car seat or bouncer can use gravity to help mucus move away from the throat.
Ensuring adequate hydration is another important step, as it supports overall bodily functions, including mucus production and thinning. For newborns, this means ensuring they receive sufficient breast milk or formula. Frequent, smaller feedings can be beneficial if congestion makes feeding difficult. Gently patting the baby’s back during or after feedings can help dislodge mucus.
A warm bath or time in a steamy bathroom can provide temporary relief. The warm, moist air from a running hot shower helps loosen respiratory secretions. Spending 10-15 minutes in this steamy environment can make it easier for the baby to breathe and clear their throat. Ensure the bathroom is not too hot and supervise the baby closely.
When to Seek Medical Attention
While phlegm in newborns is often benign, certain signs indicate medical attention is necessary. Any difficulty breathing warrants immediate professional evaluation. This includes rapid breathing, flaring nostrils, visible chest retractions, or grunting sounds during exhalation.
Changes in skin color, particularly a bluish tint around the lips, tongue, or fingertips, signify a lack of oxygen and require urgent medical care.
Poor feeding is a concerning symptom; if a newborn refuses to feed or appears too tired to feed, it could indicate respiratory distress.
A fever in a newborn (under two months old) is a serious concern and necessitates an immediate medical visit. For infants younger than 28 days, a rectal temperature of 100.4°F (38°C) or higher is considered a fever.
Persistent coughing or gagging, especially if it leads to vomiting or appears to cause choking episodes, should prompt a medical consultation.
Any significant change in a newborn’s behavior, such as unusual lethargy, excessive fussiness, or lack of responsiveness, should be evaluated by a healthcare provider. If symptoms worsen despite home remedies or persist, medical advice should be sought promptly.