
Respiratory syncytial virus (RSV) is a common virus that hits infants and young children hard. Most kids catch it by the time they are two. Doctors like Mary Caserta, MD, FAAP, and Andrea Jones, MD, FAAP, say almost all kids get RSV before they turn two. For healthy kids, RSV feels like a cold. But some, like young babies, can get very sick.
RSV usually sticks around for one to two weeks. Symptoms pop up four to six days after you’re exposed. Knowing how long RSV lasts and what symptoms to watch for is key for parents. This helps them know when to get medical help. In this article, we’ll dive into how long RSV lasts, its symptoms, and how kids recover.
Key Takeaways
- RSV is a common viral infection affecting infants and young children.
- Most children are infected with RSV at least once before age two.
- RSV typically lasts one to two weeks.
- Symptoms of RSV appear four to six days after exposure.
- Understanding RSV duration and symptoms is key for parents to know when to seek medical help.
Understanding RSV in Children

Respiratory Syncytial Virus (RSV) is a common virus that affects babies and young kids all over the world. It’s one of the many viruses that cause respiratory illness, spreading like a cold virus. RSV gets into the body through the nose or eyes, usually from touching infected saliva, mucus, or nasal discharge.
What is Respiratory Syncytial Virus?
RSV is a highly contagious virus that affects young children’s respiratory health. It’s a leading cause of respiratory illness in infants and toddlers, causing big health worries for parents. RSV infection can cause a range of respiratory symptoms, from mild to severe, and is a common reason for hospitalization in young children.
Prevalence in Young Children
RSV is common among young children, mainly those under 5. By the age of 2, most children have been infected with RSV at least once. The virus spreads quickly through daycare centers, schools, and homes. Kids aged 4 and 5 may show symptoms like a runny nose, coughing, sneezing, and fever, similar to a common cold. But, in some cases, RSV can cause more serious respiratory issues, like bronchiolitis or pneumonia.
It’s important for parents and caregivers to understand RSV in young children. Recognizing the signs of RSV infection helps them manage the condition and prevent its spread.
How Long Does RSV Last in Infants and Toddlers
RSV infection in infants and toddlers can last different lengths of time. But, there are some general guidelines for parents. RSV usually lasts about one to two weeks in most cases.
Typical Duration of RSV Infection
RSV infections usually follow a predictable course. The virus typically runs its course within 7 to 14 days. But, some symptoms like coughing can last for weeks.
Incubation Period and Symptom Timeline
The incubation period of RSV is the time between getting the virus and showing symptoms. It ranges from 2 to 8 days. After this, symptoms start to appear, including:
- Rhinorrhea (runny nose)
- Coughing
- Sneezing
- Headache
- Fatigue
- Fever
- Wheezing
- Pharyngitis (sore throat)
- Bronchiolitis (inflammation of the small airways)
Symptoms usually peak around 3 to 5 days after they start. Then, they gradually get better.
When to Expect Improvement
Most children start to feel better within 7 to 10 days. But, some symptoms, like a lingering cough, can last for weeks. If symptoms get worse or don’t get better, it’s important to see a healthcare provider.
Knowing the timeline of RSV infection helps parents manage their child’s symptoms better. It also tells them when to seek medical care if needed.
RSV Symptoms by Age Group
RSV shows different symptoms in different age groups of children. It’s important to know how it affects each group, from babies to young kids.
Symptoms in Infants Under 12 Months
Infants under 12 months often start with mild cold-like symptoms. These include a runny nose, cough, and fever. But, these symptoms can quickly get worse and lead to serious breathing problems.
Key symptoms in this age group include:
- Runny nose and nasal congestion
- Coughing
- Fever
- Irritability
- Decreased activity
- Breathing difficulties
Young babies might not show fever. Instead, they might seem upset, less active, and have trouble breathing.
Symptoms in Children Ages 1-5 Years
Children aged 1-5 years might start with mild symptoms. They could have coughs and wheezes. Some might also have stomach problems.
Common symptoms in this age group include:
- Coughing
- Wheezing
- Respiratory distress
- Runny nose
- Fever
- In some cases, gastrointestinal symptoms like vomiting
Parents should watch their child’s symptoms closely. If they see signs of serious breathing trouble or other worrying signs, they should get medical help right away.
Contagiousness and When to Seek Medical Care
RSV is very contagious and can spread easily. It spreads through coughs and sneezes, and by touching contaminated surfaces. It’s important to know when to get medical help for young children.
How RSV Spreads
RSV spreads mainly through:
- Respiratory droplets when someone coughs or sneezes
- Touching things that have the virus on them
- Being close to someone who is sick, like shaking hands
RSV can stay on surfaces for hours. Cleaning and disinfecting regularly is key to stopping its spread.
Contagious Period
People with RSV are usually contagious for 8 days. But it can be anywhere from 1 to 21 days. They are most contagious when symptoms are bad, usually in the first few days.
Some people, like young kids, might keep shedding the virus even after they feel better.
Warning Signs Requiring Medical Attention
Even though RSV is often mild, some cases need medical help. Look out for these warning signs:
| Symptom | Description |
| Difficulty Breathing | Rapid breathing, wheezing, or signs of trouble breathing |
| Severe Irritability | Being very fussy or restless, unlike usual |
| Signs of Dehydration | Not making much urine, dry mouth, or fewer tears when crying |
| Gastrointestinal Symptoms | Vomiting, diarrhea, or stomach pain, which can be linked to RSV |
Symptoms like vomiting and diarrhea can cause dehydration. This is a serious condition that needs quick medical attention. If your child shows any of these severe symptoms, get them to a doctor right away.
Knowing how RSV spreads and when to get medical help helps protect our kids. It also helps manage the illness better.
Conclusion
Respiratory Syncytial Virus (RSV) is a common virus that affects babies and young kids. We talked about how long RSV lasts, its symptoms, and how it spreads.
Most kids and adults who are healthy can get better from RSV in 1 to 2 weeks. With rest and care, RSV can go away by itself. But, it’s key to watch for symptoms and see a doctor if they get worse or if you see warning signs.
It’s also true that kids can catch RSV more than once, even in the same season. Even though they can get it again, the second time is usually not as bad. Knowing about RSV helps parents and caregivers take good care of their kids.
By knowing the symptoms and taking steps to stop RSV from spreading, we can keep our kids healthy. This helps lower the chance of serious problems.
FAQ:
What is RSV and how does it affect children?
RSV (Respiratory Syncytial Virus) is a common viral infection that affects the lungs and airways, particularly in infants and young children, causing cold-like symptoms, wheezing, or bronchiolitis.
How long does RSV last in infants and toddlers?
RSV usually lasts 7–14 days, though coughing and fatigue can persist for 2–3 weeks.
What are the symptoms of RSV in children aged 4 and 5 years?
Symptoms include runny nose, cough, fever, wheezing, reduced appetite, and mild fatigue. Older children may have milder symptoms than infants.
Can RSV cause stomach pain and diarrhea?
Yes, some children with RSV may experience mild gastrointestinal symptoms like stomach pain, vomiting, or diarrhea.
How does RSV spread, and what is the contagious period?
RSV spreads via droplets from coughing, sneezing, or touching contaminated surfaces. Children are most contagious for 3–8 days, though infants and those with weakened immunity may spread it longer.
Can kids get RSV twice?
Yes, reinfection is possible because immunity after RSV is not lifelong, though subsequent infections are often milder.
When should I seek medical care for my child with RSV?
Seek care if your child has difficulty breathing, high fever, persistent vomiting, dehydration, or appears very lethargic.
How can I care for my baby with RSV who is throwing up mucus?
Keep them hydrated, use a bulb syringe or nasal aspirator to clear mucus, provide humidified air, and offer frequent small feedings.
Can RSV go away on its own?
Yes, RSV is usually self-limiting in healthy children and resolves without specific antiviral treatment.
How long does RSV typically last in 2-year-olds?
In 2-year-olds, RSV typically lasts about 7–10 days, though cough and fatigue may linger for 2–3 weeks.
References:
Centers for Disease Control and Prevention. Evidence-Based Medical Insight. Retrieved from https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm[3