Nez bouché chez les bébés
Snuffles and sniffles
Revu par des pairs par Dr Philippa Vincent, MRCGPDernière mise à jour par Dr Hayley Willacy, FRCGP Dernière mise à jour 8 juil. 2024
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Il est courant que les bébés de moins de 6 mois aient le nez bouché (communément appelé 'reniflements'). Cela est généralement dû au mucus normal qui s'accumule dans le nez, que le bébé a du mal à évacuer. Aucun traitement n'est nécessaire si le bébé est par ailleurs en bonne santé et se nourrit bien.
En un coup d'œil
A blocked nose in babies is usually due to normal mucus collecting in their nose.
Newborns up to 6 months old commonly experience blocked noses.
Babies with a blocked nose may snort but are otherwise well, though feeding can be difficult.
You can try to make them sneeze, create a steamy atmosphere, or give more frequent feeds.
Salt water drops can thin mucus, or you can use a nasal aspirator to remove it.
A blocked nose can last until a baby grows enough to clear it themselves, or up to 2 weeks if due to a cold.
See a health visitor or doctor if you are concerned about feeding difficulties.
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What causes a blocked nose in babies?
Des blocked nose in babies is usually due to the normal mucus that may collect in a baby's nose. Des blocked nose is not caused by colds or infections - although an infection can make things worse. Colds can be frequent (up to 8 times a year) in a young baby until their immune system has developed.
Des blocked nose can be common in newborns up to 6 months old.
What are the symptoms of a blocked nose in babies?
Babies have to breathe through their nose and they cannot make themselves sneeze, or blow their nose to clear it.
A baby who just has a blocked nose will be otherwise well, but may snort when breathing. If the blocked nose is part of an illness, you will notice other symptoms. For example, they might cough, or have difficulty sleeping.
However, feeding can sometimes become difficult if the baby cannot breathe very well through their nose. They may need to have more feeds during the day but each feed will be shorter.
What can I do if my baby has a blocked nose?
Mesures générales
Nothing needs to be done if the baby is happy and able to feed. However, the following may help if feeding becomes difficult:
You can try to make the baby sneeze by stroking the inside of their nostril with cotton wool.
Try placing a bowl of warm water in the room where the baby sleeps. Alternatively there are vaporisers and humidifiers available commercially. These raise the humidity which may help to loosen thick mucus.
Make the baby's room steamy for a while. Try sitting in a steamy atmosphere with the baby before a feed. For example, run the hot shower in the bathroom and shut the door. Sit in the room, but not in the shower, with the baby for five minutes before feeding.
Try giving smaller but more frequent feeds.
Salt water nose drops
Salt water (saline) drops or sprays may be useful if the above measures do not help. Saline drops thin the mucus and so make it easier for the baby to clear the mucus from the nose. (Saline seems to work better than just plain water.) You can buy saline drops from a pharmacist who can also advise on how to use them.
Only use the drops just before feeds, and only if the nose is blocked. If saline is used too often, the skin around the nose may become a little sore.
Nasal aspirators
Nasal aspirators are devices which allow you to suck the mucus from the baby's nose. They come in various shapes and sizes. Some are bulb syringes (where you squeeze the bulb to suck out the mucus), some come with a tube so you can suck at the other end and some are electrically powered.
It is not possible to give any advice on whether to use a nasal aspirator or not, or which one to use. There are few research trials on nasal aspirators but those that there are suggest they are safe and effective.
Some parents buy one to suck mucus from the baby's nostrils before feeds. They are advertised on some websites or can be bought in some pharmacies.
How long does a blocked nose in babies last?
This depends on the cause of the stuffy nose. Until babies are older than 6 months, they may struggle to clear normal mucus. If they normally produce a lot of mucus the nasal congestion might last until they have grown enough to clear it themselves.
If they are usually well but their runny nose is because of a cold or other virus, it may take up to 2 weeks to clear.
Advice from a health visitor or doctor
Most babies with a blocked nose come to no harm and feed well. In some cases babies with snuffles feed more slowly and with some difficulty. If you are concerned that feeding is a problem, see your health visitor or doctor.
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Questions fréquemment posées
Can I use nasal irrigation to clear my baby's blocked nose?
The article does not specifically recommend nasal irrigation with devices beyond saline drops or sprays. It mentions that saline drops thin mucus and can be bought from a pharmacist, who can also advise on their use. It also discusses nasal aspirators for removing mucus.
Can a blocked nose in a baby affect their breathing even if they are otherwise well?
Babies breathe primarily through their nose, so a blocked nose can make feeding difficult as they struggle to breathe while eating. However, if they are otherwise well and happy, and can feed, there might not be a significant impact on their overall well-being. If feeding becomes a problem, then measures can be taken to help.
Are there any natural ways to make my baby sneeze besides stroking their nostril with cotton wool?
The article suggests stroking the inside of a baby's nostril with cotton wool to encourage sneezing. Other methods mentioned to help with a blocked nose include placing a bowl of warm water in the room, using vaporisers or humidifiers, or sitting in a steamy atmosphere with the baby before a feed.
At what age do babies typically develop the ability to clear their own noses?
Babies often struggle to clear normal mucus until they are older than 6 months. If a baby normally produces a lot of mucus, nasal congestion might persist until they have grown enough to clear it themselves.
How can I tell if my baby’s blocked nose is due to a cold or something else?
If your baby only has a blocked nose and is otherwise well, it's likely due to normal mucus. If the blocked nose is part of an illness like a cold, you would notice other symptoms such as a cough or difficulty sleeping. Colds can also make an existing blocked nose worse.
Is it safe to use saline drops or a nasal aspirator every day for my baby's blocked nose?
Saline drops should only be used just before feeds and only when the nose is blocked, as using them too often can make the skin around the nose sore. Nasal aspirators are considered safe and effective, but the article doesn't specify frequency of use, generally mentioning them for use before feeds.
Lectures complémentaires et références
- Chirico G, Quartarone G, Mallefet P; Nasal congestion in infants and children: a literature review on efficacy and safety of non-pharmacological treatments. Minerva Pediatr. 2014 Dec;66(6):549-57.
- de Gabory L, Kerimian M, Sagardoy T, et al; Paediatric nasal irrigation: The "fencing" method. Eur Ann Otorhinolaryngol Head Neck Dis. 2021 Mar;138(2):107-113. doi: 10.1016/j.anorl.2020.08.004. Epub 2020 Sep 3.
- Chirico G, Beccagutti F; Nasal obstruction in neonates and infants. Minerva Pediatr. 2010 Oct;62(5):499-505.
À propos de l'auteurVoir la biographie complète

Dr Hayley Willacy, FRCGP
Médecin généraliste, Auteur médical
MBChB (1992), DRCOG, DFFP, MRCOG (Part 1) MRCGP (2007), DFSRH (2013), MSc - medical education (2020)
Le Dr Hayley Willacy était médecin généraliste au NHS travaillant dans le nord-ouest de l'Angleterre, qui a pris sa retraite de la pratique clinique en 2022 après 30 ans.
À propos du critiqueVoir la biographie complète

Dr Philippa Vincent, MRCGP
Médecin généraliste, Auteur médical
MB BS, Bsc, MRCGP (2000), DCH, DFSRH, DRCOG
Dr Philippa Vincent est un médecin généraliste du NHS travaillant dans le nord de Londres.
Historique de l'article
Les informations sur cette page sont rédigées et examinées par des cliniciens qualifiés.
Article également disponible en Anglais, Allemand, Espagnol, Français, Italien, Portugais, Hindi, Hébreu, Arabe, and Suédois.
Next review due: 6 Jul 2027
8 juil. 2024 | Dernière version

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