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Childhood RSV

How Long Does RSV Illness Last in Kids?

Jonathan Santana, DOPatricia Pinto-Garcia, MD, MPH
Written by Jonathan Santana, DO | Reviewed by Patricia Pinto-Garcia, MD, MPH
Published on December 5, 2024

Key takeaways:

  • Most children get sick with respiratory syncytial virus (RSV) at least once before they’re 2 years old. 

  • RSV symptoms usually get worse over the first few days of illness and peak around day 5. Children are more likely to need medical attention when RSV symptoms are at their worst.

  • Once RSV symptoms peak, they slowly get better over time. Children are usually sick for 7 to 10 days from RSV. 

Respiratory syncytial virus (RSV) is the most common childhood viral illness in the world. It affects nearly 90% of children within their first 2 years of life. RSV illness is also the most common reason babies need hospital care. But even mild RSV illness can make infants and children uncomfortable. 

If your child is sick with RSV, you may wonder how long it’ll take for them to feel better. Here’s how long RSV illness typically lasts in kids.

How long does RSV last in kids?

RSV illness typically lasts 7 to 10 days. But some children can be sick longer — especially if they have underlying medical conditions or were born prematurely. 

Your child’s symptoms will change over the course of their illness. Childhood RSV symptoms usually follow a typical pattern. This pattern can help you figure out when they’re likely to recover. Here’s what a typical childhood RSV timeline looks like.

RSV symptoms timeline in babies

Babies often have different symptoms than toddlers and older children. Their illness timeline looks like the following.

RSV symptom timeline in toddlers and children

RSV symptom timeline in toddlers and preschool aged children follows this pattern.

How long does it take to recover from RSV?

In general, it takes between 10 and 14 days to recover from RSV. But every child’s recovery is different.

Some children recover faster and are only sick for about a week. Others can take longer to recover. Your child may take longer to recover if they:

  • Were born prematurely 

  • Have a history of heart or lung disease

  • Have a weakened immune system

  • Are younger than 6 months old

When to get help for RSV symptoms in kids

Most babies and children only develop mild symptoms from their RSV illness. You can treat your child’s mild RSV symptoms at home with remedies like:

  • Over-the-counter (OTC) fever reducers

  • Fluids

  • Humidifiers

  • Nasal saline

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These home remedies can help keep your child comfortable while their immune system fights the RSV virus. 

But some children develop severe RSV symptoms and need medical attention. Your child is more likely to need medical attention during the peak of their illness. RSV symptoms are at their worst during days 3 to 5 of your child’s illness. Seek medical care right away if your child develops these symptoms during peak RSV illness:

  • Rapid breathing

  • Trouble breathing

  • Wheezing

  • Inability to eat or drink

  • Making less urine

  • More sleepy than usual

  • Fever that’s getting worse (higher)

Contact your child’s healthcare team if you think their symptoms are getting worse at any time or they develop any new symptoms. 

The bottom line

RSV is a common cause of childhood illness. Many children develop mild symptoms that can be treated at home. But some children develop more severe symptoms that need treatment in a hospital. RSV symptoms typically start off slowly and peak around days 3 to 5 of illness. Children are more likely to need medical attention during this period. 

RSV illness lasts about 10 to 14 days in kids. While some recover faster, others may be sick for longer. Children with a history of prematurity, heart or lung conditions, or a weakened immune system may take longer to recover from their RSV illness.

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Why trust our experts?

Jonathan Santana, DO, is a board-certified and fellowship-trained pediatrician, with board certification in primary-care sports medicine. He has been in academic practice for 8 years as an assistant professor in orthopedics.
Patricia Pinto-Garcia, MD, MPH, is a medical editor at GoodRx. She is a licensed, board-certified pediatrician with more than a decade of experience in academic medicine.

References

GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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