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Common Childhood Infections

Young children's immune systems are still developing, so several colds a year are normal. Most get better on their own, but don't miss the signs of dehydration or breathing trouble.

Updated 2026-10

Colds and RSV

Colds are viral, so antibiotics don't help. Runny nose and cough can last 1โ€“2 weeks. The basics are fluids, rest and easing congestion (saline drops, comfortable humidity).

RSV (respiratory syncytial virus) is like a cold in older children but can cause bronchiolitis or pneumonia in babies under 1, especially those under 6 months or born early. It spreads mainly in autumn and winter.

SEE A DOCTOR IFSee a doctor if breathing is fast, the skin pulls in between the ribs or below the neck, there is wheezing, or feeding drops below half of usual. Call 119 for blue lips or pauses in breathing.

Hand, foot and mouth disease

Caused by enteroviruses and common in summer and autumn. Fever comes with mouth sores and blisters or red spots on the hands, feet and buttocks. It usually clears in 7โ€“10 days, but painful mouth sores make dehydration likely.

Offer cool, soft foods and non-irritating drinks little and often. Handwashing and hygiene after diaper changes reduce spread.

SEE A DOCTOR IFSeek care right away for much less urine, marked limpness, sudden startle-like jerks, repeated vomiting or a stiff neck โ€” rare signs of serious complications.

Gastroenteritis (vomiting and diarrhea)

Rotavirus and norovirus are common causes. Fluids are the priority. After vomiting, wait a little, then give oral rehydration solution little and often with a spoon or small cup. Keep breastfeeding.

If there is only diarrhea and your child drinks well, regular meals can continue. Sports drinks and juice are high in sugar and can worsen diarrhea, so oral rehydration solution comes first. Don't use anti-diarrhea medicine without asking a doctor.

SEE A DOCTOR IFSee a doctor if there has been no urine for about 8 hours, no tears and a dry mouth, bloody diarrhea, green vomit, severe tummy pain or limpness. Infants dehydrate quickly, so seek care earlier.

Ear infections

Often follow a cold. Children may tug at an ear, fuss at night or run a fever. Depending on age and symptoms, the doctor may prescribe antibiotics right away or watch for 2โ€“3 days. If antibiotics are prescribed, finish the full course even if symptoms improve.

Not feeding a bottle lying down, avoiding secondhand smoke, and keeping pneumococcal and flu vaccines up to date lower the risk.

Flu and pink eye

Flu (influenza) brings sudden high fever, muscle aches and marked fatigue. Children under 5, especially under 2, face higher complication risk, so see a doctor early. Antiviral medicine is prescribed at the doctor's discretion. A yearly vaccine is the best prevention.

Pink eye (conjunctivitis) causes red eyes, discharge, itching or stinging. Viral pink eye spreads easily, so use separate towels and wash hands often. Thick yellow discharge may be bacterial and needs a doctor.

SEE A DOCTOR IFSee a doctor right away for eye discharge or redness in a baby under 1 month, or if the eye is swollen and painful, light hurts, or vision seems affected.

Returning to daycare and stopping spread

  • Consider returning once your child has been fever-free for 24 hours without fever medicine.
  • Daycares have their own rules for hand, foot and mouth disease, flu, gastroenteritis and pink eye, and may ask for a doctor's note. Check in advance.
  • Wash hands with soap under running water for 30 seconds and cough into a sleeve โ€” the whole family.
  • While someone is sick, wipe toys and doorknobs often and use separate towels and cups.
  • Alcohol hand sanitizer works poorly against norovirus, so wash with soap, and wear gloves when cleaning up vomit.
TIPFrequent colds in the first year of daycare are common. For most children, the number drops as they get older.

FAQ

The runny nose has lasted two weeks. Is that okay?

Runny nose and cough after a cold can last close to two weeks. See a doctor if fever returns, yellow mucus comes with facial pain or a bad cough, or breathing is fast.

Does a cold need antibiotics?

No. Colds are viral, so antibiotics don't work. A doctor prescribes them when a bacterial infection such as an ear infection or pneumonia is suspected.

How many times can a child get hand, foot and mouth disease?

Several viruses cause it, so children can get it again. Handwashing and hygiene are the best prevention.

Should I stop feeding during a stomach bug?

No. Replace fluids first, and if your child drinks well, offer small amounts of easy-to-digest everyday food. Keep breastfeeding.

Sources

  • KDCA infectious disease portal
  • Korean Pediatric Society
  • AAP HealthyChildren.org
  • CDC RSV and influenza guidance

Medical information is for reference only. This is general information and does not replace diagnosis or treatment. Always talk to your child's doctor. In an emergency in Korea, call 119.

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