###Human: Is nebulizer a must for bronchiolitis? ###Assistant: Hi. The symptoms that your child has been suggestive of bronchiolitis. In bronchiolitis, nebulization needs to be given for five to seven days; usually, the child recovers in seven days. Your child was discharged from the hospital and developed respiratory distress after continuous cough and spO2 has decreased. I think that during continuous cough your child has aspirated the food and this has now led to bronchopneumonia. In my opinion, your child needs antibiotics and nebulization with a repeat chest x-ray to see the extent of pneumonia. I think your child needs admission for a week after which he will be alright. Take care of your child.