Kids - Asthma & Wheezing

Wheezing is caused by narrowed airways in the lung. There are many causes of wheezing. It sounds like a high-pitched whistle when the child breathes out, but may also occur with breathing in when the child is having more problems. There may be rapid breathing, tight, difficult breathing and a cough.

The main concern is in watching for signs of difficult breathing:

HOME TREATMENT

Medications.

  • Medications for asthma require drugs that are called bronchodilators.
  • Bronchodilators mainly come in inhalers ( +/- spacers ) that are puffed into the lungs or may be provided by using a nebulizer that delivers a mist of medication to the child over 5 to 15 minutes. 
  • If your child has a history of asthma and you have used these medications in the past, you may use these as needed when attacks occur as guided by your doctor.
  • Steroids for serious asthma attacks should only be used after discussion with the doctor, unless they have already established an " asthma plan " for you to use these.

Bronchiolitis in the infant.

  • Fluids need to be encouraged to avoid dehydration.
  • Bulb syringing and clearing the nose of mucous, especially before eating is helpful (see colds for how to use the bulb syringe) in younger infants.
  • Using a humidifier will also help breathing for an infant.
  • Prescription medications, like the bronchodialators, may be prescribed by your doctor depending on the severity of the illness.

CALL DOCTOR IMMEDIATELY

  • Moderate or severe difficult breathing
  • Lips become bluish
  • History of a choking episode on food or object
  • Associated hives and suspicion of an allergic reaction to food or medication and having difficult breathing or coughing
  • Signs of dehydration
  • Infant less than 2 or 3 months of age

CALL DURING NORMAL HOURS

  • First episode of wheezing without difficult breathing
  • The child has a history of asthma and the usual medications do not seem to be helping and is having mild difficulty breathing
  • Signs of secondary infection - earache,  sore throat
  • Fever more than 72 hours
  • Is unable to sleep because of wheezing
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