A child receiving asthma care with a paediatrician and parent alongside
Parent guide · Breathing & allergy

Asthma in Children

Asthma in children can cause recurring cough, wheezing, chest tightness or breathing difficulty. Symptoms may appear at night, during exercise, with infections or after exposure to a trigger. A paediatric assessment helps distinguish asthma from other causes of wheeze and cough.

Common signs

What parents may notice

  • Recurring wheeze
  • Night-time or early-morning cough
  • Cough or breathlessness with exercise
  • Repeated need for nebulisation
  • Symptoms during colds that last longer than expected
  • Chest tightness in an older child
  • Avoiding play because of breathing symptoms
Possible reasons

What can cause it?

Asthma involves sensitive airways that become inflamed and narrow in response to triggers. Triggers differ between children and can include viral infections, dust, smoke, pollution, exercise, weather change or allergens.

When to book

When should your child be assessed?

  • Cough or wheeze keeps returning
  • Symptoms disturb sleep or exercise
  • The child has repeated urgent visits
  • Inhaler technique or diagnosis is unclear
  • Current treatment is not controlling symptoms
Urgent warning signs

When to seek immediate care

  • Severe breathlessness
  • Blue lips
  • Marked chest retractions
  • Difficulty speaking, feeding or drinking
  • Unusual sleepiness or poor response to the prescribed reliever plan
At the specialist visit

How the concern may be evaluated

  • Review of symptom pattern and triggers
  • Breathing and growth examination
  • Inhaler and spacer technique review
  • Lung function or allergy-related testing when age and need make it useful
  • A written action plan
Prepare

What to do before the visit

  • Bring inhalers, spacers and nebuliser medicines
  • Note night, exercise and seasonal symptoms
  • Bring previous admissions or test reports
  • Record smoke, pollution, pet or dust exposure
Questions parents ask

The real questions, answered.

Not what we wish you'd ask. What you're actually thinking when you find this page.

Book a consultation
Can a child outgrow asthma?

Some children improve with age, while others continue to have asthma. Regular review helps adjust treatment as the pattern changes.

Are inhaled steroids safe?

When prescribed at the appropriate dose, inhaled corticosteroids are a standard controller treatment. The clinician balances benefit, dose and monitoring.

Does wheezing always mean asthma?

No. Wheeze can occur with several childhood conditions, especially in younger children.

Can children with asthma exercise?

Most children with well-controlled asthma should be able to participate in activity with an appropriate plan.

How do I know the inhaler is working?

The action plan should explain expected symptom improvement, correct technique and when follow-up is needed.

Persistent symptoms deserve a clear next step.

Speak with Paediatric Pulmonology and Allergy or contact our team to organise the right starting point.