Common signs

What parents may notice

  • Whistling sound while breathing
  • Fast breathing
  • Cough with exercise or at night
  • Chest tightness in an older child
  • Symptoms with colds
  • Reduced play or feeding
  • Repeated need for inhaled medicine
Possible reasons

What can cause it?

Possible causes include viral wheeze, asthma, allergy, inhaled foreign body and less common structural or lung conditions. A sudden first episode after choking needs urgent assessment.

When to book

When should your child be assessed?

  • Wheezing keeps returning
  • Symptoms disturb sleep or exercise
  • The child needs frequent reliever medicine
  • There are repeated emergency visits
  • Diagnosis or inhaler technique is unclear
Urgent warning signs

When to seek immediate care

  • Severe breathing difficulty
  • Blue lips or marked chest retractions
  • Difficulty speaking, drinking or feeding
  • Drowsiness or exhaustion
  • Sudden wheeze after choking or a severe allergic reaction
At the specialist visit

How the concern may be evaluated

  • Breathing history and examination
  • Trigger and allergy review
  • Inhaler technique assessment
  • Lung-function testing when age appropriate
  • Written treatment and action plan
Prepare

What to do before the visit

  • Record when wheeze occurs
  • Bring inhalers and spacers
  • Note night symptoms and activity limits
  • Bring prior emergency and chest reports
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
Does wheezing always mean asthma?

No. Wheezing can occur with infections and several other conditions, especially in young children.

Can a phone recording help?

A safe recording may help describe an intermittent sound, but it does not replace examination.

Are spacers important?

Yes. Correct spacer technique improves delivery of inhaled medicine in many children.

Can children exercise with asthma?

Most children can remain active when asthma is well controlled and a clinician has provided an appropriate plan.

When should a child go to emergency care?

Seek immediate care for severe breathing difficulty, blue lips, exhaustion or poor response to the child's emergency plan.

Persistent symptoms deserve a clear next step.

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