Materiały źródłowe

• #1 Asthma in children | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/asthma-in-children

  Asthma is one of the most common reasons that children visit doctors, miss days at school or have to go to hospital. In fact, around one in 10 Australian children have asthma. If your child’s asthma is well controlled, they should be able to lead a healthy, active life. […] Common asthma symptoms include: chest tightness or pain (young children might complain of a sore tummy), shortness of breath, difficulty breathing, wheezing whistling noise when breathing, coughing. Your child may have all of these symptoms or just a few. Symptoms are often worse at night, in the early morning, during exercise or due to other triggers. […] No matter how often your child gets asthma, they can still have a serious flare up that needs urgent treatment. […] Symptoms of an asthma emergency include: finding it very hard to breathe or not breathing at all, trouble speaking or stopping every few words to breathe, blue lips, symptoms get worse very quickly, reliever medicine is not working or none is available, drowsiness.

• #2 Asthma in Children | Asthma Symptoms | MedlinePlus

  https://medlineplus.gov/asthmainchildren.html

  Asthma often starts during childhood, usually before age 5. Many children have asthma – it is the most common chronic disease of childhood. It can cause children to miss school and end up in the hospital. But treatments can help manage asthma. […] The symptoms of asthma in children include: Chest tightness, Coughing, especially at night or early morning, Breathing problems, such as shortness of breath, rapid breathing, or gasping for air, Feeling tired, Dark circles under the eyes, Being irritable, Wheezing, which causes a whistling sound when they breathe out, Trouble eating or sucking (in infants). […] When children have an asthma attack, their symptoms get much worse. The attacks may come on gradually or suddenly. Sometimes they can be life-threatening. Warning signs of a severe attack include severe coughing, serious breathing problems, and turning very pale or blue in the face, lips and/or fingernails. If your child has those symptoms, get medical help right away.

• #3 Asthma in Children: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/6776-asthma-in-children

  Asthma can begin at any age, but it most often starts during childhood when your child’s immune system is still developing. Most children who get asthma have their first symptom by age 5. Asthma can cause your child to miss school and even end up in the hospital. It’s important to have an asthma treatment plan to help manage your child’s condition. […] Childhood asthma symptoms may include: Frequent coughing spells. Coughing fits may occur while your child is playing or laughing. They may also occur at night or right after your child wakes up. Coughing may be their only symptom. […] When your child has an asthma attack (asthma exacerbation), their symptoms may get much worse. The attacks may come on slowly or quickly. Sometimes, they can be life-threatening (status asthmaticus). If your child has any of the following warning signs of a severe attack, you should get medical help right away: Severe coughing. Rapid worsening of shortness of breath or wheezing. Serious breathing problems.

• #4 Childhood asthma – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/symptoms-causes/syc-20351507

  In childhood asthma, the lungs and airways become easily inflamed when exposed to certain triggers. Such triggers include inhaling pollen or catching a cold or other respiratory infection. Childhood asthma can cause irritating daily symptoms that interfere with play, sports, school and sleep. In some children, unmanaged asthma can cause dangerous asthma attacks. […] Common childhood asthma symptoms include: A whistling or wheezing sound when breathing out. Shortness of breath. Chest congestion or tightness. Frequent coughing that worsens when your child: Has a viral infection. Is sleeping. Is exercising. Is in the cold air. […] Childhood asthma also might cause: Trouble sleeping due to shortness of breath, coughing or wheezing. Bouts of coughing or wheezing that get worse with a cold or the flu. Delayed recovery or bronchitis after a respiratory infection. Trouble breathing that hampers play or exercise. Fatigue, which can be due to poor sleep.

• #5 Pediatric Asthma – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK551631/

  Pediatric asthma is characterized by variable expiratory airway limitation and persistent respiratory symptoms, including wheezing, coughing, shortness of breath, and chest tightness. […] Asthma often starts in childhood, with nearly half of all infants wheezing in their first year, and most developing persistent asthma by age 6. […] The severity ranges from intermittent symptoms to potentially life-threatening airway compromise, necessitating a comprehensive diagnostic approach. […] Generally, 2 groups of children exhibit wheezing and asthma-like symptoms at a young age. One group experiences sporadic symptoms, usually triggered by viral infections, and tends to overcome these episodes as they age. The other group tends to develop symptoms at a later age, often in combination with atopy, a family history of asthma, and an elevated risk of developing persistent asthma in the future.

• #6 Childhood Asthma: Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/asthma/children-asthma

  Not all children have the same asthma symptoms. Your child might have only one or two of these symptoms or several of them. […] A severe asthma attack needs medical care right away. Watch for these signs: stopping in the middle of a sentence to catch a breath, using stomach muscles to breathe, a belly that sinks in under their ribs when they try to get air, chest and sides that pull in as they breathe, severe wheezing, severe coughing, trouble walking or talking, blue lips or fingernails, increasing shortness of breath with decreased wheezing, widened nostrils, fast heartbeat, sweating more than usual, chest pain. […] Most children have their first symptoms by age 5. But asthma can begin at any age. […] Things that can make a child more likely to have asthma include: nasal allergies (hay fever) or eczema (allergic skin rash), a family history of asthma or allergies, frequent respiratory infections, low birth weight, exposure to secondhand tobacco smoke before or after birth, African-American or Puerto Rican descent, being raised in a low-income environment.

• #7 Childhood asthma – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/symptoms-causes/syc-20351507

  In childhood asthma, the lungs and airways become easily inflamed when exposed to certain triggers. Such triggers include inhaling pollen or catching a cold or other respiratory infection. Childhood asthma can cause irritating daily symptoms that interfere with play, sports, school and sleep. In some children, unmanaged asthma can cause dangerous asthma attacks. […] Common childhood asthma symptoms include: A whistling or wheezing sound when breathing out. Shortness of breath. Chest congestion or tightness. Frequent coughing that worsens when your child: Has a viral infection. Is sleeping. Is exercising. Is in the cold air. […] Childhood asthma also might cause: Trouble sleeping due to shortness of breath, coughing or wheezing. Bouts of coughing or wheezing that get worse with a cold or the flu. Delayed recovery or bronchitis after a respiratory infection. Trouble breathing that hampers play or exercise. Fatigue, which can be due to poor sleep.

• #8 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Asthma in children is one of the most common causes of missed school days. The airway condition can disrupt sleep, play and other activities. […] Common asthma symptoms in children ages 5 to 11 include: Coughing, especially at night. A high-pitched whistling sound made while breathing out, called wheezing. Trouble breathing. Chest pain, tightness or discomfort. Staying away from or losing interest in sports or physical activities. […] Some children have few day-to-day symptoms, but they have serious asthma attacks now and then. Other children have mild symptoms or symptoms that get worse at certain times. […] You may notice that your child’s asthma symptoms get worse: At night or in the early morning. With activity. When your child has a cold. With triggers such as cigarette smoke or seasonal allergies. During strong emotional reactions, such as crying or laughing.

• #9 Asthma in Children | Asthma Symptoms | MedlinePlus

  https://medlineplus.gov/asthmainchildren.html

  Asthma often starts during childhood, usually before age 5. Many children have asthma – it is the most common chronic disease of childhood. It can cause children to miss school and end up in the hospital. But treatments can help manage asthma. […] The symptoms of asthma in children include: Chest tightness, Coughing, especially at night or early morning, Breathing problems, such as shortness of breath, rapid breathing, or gasping for air, Feeling tired, Dark circles under the eyes, Being irritable, Wheezing, which causes a whistling sound when they breathe out, Trouble eating or sucking (in infants). […] When children have an asthma attack, their symptoms get much worse. The attacks may come on gradually or suddenly. Sometimes they can be life-threatening. Warning signs of a severe attack include severe coughing, serious breathing problems, and turning very pale or blue in the face, lips and/or fingernails. If your child has those symptoms, get medical help right away.

• #10

  https://www.who.int/news-room/fact-sheets/detail/asthma

  Asthma is the most common chronic disease among children. […] Inflammation and narrowing of the small airways in the lungs cause asthma symptoms, which can be any combination of cough, wheeze, shortness of breath and chest tightness. […] Symptoms can include coughing, wheezing, shortness of breath and chest tightness. These symptoms can be mild or severe and can come and go over time. […] Symptoms of asthma can vary from person to person. Symptoms sometimes get significantly worse. This is known as an asthma attack. Symptoms are often worse at night or during exercise. […] Common symptoms of asthma include a persistent cough, especially at night, wheezing when exhaling and sometimes when inhaling, shortness of breath or difficulty breathing, sometimes even when resting, and chest tightness, making it difficult to breathe deeply.

• #11 Childhood asthma – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/symptoms-causes/syc-20351507

  In childhood asthma, the lungs and airways become easily inflamed when exposed to certain triggers. Such triggers include inhaling pollen or catching a cold or other respiratory infection. Childhood asthma can cause irritating daily symptoms that interfere with play, sports, school and sleep. In some children, unmanaged asthma can cause dangerous asthma attacks. […] Common childhood asthma symptoms include: A whistling or wheezing sound when breathing out. Shortness of breath. Chest congestion or tightness. Frequent coughing that worsens when your child: Has a viral infection. Is sleeping. Is exercising. Is in the cold air. […] Childhood asthma also might cause: Trouble sleeping due to shortness of breath, coughing or wheezing. Bouts of coughing or wheezing that get worse with a cold or the flu. Delayed recovery or bronchitis after a respiratory infection. Trouble breathing that hampers play or exercise. Fatigue, which can be due to poor sleep.

• #12 Assess Your Child’s Asthma Symptoms | Brown University Health

  https://www.brownhealth.org/centers-services/pediatric-respiratory-and-immunology-center/assess-asthma-symptoms

  Other signs of asthma can include: Coughing or wheezing that worsens with a respiratory infection, Frequent respiratory infections, Slow recovery after a respiratory infection, Difficulty breathing that hinders play or exercise, Difficulty sleeping due to shortness of breath, coughing or wheezing, Fatigue. […] The severity of your childs asthma can change over time. Knowing the severity can help you understand how to best manage the asthma and control symptoms in the case of a flare-up. […] The four levels of asthma severity are: Intermittent asthma: Symptoms occur no more than two times a week. Mild persistent asthma: Symptoms occur more than two times a week, but not daily. Moderate persistent asthma: Symptoms occur every day. Severe persistent asthma: Symptoms occur multiple times a day, and the child often experiences flare-ups that cause a significant decrease in their physical activity.

• #13 Childhood Asthma

  https://www.aaaai.org/tools-for-the-public/conditions-library/asthma/childhood-asthma

  Childhood AsthmaAlthough there is no proven way to predict which children will develop asthma, studies have identified certain predictors for asthma in children: Diagnosed allergies, including skin and food allergies or allergic rhinitis (hay fever) A family history of allergies or asthma Prenatal and postnatal exposure to tobacco smoke Obesity Living in an area with high air pollution […] Symptoms of Childhood Asthma Diagnosing asthma in children can be difficult. Many children will go symptom-free for long periods of time before having an asthma attack. The symptoms of asthma can be confused with those of other respiratory diseases. And depending on your childs age, it may be difficult for him or her to explain his or her symptoms. Children with asthma may show the same symptoms as adults with asthma, coughing, wheezing and shortness of breath. In some children, chronic cough may be the only symptom. If your child has one or more of these common symptoms, make an appointment with an allergist / immunologist: Coughing that is constant or made worse by viral infections, happens while your child is asleep or is triggered by exercise or cold air Wheezing or whistling sound when your child exhales Shortness of breath or rapid breathing, which may be associated with exercise Chest tightness (a young child may say that his chest hurts or feels funny) Fatigue (your child slows down or stops playing) Problems feeding or grunting during feeding (infants) Avoiding sports or social activities Problems sleeping due to coughing or difficulty breathing

• #14 Recognizing the Signs of Asthma | Children’s Hospital Los Angeles

  https://www.chla.org/blog/advice-experts/recognizing-signs-asthma

  Asthma affects as many as 10 to 12 percent of children in the United States and is one of the leading causes of chronic illness in children. For unknown reasons, the incidence of asthma in children is steadily increasing. […] It’s important to note that not all children with asthma exhibit the most obvious symptoms, like wheezing. Chronic coughing may be the only obvious sign, but a child’s asthma may go unrecognized if the cough is attributed to other conditions such as recurrent bronchitis or allergies. […] While asthma symptoms can begin at any age, most children experience symptoms by age 5. […] A young child who has frequent wheezing with colds or respiratory infections is more likely to have asthma if: Family members have asthma or allergies. The child already shows other signs of allergies, including the allergic skin condition eczema or food allergies. The child wheezes even when they don’t have a cold or other infection.

• #15 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics

  Asthma is a chronic condition with symptoms that may include cough, wheezing, chest tightness or pain, and/or difficulty breathing. These symptoms occur periodically, usually related to specific triggering events. […] Symptoms of asthma in children include coughing and wheezing. The cough is usually dry and hacking and is often most noticeable while the child sleeps and during early morning hours. It may also be triggered by exercise or cold air exposure. Wheezing is a high-pitched, musical sound that is usually heard when the child breathes out. It can generally only be heard with a stethoscope. […] Asthma symptoms often develop in children before five years of age, although it is sometimes difficult to diagnose asthma in infants and toddlers. Up to a third of children under three years of age will cough and wheeze with colds, but many of them will not go on to have asthma. Thus, the diagnosis is usually established when the patient continues to have recurrent episodes after turning three years of age.

• #16 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics/print

  Asthma is a chronic condition with symptoms that may include cough, wheezing, chest tightness or pain, and/or difficulty breathing. These symptoms occur periodically, usually related to specific triggering events. […] Symptoms of asthma in children include coughing and wheezing. The cough is usually dry and hacking and is often most noticeable while the child sleeps and during early morning hours. It may also be triggered by exercise or cold air exposure. Wheezing is a high-pitched, musical sound that is usually heard when the child breathes out. It can generally only be heard with a stethoscope. […] Asthma symptoms often develop in children before five years of age, although it is sometimes difficult to diagnose asthma in infants and toddlers. Up to a third of children under three years of age will cough and wheeze with colds, but many of them will not go on to have asthma. Thus, the diagnosis is usually established when the patient continues to have recurrent episodes after turning three years of age.

• #17 Childhood Asthma

  https://www.aaaai.org/tools-for-the-public/conditions-library/asthma/childhood-asthma

  Childhood AsthmaAlthough there is no proven way to predict which children will develop asthma, studies have identified certain predictors for asthma in children: Diagnosed allergies, including skin and food allergies or allergic rhinitis (hay fever) A family history of allergies or asthma Prenatal and postnatal exposure to tobacco smoke Obesity Living in an area with high air pollution […] Symptoms of Childhood Asthma Diagnosing asthma in children can be difficult. Many children will go symptom-free for long periods of time before having an asthma attack. The symptoms of asthma can be confused with those of other respiratory diseases. And depending on your childs age, it may be difficult for him or her to explain his or her symptoms. Children with asthma may show the same symptoms as adults with asthma, coughing, wheezing and shortness of breath. In some children, chronic cough may be the only symptom. If your child has one or more of these common symptoms, make an appointment with an allergist / immunologist: Coughing that is constant or made worse by viral infections, happens while your child is asleep or is triggered by exercise or cold air Wheezing or whistling sound when your child exhales Shortness of breath or rapid breathing, which may be associated with exercise Chest tightness (a young child may say that his chest hurts or feels funny) Fatigue (your child slows down or stops playing) Problems feeding or grunting during feeding (infants) Avoiding sports or social activities Problems sleeping due to coughing or difficulty breathing

• #18 Childhood asthma – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/symptoms-causes/syc-20351507

  In childhood asthma, the lungs and airways become easily inflamed when exposed to certain triggers. Such triggers include inhaling pollen or catching a cold or other respiratory infection. Childhood asthma can cause irritating daily symptoms that interfere with play, sports, school and sleep. In some children, unmanaged asthma can cause dangerous asthma attacks. […] Common childhood asthma symptoms include: A whistling or wheezing sound when breathing out. Shortness of breath. Chest congestion or tightness. Frequent coughing that worsens when your child: Has a viral infection. Is sleeping. Is exercising. Is in the cold air. […] Childhood asthma also might cause: Trouble sleeping due to shortness of breath, coughing or wheezing. Bouts of coughing or wheezing that get worse with a cold or the flu. Delayed recovery or bronchitis after a respiratory infection. Trouble breathing that hampers play or exercise. Fatigue, which can be due to poor sleep.

• #19 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Asthma in children is one of the most common causes of missed school days. The airway condition can disrupt sleep, play and other activities. […] Common asthma symptoms in children ages 5 to 11 include: Coughing, especially at night. A high-pitched whistling sound made while breathing out, called wheezing. Trouble breathing. Chest pain, tightness or discomfort. Staying away from or losing interest in sports or physical activities. […] Some children have few day-to-day symptoms, but they have serious asthma attacks now and then. Other children have mild symptoms or symptoms that get worse at certain times. […] You may notice that your child’s asthma symptoms get worse: At night or in the early morning. With activity. When your child has a cold. With triggers such as cigarette smoke or seasonal allergies. During strong emotional reactions, such as crying or laughing.

• #20 Recognizing the Signs of Asthma | Children’s Hospital Los Angeles

  https://www.chla.org/blog/advice-experts/recognizing-signs-asthma

  Cough, even without wheezing, is a very common symptom in children with asthma. The cough may be more common at night, and the child may or may not cough up mucus. […] While everyone who catches a cold will cough, a common sign of asthma is a cough that lasts much longer than in other people after a routine cold, as long as 2-3 weeks. […] Shortness of breath is characterized by a feeling of not getting enough air into the lungs. It may occur only once in a while, or often. Children with asthma commonly note this symptom during any type of physical activity, whether playing formal sports or at recess. […] Shortness of breath can also feel like tiredness or a decreased ability to do normal activities. Young children who are not yet verbal may experience feeding problems with shortness of breath while older children may describe tiredness, fatigue, or being unable to keep up with other kids their age.

• #21 Recognizing the Signs of Asthma | Children’s Hospital Los Angeles

  https://www.chla.org/blog/advice-experts/recognizing-signs-asthma

  Cough, even without wheezing, is a very common symptom in children with asthma. The cough may be more common at night, and the child may or may not cough up mucus. […] While everyone who catches a cold will cough, a common sign of asthma is a cough that lasts much longer than in other people after a routine cold, as long as 2-3 weeks. […] Shortness of breath is characterized by a feeling of not getting enough air into the lungs. It may occur only once in a while, or often. Children with asthma commonly note this symptom during any type of physical activity, whether playing formal sports or at recess. […] Shortness of breath can also feel like tiredness or a decreased ability to do normal activities. Young children who are not yet verbal may experience feeding problems with shortness of breath while older children may describe tiredness, fatigue, or being unable to keep up with other kids their age.

• #22 Pediatric Asthma: Practice Essentials, Background, Pathophysiology

  https://emedicine.medscape.com/article/1000997-overview

  Asthma, which occurs in adult and pediatric patients, is a chronic inflammatory disorder of the airways characterized by an obstruction of airflow. Among children and adolescents aged 5-17 years, asthma accounts for a loss of 10 million school days annually and costs caretakers $726.1 million per year because of work absence. […] The clinician should establish whether the patient has any of the following symptoms: Wheezing: A musical, high-pitched whistling sound produced by airflow turbulence is one of the most common symptoms of asthma. The wheezing is usually during exhalation. Cough: Usually, the cough is nonproductive and nonparoxysmal; coughing may be present with wheezing. Cough at night or with exercise: Coughing may be the only symptom of asthma, especially in cases of exercise-induced or nocturnal asthma; children with nocturnal asthma tend to cough after midnight, during the early hours of morning. Shortness of breath. Chest tightness: A history of tightness or pain in the chest may be present with or without other symptoms of asthma, especially in exercise-induced or nocturnal asthma. Sputum production.

• #23 Childhood Asthma: Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/asthma/children-asthma

  Childhood asthma is the same lung disease that adults get, but kids often have different symptoms. Doctors may also call this pediatric asthma. […] If your child has asthma, their lungs and airways may get easily inflamed when they have a cold or are around things such as pollen. The symptoms may make it hard for your child to do everyday activities or sleep. […] When your child has an asthma attack, the tubes that carry air to their lungs (bronchial tubes) become swollen and make extra mucus. This makes it harder for them to breathe, which leads to the following signs and symptoms: A cough that doesn’t go away, coughing spells that happen often, especially during play or exercise, at night, in cold air, or while laughing or crying (young kids may say that they „cough all the time”), a cough that gets worse after a viral infection, such as a cold or the flu, less energy during play, and stopping to catch their breath during activities, avoiding sports or social activities, trouble sleeping because of coughing or breathing problems, rapid breathing, chest tightness or pain (young kids may say their chest „hurts” or „feels funny”), wheezing, a whistling sound when breathing in or out, seesaw motions in their chest (retractions), shortness of breath, tight neck and chest muscles, feeling weak or tired, trouble eating, or grunting while eating (in infants).

• #24 Childhood asthma – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/symptoms-causes/syc-20351507

  In childhood asthma, the lungs and airways become easily inflamed when exposed to certain triggers. Such triggers include inhaling pollen or catching a cold or other respiratory infection. Childhood asthma can cause irritating daily symptoms that interfere with play, sports, school and sleep. In some children, unmanaged asthma can cause dangerous asthma attacks. […] Common childhood asthma symptoms include: A whistling or wheezing sound when breathing out. Shortness of breath. Chest congestion or tightness. Frequent coughing that worsens when your child: Has a viral infection. Is sleeping. Is exercising. Is in the cold air. […] Childhood asthma also might cause: Trouble sleeping due to shortness of breath, coughing or wheezing. Bouts of coughing or wheezing that get worse with a cold or the flu. Delayed recovery or bronchitis after a respiratory infection. Trouble breathing that hampers play or exercise. Fatigue, which can be due to poor sleep.

• #25 Asthma In Children | KidsHealth New Zealand’s Trusted Voice On Children’s Health

  https://www.kidshealth.org.nz/asthma

  Asthma is a condition that leads to narrowing of the airways of the lungs. Symptoms include wheeze, cough and difficulty breathing. […] In asthma, your child’s airways are inflamed and there is: swelling of the airway wall, an increase in mucus or phlegm, tightening of the muscle in the airway wall. […] These changes cause narrowing of your child’s airways. This leads to wheezing, cough and difficulty with breathing. […] One in 4 tamariki in New Zealand will have asthma at some time during childhood. […] Some tamariki have asthma all year round. Others may only have it in certain seasons or situations. […] Signs and symptoms of asthma include: wheezes and coughs with a cold (virus), wheezes and coughs after exercise, wheezes and coughs during the night, cannot keep up when they are running around with tamariki of the same age, says they are out of breath or breathless, complains they feel tired or ask you to carry them when you go for a walk, does not run around as much as tamariki of the same age. […] Asthma is a long-term condition. The majority of tamariki with asthma have less troublesome asthma as teenagers. Symptoms can appear again in adulthood. If your child has severe asthma, it is more likely to continue or return in later life.

• #26 Asthma in Children | AAFA.org

  https://aafa.org/asthma/living-with-asthma/asthma-in-children/

  Around 4.9 million children in the United States have asthma. Asthma is one of the most common chronic (long-term) diseases in children. It is also one of the main causes for missed school days. It cannot be cured, but it can be managed. […] Childhood asthma tends to affect more male children than female children. But during adulthood, females have higher rates of asthma than males. Some studies suggest that the increase in testosterone hormone in males decreases swelling in the airways. […] The signs and symptoms of asthma in a baby or toddler include: Coughing (persistent, repeated, and/or at night), Fast or rapid breathing, Working harder to breathe, Panting with normal activities such as playing, Wheezing (a whistling sound), Trouble sucking or eating, Tiredness, not interested in normal or favorite activities, Cyanosis, a tissue color change on mucus membranes.

• #27 Recognizing the Signs of Asthma | Children’s Hospital Los Angeles

  https://www.chla.org/blog/advice-experts/recognizing-signs-asthma

  Cough, even without wheezing, is a very common symptom in children with asthma. The cough may be more common at night, and the child may or may not cough up mucus. […] While everyone who catches a cold will cough, a common sign of asthma is a cough that lasts much longer than in other people after a routine cold, as long as 2-3 weeks. […] Shortness of breath is characterized by a feeling of not getting enough air into the lungs. It may occur only once in a while, or often. Children with asthma commonly note this symptom during any type of physical activity, whether playing formal sports or at recess. […] Shortness of breath can also feel like tiredness or a decreased ability to do normal activities. Young children who are not yet verbal may experience feeding problems with shortness of breath while older children may describe tiredness, fatigue, or being unable to keep up with other kids their age.

• #28 Asthma

  https://www.nhs.uk/conditions/asthma/

  The main symptoms of asthma are problems with breathing, such as: wheezing, coughing, shortness of breath, your chest feeling tight. […] Asthma symptoms can be mild or severe. They usually come and go. They may be worse at night and early in the morning. […] An asthma attack is when you have severe symptoms and it’s difficult to breathe, which can be life-threatening. […] Symptoms can be triggered by different things including exercise, high levels of air pollution, cold air, or contact with something you’re allergic to, such as pollen, dust, mould or animals. […] Asthma usually starts in children, but it can happen at any age. […] If you or your child have asthma and your symptoms are not improving or are stopping you doing your usual activities or waking you up at night. […] Asthma can take some time to diagnose because the symptoms often vary over time and breathing problems can have different causes.

• #29 Childhood Asthma

  https://www.aaaai.org/tools-for-the-public/conditions-library/asthma/childhood-asthma

  Childhood AsthmaAlthough there is no proven way to predict which children will develop asthma, studies have identified certain predictors for asthma in children: Diagnosed allergies, including skin and food allergies or allergic rhinitis (hay fever) A family history of allergies or asthma Prenatal and postnatal exposure to tobacco smoke Obesity Living in an area with high air pollution […] Symptoms of Childhood Asthma Diagnosing asthma in children can be difficult. Many children will go symptom-free for long periods of time before having an asthma attack. The symptoms of asthma can be confused with those of other respiratory diseases. And depending on your childs age, it may be difficult for him or her to explain his or her symptoms. Children with asthma may show the same symptoms as adults with asthma, coughing, wheezing and shortness of breath. In some children, chronic cough may be the only symptom. If your child has one or more of these common symptoms, make an appointment with an allergist / immunologist: Coughing that is constant or made worse by viral infections, happens while your child is asleep or is triggered by exercise or cold air Wheezing or whistling sound when your child exhales Shortness of breath or rapid breathing, which may be associated with exercise Chest tightness (a young child may say that his chest hurts or feels funny) Fatigue (your child slows down or stops playing) Problems feeding or grunting during feeding (infants) Avoiding sports or social activities Problems sleeping due to coughing or difficulty breathing

• #30 Asthma in children | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/asthma-in-children

  Asthma is a common chronic lung disease that causes variable symptoms such as wheezing, cough, shortness of breath or chest tightness due to reversible narrowing of the airway tubes. The frequency and intensity of symptoms tend to vary over time. […] The most important asthma symptoms in children are: Cough: caused by the need to cough up extra mucus in the lungs or from the irritation of the airways (twitchiness) […] Asthma attacks or flares come and go. When an attack begins, you will notice that your child’s symptoms become worse and may worsen rapidly. […] Although asthma symptoms may occur throughout the day and night, they are often worse during sleeping hours, usually after midnight. New night-time symptoms are signs that a new flare, or worsening of asthma control, has started.

• #31

  https://www.who.int/news-room/fact-sheets/detail/asthma

  Some people will have worse symptoms when they have a cold or during changes in the weather. […] People with under-treated asthma can suffer sleep disturbance, tiredness during the day, and poor concentration. […] If symptoms are severe, people with asthma may need to receive emergency health care and they may be admitted to hospital for treatment and monitoring. […] In the most severe cases, asthma can lead to death.

• #32 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics/print

  Wheezing and coughing may occur at any time, but certain triggers are known to worsen asthma in many children. […] Children with chronic asthma may have one of several distinct patterns of symptoms, and the asthma pattern may change over time: Intermittent asthma attacks with no symptoms between attacks; Chronic symptoms with intermittent worsening; Attacks that become more severe or frequent over time; Morning „dipping,” when symptoms worsen in the morning and improve as the day progresses; Symptoms that begin during upper respiratory tract infections (eg, colds) and linger for several weeks after, with resolution during warmer weather when respiratory infections are typically less common. […] Most asthma episodes/exacerbations develop slowly over a period of several days. Uncommonly, a severe attack can occur suddenly, even in someone with intermittent asthma, and with minimal warning.

• #33 Understanding your child’s asthma | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/manage/how

  Some of the symptoms your child might have are: wheezing, coughing, feeling short of breath, a tight chest. […] Speak to your GP if your child: needs to use their reliever inhaler three or more times a week, wakes up at night coughing or wheezing, struggles to do exercise, needs time off school or nursery because of their asthma. […] Your child might also: complain of a tummy ache, lose their appetite, say their ribs ache, seem more tired than normal, breathe faster or more shallow, breathe differently, for example using their neck muscles, be unable to talk or complete sentences. […] Coughing and wheezing are common in babies and young children. Children don’t always cough and wheeze because of asthma. Coughing or wheezing is more likely to be asthma if they have other asthma symptoms at the same time. They might also have no symptoms between these episodes. […] It can be helpful to monitor your child’s asthma symptoms over time to work out what their triggers might be, or if their asthma is getting worse. […] An asthma attack is where your symptoms get bad quickly, and you might feel like you can’t breathe.

• #34 Assess Your Child’s Asthma Symptoms | Brown University Health

  https://www.brownhealth.org/centers-services/pediatric-respiratory-and-immunology-center/assess-asthma-symptoms

  Other signs of asthma can include: Coughing or wheezing that worsens with a respiratory infection, Frequent respiratory infections, Slow recovery after a respiratory infection, Difficulty breathing that hinders play or exercise, Difficulty sleeping due to shortness of breath, coughing or wheezing, Fatigue. […] The severity of your childs asthma can change over time. Knowing the severity can help you understand how to best manage the asthma and control symptoms in the case of a flare-up. […] The four levels of asthma severity are: Intermittent asthma: Symptoms occur no more than two times a week. Mild persistent asthma: Symptoms occur more than two times a week, but not daily. Moderate persistent asthma: Symptoms occur every day. Severe persistent asthma: Symptoms occur multiple times a day, and the child often experiences flare-ups that cause a significant decrease in their physical activity.

• #35 Your Child’s Asthma: How Severe Is It?

  https://www.nationwidechildrens.org/conditions/health-library/your-childs-asthma-how-severe-is-it

  Asthma can be graded based on symptoms. The severity of your child’s asthma is likely to change over time. The goal of treatment is always to have as few symptoms as possible. […] Children with symptoms no more than 2 times a week. They don’t have problems in between flare-ups. And they only have short flare-ups lasting a few hours to a few days. Nighttime symptoms happen less than 2 times a month. […] Children with symptoms more than 2 times a week, but not daily. They may have activity levels affected by the flare-ups. Nighttime symptoms happen more than 2 times a month, but no more than once a week. […] Children with symptoms every day. They use their rescue medicine every day. They may have activity levels affected by the flare-ups. Nighttime symptoms happen more often than once a week.

• #36 Your Child’s Asthma: How Severe Is It?

  https://www.nationwidechildrens.org/conditions/health-library/your-childs-asthma-how-severe-is-it

  Asthma can be graded based on symptoms. The severity of your child’s asthma is likely to change over time. The goal of treatment is always to have as few symptoms as possible. […] Children with symptoms no more than 2 times a week. They don’t have problems in between flare-ups. And they only have short flare-ups lasting a few hours to a few days. Nighttime symptoms happen less than 2 times a month. […] Children with symptoms more than 2 times a week, but not daily. They may have activity levels affected by the flare-ups. Nighttime symptoms happen more than 2 times a month, but no more than once a week. […] Children with symptoms every day. They use their rescue medicine every day. They may have activity levels affected by the flare-ups. Nighttime symptoms happen more often than once a week.

• #37 Your Child’s Asthma: How Severe Is It?

  https://www.nationwidechildrens.org/conditions/health-library/your-childs-asthma-how-severe-is-it

  Asthma can be graded based on symptoms. The severity of your child’s asthma is likely to change over time. The goal of treatment is always to have as few symptoms as possible. […] Children with symptoms no more than 2 times a week. They don’t have problems in between flare-ups. And they only have short flare-ups lasting a few hours to a few days. Nighttime symptoms happen less than 2 times a month. […] Children with symptoms more than 2 times a week, but not daily. They may have activity levels affected by the flare-ups. Nighttime symptoms happen more than 2 times a month, but no more than once a week. […] Children with symptoms every day. They use their rescue medicine every day. They may have activity levels affected by the flare-ups. Nighttime symptoms happen more often than once a week.

• #38 Your Child’s Asthma: How Severe Is It?

  https://www.nationwidechildrens.org/conditions/health-library/your-childs-asthma-how-severe-is-it

  Children with symptoms multiple times per day. They have a decrease in their physical activity, and often have flare-ups. They need rescue medicine a few times a day. Nighttime symptoms happen often. […] Any child with asthma can be at risk for severe problems (exacerbations) no matter the severity of their asthma. Be alert for symptoms getting worse. Always give your child medicines as instructed by their healthcare provider.

• #39 Your Child’s Asthma: How Severe Is It?

  https://www.nationwidechildrens.org/conditions/health-library/your-childs-asthma-how-severe-is-it

  Children with symptoms multiple times per day. They have a decrease in their physical activity, and often have flare-ups. They need rescue medicine a few times a day. Nighttime symptoms happen often. […] Any child with asthma can be at risk for severe problems (exacerbations) no matter the severity of their asthma. Be alert for symptoms getting worse. Always give your child medicines as instructed by their healthcare provider.

• #40 Asthma Flare-Ups (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/flare-up.html

  An asthma flare-up is when asthma symptoms get worse, making kids wheeze, cough, or be short of breath. […] Asthma flare-ups can vary in strength and length. They can sometimes happen without warning, causing sudden coughing, shortness of breath, and wheezing. […] During a flare-up, symptoms include worsening cough, especially at night or while active, trouble breathing, a tight chest, and a whistling sound while breathing out (wheezing).

• #41 Asthma in Children | Asthma Symptoms | MedlinePlus

  https://medlineplus.gov/asthmainchildren.html

  Asthma often starts during childhood, usually before age 5. Many children have asthma – it is the most common chronic disease of childhood. It can cause children to miss school and end up in the hospital. But treatments can help manage asthma. […] The symptoms of asthma in children include: Chest tightness, Coughing, especially at night or early morning, Breathing problems, such as shortness of breath, rapid breathing, or gasping for air, Feeling tired, Dark circles under the eyes, Being irritable, Wheezing, which causes a whistling sound when they breathe out, Trouble eating or sucking (in infants). […] When children have an asthma attack, their symptoms get much worse. The attacks may come on gradually or suddenly. Sometimes they can be life-threatening. Warning signs of a severe attack include severe coughing, serious breathing problems, and turning very pale or blue in the face, lips and/or fingernails. If your child has those symptoms, get medical help right away.

• #42 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #43 Asthma in Children: Symptoms, Diagnosis, and Treatments

  https://www.healthline.com/health/asthma/asthma-in-children

  Severe asthma attacks in children may also look like: severe shortness of breath; bluish tint to the lips; low blood pressure (hypotension); high or low heart rate; agitation or confusion. […] Severe asthma attacks in both children and adults can be life threatening and require immediate medical attention. […] The development of childhood asthma can be caused by a variety of factors, including: Genetics. Having a family history of asthma or allergies has been shown to increase the risk of having asthma. […] Having allergies may increase a childs risk of developing asthma. […] Having frequent respiratory infections may lead to the development of symptoms of asthma in children, especially in children under age 5. […] For most children with asthma, there are certain triggers that can cause a worsening of symptoms or lead to an asthma attack.

• #44 Asthma in Children – Children’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/children-s-health-issues/respiratory-disorders-in-infants-and-children/asthma-in-children

  Wheezing, cough, shortness of breath, chest tightness, and difficulty breathing are symptoms of asthma. […] As the airways narrow during an asthma attack, the child develops difficulty breathing, chest tightness, and coughing, typically accompanied by wheezing. Wheezing is a high-pitched noise heard when the child breathes out. […] In a severe attack, breathing becomes visibly difficult, wheezing usually becomes louder, the child breathes faster and with greater effort, and the ribs stand out when the child breathes in (inspiration). […] In an extremely severe asthma attack, children may not wheeze because there is too little air flowing to even make a noise. […] Many children who wheeze in childhood do not have asthma later in life. […] Although asthma can develop at any age, it most commonly begins in childhood, particularly in the first 5 years of life. […] Many children outgrow asthma. However, as many as 1 in 4 children either continue to have asthma attacks or the asthma symptoms resolve only to return (called relapse) when children are older. […] Children who have severe asthma are more likely to have asthma as adults.

• #45 Asthma

  https://www.nhs.uk/conditions/asthma/

  The main symptoms of asthma are problems with breathing, such as: wheezing, coughing, shortness of breath, your chest feeling tight. […] Asthma symptoms can be mild or severe. They usually come and go. They may be worse at night and early in the morning. […] An asthma attack is when you have severe symptoms and it’s difficult to breathe, which can be life-threatening. […] Symptoms can be triggered by different things including exercise, high levels of air pollution, cold air, or contact with something you’re allergic to, such as pollen, dust, mould or animals. […] Asthma usually starts in children, but it can happen at any age. […] If you or your child have asthma and your symptoms are not improving or are stopping you doing your usual activities or waking you up at night. […] Asthma can take some time to diagnose because the symptoms often vary over time and breathing problems can have different causes.

• #46 Asthma in Children – Asthma Canada

  https://asthma.ca/get-help/asthma-in-children/

  In young children, cough is often the only symptom of asthma. […] Asthma symptoms generally include coughing, wheezing, and shortness of breath, but asthma symptoms vary widely among children. […] The most common cause of asthma in infants and children under three years of age is a cold. Even after the cold is gone, asthma symptoms and airway swelling can last for several weeks. […] A child with recurring bouts of coughing and wheezing with lingering symptoms is likely to have Asthma. […] Evidence shows that in approximately two-thirds of children diagnosed with asthma, the asthma will quiet down by puberty. However, one-third of these who were asthma free at puberty have asthma symptoms in their mid-twenties.

• #47

  https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/asthma-triggers-and-what-to-do-about-them.aspx

  Asthma is the most common chronic disease affecting children worldwide. About one out of every 10 U.S. children has asthma. […] Children who have an asthma flare caused by one of these viruses also have a harder time managing symptoms with their usual treatment. This is called treatment failure, and is often linked to hospitalization, emergency room visits or relapse. […] Pollutants can irritate the lungs and increase airway inflammation. Tobacco smoke is especially damaging to the lungs and can trigger asthma flares. Children who are exposed to environmental tobacco smoke have more wheezing, more severe asthma and longer lasting symptoms. […] Asthma flares from indoor allergens are common in children with allergies. These allergens include dust mites, cockroaches, mice and pet dander.

• #48 Asthma in Children: Symptoms, Diagnosis, and Treatments

  https://www.healthline.com/health/asthma/asthma-in-children

  Common asthma triggers include: respiratory infections, such as the common cold or flu; physical exercise, especially in cold, dry, or humid weather; smoke and air pollution, from tobacco, bonfires, and industrial pollution; allergies, especially to animals, dust mites, mold, and other common allergens. […] Once you know your childs asthma triggers, you can make a few lifestyle adjustments to help your child avoid them as much as possible. […] Diagnosing asthma in children can be difficult, especially when they have a hard time communicating symptoms. […] There are some diagnostic tools your childs doctor can use to narrow down a diagnosis. […] Diagnosis of childhood asthma includes a medical history review and, if necessary, other diagnostic tests. […] Treatment options for asthma include both short-term and long-term medications and lifestyle changes to help manage the symptoms. […] If your child has been experiencing asthma symptoms, schedule a visit with their pediatrician to find out more.

• #49

  https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/asthma-triggers-and-what-to-do-about-them.aspx

  Seasonal exposure to outdoor allergens can also trigger asthma exacerbations. Pollens and molds are the most common outdoor allergens. […] Household pets are a common indoor allergen and trigger for asthma flares. […] Cold and dry air can be irritating to the lungs, cause airway inflammation and trigger asthma flares. […] When they exercise, many people with asthma develop cough, wheezing, chest tightness and shortness of breath. […] Children who have asthma and are allergic to insects are at increased risk for an asthma flare after a sting. […] Stress and anxiety can sometimes increase airway inflammation and trigger asthma symptoms. […] Keeping your child away from asthma triggers can help prevent flare-ups. It can protect your child’s airway from being inflamed and keep it from overreacting. This can reduce how often, how long and how severe your child’s asthma symptoms are and improve your child’s quality of life.

• #50

  https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/asthma-triggers-and-what-to-do-about-them.aspx

  Asthma is the most common chronic disease affecting children worldwide. About one out of every 10 U.S. children has asthma. […] Children who have an asthma flare caused by one of these viruses also have a harder time managing symptoms with their usual treatment. This is called treatment failure, and is often linked to hospitalization, emergency room visits or relapse. […] Pollutants can irritate the lungs and increase airway inflammation. Tobacco smoke is especially damaging to the lungs and can trigger asthma flares. Children who are exposed to environmental tobacco smoke have more wheezing, more severe asthma and longer lasting symptoms. […] Asthma flares from indoor allergens are common in children with allergies. These allergens include dust mites, cockroaches, mice and pet dander.

• #51

  https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/asthma-triggers-and-what-to-do-about-them.aspx

  Seasonal exposure to outdoor allergens can also trigger asthma exacerbations. Pollens and molds are the most common outdoor allergens. […] Household pets are a common indoor allergen and trigger for asthma flares. […] Cold and dry air can be irritating to the lungs, cause airway inflammation and trigger asthma flares. […] When they exercise, many people with asthma develop cough, wheezing, chest tightness and shortness of breath. […] Children who have asthma and are allergic to insects are at increased risk for an asthma flare after a sting. […] Stress and anxiety can sometimes increase airway inflammation and trigger asthma symptoms. […] Keeping your child away from asthma triggers can help prevent flare-ups. It can protect your child’s airway from being inflamed and keep it from overreacting. This can reduce how often, how long and how severe your child’s asthma symptoms are and improve your child’s quality of life.

• #52 Assess Your Child’s Asthma Symptoms | Brown University Health

  https://www.brownhealth.org/centers-services/pediatric-respiratory-and-immunology-center/assess-asthma-symptoms

  When children have asthma, the goal of their treatment is to keep symptoms under control at all times. Having well-controlled asthma means having few or no symptoms, few flare-ups, no limitations on physical activity, minimal use of rescue inhalers, and few side effects from medications. […] Tracking your childs asthma symptoms can help you and the doctor stay aware of any improvements or issues throughout a treatment plan. […] Finding what triggers your childs asthma can take some time but will help you avoid flare-ups or more severe reactions. […] After your child experiences a few flare-ups, you may start to learn the early warning signs and know when a flare-up is going to occur before obvious symptoms even start. […] Make sure you understand all the medications your child takes, including the names, the correct dosages, and when your child should take each one.

• #53 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Asthma symptom progression through childhood and adolescence has not been well studied, in part due to the challenges in obtaining consistent and robust long-term follow-up data on a large series of subjects with asthma. […] Data analyses showed three age- and sex-related phases of asthma symptom progression: Phase 1 (ages 5 and 6 yr) greater severity in boys; Phase 2 (ages 7 to 9 yr) no sex difference in severity; and Phase 3 (age 10-17 yr) greater severity in girls. The continuous decline of symptoms in both sexes stops abruptly at the onset of puberty. […] The severity of asthma symptoms varies through childhood and adolescence, and patterns differ by sex. Puberty has a strong influence on symptom progression in both sexes. Progression of symptoms is a distinct aspect of asthma epidemiology.

• #54 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Asthma symptom progression through childhood and adolescence has not been well studied, in part due to the challenges in obtaining consistent and robust long-term follow-up data on a large series of subjects with asthma. […] Data analyses showed three age- and sex-related phases of asthma symptom progression: Phase 1 (ages 5 and 6 yr) greater severity in boys; Phase 2 (ages 7 to 9 yr) no sex difference in severity; and Phase 3 (age 10-17 yr) greater severity in girls. The continuous decline of symptoms in both sexes stops abruptly at the onset of puberty. […] The severity of asthma symptoms varies through childhood and adolescence, and patterns differ by sex. Puberty has a strong influence on symptom progression in both sexes. Progression of symptoms is a distinct aspect of asthma epidemiology.

• #55 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Asthma symptom progression through childhood and adolescence has not been well studied, in part due to the challenges in obtaining consistent and robust long-term follow-up data on a large series of subjects with asthma. […] Data analyses showed three age- and sex-related phases of asthma symptom progression: Phase 1 (ages 5 and 6 yr) greater severity in boys; Phase 2 (ages 7 to 9 yr) no sex difference in severity; and Phase 3 (age 10-17 yr) greater severity in girls. The continuous decline of symptoms in both sexes stops abruptly at the onset of puberty. […] The severity of asthma symptoms varies through childhood and adolescence, and patterns differ by sex. Puberty has a strong influence on symptom progression in both sexes. Progression of symptoms is a distinct aspect of asthma epidemiology.

• #56 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Asthma symptom progression through childhood and adolescence has not been well studied, in part due to the challenges in obtaining consistent and robust long-term follow-up data on a large series of subjects with asthma. […] Data analyses showed three age- and sex-related phases of asthma symptom progression: Phase 1 (ages 5 and 6 yr) greater severity in boys; Phase 2 (ages 7 to 9 yr) no sex difference in severity; and Phase 3 (age 10-17 yr) greater severity in girls. The continuous decline of symptoms in both sexes stops abruptly at the onset of puberty. […] The severity of asthma symptoms varies through childhood and adolescence, and patterns differ by sex. Puberty has a strong influence on symptom progression in both sexes. Progression of symptoms is a distinct aspect of asthma epidemiology.

• #57 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Asthma symptom progression through childhood and adolescence has not been well studied, in part due to the challenges in obtaining consistent and robust long-term follow-up data on a large series of subjects with asthma. […] Data analyses showed three age- and sex-related phases of asthma symptom progression: Phase 1 (ages 5 and 6 yr) greater severity in boys; Phase 2 (ages 7 to 9 yr) no sex difference in severity; and Phase 3 (age 10-17 yr) greater severity in girls. The continuous decline of symptoms in both sexes stops abruptly at the onset of puberty. […] The severity of asthma symptoms varies through childhood and adolescence, and patterns differ by sex. Puberty has a strong influence on symptom progression in both sexes. Progression of symptoms is a distinct aspect of asthma epidemiology.

• #58 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Boys had more severe symptoms than girls before age 7 years, and symptoms in both sexes improved. […] The sex difference in symptoms was essentially indistinguishable at ages 7 to 9 years. […] Greater severity of symptoms among girls starts around age 10 years, after the halt of symptom improvement in both girls and boys, and the severities in the two sexes become more far apart along puberty. […] Symptoms in both sexes stop improving at the onset of puberty; girls’ symptoms deteriorate during puberty and boys’ symptoms do not improve until late puberty.

• #59 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics

  Wheezing and coughing may occur at any time, but certain triggers are known to worsen asthma in many children. […] Children with chronic asthma may have one of several distinct patterns of symptoms, and the asthma pattern may change over time: Intermittent asthma attacks with no symptoms between attacks, chronic symptoms with intermittent worsening, attacks that become more severe or frequent over time, morning „dipping,” when symptoms worsen in the morning and improve as the day progresses, symptoms that begin during upper respiratory tract infections (eg, colds) and linger for several weeks after, with resolution during warmer weather when respiratory infections are typically less common. […] Most asthma episodes/exacerbations develop slowly over a period of several days. Uncommonly, a severe attack can occur suddenly, even in someone with intermittent asthma, and with minimal warning.

• #60 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics/print

  Wheezing and coughing may occur at any time, but certain triggers are known to worsen asthma in many children. […] Children with chronic asthma may have one of several distinct patterns of symptoms, and the asthma pattern may change over time: Intermittent asthma attacks with no symptoms between attacks; Chronic symptoms with intermittent worsening; Attacks that become more severe or frequent over time; Morning „dipping,” when symptoms worsen in the morning and improve as the day progresses; Symptoms that begin during upper respiratory tract infections (eg, colds) and linger for several weeks after, with resolution during warmer weather when respiratory infections are typically less common. […] Most asthma episodes/exacerbations develop slowly over a period of several days. Uncommonly, a severe attack can occur suddenly, even in someone with intermittent asthma, and with minimal warning.

• #61 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics/print

  Wheezing and coughing may occur at any time, but certain triggers are known to worsen asthma in many children. […] Children with chronic asthma may have one of several distinct patterns of symptoms, and the asthma pattern may change over time: Intermittent asthma attacks with no symptoms between attacks; Chronic symptoms with intermittent worsening; Attacks that become more severe or frequent over time; Morning „dipping,” when symptoms worsen in the morning and improve as the day progresses; Symptoms that begin during upper respiratory tract infections (eg, colds) and linger for several weeks after, with resolution during warmer weather when respiratory infections are typically less common. […] Most asthma episodes/exacerbations develop slowly over a period of several days. Uncommonly, a severe attack can occur suddenly, even in someone with intermittent asthma, and with minimal warning.

• #62 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics/print

  Wheezing and coughing may occur at any time, but certain triggers are known to worsen asthma in many children. […] Children with chronic asthma may have one of several distinct patterns of symptoms, and the asthma pattern may change over time: Intermittent asthma attacks with no symptoms between attacks; Chronic symptoms with intermittent worsening; Attacks that become more severe or frequent over time; Morning „dipping,” when symptoms worsen in the morning and improve as the day progresses; Symptoms that begin during upper respiratory tract infections (eg, colds) and linger for several weeks after, with resolution during warmer weather when respiratory infections are typically less common. […] Most asthma episodes/exacerbations develop slowly over a period of several days. Uncommonly, a severe attack can occur suddenly, even in someone with intermittent asthma, and with minimal warning.

• #63 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics/print

  Wheezing and coughing may occur at any time, but certain triggers are known to worsen asthma in many children. […] Children with chronic asthma may have one of several distinct patterns of symptoms, and the asthma pattern may change over time: Intermittent asthma attacks with no symptoms between attacks; Chronic symptoms with intermittent worsening; Attacks that become more severe or frequent over time; Morning „dipping,” when symptoms worsen in the morning and improve as the day progresses; Symptoms that begin during upper respiratory tract infections (eg, colds) and linger for several weeks after, with resolution during warmer weather when respiratory infections are typically less common. […] Most asthma episodes/exacerbations develop slowly over a period of several days. Uncommonly, a severe attack can occur suddenly, even in someone with intermittent asthma, and with minimal warning.

• #64 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics/print

  Wheezing and coughing may occur at any time, but certain triggers are known to worsen asthma in many children. […] Children with chronic asthma may have one of several distinct patterns of symptoms, and the asthma pattern may change over time: Intermittent asthma attacks with no symptoms between attacks; Chronic symptoms with intermittent worsening; Attacks that become more severe or frequent over time; Morning „dipping,” when symptoms worsen in the morning and improve as the day progresses; Symptoms that begin during upper respiratory tract infections (eg, colds) and linger for several weeks after, with resolution during warmer weather when respiratory infections are typically less common. […] Most asthma episodes/exacerbations develop slowly over a period of several days. Uncommonly, a severe attack can occur suddenly, even in someone with intermittent asthma, and with minimal warning.

• #65 Patient education: Asthma symptoms and diagnosis in children (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/asthma-symptoms-and-diagnosis-in-children-beyond-the-basics

  Wheezing and coughing may occur at any time, but certain triggers are known to worsen asthma in many children. […] Children with chronic asthma may have one of several distinct patterns of symptoms, and the asthma pattern may change over time: Intermittent asthma attacks with no symptoms between attacks, chronic symptoms with intermittent worsening, attacks that become more severe or frequent over time, morning „dipping,” when symptoms worsen in the morning and improve as the day progresses, symptoms that begin during upper respiratory tract infections (eg, colds) and linger for several weeks after, with resolution during warmer weather when respiratory infections are typically less common. […] Most asthma episodes/exacerbations develop slowly over a period of several days. Uncommonly, a severe attack can occur suddenly, even in someone with intermittent asthma, and with minimal warning.

• #66 Asthma

  https://www.nhs.uk/conditions/asthma/

  Asthma is often a life-long condition, although asthma in young children sometimes goes away by the time they’re teenagers or adults. […] For most people, inhalers work well to prevent or reduce symptoms if they’re used correctly, and asthma has only a small impact on their daily life. But some people have more severe symptoms that are harder to control, and they need other treatment. […] An asthma attack can be life-threatening. But getting the right asthma treatment reduces the risk.

• #67 Childhood Asthma: Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/asthma/children-asthma

  There’s a lot that experts don’t know about infant lung function and asthma. But they believe that a child is more likely to be diagnosed with asthma by age 7 if they’ve had multiple wheezing episodes, have a mother with asthma, or have allergies. […] Once a child’s airways become sensitive, they stay that way for life. But about 50% of children see a sharp drop in asthma symptoms once they reach their teens. It may seem they’ve outgrown their asthma, but some will have symptoms again as adults. […] No, kids don’t outgrow asthma because asthma is a lifelong condition. Some kids may stop having symptoms (go into remission) when they become teens, but they generally still have asthma. Their symptoms may come back if they’re exposed to a trigger.

• #68 Asthma in Children: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/6776-asthma-in-children

  If asthma isn’t well-managed, it can cause a variety of issues and complications. These may include: Severe asthma attacks. Missed school or other activities. Frequent hospitalizations and/or emergency department visits. Permanent lung damage. […] There’s no cure for asthma. But most children can manage their asthma with appropriate treatment and prevention strategies. Untreated asthma can lead to long-term complications such as permanent lung damage. […] About half of children who have asthma have a noticeable decrease in symptoms by the time they become adolescents. Therefore, they appear to outgrow childhood asthma. However, childhood asthma can come back. About half of the children who seem to outgrow their asthma will develop asthma symptoms again in their 30s or 40s.

• #69 Asthma in Children – Children’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/children-s-health-issues/respiratory-disorders-in-infants-and-children/asthma-in-children

  Wheezing, cough, shortness of breath, chest tightness, and difficulty breathing are symptoms of asthma. […] As the airways narrow during an asthma attack, the child develops difficulty breathing, chest tightness, and coughing, typically accompanied by wheezing. Wheezing is a high-pitched noise heard when the child breathes out. […] In a severe attack, breathing becomes visibly difficult, wheezing usually becomes louder, the child breathes faster and with greater effort, and the ribs stand out when the child breathes in (inspiration). […] In an extremely severe asthma attack, children may not wheeze because there is too little air flowing to even make a noise. […] Many children who wheeze in childhood do not have asthma later in life. […] Although asthma can develop at any age, it most commonly begins in childhood, particularly in the first 5 years of life. […] Many children outgrow asthma. However, as many as 1 in 4 children either continue to have asthma attacks or the asthma symptoms resolve only to return (called relapse) when children are older. […] Children who have severe asthma are more likely to have asthma as adults.

• #70 Pediatric Asthma – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK551631/

  Evaluation with spirometry, complemented by postbronchodilator response, is pivotal for establishing a definitive diagnosis. […] Risk factors during infancy and childhood include male sex until age 20 when the incidence equalizes, abnormal neonatal lung function, atopy, sensitization and exposure to common allergens, obesity, and early puberty. […] Viral respiratory tract infections during infancy, especially those caused by respiratory syncytial virus and human rhinovirus, are predictors of subsequent asthma development in childhood and adulthood. […] Effective asthma management is crucial for long-term prognosis. The goals of asthma management include reducing the risk of future exacerbations, preventing hindered lung development in children, preserving lung function, and minimizing adverse medication effects. […] Childhood asthma patterns are strong predictors of long-term outcomes. Episodic asthma tends to result in better adult outcomes, whereas persistent childhood asthma often leads to ongoing symptoms and modest lung function impairment in adulthood.

• #71 Pediatric Asthma – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK551631/

  Evaluation with spirometry, complemented by postbronchodilator response, is pivotal for establishing a definitive diagnosis. […] Risk factors during infancy and childhood include male sex until age 20 when the incidence equalizes, abnormal neonatal lung function, atopy, sensitization and exposure to common allergens, obesity, and early puberty. […] Viral respiratory tract infections during infancy, especially those caused by respiratory syncytial virus and human rhinovirus, are predictors of subsequent asthma development in childhood and adulthood. […] Effective asthma management is crucial for long-term prognosis. The goals of asthma management include reducing the risk of future exacerbations, preventing hindered lung development in children, preserving lung function, and minimizing adverse medication effects. […] Childhood asthma patterns are strong predictors of long-term outcomes. Episodic asthma tends to result in better adult outcomes, whereas persistent childhood asthma often leads to ongoing symptoms and modest lung function impairment in adulthood.

• #72  Can Children Grow Out of Asthma?: Pediatric Practitioners of Oklahoma: Pediatrics

  https://www.pedsofok.com/blog/can-children-grow-out-of-asthma

  How your child experiences asthma can change over time, causing varied symptoms through each age and developmental stage. […] In babies and toddlers, asthma warning signs and symptoms include: […] Babies and toddlers with asthma may also develop cyanosis, or tissue color changes, because of low blood oxygen levels. This symptom can make their tongue, lips, eye area, fingertips, and nail beds appear bluish (on lighter skin) or whitish (on darker skin). […] Older kids and teens with asthma may also wheeze, cough frequently, and tire out easily, but theyre also more likely to experience episode-induced shortness of breath, chest tightness or discomfort, and asthma-related nighttime awakenings. […] Accordingly, asthma is often diagnosed in infants and toddlers who have persistent wheezing, wheezing that appears when they have a respiratory illness like the common cold, or wheezing that lingers after a viral infection. About two-thirds of all babies, toddlers, and preschoolers who wheeze when they have a cold no longer wheeze after the age of 6.

• #73 Asthma in Infants

  https://aafa.org/asthma/living-with-asthma/asthma-in-infants/

  The signs and symptoms of asthma in a baby or toddler include: Fast breathing […] Wheezing (a whistling sound) […] Persistent coughing […] At least half of children with asthma show some sign of it before the age of 5. Viruses are the most common cause of acute asthma episodes in infants 6 months old or younger. […] It is hard to diagnose asthma in infants and toddlers. Since they are not able to talk well, they cannot describe how they are feeling. […] Lung function tests often used to make a complete asthma diagnosis are hard to do with young children. […] Bronchodilators are quick-relief medicines (also called rescue or reliever medicines) that open up airways to relieve sudden symptoms. […] Many people with asthma, including infants and toddlers, are given a mix of medicines depending on how severe and how often they have symptoms. […] Learn the warning signs for increasing asthma in infants and toddlers. Know your child’s particular asthma symptom pattern. […] Once someone gets sensitive airways, they may stay that way for life. This is the case even though asthma symptoms can change over the years.

• #74  Can Children Grow Out of Asthma?: Pediatric Practitioners of Oklahoma: Pediatrics

  https://www.pedsofok.com/blog/can-children-grow-out-of-asthma

  How your child experiences asthma can change over time, causing varied symptoms through each age and developmental stage. […] In babies and toddlers, asthma warning signs and symptoms include: […] Babies and toddlers with asthma may also develop cyanosis, or tissue color changes, because of low blood oxygen levels. This symptom can make their tongue, lips, eye area, fingertips, and nail beds appear bluish (on lighter skin) or whitish (on darker skin). […] Older kids and teens with asthma may also wheeze, cough frequently, and tire out easily, but theyre also more likely to experience episode-induced shortness of breath, chest tightness or discomfort, and asthma-related nighttime awakenings. […] Accordingly, asthma is often diagnosed in infants and toddlers who have persistent wheezing, wheezing that appears when they have a respiratory illness like the common cold, or wheezing that lingers after a viral infection. About two-thirds of all babies, toddlers, and preschoolers who wheeze when they have a cold no longer wheeze after the age of 6.

• #75 Asthma in Infants

  https://aafa.org/asthma/living-with-asthma/asthma-in-infants/

  The signs and symptoms of asthma in a baby or toddler include: Fast breathing […] Wheezing (a whistling sound) […] Persistent coughing […] At least half of children with asthma show some sign of it before the age of 5. Viruses are the most common cause of acute asthma episodes in infants 6 months old or younger. […] It is hard to diagnose asthma in infants and toddlers. Since they are not able to talk well, they cannot describe how they are feeling. […] Lung function tests often used to make a complete asthma diagnosis are hard to do with young children. […] Bronchodilators are quick-relief medicines (also called rescue or reliever medicines) that open up airways to relieve sudden symptoms. […] Many people with asthma, including infants and toddlers, are given a mix of medicines depending on how severe and how often they have symptoms. […] Learn the warning signs for increasing asthma in infants and toddlers. Know your child’s particular asthma symptom pattern. […] Once someone gets sensitive airways, they may stay that way for life. This is the case even though asthma symptoms can change over the years.

• #76 Asthma in Children – Asthma Canada

  https://asthma.ca/get-help/asthma-in-children/

  In young children, cough is often the only symptom of asthma. […] Asthma symptoms generally include coughing, wheezing, and shortness of breath, but asthma symptoms vary widely among children. […] The most common cause of asthma in infants and children under three years of age is a cold. Even after the cold is gone, asthma symptoms and airway swelling can last for several weeks. […] A child with recurring bouts of coughing and wheezing with lingering symptoms is likely to have Asthma. […] Evidence shows that in approximately two-thirds of children diagnosed with asthma, the asthma will quiet down by puberty. However, one-third of these who were asthma free at puberty have asthma symptoms in their mid-twenties.

• #77 How Early Can a Child Get Asthma? | Southfield Pediatrics

  https://southfieldpeds.com/how-early-can-a-child-get-asthma/

  Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, resulting in symptoms like wheezing, shortness of breath, chest tightness, and coughing. While asthma is commonly thought of as a condition that affects older children and adults, it can develop very early in life. […] Asthma can manifest in infants as young as a few months old, including symptoms like: Rapid breathing, Flared nostrils, exaggerated belly movement, and other signs of difficulty breathing, Wheezing (whistling sound with breathing), Persistent coughing, Difficulty nursing, Grunting, Fatigue and irritability, Increased fussiness and lack of interest in play. […] Asthma symptoms become more recognizable when children reach toddler and preschool ages. For instance, recurrent wheezing episodes and coughing might indicate asthma, especially if triggered by common allergens, physical activity, or exposure to cold air. […] Viral respiratory infections and exposure to allergens like pollen, dust mites, and pet dander are common triggers for an asthma attack in this age group.

• #78 How Early Can a Child Get Asthma? | Southfield Pediatrics

  https://southfieldpeds.com/how-early-can-a-child-get-asthma/

  Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, resulting in symptoms like wheezing, shortness of breath, chest tightness, and coughing. While asthma is commonly thought of as a condition that affects older children and adults, it can develop very early in life. […] Asthma can manifest in infants as young as a few months old, including symptoms like: Rapid breathing, Flared nostrils, exaggerated belly movement, and other signs of difficulty breathing, Wheezing (whistling sound with breathing), Persistent coughing, Difficulty nursing, Grunting, Fatigue and irritability, Increased fussiness and lack of interest in play. […] Asthma symptoms become more recognizable when children reach toddler and preschool ages. For instance, recurrent wheezing episodes and coughing might indicate asthma, especially if triggered by common allergens, physical activity, or exposure to cold air. […] Viral respiratory infections and exposure to allergens like pollen, dust mites, and pet dander are common triggers for an asthma attack in this age group.

• #79 Asthma In Children | KidsHealth New Zealand’s Trusted Voice On Children’s Health

  https://www.kidshealth.org.nz/asthma

  Asthma is a condition that leads to narrowing of the airways of the lungs. Symptoms include wheeze, cough and difficulty breathing. […] In asthma, your child’s airways are inflamed and there is: swelling of the airway wall, an increase in mucus or phlegm, tightening of the muscle in the airway wall. […] These changes cause narrowing of your child’s airways. This leads to wheezing, cough and difficulty with breathing. […] One in 4 tamariki in New Zealand will have asthma at some time during childhood. […] Some tamariki have asthma all year round. Others may only have it in certain seasons or situations. […] Signs and symptoms of asthma include: wheezes and coughs with a cold (virus), wheezes and coughs after exercise, wheezes and coughs during the night, cannot keep up when they are running around with tamariki of the same age, says they are out of breath or breathless, complains they feel tired or ask you to carry them when you go for a walk, does not run around as much as tamariki of the same age. […] Asthma is a long-term condition. The majority of tamariki with asthma have less troublesome asthma as teenagers. Symptoms can appear again in adulthood. If your child has severe asthma, it is more likely to continue or return in later life.

• #80 Spotting asthma symptoms in your child | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/diagnosis/symptoms

  Young children might describe their tight chest as a 'tummy ache’ or 'sore tummy’. […] If your child has allergies or an allergy-related condition, like eczema or hay fever, they’re more likely to develop asthma. […] Asthma symptoms can come and go, so keeping a symptom diary can help you explain your child’s symptoms to their GP. […] The symptom diary will help you and your child’s GP to understand if your child’s symptoms come and go, if your child’s symptoms are worse at certain times of the day, how often your child has symptoms, and if anything triggers your child’s symptoms, like cold air, pollen or animals. […] Your GP can help if your child has any asthma symptoms. Booking an appointment as soon as possible will make sure they get the help they need. […] Coughing and wheezing in babies and toddlers could also be a sign of bronchiolitis, a respiratory virus common in children under two years old.

• #81 Healthy Driven Blogs

  https://www.eehealth.org/blog/2019/12/pediatric-asthma/

  Its upsetting to see your child coughing, wheezing or, even worse, struggling to breathe. […] In children with asthma, the lungs and airways become inflamed when exposed to certain triggers. Asthma symptoms can interfere with school, sports, sleep and daily life. Unmanaged asthma can lead to dangerous asthma attacks and damage to growing lungs. […] While symptoms can begin at any age, most children with asthma have their first symptoms by age 5. Not all children wheeze; sometimes the only symptom is chronic cough. Other children have symptoms only when exercising. […] What signs of pediatric asthma should parents be aware of? Look for one or several of the following symptoms: Wheezing or whistling sound when breathing out, Chronic cough, cough that is present at night, during sleep, worse during colds, or is triggered by exercise or cold air, Rapid breathing, shortness of breath, Complaints of chest hurting or feeling tight, Reduced energy, feeling weak or tired, Frequent colds that settle in the chest, bronchitis, Feeding problems (e.g., infants grunting during feeding), Sleep problems due to coughing or difficulty breathing.

• #82 Recognizing the Signs of Asthma | Children’s Hospital Los Angeles

  https://www.chla.org/blog/advice-experts/recognizing-signs-asthma

  Cough, even without wheezing, is a very common symptom in children with asthma. The cough may be more common at night, and the child may or may not cough up mucus. […] While everyone who catches a cold will cough, a common sign of asthma is a cough that lasts much longer than in other people after a routine cold, as long as 2-3 weeks. […] Shortness of breath is characterized by a feeling of not getting enough air into the lungs. It may occur only once in a while, or often. Children with asthma commonly note this symptom during any type of physical activity, whether playing formal sports or at recess. […] Shortness of breath can also feel like tiredness or a decreased ability to do normal activities. Young children who are not yet verbal may experience feeding problems with shortness of breath while older children may describe tiredness, fatigue, or being unable to keep up with other kids their age.

• #83 How Early Can a Child Get Asthma? | Southfield Pediatrics

  https://southfieldpeds.com/how-early-can-a-child-get-asthma/

  Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, resulting in symptoms like wheezing, shortness of breath, chest tightness, and coughing. While asthma is commonly thought of as a condition that affects older children and adults, it can develop very early in life. […] Asthma can manifest in infants as young as a few months old, including symptoms like: Rapid breathing, Flared nostrils, exaggerated belly movement, and other signs of difficulty breathing, Wheezing (whistling sound with breathing), Persistent coughing, Difficulty nursing, Grunting, Fatigue and irritability, Increased fussiness and lack of interest in play. […] Asthma symptoms become more recognizable when children reach toddler and preschool ages. For instance, recurrent wheezing episodes and coughing might indicate asthma, especially if triggered by common allergens, physical activity, or exposure to cold air. […] Viral respiratory infections and exposure to allergens like pollen, dust mites, and pet dander are common triggers for an asthma attack in this age group.

• #84 Asthma in Children: Symptoms, Diagnosis, and Treatments

  https://www.healthline.com/health/asthma/asthma-in-children

  In addition, there are some other asthma symptoms that can appear in both toddlers and older children. […] In toddlers with asthma, symptoms may also include: trouble sleeping at night; difficulty breathing during playtime; fatigue, more than usual; delayed recovery from respiratory infections. […] In older children with asthma, in addition to the symptoms above, they may also experience: lack of energy throughout the day; chest tightness or complaints of chest pain; persistent cough at night only. […] Asthma symptoms can vary from child to child. […] Some children will experience only a few of the symptoms above, while others may show obvious signs of respiratory distress. […] In some children with severe asthma, a worsening of the symptoms can lead to an asthma attack. […] Asthma attacks generally present as a worsening of asthma symptoms.

• #85 Asthma in Children: Symptoms, Diagnosis, and Treatments

  https://www.healthline.com/health/asthma/asthma-in-children

  In addition, there are some other asthma symptoms that can appear in both toddlers and older children. […] In toddlers with asthma, symptoms may also include: trouble sleeping at night; difficulty breathing during playtime; fatigue, more than usual; delayed recovery from respiratory infections. […] In older children with asthma, in addition to the symptoms above, they may also experience: lack of energy throughout the day; chest tightness or complaints of chest pain; persistent cough at night only. […] Asthma symptoms can vary from child to child. […] Some children will experience only a few of the symptoms above, while others may show obvious signs of respiratory distress. […] In some children with severe asthma, a worsening of the symptoms can lead to an asthma attack. […] Asthma attacks generally present as a worsening of asthma symptoms.

• #86 Asthma in Children: Symptoms, Diagnosis, and Treatments

  https://www.healthline.com/health/asthma/asthma-in-children

  In addition, there are some other asthma symptoms that can appear in both toddlers and older children. […] In toddlers with asthma, symptoms may also include: trouble sleeping at night; difficulty breathing during playtime; fatigue, more than usual; delayed recovery from respiratory infections. […] In older children with asthma, in addition to the symptoms above, they may also experience: lack of energy throughout the day; chest tightness or complaints of chest pain; persistent cough at night only. […] Asthma symptoms can vary from child to child. […] Some children will experience only a few of the symptoms above, while others may show obvious signs of respiratory distress. […] In some children with severe asthma, a worsening of the symptoms can lead to an asthma attack. […] Asthma attacks generally present as a worsening of asthma symptoms.

• #87 Asthma in Children: Symptoms, Diagnosis, and Treatments

  https://www.healthline.com/health/asthma/asthma-in-children

  In addition, there are some other asthma symptoms that can appear in both toddlers and older children. […] In toddlers with asthma, symptoms may also include: trouble sleeping at night; difficulty breathing during playtime; fatigue, more than usual; delayed recovery from respiratory infections. […] In older children with asthma, in addition to the symptoms above, they may also experience: lack of energy throughout the day; chest tightness or complaints of chest pain; persistent cough at night only. […] Asthma symptoms can vary from child to child. […] Some children will experience only a few of the symptoms above, while others may show obvious signs of respiratory distress. […] In some children with severe asthma, a worsening of the symptoms can lead to an asthma attack. […] Asthma attacks generally present as a worsening of asthma symptoms.

• #88 Recognizing the Signs of Asthma | Children’s Hospital Los Angeles

  https://www.chla.org/blog/advice-experts/recognizing-signs-asthma

  Cough, even without wheezing, is a very common symptom in children with asthma. The cough may be more common at night, and the child may or may not cough up mucus. […] While everyone who catches a cold will cough, a common sign of asthma is a cough that lasts much longer than in other people after a routine cold, as long as 2-3 weeks. […] Shortness of breath is characterized by a feeling of not getting enough air into the lungs. It may occur only once in a while, or often. Children with asthma commonly note this symptom during any type of physical activity, whether playing formal sports or at recess. […] Shortness of breath can also feel like tiredness or a decreased ability to do normal activities. Young children who are not yet verbal may experience feeding problems with shortness of breath while older children may describe tiredness, fatigue, or being unable to keep up with other kids their age.

• #89 Spotting asthma symptoms in your child | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/diagnosis/symptoms

  Firstly, you might notice that their breathing is faster or that they have to try a bit harder to breathe. You may be able to see more of their body moving, for example moving their shoulders up and down. […] When they’re playing, you might notice they get more out of breath or stay out of breath for longer than other children, or that symptoms carry on afterwards. […] Asthma often starts during childhood. If your child has asthma, there might be times when they find it hard to breathe. Their symptoms might be worse at night and early in the morning. […] A combination of symptoms makes asthma more likely. […] Wheezing is a continuous high-pitched whistling sound that you may hear when your child breathes. […] If your child is breathless they might breathe more quickly, wheeze or find it hard to take big breaths, move their body more when they breathe, have trouble talking, eating, or playing, or be out of breath for a long time after crying or laughing.

• #90 Childhood Asthma – Society of Pediatric Psychology

  https://pedpsych.org/fact_sheets/childhood_asthma/

  Asthma is a chronic inflammatory disease characterized by airway obstruction, inflammation, and hyper-responsiveness, yielding variable and recurring symptoms such as wheezing, shortness of breath, coughing, and chest tightness. […] Over 8% of children in the United States have asthma, making it the most common chronic childhood disease. […] The course and treatment of asthma varies with disease severity (intermittent versus persistent) and level of control of current asthma symptoms. […] Generally, youth with persistent asthma are more likely to experience asthma attacks, and benefit from long-term, daily maintenance medications (e.g., inhaled corticosteroids). […] When asthma is not well-managed, it is associated with negative health consequences (e.g., decreased lung functioning, frequent hospitalizations), as well as problems in daily functioning (e.g., school absences and lack of participation in extracurricular activities).

• #91 Asthma in Children | AAFA.org

  https://aafa.org/asthma/living-with-asthma/asthma-in-children/

  Around 4.9 million children in the United States have asthma. Asthma is one of the most common chronic (long-term) diseases in children. It is also one of the main causes for missed school days. It cannot be cured, but it can be managed. […] Childhood asthma tends to affect more male children than female children. But during adulthood, females have higher rates of asthma than males. Some studies suggest that the increase in testosterone hormone in males decreases swelling in the airways. […] The signs and symptoms of asthma in a baby or toddler include: Coughing (persistent, repeated, and/or at night), Fast or rapid breathing, Working harder to breathe, Panting with normal activities such as playing, Wheezing (a whistling sound), Trouble sucking or eating, Tiredness, not interested in normal or favorite activities, Cyanosis, a tissue color change on mucus membranes.

• #92 Asthma in Children | AAFA.org

  https://aafa.org/asthma/living-with-asthma/asthma-in-children/

  Around 4.9 million children in the United States have asthma. Asthma is one of the most common chronic (long-term) diseases in children. It is also one of the main causes for missed school days. It cannot be cured, but it can be managed. […] Childhood asthma tends to affect more male children than female children. But during adulthood, females have higher rates of asthma than males. Some studies suggest that the increase in testosterone hormone in males decreases swelling in the airways. […] The signs and symptoms of asthma in a baby or toddler include: Coughing (persistent, repeated, and/or at night), Fast or rapid breathing, Working harder to breathe, Panting with normal activities such as playing, Wheezing (a whistling sound), Trouble sucking or eating, Tiredness, not interested in normal or favorite activities, Cyanosis, a tissue color change on mucus membranes.

• #93 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Asthma symptom progression through childhood and adolescence has not been well studied, in part due to the challenges in obtaining consistent and robust long-term follow-up data on a large series of subjects with asthma. […] Data analyses showed three age- and sex-related phases of asthma symptom progression: Phase 1 (ages 5 and 6 yr) greater severity in boys; Phase 2 (ages 7 to 9 yr) no sex difference in severity; and Phase 3 (age 10-17 yr) greater severity in girls. The continuous decline of symptoms in both sexes stops abruptly at the onset of puberty. […] The severity of asthma symptoms varies through childhood and adolescence, and patterns differ by sex. Puberty has a strong influence on symptom progression in both sexes. Progression of symptoms is a distinct aspect of asthma epidemiology.

• #94 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Boys had more severe symptoms than girls before age 7 years, and symptoms in both sexes improved. […] The sex difference in symptoms was essentially indistinguishable at ages 7 to 9 years. […] Greater severity of symptoms among girls starts around age 10 years, after the halt of symptom improvement in both girls and boys, and the severities in the two sexes become more far apart along puberty. […] Symptoms in both sexes stop improving at the onset of puberty; girls’ symptoms deteriorate during puberty and boys’ symptoms do not improve until late puberty.

• #95 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Boys had more severe symptoms than girls before age 7 years, and symptoms in both sexes improved. […] The sex difference in symptoms was essentially indistinguishable at ages 7 to 9 years. […] Greater severity of symptoms among girls starts around age 10 years, after the halt of symptom improvement in both girls and boys, and the severities in the two sexes become more far apart along puberty. […] Symptoms in both sexes stop improving at the onset of puberty; girls’ symptoms deteriorate during puberty and boys’ symptoms do not improve until late puberty.

• #96 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Boys had more severe symptoms than girls before age 7 years, and symptoms in both sexes improved. […] The sex difference in symptoms was essentially indistinguishable at ages 7 to 9 years. […] Greater severity of symptoms among girls starts around age 10 years, after the halt of symptom improvement in both girls and boys, and the severities in the two sexes become more far apart along puberty. […] Symptoms in both sexes stop improving at the onset of puberty; girls’ symptoms deteriorate during puberty and boys’ symptoms do not improve until late puberty.

• #97 Asthma in Children | AAFA.org

  https://aafa.org/asthma/living-with-asthma/asthma-in-children/

  Around 4.9 million children in the United States have asthma. Asthma is one of the most common chronic (long-term) diseases in children. It is also one of the main causes for missed school days. It cannot be cured, but it can be managed. […] Childhood asthma tends to affect more male children than female children. But during adulthood, females have higher rates of asthma than males. Some studies suggest that the increase in testosterone hormone in males decreases swelling in the airways. […] The signs and symptoms of asthma in a baby or toddler include: Coughing (persistent, repeated, and/or at night), Fast or rapid breathing, Working harder to breathe, Panting with normal activities such as playing, Wheezing (a whistling sound), Trouble sucking or eating, Tiredness, not interested in normal or favorite activities, Cyanosis, a tissue color change on mucus membranes.

• #98 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Asthma symptom progression through childhood and adolescence has not been well studied, in part due to the challenges in obtaining consistent and robust long-term follow-up data on a large series of subjects with asthma. […] Data analyses showed three age- and sex-related phases of asthma symptom progression: Phase 1 (ages 5 and 6 yr) greater severity in boys; Phase 2 (ages 7 to 9 yr) no sex difference in severity; and Phase 3 (age 10-17 yr) greater severity in girls. The continuous decline of symptoms in both sexes stops abruptly at the onset of puberty. […] The severity of asthma symptoms varies through childhood and adolescence, and patterns differ by sex. Puberty has a strong influence on symptom progression in both sexes. Progression of symptoms is a distinct aspect of asthma epidemiology.

• #99 Assess Your Child’s Asthma Symptoms | Brown University Health

  https://www.brownhealth.org/centers-services/pediatric-respiratory-and-immunology-center/assess-asthma-symptoms

  When children have asthma, the goal of their treatment is to keep symptoms under control at all times. Having well-controlled asthma means having few or no symptoms, few flare-ups, no limitations on physical activity, minimal use of rescue inhalers, and few side effects from medications. […] Tracking your childs asthma symptoms can help you and the doctor stay aware of any improvements or issues throughout a treatment plan. […] Finding what triggers your childs asthma can take some time but will help you avoid flare-ups or more severe reactions. […] After your child experiences a few flare-ups, you may start to learn the early warning signs and know when a flare-up is going to occur before obvious symptoms even start. […] Make sure you understand all the medications your child takes, including the names, the correct dosages, and when your child should take each one.

• #100 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  If your child’s asthma symptoms are very bad, your family doctor or pediatrician may recommend seeing an asthma specialist. […] Follow and update your child’s asthma action plan. That’s the key to keeping asthma under control. Carefully track your child’s asthma symptoms. And make medicine changes as soon as they’re needed. If you act quickly, your child is less likely to have a serious attack. Your child also likely won’t need as much medicine to control symptoms. […] With careful asthma management, your child is likely to have fewer flare-ups and more time for school, play and the rest of daily life.

• #101 Understanding your child’s asthma | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/manage/how

  Some of the symptoms your child might have are: wheezing, coughing, feeling short of breath, a tight chest. […] Speak to your GP if your child: needs to use their reliever inhaler three or more times a week, wakes up at night coughing or wheezing, struggles to do exercise, needs time off school or nursery because of their asthma. […] Your child might also: complain of a tummy ache, lose their appetite, say their ribs ache, seem more tired than normal, breathe faster or more shallow, breathe differently, for example using their neck muscles, be unable to talk or complete sentences. […] Coughing and wheezing are common in babies and young children. Children don’t always cough and wheeze because of asthma. Coughing or wheezing is more likely to be asthma if they have other asthma symptoms at the same time. They might also have no symptoms between these episodes. […] It can be helpful to monitor your child’s asthma symptoms over time to work out what their triggers might be, or if their asthma is getting worse. […] An asthma attack is where your symptoms get bad quickly, and you might feel like you can’t breathe.

• #102 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #103 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #104 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #105 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #106 Understanding your child’s asthma | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/manage/how

  Some of the symptoms your child might have are: wheezing, coughing, feeling short of breath, a tight chest. […] Speak to your GP if your child: needs to use their reliever inhaler three or more times a week, wakes up at night coughing or wheezing, struggles to do exercise, needs time off school or nursery because of their asthma. […] Your child might also: complain of a tummy ache, lose their appetite, say their ribs ache, seem more tired than normal, breathe faster or more shallow, breathe differently, for example using their neck muscles, be unable to talk or complete sentences. […] Coughing and wheezing are common in babies and young children. Children don’t always cough and wheeze because of asthma. Coughing or wheezing is more likely to be asthma if they have other asthma symptoms at the same time. They might also have no symptoms between these episodes. […] It can be helpful to monitor your child’s asthma symptoms over time to work out what their triggers might be, or if their asthma is getting worse. […] An asthma attack is where your symptoms get bad quickly, and you might feel like you can’t breathe.

• #107 Understanding your child’s asthma | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/manage/how

  Some of the symptoms your child might have are: wheezing, coughing, feeling short of breath, a tight chest. […] Speak to your GP if your child: needs to use their reliever inhaler three or more times a week, wakes up at night coughing or wheezing, struggles to do exercise, needs time off school or nursery because of their asthma. […] Your child might also: complain of a tummy ache, lose their appetite, say their ribs ache, seem more tired than normal, breathe faster or more shallow, breathe differently, for example using their neck muscles, be unable to talk or complete sentences. […] Coughing and wheezing are common in babies and young children. Children don’t always cough and wheeze because of asthma. Coughing or wheezing is more likely to be asthma if they have other asthma symptoms at the same time. They might also have no symptoms between these episodes. […] It can be helpful to monitor your child’s asthma symptoms over time to work out what their triggers might be, or if their asthma is getting worse. […] An asthma attack is where your symptoms get bad quickly, and you might feel like you can’t breathe.

• #108 Understanding your child’s asthma | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/manage/how

  Some of the symptoms your child might have are: wheezing, coughing, feeling short of breath, a tight chest. […] Speak to your GP if your child: needs to use their reliever inhaler three or more times a week, wakes up at night coughing or wheezing, struggles to do exercise, needs time off school or nursery because of their asthma. […] Your child might also: complain of a tummy ache, lose their appetite, say their ribs ache, seem more tired than normal, breathe faster or more shallow, breathe differently, for example using their neck muscles, be unable to talk or complete sentences. […] Coughing and wheezing are common in babies and young children. Children don’t always cough and wheeze because of asthma. Coughing or wheezing is more likely to be asthma if they have other asthma symptoms at the same time. They might also have no symptoms between these episodes. […] It can be helpful to monitor your child’s asthma symptoms over time to work out what their triggers might be, or if their asthma is getting worse. […] An asthma attack is where your symptoms get bad quickly, and you might feel like you can’t breathe.

• #109 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #110 Spotting asthma symptoms in your child | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/diagnosis/symptoms

  Young children might describe their tight chest as a 'tummy ache’ or 'sore tummy’. […] If your child has allergies or an allergy-related condition, like eczema or hay fever, they’re more likely to develop asthma. […] Asthma symptoms can come and go, so keeping a symptom diary can help you explain your child’s symptoms to their GP. […] The symptom diary will help you and your child’s GP to understand if your child’s symptoms come and go, if your child’s symptoms are worse at certain times of the day, how often your child has symptoms, and if anything triggers your child’s symptoms, like cold air, pollen or animals. […] Your GP can help if your child has any asthma symptoms. Booking an appointment as soon as possible will make sure they get the help they need. […] Coughing and wheezing in babies and toddlers could also be a sign of bronchiolitis, a respiratory virus common in children under two years old.

• #111 Spotting asthma symptoms in your child | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/diagnosis/symptoms

  Young children might describe their tight chest as a 'tummy ache’ or 'sore tummy’. […] If your child has allergies or an allergy-related condition, like eczema or hay fever, they’re more likely to develop asthma. […] Asthma symptoms can come and go, so keeping a symptom diary can help you explain your child’s symptoms to their GP. […] The symptom diary will help you and your child’s GP to understand if your child’s symptoms come and go, if your child’s symptoms are worse at certain times of the day, how often your child has symptoms, and if anything triggers your child’s symptoms, like cold air, pollen or animals. […] Your GP can help if your child has any asthma symptoms. Booking an appointment as soon as possible will make sure they get the help they need. […] Coughing and wheezing in babies and toddlers could also be a sign of bronchiolitis, a respiratory virus common in children under two years old.

• #112 Spotting asthma symptoms in your child | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/diagnosis/symptoms

  Young children might describe their tight chest as a 'tummy ache’ or 'sore tummy’. […] If your child has allergies or an allergy-related condition, like eczema or hay fever, they’re more likely to develop asthma. […] Asthma symptoms can come and go, so keeping a symptom diary can help you explain your child’s symptoms to their GP. […] The symptom diary will help you and your child’s GP to understand if your child’s symptoms come and go, if your child’s symptoms are worse at certain times of the day, how often your child has symptoms, and if anything triggers your child’s symptoms, like cold air, pollen or animals. […] Your GP can help if your child has any asthma symptoms. Booking an appointment as soon as possible will make sure they get the help they need. […] Coughing and wheezing in babies and toddlers could also be a sign of bronchiolitis, a respiratory virus common in children under two years old.

• #113 Spotting asthma symptoms in your child | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/child/diagnosis/symptoms

  Young children might describe their tight chest as a 'tummy ache’ or 'sore tummy’. […] If your child has allergies or an allergy-related condition, like eczema or hay fever, they’re more likely to develop asthma. […] Asthma symptoms can come and go, so keeping a symptom diary can help you explain your child’s symptoms to their GP. […] The symptom diary will help you and your child’s GP to understand if your child’s symptoms come and go, if your child’s symptoms are worse at certain times of the day, how often your child has symptoms, and if anything triggers your child’s symptoms, like cold air, pollen or animals. […] Your GP can help if your child has any asthma symptoms. Booking an appointment as soon as possible will make sure they get the help they need. […] Coughing and wheezing in babies and toddlers could also be a sign of bronchiolitis, a respiratory virus common in children under two years old.

• #114 Assess Your Child’s Asthma Symptoms | Brown University Health

  https://www.brownhealth.org/centers-services/pediatric-respiratory-and-immunology-center/assess-asthma-symptoms

  A peak-flow meter measures the flow of air out of the lungs, and it is used to measure the maximum amount of air flow when your child forcefully exhales. […] Take your child for regular check-ups and make sure the doctor tests your childs breathing. […] Becoming educated about asthma, and about your child’s asthma, will help you and your child manage the condition effectively.

• #115 Assess Your Child’s Asthma Symptoms | Brown University Health

  https://www.brownhealth.org/centers-services/pediatric-respiratory-and-immunology-center/assess-asthma-symptoms

  When children have asthma, the goal of their treatment is to keep symptoms under control at all times. Having well-controlled asthma means having few or no symptoms, few flare-ups, no limitations on physical activity, minimal use of rescue inhalers, and few side effects from medications. […] Tracking your childs asthma symptoms can help you and the doctor stay aware of any improvements or issues throughout a treatment plan. […] Finding what triggers your childs asthma can take some time but will help you avoid flare-ups or more severe reactions. […] After your child experiences a few flare-ups, you may start to learn the early warning signs and know when a flare-up is going to occur before obvious symptoms even start. […] Make sure you understand all the medications your child takes, including the names, the correct dosages, and when your child should take each one.

• #116 Assess Your Child’s Asthma Symptoms | Brown University Health

  https://www.brownhealth.org/centers-services/pediatric-respiratory-and-immunology-center/assess-asthma-symptoms

  When children have asthma, the goal of their treatment is to keep symptoms under control at all times. Having well-controlled asthma means having few or no symptoms, few flare-ups, no limitations on physical activity, minimal use of rescue inhalers, and few side effects from medications. […] Tracking your childs asthma symptoms can help you and the doctor stay aware of any improvements or issues throughout a treatment plan. […] Finding what triggers your childs asthma can take some time but will help you avoid flare-ups or more severe reactions. […] After your child experiences a few flare-ups, you may start to learn the early warning signs and know when a flare-up is going to occur before obvious symptoms even start. […] Make sure you understand all the medications your child takes, including the names, the correct dosages, and when your child should take each one.

• #117 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #118 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #119 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #120 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #121 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #122 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #123 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #124 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #125 Asthma in Children: Symptoms, Diagnosis, and Treatments

  https://www.healthline.com/health/asthma/asthma-in-children

  Severe asthma attacks in children may also look like: severe shortness of breath; bluish tint to the lips; low blood pressure (hypotension); high or low heart rate; agitation or confusion. […] Severe asthma attacks in both children and adults can be life threatening and require immediate medical attention. […] The development of childhood asthma can be caused by a variety of factors, including: Genetics. Having a family history of asthma or allergies has been shown to increase the risk of having asthma. […] Having allergies may increase a childs risk of developing asthma. […] Having frequent respiratory infections may lead to the development of symptoms of asthma in children, especially in children under age 5. […] For most children with asthma, there are certain triggers that can cause a worsening of symptoms or lead to an asthma attack.

• #126 Asthma in Children: Symptoms, Diagnosis, and Treatments

  https://www.healthline.com/health/asthma/asthma-in-children

  Severe asthma attacks in children may also look like: severe shortness of breath; bluish tint to the lips; low blood pressure (hypotension); high or low heart rate; agitation or confusion. […] Severe asthma attacks in both children and adults can be life threatening and require immediate medical attention. […] The development of childhood asthma can be caused by a variety of factors, including: Genetics. Having a family history of asthma or allergies has been shown to increase the risk of having asthma. […] Having allergies may increase a childs risk of developing asthma. […] Having frequent respiratory infections may lead to the development of symptoms of asthma in children, especially in children under age 5. […] For most children with asthma, there are certain triggers that can cause a worsening of symptoms or lead to an asthma attack.

• #127 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  Severe asthma attacks can be life-threatening. These need to be treated right away in the emergency room. Symptoms of an asthma emergency in children ages 5 to 11 include: Serious trouble breathing. Lasting coughing or wheezing. No improvement after using quick-relief „rescue” medicine through an inhaler, such as albuterol (ProAir HFA, Ventolin HFA, others). Not being able to speak without gasping for air. Breathing in so hard that the stomach area is sucked under the ribs. Nostrils flaring. Peak flow meter readings in the red zone. A peak flow meter is a hand-held device that can measure how much air your child can quickly breathe out. Being in the red zone means that the airway has become very narrow. […] Low peak flow meter readings are a sign that the asthma is becoming worse. You and your child may notice low readings before you even notice symptoms. This helps you know when to adjust treatment to prevent a flare-up of asthma symptoms.

• #128

  https://www.who.int/news-room/fact-sheets/detail/asthma

  Asthma is the most common chronic disease among children. […] Inflammation and narrowing of the small airways in the lungs cause asthma symptoms, which can be any combination of cough, wheeze, shortness of breath and chest tightness. […] Symptoms can include coughing, wheezing, shortness of breath and chest tightness. These symptoms can be mild or severe and can come and go over time. […] Symptoms of asthma can vary from person to person. Symptoms sometimes get significantly worse. This is known as an asthma attack. Symptoms are often worse at night or during exercise. […] Common symptoms of asthma include a persistent cough, especially at night, wheezing when exhaling and sometimes when inhaling, shortness of breath or difficulty breathing, sometimes even when resting, and chest tightness, making it difficult to breathe deeply.

• #129 Childhood Asthma: Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/asthma/children-asthma

  Not all children have the same asthma symptoms. Your child might have only one or two of these symptoms or several of them. […] A severe asthma attack needs medical care right away. Watch for these signs: stopping in the middle of a sentence to catch a breath, using stomach muscles to breathe, a belly that sinks in under their ribs when they try to get air, chest and sides that pull in as they breathe, severe wheezing, severe coughing, trouble walking or talking, blue lips or fingernails, increasing shortness of breath with decreased wheezing, widened nostrils, fast heartbeat, sweating more than usual, chest pain. […] Most children have their first symptoms by age 5. But asthma can begin at any age. […] Things that can make a child more likely to have asthma include: nasal allergies (hay fever) or eczema (allergic skin rash), a family history of asthma or allergies, frequent respiratory infections, low birth weight, exposure to secondhand tobacco smoke before or after birth, African-American or Puerto Rican descent, being raised in a low-income environment.

• #130 Natural Progression of Childhood Asthma Symptoms and Strong Influence of Sex and Puberty

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4213994/

  Asthma symptom progression through childhood and adolescence has not been well studied, in part due to the challenges in obtaining consistent and robust long-term follow-up data on a large series of subjects with asthma. […] Data analyses showed three age- and sex-related phases of asthma symptom progression: Phase 1 (ages 5 and 6 yr) greater severity in boys; Phase 2 (ages 7 to 9 yr) no sex difference in severity; and Phase 3 (age 10-17 yr) greater severity in girls. The continuous decline of symptoms in both sexes stops abruptly at the onset of puberty. […] The severity of asthma symptoms varies through childhood and adolescence, and patterns differ by sex. Puberty has a strong influence on symptom progression in both sexes. Progression of symptoms is a distinct aspect of asthma epidemiology.

• #131 Asthma symptoms & causes: children & teens | Raising Children Network

  https://raisingchildren.net.au/guides/a-z-health-reference/asthma-symptoms

  Asthma symptoms can vary from mild to severe. Some people say it sounds like a high-pitched whistle. […] Asthma wheezing is typically worse first thing in the morning or at night when the air is cooler. Other times you’ll hear a wheeze after your child has done some exercise. […] You’re more likely to hear the cough at night, after your child has done some exercise, or when the weather is cold. […] Sometimes coughing, especially at night, is the only sign that your child has asthma. […] Your child might feel like something is squeezing or constricting their chest. […] As wheezing, coughing or chest tightness gets worse, your child might also have difficulty breathing. […] The severity and frequency of asthma symptoms vary a lot. Some children wheeze or cough only a few times a year when they have a cold, whereas others (a small minority) have some asthma symptoms every day.

• #132 Treating asthma in children ages 5 to 11

  https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383

  If your child’s asthma symptoms are very bad, your family doctor or pediatrician may recommend seeing an asthma specialist. […] Follow and update your child’s asthma action plan. That’s the key to keeping asthma under control. Carefully track your child’s asthma symptoms. And make medicine changes as soon as they’re needed. If you act quickly, your child is less likely to have a serious attack. Your child also likely won’t need as much medicine to control symptoms. […] With careful asthma management, your child is likely to have fewer flare-ups and more time for school, play and the rest of daily life.

• #133 Asthma in Children: Recognizing Symptoms and Managing Care | Clinicas

  https://clinicas.org/blog/2025/02/03/asthma-children-recognizing-symptoms-and-managing-care

• #134 Assess Your Child’s Asthma Symptoms | Brown University Health

  https://www.brownhealth.org/centers-services/pediatric-respiratory-and-immunology-center/assess-asthma-symptoms

  When children have asthma, the goal of their treatment is to keep symptoms under control at all times. Having well-controlled asthma means having few or no symptoms, few flare-ups, no limitations on physical activity, minimal use of rescue inhalers, and few side effects from medications. […] Tracking your childs asthma symptoms can help you and the doctor stay aware of any improvements or issues throughout a treatment plan. […] Finding what triggers your childs asthma can take some time but will help you avoid flare-ups or more severe reactions. […] After your child experiences a few flare-ups, you may start to learn the early warning signs and know when a flare-up is going to occur before obvious symptoms even start. […] Make sure you understand all the medications your child takes, including the names, the correct dosages, and when your child should take each one.

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