Paediatrics » Evaluation of common symptoms

Approach to a wheezing child

Wheezing, a common presenting symptom of respiratory disease in children, is usually described as a sound that is heard when the child exhales; sometimes also while inhaling. Wheeze is caused by an obstruction to the regular flow of air from the lungs and is usually caused by inflammation, either from asthma or a viral infection. Every wheeze is not caused by asthma; other causes are bronchiolitis, foreign body aspiration, gastro-esophageal reflux and vocal cord dysfunction. Treatment should be started after the diagnosis has been reached.

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