Wheezy children

Abstract

Wheeze occurs frequently in children and may be of rapid onset as part of an acute illness, or represent the initial presentation of an underlying chronic pathology. There may be difficulty in ascertaining a diagnosis, for example, small children with frequent wheezy episodes may be suffering from recurrent viral infections or may be suffering from asthma or another more serious condition. Diagnostic delay can lead to serious consequences for the child’s growth and development, although excessive investigation may lead to undue caregiver anxiety and distress for the child. In addition, a few children with wheeze may be suffering from acute respiratory distress or may be at risk of respiratory failure. It is important for GPs to be able to recognise these children as being unwell and instigate prompt treatment. This article provides a practical framework for diagnosing and managing wheezy children, both in the acute and chronic setting.