As Airways narrow asthma attack child develops difficulty breathing, often accompanied by wheezing. Wheezing is a high-pitched noise heard when the child breathes out. Not all asthma attacks produce wheezing, though. mild asthma, particularly in very young children, can only cough; some older children with mild asthma tend to cough when exercising or when exposed to cold air. Also, children with very severe asthma may not wheeze because it is too little air flows to make noise. In a severe attack, breathing becomes visibly difficult, wheezing usually becomes loud, the baby breathe faster with more effort and ribs stand out when the child breathes in (inspiration). With severe asthma attacks, the child gasps for breath and sitting upright, leaning forward and the skin is sweaty and pale or blue-tinged.
Children with frequent severe attacks sometimes have slow growth, but their growth usually catches up with other children with adults. A doctor suspects asthma in children who have recurrent episodes of wheezing, especially when family members are known to have asthma or allergies. Children with frequent wheezing elements may be tested for other disorders, such as cystic fibrosis or GORD reflux.
Older children sometimes undergo pulmonary function tests, but in most children, pulmonary function is normal between flare-ups. Children who have bronchiolitis at a young age often wheezing. Breathing difficulties can first be interpreted as asthma, but it is projecting a viral infection.