Wheezing is a continuous, high-pitched breath sound occurring when breathing out. The parents often use the term “wheeze” to describe a spectrum of noisy breathing, mostly wrongly used for “rattle”, which is a breath sound associated with increased secretions, phlegm, mucous at the upper airways. In young children under 4 years of age most wheezing is not Asthma. Up to 85% of the early viral infection induced wheezers (3 years and under) settle by 7 years of age and would not lead to asthma. Children with persistent wheeze (wheeze with or without viral infections) or late starting wheeze, have higher probability of having asthma at school age. Early allergic sensitization may be a relevant risk factor for persistence of wheeze. Early viral infections also play a crucial role in the development of wheezing in young children. Wheezing Rhinovirus illnesses (commonest inpatient respiratory virus leading to respiratory infections in children) during the first 3 years of life are associated with 10 fold increase in asthma risk at the age of 6 years and rhinovirus infection has a more important effect in asthma risk than early allergic sensitization.

Conditions Treated
Respiratory infections
Hay fever/allergic rhinitis
Milk and food allergies
Pollen allergies
Feeding difficulties
Gastroesophageal reflux
Neonatal and early infancy problems