Wheezing (Other Than Asthma)

When to Call for Wheezing (Other Than Asthma)

Care Advice for Mild Wheezing

What You Should Know About Wheezing:

• Wheezing is a high-pitched purring or whistling sound.
• Wheezing means the lower airway is tight.
• This is often part of a cold, but it can become worse.
• Here is some care advice that should help until you talk with your doctor.

Coughing Fits or Spells:

• Any age: breathe warm mist (such as with warm shower running in a closed bathroom).
• Age 1 year and older: give warm clear fluids to drink such as apple juice and herbal tea.
• Reason: both relax the airway and loosen up any phlegm.

Home Cough Medicine:

• Do not give any over-the-counter cough medicine to children with wheezing. Instead, treat the cough using these tips:
• Age less than 1 year: offer your baby breast milk or formula more often. May need to feed smaller amounts at a time. Reason: to stay hydrated. Avoid honey in this age group.
• Age 1 year and older: use honey ½ to 1 teaspoon (2 to 5 mL) as needed. It works as a homemade cough medicine. It can thin the secretions and loosen the cough.

Nasal Saline to Open a Blocked Nose:

• Use saline (salt water) nose drops or spray to loosen up the dried mucus. If you don't have saline, you can use a few drops of water. Use distilled water, bottled water or boiled tap water.
• Step 1: put 3 drops in each nostril. If under 1 year old, use 1 drop.
• Step 2: blow (or suction) each nostril out while closing off the other nostril. Then, do the other side.
• Step 3: repeat nose drops and blowing (or suctioning) until the discharge is clear.
• How Often: do nasal saline when your child can't breathe through the nose.
• Limit: if under 1 year old, no more than 4 times per day or before every feeding.
• Saline nose drops or spray can be bought in any drugstore. No prescription is needed.
• Reason for nose drops: suction or blowing alone can't remove dried or sticky mucus. Also, babies can't nurse or drink from a bottle unless the nose is open.
• Other option: use a warm shower to loosen mucus. Breathe in the moist air, then blow each nostril.
• For young children, can also use a wet cotton swab to remove sticky mucus.

Humidifier:

• If the air in your home is dry, use a humidifier. Reason: dry air makes coughs worse.

Smaller Feedings:

• Use small, frequent feedings whenever your child has the energy to drink.
• Reason: children with wheezing don't have enough energy for long feedings.

Avoid Tobacco Smoke:

• Tobacco smoke makes coughs and wheezing much worse.

Return to School:

• Your child can return to childcare after the wheezing and fever are gone.

Call Your Doctor If:

• Trouble breathing gets worse
• Wheezing gets worse
• You think your child needs to be seen
• Your child becomes worse

Remember! Contact your doctor if you or your child develop any "Contact Your Doctor" symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.