CINXE.COM

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this.features)));n.length>0&&(0,e.R)(36,{targetFeature:r.featureName,missingDependencies:n}),this.features[r.featureName]=new r(this)}))}catch(t){(0,e.R)(22,t);for(const e in this.features)this.features[e].abortHandler?.();const r=(0,R.Zm)();delete r.initializedAgents[this.agentIdentifier]?.api,delete r.initializedAgents[this.agentIdentifier]?.features,delete this.sharedAggregator;return r.ee.get(this.agentIdentifier).abort(),!1}}}({features:[he,w,N,Ne,_e,_,D,ot,ct,je,nt],loaderType:"spa"})})()})();</script><meta http-equiv="Expires" content="0" /><meta name="google-site-verification" content="8JsUO-7v0e8nDKGNuXZSOYAnwU3OdMfkodMPyWhN1Bc" /><meta name="twitter:card" content="summary_large_image"><meta property="og:title" content="Diagnosing Asthma in Children" /><meta property="og:description" content="Asthma is not easy to diagnose in a child. But doctors have several tools they use to determine if a child has asthma. 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href="/English/health-issues/conditions/chest-lungs/Pages/default.aspx" target="_self">Chest ＆ Lungs</a><a href="/English/health-issues/conditions/chronic/Pages/default.aspx" target="_self">Chronic Conditions</a><a href="/English/health-issues/conditions/Cleft-Craniofacial/Pages/default.aspx" target="_self">Cleft ＆ Craniofacial</a><a href="/English/health-issues/conditions/COVID-19/Pages/default.aspx" target="_self">COVID-19</a><a href="/English/health-issues/conditions/developmental-disabilities/Pages/default.aspx" target="_self">Developmental Disabilities</a><a href="/English/health-issues/conditions/ear-nose-throat/Pages/default.aspx" target="_self">Ear, Nose ＆ Throat</a><a href="/English/health-issues/conditions/emotional-problems/Pages/default.aspx" target="_self">Emotional Problems</a><a href="/English/health-issues/conditions/eyes/Pages/default.aspx" target="_self">Eyes</a><a href="/English/health-issues/conditions/fever/Pages/default.aspx" target="_self">Fever</a><a href="/English/health-issues/conditions/flu/Pages/default.aspx" target="_self">Flu</a><a href="/English/health-issues/conditions/from-insects-animals/Pages/default.aspx" target="_self">From Insects or Animals</a><a href="/English/health-issues/conditions/genitourinary-tract/Pages/default.aspx" target="_self">Genitals and Urinary Tract</a><a href="/English/health-issues/conditions/head-neck-nervous-system/Pages/default.aspx" target="_self">Head, Neck ＆ Nervous System</a><a href="/English/health-issues/conditions/heart/Pages/default.aspx" target="_self">Heart</a><a href="/English/health-issues/conditions/infections/Pages/default.aspx" target="_self">Infections</a><a href="/English/health-issues/conditions/learning-disabilities/Pages/default.aspx" target="_self">Learning Disabilities</a><a href="/English/health-issues/conditions/seizures/Pages/default.aspx" target="_self">Seizures</a><a href="/English/health-issues/conditions/sexually-transmitted/Pages/default.aspx" target="_self">Sexually Transmitted Infections</a><a href="/English/health-issues/conditions/skin/Pages/default.aspx" target="_self">Skin Conditions</a><a href="/English/health-issues/conditions/treatments/Pages/default.aspx" target="_self">Treatments</a></li></ul></li><li><a href="/English/health-issues/injuries-emergencies/Pages/default.aspx" target="_self">Injuries ＆ Emergencies</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/health-issues/injuries-emergencies/sports-injuries/Pages/default.aspx" target="_self">Sports Injuries</a></li></ul></li><li><a href="/english/health-issues/vaccine-preventable-diseases/pages/default.aspx" target="_self">Vaccine Preventable Diseases</a></li></ul></li></ul></div></li><li><a href="/english/News/pages/default.aspx" target="_self" class="root-desktop-link"><span>News</span></a><a href="/english/News/pages/default.aspx" class="root-mobile-link"><span>News</span></a></li><li><span></span><a href="/english/tips-tools/pages/default.aspx" target="_self" class="root-desktop-link"><span>Tips & Tools</span></a><a href="https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/Diagnosing-Asthma.aspx#" class="root-mobile-link"><span>Tips & Tools</span></a><div class="nav-dropdown two-col-container anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/tips-tools/pages/default.aspx">Tips and Tools</a></div><ul><li><a href="/english/tips-tools/ask-the-pediatrician/pages/default.aspx" target="_self">Ask The Pediatrician</a></li><li><a href="/English/asthmatracker/pages/asthmatracker.aspx" target="_self">Asthma Action Tracker</a></li><li><a href="/English/fmp/Pages/MediaPlan.aspx" target="_self">AAP Family Media Plan</a></li><li><a href="/english/tips-tools/find-pediatrician/Pages/Pediatrician-Referral-Service.aspx" target="_self">Find a Pediatrician</a></li><li><a href="/English/tips-tools/HealthyChildren_Magazine/Pages/default.aspx" target="_self">Healthy Children Magazine</a></li><li><a href="/English/tips-tools/healthy-children-podcast/Pages/podcast.aspx" target="_self">Healthy Children Podcast</a></li></ul><ul><li><a href="/English/tips-tools/HealthyChildren-Texting-Program/Pages/default.aspx" target="_self">Healthy Children Texting Program</a></li><li><a href="/English/MotorDelay/Pages/default.aspx" target="_self">Motor Delay Tool</a></li><li><a href="/english/tips-tools/newsletters/pages/default.aspx" target="_self">Newsletters</a></li><li><a href="/English/healthy-living/fitness/StopWatch-Tool/Pages/default.aspx" target="_self">Physical Activity Checker</a></li><li><a href="/english/tips-tools/symptom-checker/pages/default.aspx" target="_self">Symptom Checker</a></li><li><a href="/english/tips-tools/webinars/pages/default.aspx" target="_self">Webinars</a></li></ul></li></ul></div></li><li><span></span><a href="/english/our-mission/pages/default.aspx" target="_self" class="root-desktop-link"><span>Our Mission</span></a><a href="https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/Diagnosing-Asthma.aspx#" class="root-mobile-link"><span>Our Mission</span></a><div class="nav-dropdown anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/our-mission/pages/default.aspx">Our Mission</a></div><ul><li><a href="/english/our-mission/aap-in-action/pages/default.aspx" target="_self">AAP in Action</a></li><li><a href="/english/our-mission/Pages/contributors.aspx" target="_self">Medical Editor & Contributors</a></li><li><a href="/english/our-mission/sponsors/pages/default.aspx" target="_self">Sponsors</a></li><li><a href="/english/our-mission/pages/sponsorship-opportunities.aspx" target="_self">Sponsorship Opportunities</a></li><li><a href="/english/our-mission/pages/spread-the-word.aspx" 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col-xs-3 col-sm-3 col-md-3 col-lg-3"> <h5 class="title rail-left-title"> Health Issues </h5> <div class="rail-left"> <div class="vertical-nav-header-top"></div> <div id="ctl00_cphLeftNav_QuickLaunchNavigationManager"> <div class="vertical-navigation"> <table id="zz1_QuickLaunchMenu" class="ms-navSubMenu1 zz1_QuickLaunchMenu_7 zz1_QuickLaunchMenu_2" cellpadding="0" cellspacing="0" border="0"> <tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun0"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/health-issues/conditions/Pages/default.aspx" style="border-style:none;font-size:1em;">Conditions</a></td> </tr> </table></td> </tr><tr> <td><table border="0" cellpadding="0" cellspacing="0" width="100%" class="ms-navSubMenu2 zz1_QuickLaunchMenu_8"> <tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun1"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/abdominal/Pages/default.aspx" style="border-style:none;font-size:1em;">Abdominal</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun2"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/adhd/Pages/default.aspx" style="border-style:none;font-size:1em;">ADHD</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" 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</table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun19"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/heart/Pages/default.aspx" style="border-style:none;font-size:1em;">Heart</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun20"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/health-issues/conditions/infections/Pages/default.aspx" style="border-style:none;font-size:1em;">Infections</a></td> </tr> </table></td> </tr><tr 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class="article-page"> <div class="breadcrumbs"> <div class="menu-more"> <div class="menu-icon crumb"> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> </div> <span id="ctl00_cphPageContent_Breadcrumb_lblInThisSection">In This Section</span> </div> <div class="breadcrumb-trail"> <a href="/English" >Healthy Children</a> > <a href="https://www.healthychildren.org/English/health-issues" >Health Issues</a> > <a href="https://www.healthychildren.org/English/health-issues/conditions" >Conditions</a> > <a href="https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma" >Allergies & Asthma</a> > Diagnosing Asthma in Children </div> </div> <div class="int-page-header"> <div class="page-section">Health Issues </div> </div> <div class="layout-content">  <div class="article-social-container"> <div class="article-social-left"> <div class="reader-listen-container"> </div> </div> <div class="article-social-right">  <div class="sharethis-inline-share-buttons"></div>  </div> </div> <div id="read_content" class="fontScalerWrapper"> <h1 class="page-title">Diagnosing Asthma in Children</h1> <div class="middle-bottom-wpz"> <menu class="ms-hide"> <ie:menuitem id="MSOMenu_Help" iconsrc="/_layouts/15/images/HelpIcon.gif" onmenuclick="MSOWebPartPage_SetNewWindowLocation(MenuWebPart.getAttribute('helpLink'), MenuWebPart.getAttribute('helpMode'))" text="Help" type="option" style="display:none"> </ie:menuitem> </menu> </div>  <div id="ctl00_cphPageContent_EditModePanel1"> <div class="article-image"> <span class="img-desktop-responsive"> <img alt="" src="/SiteCollectionImagesArticleImages/little-girl-medical-checkup.jpg?RenditionID=3" style="BORDER: 0px solid; "> </span> <span class="img-mobile-responsive print-no"> <img alt="" src="/SiteCollectionImagesArticleImages/little-girl-medical-checkup.jpg?RenditionID=3" style="BORDER: 0px solid; "> </span> </div> </div> <div> <div id="ctl00_cphPageContent_ctl00_label" style='display:none'>Page Content</div><div id="ctl00_cphPageContent_ctl00__ControlWrapper_RichHtmlField" class="ms-rtestate-field" style="display:inline" aria-labelledby="ctl00_cphPageContent_ctl00_label"><p> <em style="font-size:11pt;">By: Harvey Leo, MD, FAAP, FAAAAI</em><br></p><p>Asthma is the most common chronic respiratory disease in children. It affects more than 6 million U.S. children and leads to over 13 million missed days of school each year. Yet as common as it is, asthma can be challenging to diagnose in children. There is no one-size-fits-all set of symptoms. A solid, ongoing relationship with your child's health provider can help identify asthma risks and the best treatment for your child. <br></p><h2>Questions to ask</h2><p>Pediatricians have many tools to help identify and support a child who might have asthma. The most important tool of all is the child's medical history. Depending on their age, some children will not have wheezing during an asthma flare, but rather a chronic cough that lasts for days or appears during illness or activity. Here are some key questions your child's doctor will need to know:</p><ol><li><p>How often does your child cough or wheeze during the week?</p></li><li><p>Do these symptoms affect their daily activity?</p></li><li><p>Does your child's coughing or wheezing wake them up at night?</p></li><li><p>What medicines have your tried and have they helped, including nutritional supplements or homeopathic therapies?</p></li><li><p>Does anyone in the family have a history of asthma, environmental allergies, or other respiratory conditions?<br></p></li></ol> <iframe width="100%" height="315" src="https://www.youtube.com/embed/tFe3Tnt4YuA" frameborder="0" allowfullscreen=""></iframe> <h2>Asthma tests</h2><p>If a child is old enough, usually over age 7 years, your health care provider may request an asthma test. One of the most common ones uses spiromety to check lung function. For this test, the child breathes into a device that will show whether your child has some airway blockage. <br></p><p>Another test developed over the past decade checks how much nitric oxide your child exhales. This measures how much inflammation there is in the airway. Pediatric specialty centers may also offer more complex lung function testing, imaging tests and techniques such as methacholine provocative challenges, which gauges how "reactive" a child's lungs are. These tests may be used for the diagnosis and follow-up management of asthma. Additional resources such as home respiratory monitors and medication reminder phone apps can also be help manage a child's asthma.<br></p><h2>Conditions that can look like asthma</h2><p>Keep in mind, there are many other conditions that can look like or worsen asthma in children. Some of these include seasonal allergies, acid <a href="/English/health-issues/conditions/abdominal/Pages/GERD-Reflux.aspx">reflux</a>, viral or bacterial infections, conditions related to a child's anatomy, and cardiovascular issues. <br></p><h2>Remember<br></h2><p>There are many tools that can help diagnose asthma, and treatment and medications that can help a child with asthma thrive. If you think your child may have asthma, talk with your pediatrician. <br></p><h2>More information<br></h2><ul><li> <a href="/English/health-issues/conditions/allergies-asthma/Pages/What-is-an-Asthma-Action-Plan.aspx">What Is An Asthma Action Plan?</a><br></li><li> <a href="/English/health-issues/conditions/allergies-asthma/Pages/asthma-triggers-and-what-to-do-about-them.aspx">9 Asthma Triggers and What to Do About Them</a><br></li><li> <a href="/English/health-issues/conditions/allergies-asthma/Pages/default.aspx">Allergies & Asthma</a></li><li> <a href="https://www.nhlbi.nih.gov/health-topics/asthma" target="_blank">National Heart, Lung, and Blood Institute: Asthma</a><br><br></li></ul><table cellspacing="0" width="100%" class="ms-rteTable-0"><tbody><tr class="ms-rteTableEvenRow-0"><td class="ms-rteTableEvenCol-0" style="width:100%;"><h2>About Dr. Leo<br></h2><p> <img src="/SiteCollectionImagesArticleImages/Harvey-Leo.jpg" class="ms-rtePosition-1" alt="" style="margin:0px 5px;" /> Harvey Leo, MD, FAAP, FAAAAI, who practices in Michigan, is a member of the American Academy of Pediatrics Section on Allergy and Immunology.</p></td></tr></tbody></table> <br></div> <div id="ctl00_cphPageContent_PublishingPageContentField_label" style='display:none'>Article Body</div><div id="ctl00_cphPageContent_PublishingPageContentField__ControlWrapper_RichHtmlField" class="ms-rtestate-field" style="display:inline" aria-labelledby="ctl00_cphPageContent_PublishingPageContentField_label"></div> <dl id="ctl00_cphPageContent_dlLastUpdated" class="article-details"> <dt><span id="ctl00_cphPageContent_lblLastUpdated">Last Updated</span></dt> <dd><span id="ctl00_cphPageContent_lblDate">3/15/2021</span></dd> </dl> <dl id="ctl00_cphPageContent_dlSource" class="article-details"> <dt><span id="ctl00_cphPageContent_lblArticleSource">Source</span></dt> <dd><span id="ctl00_cphPageContent_lblSource">American Academy of Pediatrics Section on Allergy and Immunology (Copyright © 2021)</span></dd> </dl> <div class="disclaimer"> <span id="ctl00_cphPageContent_lblDisclaimer">The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. 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