Considerations
Wheezing is a sign that a person may be having breathing problems. The sound of wheezing is most obvious when breathing out (exhaling), but may be heard when taking a breath (inhaling).
Wheezing most often comes from the small breathing tubes (bronchial tubes) deep in the chest, but it may be due to a blockage in larger airways or in persons with certain vocal cord problems.
Home Care
Always take all of your medications as directed.
Sitting in an area where there is moist, heated air may help relieve some symptoms. This can be done by running a hot shower or using a vaporizer.
When to Contact a Medical Professional
Call your health care provider if:
Wheezing is caused by an allergic reaction to a bite or medication
If wheezing is severe or occurs with severe shortness of breath, you may have to go directly to the nearest emergency department.
What to expect at your health care provider's office
The doctor or nurse will perform a physical examination and ask questions about your medical history and symptoms, including:
When did the wheezing begin?
How long does it last?
When and how often does it occur?
Is it worse at night or in the early morning?
What does the wheezing sound like?
Does it make breathing difficult?
What seems to cause it?
Eating certain foods?
Taking certain medications?
Do any of the following things make it worse?
Being around pollens, insects, dust, chemicals (perfumes, cosmetics)
The physical examination may include listening to the lung sounds (auscultation). If your child is the one with symptoms, the doctor will make sure he or she did not swallow a foreign object.
Tests that may be done include:
Blood work, possibly including arterial blood gases
The person needs to be closely watched by medical personnel
Alternative Names
Sibilant rhonchi
References
Schatz M. Asthma in adolescents and adults. In: Bope ET, Rakel RE, Kellerman R, eds. Conn’s Current Therapy 2012
. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2012:section 6.
Szefler SJ. Advances in pediatric asthma in 2009: gaining control of childhood asthma. J Allergy Clin Immunol
. 2010 Jan;125(1):69-78.
Update Date: 5/16/2012
Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
