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Asthma

Preschool Viral Wheeze: A Guide for Parents

· Jun 18, 2025 ·

Preschool viral wheeze is common. A virus causes swelling, and mucus clogs the airways. It causes difficulty breathing and cough. It looks like asthma, however only happens once or twice in most children before they reach school age. About 1 in every 3 children with preschool wheeze will develop asthma later in life.

What symptoms do you get?

Wheeze is a high-pitched whistling sound that occurs when your child breathes out. Other symptoms may include coughing, chest tightness, and difficulty breathing.

How is it diagnosed?

Preschool viral wheeze is typically diagnosed based on your child’s symptoms and a physical examination by a healthcare professional. Sometimes other tests are done if the wheeze is very severe.

What is the treatment?

The main treatment is inhaled Salbutamol. This medicine is breathed in through an inhaler regularly until the symptoms get better. Salbutamol works quickly, for a short time. Often another medicine is given by mouth which is a steroid called Prednisolone. Prednisolone works slowly, but lasts a long time. If your child is very unwell other treatments are given and your child may be kept in hospital until things improve. When it’s time to go home, you will be given a wheeze plan to follow at home.

Video on how to use an aerochamber spacer with mask video

Click on the image above to watch how to use an aerochamber spacer with a mask.

Remember, preschool viral wheeze should get better after a few days. If you are worried about your child you should get help quickly.

Eczema

· Jun 18, 2025 ·

What is eczema?

Eczema is a common skin condition which usually first presents in childhood, affecting 1 in 5 children in the UK. It often runs in families and can be associated with other allergic-type conditions (also known as atopic conditions) such as hayfever, food allergies and asthma. Eczema can be variable from person to person, affecting different parts of the body and with different levels of impact on the individual.

What causes eczema?

Your skin is a natural barrier which protects you from the outside world whilst also keeping the moisture in. In eczema, the barrier doesn’t work as well as it should, allowing moisture to seep out and things from the environment to get in. This results in skin which is dry, inflamed and itchy due to a loss of moisture and irritation from particles in the environment.

Click here to watch a video on what eczema is and its symptoms

The skin in eczema is usually itchy and dry, and if severe can cause difficulties with sleeping and participating in regular activities. Sometimes the skin will bleed due to scratching, and over time the skin can become thickened due to repeated scratching.

Often these symptoms fluctuate, with episodes called ‘flares’; sometimes flares occur due to exposure to a trigger, at other times there is no clear cause.

Eczema can affect anywhere on the body, but typically is found in the joint creases in children, for example the knees and elbows. In babies it often begins on the cheeks.

 

 

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