Shortness of Breath, Chest Tightness, and Wheezing

  • Taher CheraghiEmail author

Practical Points

  • Episodic wheezing and dyspnea, nocturnal coughs, positive family history of atopy, worsening of symptoms following respiratory viral infections, and after exposure to inhalant allergens point to a diagnosis of asthma

  • Wheezing appearing soon after birth with constant nature, associated with failure to thrive, pulmonary consolidation, and poor response to asthma medications, are against a diagnosis of asthma

  • Wheezing is not a constant feature of asthma and patients might present with an essentially normal clinical picture between episodes of exacerbation

  • Oxygen supplementation and administration of SABA are the two most crucial measures to mitigate asthma exacerbations

  • A fall in FEV1 by 15% or more following bronchoprovocation, or rise in FEV1 by 12% or 200ml after inhalation of short acting beta agonist is diagnostic for bronchial hyperreactivity


Asthma Forced vital capacity Forced expiratory volume in 1 s 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Pediatrics, 17th Shahrivar Children’s Hospital, School of MedicineGuilan University of Medical SciencesRashtIran

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