General Practice 2022

Síbaby syndromeê wheezing - how to identify and what to do

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Síbaby syndromeê wheezing - how to identify and what to do
Síbaby syndromeê wheezing - how to identify and what to do

Wheezing baby syndrome, also known as wheezing infant syndrome, is characterized by episodes of wheezing and coughing that occur frequently, usually caused by a hyperreactivity of the newborn's lungs, which narrow in the presence of certain stimuli, such as a cold, allergy or reflux, for example.

The presence of wheezing in the chest is not always due to this syndrome, as only one who has: is considered a wheezing baby

  • 3 or more episodes of wheezing, or wheezing, over 2 months; or
  • Continuous wheezing lasting at least 1 month.

Cure of this syndrome usually occurs naturally around 2 to 3 years of age, but if symptoms do not disappear, the doctor should consider other diseases, such as asthma.The treatment of crises is guided by the pediatrician, with inhaled medications, such as corticosteroids or bronchodilators.

Main symptoms

Symptoms of wheezing baby syndrome include:

  • Wheezing, known as wheezing or wheezing, which is a high-pitched sound that comes when you exhale or exhale;
  • Stridor, which is a sound resulting from the turbulence of air in the airways when breathing in air;
  • Cough, which can be dry or productive;
  • Shortness of breath or tiredness;

If the lack of oxygen in the blood is persistent or intense, the extremities may turn purple, such as fingers and lips, a situation known as cyanosis.

How the treatment is done

To treat the wheezing baby syndrome, it is important to identify if there is a cause and eliminate it, such as taking care of a cold or allergy, according to the pediatrician's guidelines.

In periods of crisis, treatment is done with drugs to reduce inflammation and hyper-reactivity of the baby's airways, in periods of crisis, usually composed of inhaled corticosteroids, such as Budesonide, Beclomethasone or Fluticasone, for example, steroids in syrup, such as Prednisolone, and bronchodilator pumps, such as Salbutamol, Fenoterol or Salmeterol, for example.

Furthermore, it is important that preventive treatment of crises is carried out, avoiding infection by colds by preferring to keep the child in ventilated places, without crowds, in addition to offering a balanced diet, rich in vegetables, fruits, fish and grains and low in sugar and processed foods.

Physiotherapy treatment

Respiratory physiotherapy, through techniques to remove pulmonary secretions or improve the ability to expand or deflate the lungs, is very useful in the treatment of babies with this syndrome, as it reduces symptoms, the number of crises and can help improve breathing capacity.

It can be done weekly or whenever there is a crisis, with indication of the doctor or physical therapist, and must be done by a professional specialized in this area.

Causes of wheezing

Wheezing baby syndrome is usually caused by hyper-reactivity and narrowing of the airways, usually caused by colds, caused by viruses such as respiratory syncytial virus, adenovirus, influenza or parainfluenza, e.g. allergies or reactions to food, although it can happen without an clarified cause.

However other causes of wheezing should be considered, and some are:

  • Reactions to environmental pollution, mainly cigarette smoke;
  • Gastroesophageal reflux;
  • Narrowing or malformations of the trachea, airways or lungs;
  • Vocal cord defects;
  • Cysts, tumors or other types of airway compressions.

See other causes of wheezing and learn what to do.

So, when detecting the symptoms of wheezing, the pediatrician can investigate its cause, through clinical evaluation and requesting exams such as chest X-ray, for example.

In addition to wheezing, another type of sound that indicates breathing problems in the baby is snoring, so it is important to identify the main causes and complications of this situation.

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