When it’s hard to breathe

Asthma can be a difficult condition to manage in older children and adolescents when there is an element of psychological overlay.

Exacerbations of asthma may present with repeated bouts of breathlessness, chest pain, ‘noisy breathing’/wheeze and cough. However, such features are also seen with anxiety and stress.

As always, it is investing time to take a thorough history that the aetiology of the episodes becomes clearer and may explain the inconsistent response to