Allergic bronchitis is the repeated narrowing and inflammation of the bronchi caused not by infection but by allergic triggers (house dust mites, pollen, mold, animal dander, cigarette smoke). The condition commonly known as "allergic bronchitis" is, in most cases, an early sign of childhood asthma.

Symptoms

  • Recurrent episodes of wheezing and whistling breathing
  • Dry cough that worsens at night and toward morning
  • Coughing after running, laughing, or crying
  • Complaints that become more pronounced during seasonal transitions
  • The absence of fever in most cases

Allergic Bronchitis vs. Asthma

In reality, the two are parts of the same disease spectrum. Because a definitive diagnosis of asthma is difficult to make in the preschool period, recurrent episodes are referred to as "allergic/wheezy bronchitis." If the episodes become more frequent, there is a family history of asthma or allergy, and the child has eczema, the likelihood of asthma increases.

Diagnosis and Treatment

The diagnosis is made based on the history of episodes, physical examination, and, if needed, allergy testing. The foundation of treatment is:

  1. Avoiding triggers — cigarette smoke is the most important and preventable factor
  2. Bronchodilator treatment during an episode
  3. Preventive treatment under a doctor's supervision in children who experience frequent episodes

When Should You See a Doctor?

More than 3 wheezing episodes per year, a cough that wakes the child from sleep, or play activity limited by exertion should always be evaluated.

📅 Online appointment for your child: Uzm. Dr. Hasan Keleş — appointment page

Related articles: Recurrent wheezing episodes · Asthma in children · Allergic rhinitis

This article is for general information purposes only and is not a substitute for diagnosis and treatment. For any concerns about your child's health, be sure to consult a pediatric health and diseases specialist.

Uzm. Dr. Hasan Keleş — Specialist in Pediatric Health and Diseases, Gaziantep