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Severe difficulty breathing in children

A child who is having severe difficulty breathing:

  • Breathes very fast or grunts with each breath.
  • Appears anxious or exhausted during feeding or is unable to nurse or take a bottle.
  • Uses the neck, chest, and abdominal muscles to breathe, causing a "sucking in" between or under the ribs (retractions).
  • May flare the nostrils when breathing in.
  • May need to sit up and lean forward or tilt the nose up as if sniffing the air.
  • May fight any attempt to change his or her position.
  • Has pale, gray, or bluish skin (especially the tongue, lips, earlobes, and nail beds), or the skin is mottled (patchy pale and blue pattern).

Call911or emergency services if these signs are present.

Author Jeannette Curtis
Author Caroline Rea, RN, BS, MS
Editor Kathleen M. Ariss, MS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Associate Editor Pat Truman
Primary Medical Reviewer Patrice Burgess, MD
- Family Medicine
Primary Medical Reviewer Adam Husney, MD
- Family Medicine
Primary Medical Reviewer Kathleen Romito, MD
- Family Medicine
Last Updated May 25, 2007

WebMD Medical Reference from Healthwise

Last Updated: May 25, 2007
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.