Severe difficulty breathing in a young child

Signs of severe difficulty breathing in a young child include:

  • Breathing very fast or grunting with each breath.
  • Appearing anxious or exhausted during feeding. Breathing is so fast that the child is unable to nurse or take a bottle.
  • Using the neck, chest, and abdominal muscles to breathe, causing a "sucking in" between or under the ribs (retractions). The child may also open his or her nose wide (flare the nostrils) when inhaling.
  • Sitting up and leaning forward or sitting with the nose tilted up as if sniffing the air. The child may fight any attempt to change his or her position.
  • Pale, gray, bluish, or mottled skin color—including the tongue, lips, earlobes, and nail beds.


Author: Sabra L. Katz-Wise
Ralph Poore
Last Updated: October 12, 2006
Medical Review: Michael J. Sexton, MD - Pediatrics
Thomas Emmett Francoeur, MDCM, CSPQ, FRCPC - Pediatrics

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