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Childhood Asthma Basics: Recognizing Symptoms Beyond Wheezing
Why a lingering nighttime cough can be asthma, how it is diagnosed in children, and what a good control plan looks like.
By Rezia Divaker, MDJuly 14, 2026Medically reviewed July 14, 2026
Asthma does not always announce itself with wheezing. In children, a persistent nighttime cough or breathlessness with running is often the first sign.
Symptoms parents miss
- A dry cough that worsens at night or in the early morning.
- Coughing or fatigue during running and sports.
- Chest tightness described as a tummy ache or "my chest feels funny."
- Colds that always "go to the chest" and last for weeks.
How we diagnose it
- A detailed symptom and trigger history.
- Physical examination and response to a trial of medication.
- Spirometry breathing testing in children old enough to perform it.
- Evaluation for allergies, which frequently drive asthma in Florida.
What good control looks like
- Daytime symptoms two days a week or fewer.
- Nighttime awakening from asthma is rare.
- Full participation in sports and play.
- Rescue inhaler needed two days a week or fewer.
- No missed school days from breathing problems.
Controller versus rescue medication
Controller medication is taken every day to reduce airway inflammation, even when your child feels well. Rescue medication opens airways quickly during symptoms. Needing rescue medication frequently is a signal to revisit the plan.
When to call Divaker Pediatrics
Our Mount Dora office is here for questions big and small. Call 352-383-8386 to schedule a visit, or use the healow patient portal to send a message to our team. If your child has a medical emergency, call 911.