5 Signs Your Child’s Asthma Is Not Well Controlled

Many children with asthma seem “okay” day to day—but that doesn’t always mean their asthma is well controlled.

In fact, subtle symptoms are often missed until a flare-up happens.

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1. Frequent Use of Rescue Inhaler
  • Using albuterol more than 2 times per week (outside of illness) is a red flag.
2. Nighttime Cough or Symptoms
  • Asthma should not wake your child at night.
  • Even occasional nighttime symptoms suggest poor control.
3. Limiting Activity or Exercise

If your child:

  • Avoids running
  • Gets winded easily
  • Coughs during sports

…asthma may not be adequately controlled.

4. Frequent “Colds” That Go to the Chest
  • Repeated illnesses that linger in the chest are often asthma flare-ups—not just infections.
5. Steroid Use or Urgent Care Visits

If your child:

  • Needs oral steroids
  • Visits urgent care or ER

…this is a clear sign control needs improvement.

Why This Matters

Poorly controlled asthma increases the risk of:

  • Severe flare-ups
  • ER visits or hospitalizations
  • Missed school and activity limitations
What Can Be Done?

Improving control may involve:

  • Adjusting medications
  • Reviewing inhaler technique
  • Identifying triggers (allergies, infections, environment)
  • Updating an asthma action plan
Bottom Line

If any of these signs sound familiar, your child’s asthma may not be as controlled as it should be.

The goal is simple:
👉 Normal life with no limitations

👉 If your child is having ongoing asthma symptoms, schedule an evaluation at Texas Lung & Sleep.

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