https://littlelungz.com/new-page-1 daily 0.75 2021-12-16 https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1639264790988-N08TWGRRDU9U9YASMPQ0/Jacob+Twiss.jpeg Dr Jacob Twiss - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://littlelungz.com/placeholder daily 1.0 2023-09-29 https://littlelungz.com/referral daily 0.75 2022-11-10 https://littlelungz.com/terms-of-service-4 daily 0.75 2021-12-16 https://littlelungz.com/contact daily 0.75 2021-12-16 https://littlelungz.com/questionnaires daily 0.75 2022-11-11 https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1668209059618-TDHFR459A5DOWWZK5TDP/unsplash-image-E2jSG9J-f6k.jpg Questionnaires https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1668209318478-7ITLW4LLNRZNGMZB4FWF/unsplash-image-1TfFiHeZZ3Q.jpg Questionnaires https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/c55ec923-b6a2-4dc4-8526-55501fc1292d/unsplash-image-EyOgUGnnQjo.jpg Questionnaires https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1668209860725-JGG7H5DO1DWM41BDDXRU/unsplash-image-6ajf6BAyYt4.jpg Questionnaires https://littlelungz.com/store daily 0.75 2023-04-25 https://littlelungz.com/information daily 0.75 2022-11-10 https://littlelungz.com/information/new-portfolio-item monthly 0.5 2021-12-16 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618497259178-6XJGK9GR6YAVBQL5L519/20140301_Trade-151_012-2.jpg Health Info - Useful Websites https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694583486-2PQT0LQ193RL7MCB6DX4/20140228_Trade+151_0046.jpg Health Info - Useful Websites https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694644871-IC85FNH781UNZSZEGHDR/Aro+Ha_0428.jpg Health Info - Useful Websites https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1639641855035-1ACL3HDK6DPZ7KD5P09E/raising+children+NZ.png Health Info - Useful Websites https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1639642269079-TXF51FLL77Q691WPX41F/raising+children+AU.jpeg Health Info - Useful Websites https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1639642450035-CH30YZRF694AEMD6WX98/starship+hospital.jpg Health Info - Useful Websites https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1639642487011-KXLI0T9FTWZ2HJGB0Q1Y/Starship%2BLogo.jpg Health Info - Useful Websites https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1639642531907-P2B3Q2TIT12C0LL7B60V/kidshealth.jpg Health Info - Useful Websites https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1647028330317-QVGXK92PVIZBV67RU4WZ/meta-image.jpeg Health Info - Useful Websites https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/1647028574210-GVUNLN7ADOX2DH88WHYY/BX+Foundation.png Health Info - Useful Websites https://littlelungz.com/information/67f45e26-9b6f-4358-92d8-01f3c4091410-xsyhr-m8f98 monthly 0.5 2021-12-16 https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/d81f3ac3-147b-4c02-920e-c4b39c5b4131/unsplash-image-K_PFVUGNwkU.jpg Health Info - Sleep & Sleepiness - Snoring may be a concern. Snoring is due to narrowing in the nose or throat passages making noisier to breath. This may occur with normal relaxation of airway muscles during sleep, enlargement of the adenoids or tonsils, being overweight or due to underling airway problems. For most children isolated snoring is not harmful. For some however, it is more severe leading to repeated sleep disturbances and poorer quality unrefreshing sleep. Daytime symptoms include sleepiness, impulsivity, poor concentration, irritability and moodiness. This is called obstructive sleep apnoea, may have important long term consequences, and ought to be treated. Your health professional will start with exploring your child symptoms (including using questionnaires) and may refer to a paediatric sleep specialist or ENT surgeon for further tests and treatment. Want to learn more? Kidshealth page Starship Children’s Hospital page Sleep questionnaire for your child https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/aa40a462-01b8-4c67-9401-574f3dfef84b/unsplash-image-QoFbcadRVEQ.jpg Health Info - Sleep & Sleepiness - Daytime sleepiness. In general excessive daytime sleepiness indicates a child or young person is either not getting enough sleep or their sleep is of poor quality. In rare circumstances they may have an underling sleepiness disorder. Not enough sleep may be due to poor sleep habits, intrusive use of electronics, difficulties falling asleep, or overnight/early morning wakening. These are all common in our modern lifestyles and generally respond best to lifestyle changes and behavioural strategies. Poor quality sleep may also be due to lifestyle routines & sleep skills or to medical conditions such as obstructive sleep apnoea, movement disorders or other rarer conditions. Sometimes sleep isn’t the problem at all. Fatigue and tiredness may have non-sleep related causes. Alternatively there are rare conditions of excessive sleepiness unrelated to overnight sleep. Given the impact overnight sleep and daytime sleepiness have on a child or young person’s health and performance these concerns ought be explored with your health professional. Depending on their assessment they may refer you on to other specialists and in some cases a paediatric sleep specialist. Normal sleep durations by age Sleepiness questionnaire for children https://littlelungz.com/information/67f45e26-9b6f-4358-92d8-01f3c4091410-a2tbn-mh775 monthly 0.5 2021-12-16 https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/fd8863ea-2008-46ec-9ebf-0bd71122cf05/unsplash-image-cEqQqk2jAig.jpg Health Info - Cough & Breathing - Persistent cough isn’t normal. An effective cough is important way to keep lungs healthy. Repeated coughing every day however isn’t normal and may be a sign of poor lung health or irritation. A persistent cough lasting more than three to four weeks ought to be carefully explored and, where appropriate, treated. Cough is a common symptom in young children. Most often this is the result of viral upper respiratory infections which may occur repeatedly causing recurrent or prolonged respiratory illness. Other common causes are allergy, asthma, gastro-oesophageal reflux and sometimes habit. Persistent cough may be a sign of more serious lung conditions including bronchitis, bronchiectasis, cystic fibrosis, congenital airway conditions or other underlying lung disease/damage. Assessment includes learning about the child and cough’s history, physical examination and, where appropriate, staged testing. Where the cause or treatment isn’t clear, trials of therapy, further tests and/or sometimes a careful watch and wait approach may be appropriate. In young children, whilst taking care to maintain safety, time can be a useful tool. https://images.squarespace-cdn.com/content/v1/61b527c631fa234379d9fdeb/55184ee1-34bf-47e4-b6aa-23b430f2fa02/unsplash-image-GEJxI_QRPwM.jpg Health Info - Cough & Breathing - Not all wheeze is asthma. Wheeze is a particular kind of noisy breathing that generally indicates narrowing of the breathing passages within the lungs. Wheeze may occur by itself or in association with other symptoms such as cough or difficulty breathing. Whilst not normal it isn’t uncommon for pre-school children to get transiently wheezy with otherwise ordinary viral upper respiratory infections. This isn’t generally considered asthma, often doesn’t need specific treatment, and most children will grow out of this tendency in time. If your child is breathless or having difficulty breathing seek urgent medical attention (ambulance, after hours health centre or hospital emergency department as appropriate). If wheezy episodes are more severe, frequent, persistent, or occurring even without apparent viral infections then a more careful assessment is needed. Asthma and asthma treatment may be considered. Other lung conditions associated with wheeze or breathing difficulty ought also be explored.