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Common differential diagnoses of bronchial asthma in youngsters 5 years and youthful Condition Typical options Recurrent viral respiratory Mainly cough, runny congested nostril for <10 days; wheeze often gentle; no signs tract infections between infections Cough when feeding; recurrent chest infections; vomits easily particularly after massive Gastroesophageal reflux feeds; poor response to asthma drugs Episode of abrupt, severe cough and/or stridor throughout consuming or play; recurrent chest Foreign physique aspiration infections and cough; focal lung indicators Noisy respiration when crying or consuming, or throughout higher airway infections (noisy inspiration Tracheomalacia if extrathoracic or expiration if intrathoracic); harsh cough; inspiratory or expiratory retraction; signs often current since birth; poor response to bronchial asthma medicines Persistent noisy respirations and cough; fever unresponsive to normal antibiotics; Tuberculosis enlarged lymph nodes; poor response to bronchodilators or inhaled corticosteroids; contact with somebody who has tuberculosis Cardiac murmur; cyanosis when eating; failure to thrive; tachycardia; tachypnea or Congenital heart illness hepatomegaly; poor response to asthma medicines Cough starting shortly after start; recurrent chest infections; failure to thrive Cystic fibrosis (malabsorption); unfastened greasy cumbersome stools Cough and recurrent, gentle chest infections; continual ear infections and purulent nasal Primary ciliary dyskinesia discharge; poor response to asthma medications; situs inversus happens in about 50% of children with this condition Vascular ring Respirations typically persistently noisy; poor response to bronchial asthma drugs Bronchopulmonary Infant born prematurely; very low delivery weight; wanted extended mechanical ventilation dysplasia or supplemental oxygen; problem with breathing present from birth Immune deficiency Recurrent fever and infections (together with non-respiratory); failure to thrive 6. 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