Nasal Flaring

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What to Expect at your Health Care Provider's Office

A history and physical assessment of the child will be done to determine if the flaring is due to upper or lower respiratory problems. Administration of oxygen (if needed) and ordering of any lab work or X-ray studies that might assist in the diagnosis may also be performed.

Medical history questions may include:

• When did it start?
• Is the person getting better or worse?
• Does the person look blue?
• Is the breathing noisy or are there wheezing sounds?
• Are there grunting noises with the breathing?
• Does the person look like they are working hard to breathe?
• Are they getting tired or sweaty?
• Do the muscles of the stomach, shoulders, or rib cage need to be used when the person is breathing (see intercostal retractions)?
• What other symptoms are present?

Physical examination will include careful listening to the breath sounds (auscultation).

Diagnostic tests that may be performed include:

• Arterial blood gas analysis
• CBC (blood test)
• ECG
• X-rays of the chest

After seeing your health care provider, if a diagnosis was made related to nasal flaring, you may want to note that diagnosis in your personal medical record.