form about your child's symptoms - British Lung Foundation

OSA in
children
My child’s symptoms
If you think your child might have a sleep-related breathing problem such as obstructive sleep apnoea
(OSA), it is useful to note their symptoms. This is also helpful after they have been diagnosed.
Complete this form before you visit your GP and take it with you to your child’s appointment.
Simply tick if your child has any of these symptoms. Use the right hand columns to record and
compare changes in your child’s symptoms over time, if he or she is diagnosed with OSA and
goes on to have treatment.
Before
diagnosis
My child has
these symptoms
(tick)
Daytime symptoms (when awake)
After diagnosis and treatment
My child still has these symptoms (tick and date)
Changes in behaviour, for example
being irritable and having tears and
tantrums
Hyperactivity, which may alternate
with excessive sleepiness
Poor concentration
Poor or decreased performance
at school
Tiredness and sleepiness
Failure to gain weight and grow
Developmental delay
Learning difficulties
Breathing through the mouth
Speech that sounds nasal
Difficulty swallowing
Continued on next page >

Early morning headache
Frequent illnesses and difficulty
shaking off infections, compared
with peers
Other (please state)
Night time symptoms (when asleep)
Snoring
Pauses in breathing
Gasps, snorts or choking sounds
Restlessness and sudden arousals
from sleep
Laboured breathing
Unusual sleep position
Bed wetting
Breathing through the mouth,
a dry mouth and bad breath
Other (please state)
This form is part of the British Lung Foundation’s information on OSA in children.
For more information visit www.blf.org.uk/osa-children
The BLF values feedback on all of its information. To let us know your views,
please contact us using the details below.
Code: OC01 Version: 1
Last reviewed: February 2013
Due for review: February 2015
For references call 020 7688 5555
Leading the fight against lung disease
73-75 Goswell Road London EC1V 7ER T 020 7688 5555 F 020 7688 5556 enquiries@blf.org.uk Helpline 03000 030 555 www.blf.org.uk
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