II. Pathophysiology
- Voluntary Noisy Breathing or cough
III. Signs
- Intermittent noisy cough or snuffling
- Does not occur with sleep or when child is distracted
- Occurs irregularly while awake
- Child can produce Noisy Breathing on request
IV. Management: Break habit
- Reminder technique
- Child wears a sheet knotted around chest
- Child no longer wears sheet when cough disappears
- Hypnotism