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Hello this is Dr. Salama MD,
It sounds like he is doing well clinically.
Many children his age develop wheezing (especially at night) when they have colds.
Wheezing can go either way.
Occasionally it resolves on its own and other times it needs an inhaler (or breathing treatments) in order to resolve.
If his wheezing is constant, he develops a cough attack or he is having any trouble breathing whatsoever then I would see a doctor as soon as possible for an inhaler.
Since you mentioned that his respiratory rate is elevated and noisy, I would probably consider seeing a doctor sooner rather than later.
Let me know if you have any other questions.
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Is there anything else I can help you with?
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