Respiratory Issues

We understand just how scary and upsetting it can be when your child is dealing with a respiratory issue. Dr Bisiwe offers comprehensive consultative and treatment services for babies, children, teens, and young adults who are dealing with a wide array of acute as well as chronic lung and respiratory disorders.

Dr Bisiwe provides pulmonary consultations and asthma care, to diagnose, monitor, and help to manage and treat the following breathing issues and lung problems in children:

  • Asthma
  • Bronchopulmonary dysplasia
  • Chronic aspiration
  • Chronic cough
  • Wheezing
  • Chronic lung disease
  • Exercise-induced breathing problems
  • Noisy breathing
  • Lung infections and cases of pneumonia
  • Tuberculosis
  • Respiratory disease
  • Tracheomalacia
  • Sleep-disordered breathing

Dr Bisiwe uses the latest technology to diagnose and treat lung diseases and respiratory disorders in children and adolescents. For children diagnosed with asthma, he offers comprehensive care to address the many ways the condition presents itself and affects breathing and overall well-being. He also provides both patients and their families with the education and resources they require to recognize and manage symptoms of asthma at home, school, or play.

In assessing a pediatric patient for a lung or respiratory disorder, Dr Bisiwe will review the child’s medical history to see if any factors are contributing to the condition. He looks for relevant information regarding family history, exposure to environmental pollutants and toxins, or exposure to infectious disease that may have contributed to the development or worsening of your child’s lung or respiratory condition.

He will also evaluate your child’s respiratory and lung function with painless and noninvasive tests as well as assess changes in your child's lung function over time and in response to asthma medications or other types of treatments.


Asthma is the term used to refer to a chronic illness characterized by inflammation of the airways and wheezing. There are different levels of severity of asthma ranging from mild intermittent through severe persistent asthma. Some people with asthma require daily maintenance medications to prevent asthma symptoms, while others only require quick-acting medications during times of illness or exacerbation.

There are many things that may trigger an asthma attack. Learning what triggers your child and avoiding these things can help to prevent asthma attacks. The most common asthma triggers are:

  • Illness
  • Seasonal Allergies
  • Environmental pollutants
  • Cigarette smoke
  • Dust Mites
  • Animals
  • Exercise
  • Mould
  • Sudden changes in the weather
  • Cold/dry air

Cough & Colds

Your child will probably have more colds or upper respiratory infections than any other illness. Most children have at least 8-10 colds in the first two years of life. Colds are caused by viruses and can be spread directly by coughing and sneezing or indirectly by touching your nose or coughing into your hand and then touching a healthy person. Viruses and bacteria are two different causes of infection. Antibiotics kill bacteria, NOT viruses. The best treatment is supportive care. Colds may last up to 3 weeks and coughs may last even longer.

Young infants are susceptible to colds as well. They may become fussy during breast or bottle-feeding because they are nasal breathers and it is difficult to breathe and eat with a stuffy nose. In this case, let your child take several breaks during feeding to catch their breath when they are fussy. Furthermore, placing a cool mist vaporizer in the room may help loosen nasal secretions and help improve a restless night’s sleep. Mucus can be many different colours and darker/green mucus does not necessarily indicate the need for antibiotics. Antibiotics do not kill viruses.

Call our office if
  • Fever persists greater than 72 hours
  • Laboured breathing