The young athlete with dyspnoea

Abstract Problematic dyspnoea in young athletes is most commonly due to either exercise induced asthma, exercise induced laryngeal obstruction or a breathing pattern disorder. Pathologies that affect the physiological processes involved in the transport of oxygen from ambient air through to the working muscles can also cause dyspnoea. Other factors including psychology, environmental and sport specific factors can contribute. This review highlights the value of a systematic approach to a young person with difficulty in breathing as a result of exercise. A systematic approach commencing with a detailed clinical history and examination and then investigating as appropriate can help with accurate diagnosis and will guide the appropriate management strategy.