A video consultation can help organise the breathing story — but only when the child is stable, the pattern is clear, and an in-person examination is not the urgent need. The pathway below is designed to make this safe.
If your child has severe breathing difficulty, blue lips, drowsiness, poor feeding, chest indrawing, low oxygen, grunting, pauses in breathing or rapidly worsening illness, do not wait online. Take the child to in-person pediatric emergency care without delay.
The pathway.
The consultation pathway is intentionally structured. Families do not pay before suitability has been reviewed for the child's specific concern.
Basic child and parent details, main concern, previous prescriptions and reports — all sent through the symptom navigator.
Emergency signs are screened first. If urgent care is needed, the family is directed to in-person pediatric emergency care immediately.
Pattern review, report review, parent questions, inhaler or device review when relevant, and next-step planning.
A structured advice note can be shared after consultation so the family has clear next steps and follow-up timing.
Where useful, a follow-up review can be planned at the right time — not only when symptoms return.
With parent consent, a summary can be shared with the child's regular pediatrician so care stays joined-up.
What a video consultation can help with.
Video review is suitable for stable patterns. The list below reflects what brings most families to a pediatric pulmonology consultation.
- Stable recurrent cough — night cough, cough after every cold, cough lasting more than four weeks.
- Wheeze pattern review — first wheeze, recurrent wheeze in a toddler, preschool wheeze vs asthma questions.
- Asthma control review — frequent reliever use, night symptoms, exercise symptoms, written action plan.
- Allergy-linked breathing — allergic rhinitis, blocked nose, mouth breathing, asthma and allergy overlap.
- Sleep breathing concerns — loud snoring, pauses in breathing, restless sleep, morning headaches in older children.
- Inhaler, spacer, mask or nebulizer technique doubts — a short live technique check often changes the plan.
- Repeated nebulization history and prescription review.
- Report and prescription review — chest X-ray, CT, lung function, allergy reports, sleep study summaries.
- A second pediatric pulmonology view alongside ongoing care.
What a video consultation cannot help with.
Knowing when not to treat online is part of safe pediatric care. The list below is intentional.
- Acute breathing distress or rapidly worsening breathlessness.
- Blue or grey lips, drowsiness, limpness, convulsions.
- Chest indrawing, grunting, pauses in breathing, persistently low oxygen.
- Poor feeding in a baby, inability to drink, suspected dehydration.
- Sudden choking history or a child who simply looks very unwell.
- Any situation that needs hands-on examination, oxygen, monitoring or urgent treatment.
A child can have a serious underlying condition (such as bronchiectasis, primary ciliary dyskinesia, suspected cystic fibrosis or recurrent pneumonia) and still be stable today. Those are exactly the patterns that benefit most from a calm, structured pediatric pulmonology view — alongside, not instead of, in-person assessment.
Before requesting review.
The more clearly the breathing story is captured, the more useful the review. The page below explains what to send.
A short, clear list — child details, symptoms, medicines, reports, short safe videos.
If you are not sure where your child fits, start here — safety screening built in.
A short framework for pediatricians and other doctors sending patients.
Honest limits.
The practice will not, in a video consultation, manage acute breathing distress online, prescribe antibiotics for every cough, call every wheeze "asthma" without checking the pattern, escalate treatment without reviewing technique and device, or ignore wet cough, poor growth, recurrent pneumonia or focal chest signs. Where in-person care is the right answer, you will be told so honestly.
Parent questions.
i.Why is there a safety triage before booking?
Because video consultation is not appropriate for every breathing concern. Severe distress, low oxygen, blue lips, chest indrawing or rapidly worsening illness needs urgent in-person care — not an online review. Screening this first protects your child.
ii.When is payment requested?
Only after suitability and safety have been reviewed. You will not be asked to pay if a video consultation is not appropriate for your child's concern. In that case, you will be directed to in-person care instead.
iii.How is the consultation conducted?
Through a secure video link sent before the scheduled time. You should be in a quiet, well-lit room with the child, with the inhaler, spacer, mask or nebulizer kit at hand if relevant, and with previous prescriptions and reports ready to share.
iv.Will I get a written plan?
Yes. A structured advice note is shared after consultation so the family has clear next steps, what to watch for, follow-up timing, and red flags that would need in-person care.
v.Can the consultation be in Hindi?
Yes. Consultations are available in English and Hindi.
Telemedicine for pediatric breathing concerns must be safe. The frameworks below shape how this consultation pathway is designed — they are listed for transparency, not as endorsement.