At The Children's Naturopath, we regularly see children who continue breathing through their mouths long after a cold or respiratory infection has passed.
Parents often tell us their child has always been a noisy sleeper, has a permanently blocked nose or seems to catch one cold after another.
Our approach draws on over 28 years of clinical experience supporting children's health. We pay particular attention to whether a child's breathing returns to normal between illnesses, and what may be contributing to their ongoing symptoms.
A pattern we see often involves a five-year-old whose parents are concerned about constant mouth breathing and snoring.
The symptoms become noticeably worse during colds, but even when otherwise well, the child continues sleeping with their mouth open. Parents also notice they wake tired and become increasingly irritable towards the afternoon.
An ENT assessment may have identified enlarged adenoids, and the family wants to understand whether anything else may be contributing to the ongoing congestion.
Rather than looking only at the snoring, we want to understand why the nasal passages remain congested between illnesses, and whether allergies, recurring respiratory infections or other factors may be contributing.
One of the first questions we ask parents is whether their child can breathe comfortably through their nose when completely well.
A child who becomes congested for several days during a cold presents a different pattern from one who remains blocked for weeks or months.
We are particularly interested in whether symptoms:
Become worse during spring or periods of high pollen exposure.
Continue throughout the year, particularly overnight.
Increase following respiratory infections and never completely settle.
Occur alongside itchy eyes, sneezing, eczema or other allergic symptoms.
Change between sleeping environments, or after exposure to dust and animals.
These observations can help distinguish recurring infections from more persistent nasal or allergic concerns.
Another pattern we commonly explore is the child whose parents are concerned about poor concentration, emotional outbursts or hyperactivity, without initially recognising that disrupted breathing during sleep may be contributing.
Sleep-related breathing difficulties can affect a child's daytime functioning, even when they appear to have spent enough hours in bed.
According to the Royal Children's Hospital Melbourne, approximately 15–20% of children snore, while around 2–3% experience obstructive sleep apnoea.
This distinction matters: snoring does not automatically mean a child has sleep apnoea, but persistent snoring accompanied by disturbed sleep or daytime difficulties deserves closer attention from your child's doctor.
Our clinic considers the wider pattern of a child's respiratory and nutritional health.
For children experiencing persistent mouth breathing and snoring, we may explore their history of respiratory infections, seasonal allergies, dietary intake, nutritional status, digestive health and sleeping environment.
We also encourage parents to observe their child's breathing when well, rather than only during an illness. A simple record of nasal congestion, snoring, sleep quality and daytime behaviour can help reveal whether symptoms follow a recurring pattern.
Our aim is to help families better understand the factors affecting their child's respiratory health and identify practical, individualised nutritional and lifestyle support, alongside their existing care.
Royal Children's Hospital Melbourne — Obstructive Sleep Apnoea (OSA)
Prevalence figures for snoring and obstructive sleep apnoea, and the association between disrupted breathing, sleep, learning and behaviour.
Raising Children Network — Snoring in Babies, Kids and Teenagers
Nasal congestion, allergies, enlarged tonsils and adenoids, and when persistent mouth breathing and snoring are worth acting on.
Victorian Department of Health — Sleep Disordered Breathing
Statewide referral criteria: persistent snoring, sleep disturbance, mouth breathing and associated daytime behavioural difficulties.