Wondering if your child has asthma?

Cough every night? cough when running? cough when laughing or crying? wheezing every time they have a "cold"? these symptoms may be normal, but they also may be symptoms of asthma

And CHAMPS Pediatrics we offer Spirometry testing for our patients (insurance restrictions may apply).

Pulmonary function tests (PFT’s) measure how well your child can move air in and out of his or her lungs. PFT’s, also called breathing tests, will help your healthcare provider tell if your child has asthma or other lung disease, how severe it is and what medications may help. 

Specially trained staff will coach you and your child throughout the tests. Often the breathing tests are presented as a blowing game. Sometimes blowing a toy like a party horn can be used to help your child practice what will be done during the breathing tests. Before doing PFT’s, your child’s height will be measured because his or her lung size is related to his or her height. Your child’s test results can be compared to the results of other children of the same sex, age, and height, like the standard ranges on a growth chart.

What is spirometry?

 Spirometry is the most common lung function test done. It measures how much air is moved in and out of the lungs and how fast the air moves. To get the best results, your child will be asked to follow very specific instructions. Most children can do spirometry by age 6, though some preschoolers are able to perform the test at a younger age. Your child will be asked to wear a nose clip to keep him or her from breathing through his or her nose during the test. Your child will then be asked to take in a deep breath and to blow the air out into a mouthpiece that is connected to a computer. The computer measures how much and how fast the air is blown out. Your child will repeat the test at least two times to get their best, most consistent result. This test can take up to 30 minutes to complete. Spirometry is a more accurate test to measure disease than just a peak flow reading. Your child may become tired or frustrated during the test and this is common. Sometimes it takes several visits to the office or lab to practice the test before your child can complete the test. Coughing during the test is to be expected. Tell your child that they may rest between blowing into the machine, in order to catch his or her breath. Sometimes this test is repeated after your child inhales medication. This test is called a post- bronchodilator or bronchodilator response test. 

What is a post bronchodilator or bronchodilator response test? 

Your healthcare provider may want to see if your child has an improvement in his or her breathing after inhaling a bronchodilator (a medicine that opens the breathing tubes). Your child will be asked to breathe in a bronchodilator medicine (usually albuterol or levalbuterol) after completing the first breathing test. About 15 minutes after taking the medicine, your child will repeat the breathing test. The results from the second test will be compared to the first test to find out if the medicine has improved your child’s breathing.  

Short acting bronchodilators such as albuterol or levalbuterol or the combination inhaler albuterol/ ipratropium (Combivent®) should not be given for at least 4 hours prior to the test. Also, you may be told to stop giving your child a long acting bronchodilator (generic name/brand name) salmeterol/Serevent®, or formoterol/ Foradil® or combination inhalers that include one of these bronchodilators plus a steroid. Examples of these combinations are Advair® and Symbicort®. If your child is taking either of these medications, you may be asked not to give this medication to your child from 12 to 24 hours prior to the test. 

Action steps:

If you are concerned about your child’s breathing, ask your healthcare provider about having your child’s lung function tested. 

✔ Prepare your child for PFT’s by explaining the test before arriving at the office or lab. 

✔ Ask at least 48 hours before the scheduled test if there are any medicines that should not be taken by your child before the test. 

✔ Plan extra time when your child is doing lung function tests. Several tests and rest periods may be needed to get the best results.

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Kahului office 8 AM - 12 PM

Kahului office 1 PM - 5 PM


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Kahului office 8 AM - 12 PM

Kahului office 1 PM - 5 PM


9:00 am-12:00 pm

1:00 pm-5:00 pm


Kahului Office 9 am - 12 pm

Kahului Office 1 pm - 5 pm






Happy Parents

    "I was so impressed with Dr. Irene Papaconstadopolous. Everything is at her practice is streamlined and organized. Paperwork all sent beforehand in an easy to use digital format. Communication was clear and office easy to access. Went for our 18 month old’s check up and it was the most time I have ever been able to spend with a doctor! She even administered the vaccines. She was thorough, friendly, and creative in approach to making my toddler comfortable and engaged. So happy to have a competent, friendly, organized, and WONDERFUL pediatrician on Maui. Such a blessing. Mahalo!"

    Nicole B. Google reviews March, 2022

    Dr. Irene is the kind of doctor United States badly need more of. I took my child to see her for a hard to troubleshoot chronic issue, and I was very surprised that instead of typical in the US approach of prescribing a medicine to treat the symptom and get you out of the door, she took the time to understand medical history, went over each possibility what could have been causing the issue, and proposed a few possible follow-ups how to zero in to the root cause. Her advice was very helpful and produced positive results. I highly recommend Dr. Irene Papaconstadopoulos.

    S.D via google reviews

    "I can’t express how grateful I am, as a mother of two young children, to have found such a wonderful pediatrician. Dr. Irene is knowledgeable, accessible, and above all, great with kids! Even though my girls have had to be poked and prodded on occasion, they still love Dr. Irene so much that they get excited to see her again - and that’s saying a lot. If you are looking for a pediatrician who you can trust with your children’s health, who can answer your questions, who gets back to you quickly, and who herself is an amazing mother, then you’ve found her! I’m so glad we have. ❤️"

    K.F. 2020 via Google reviews

    We love Dr. Irene with CHAMPS Pediatrics! My two daughters have been seeing her since 2018 and we trust her completely. She's extremely warm, understanding and takes her time to explain and answer any questions that you may have as parents. She is extremely fast with the text replies through the online portal (klara) as well, which is great for those forgotten questions in between visits. Dr. Irene is super sweet and efficient and truly cares about your experience and the welfare of your children. HIGHLY recommended!

    J.P 2020 via Google reviews

    "Dr. Irene is the most caring, gentle, genuine Pediatrician. She is so kind and loving with my boys. She makes them feel so comfortable and they are even excited when we have an appt! She was so quick to respond on the Klara App to communicate with me even during a holiday weekend and answer my questions about my son. She takes time to go over everything and answer all my questions and concerns, every time we've met with her. I've never felt rushed. I highly recommend her! She's been so great caring for my family. I feel so blessed to have been referred to her!! Thank you Dr. Irene, for caring for my kids!"

    Tammy M. via Yelp

    "Dr. Irene is amazing! She really listens to you and your concerns, and takes the time to address them. She is so gentle and kind with my kids! She has definitely exceeded our expectations! I’m positive that my kids are having the best care on island. We love her and we are so happy that she joined our Maui community!"  via Google reviews

    Sueshine R.

    "Dr. Irene is amazing. She is caring, gentle, truly listens and graciously worked with us and our children to provide the best medical care. Highly recommend!!!"