What is מרפאת ד״ר גיא שטויר?

אתר אינטרנט למרפאת ילדים, ריאות ודרכי נשימה, המספק מידע על שירותים, תורים, עלויות ודרכי הגעה.

My child wakes up multiple times a night. What are the causes and is there treatment?

This is a complex topic. There are many common reasons for night wakings. It's important to look at the child holistically, from airway anatomy to habits formed at home. Common causes include: Sleep-onset association (external dependency): The most common cause. If a child is used to falling asleep only with a bottle, breastfeeding, or parental presence, they will struggle to return to sleep independently during natural sleep cycles. Treatment: behavioral guidance on developing self-soothing skills. Sleep-disordered breathing (snoring & apnea): Enlarged tonsils or adenoids can partially obstruct the airway. The brain detects respiratory effort and wakes the child as a protective response. Treatment: clinical evaluation of the upper airway and sometimes referral for a sleep study or surgical/medical treatment. Nighttime nutritional habits: In infants and toddlers, frequent nighttime feeds create a cycle of conditioned hunger-related wakings and increase nighttime urination that disrupts sleep continuity. Treatment: gradual nighttime weaning and caloric concentration during the day. Ear infections and middle ear fluid: Fluid in the ears creates pressure that worsens when lying down. A child who wakes crying and is hard to soothe may have an ear problem. Treatment: physical examination and treatment as needed. Sleep movement disorders and nutritional deficiencies: Leg restlessness, kicks, or discomfort before sleep (RLS) causes wakings and is often linked to iron (ferritin) or vitamin deficiency (B12, magnesium). Diagnosis and treatment include comprehensive blood tests and personalized supplementation. Uncontrolled asthma or nighttime cough: Chronic nighttime cough disrupts sleep and prevents deep sleep stages. Treatment depends on the underlying cause. Silent reflux (gastroesophageal reflux): Acid rising from the stomach causes discomfort, burning, or cough, and worsens when lying down. Treatment: dietary adjustment, head-of-bed elevation, or antacid medication. Night fears and nightmares: Around ages 2–3, developing imagination brings fears of the dark or imagined scenarios, leading to difficulty transitioning between sleep cycles. Treatment: calming bedtime routines, gentle night lighting, white noise, and emotional support. Poor sleep hygiene: Screen exposure before bed, an unsuitable room temperature, or an inconsistent nap schedule disrupt melatonin (the sleep hormone). Treatment: adjusting the sleep environment, avoiding sleep disruptors, and keeping consistent sleep times. Transient febrile illness or teething: Sometimes the disruption is temporary and stems from a specific physical pain that raises the arousal threshold. Treatment: symptomatic relief and returning to routine once the illness resolves. Atopic dermatitis: Dry, itchy skin can cause a child to suffer and wake frequently. Treatment includes matching behavioral habits, avoiding overheating, appropriate clothing, skin moisturizing, and medication. Every child is a world unto themselves. If wakings are persistent, a medical evaluation is recommended.

When should I seek a pediatric pulmonology evaluation?

You should consult a pediatric pulmonologist when: recurring wheezing more than 3 times per year, cough lasting more than 4 weeks, shortness of breath during exertion that limits activity, recurrent pneumonia (2 or more per year), suspected sleep apnea, unexplained finding on chest X-ray or CT, or when your treating physician refers for further evaluation.

Is childhood asthma a lifelong condition?

Not necessarily. A significant proportion of children with asthma experience marked improvement during adolescence, and in some it completely resolves. However, more severe asthma, with a strong allergic component, or asthma that began at a very young age, may persist into adulthood. Proper management allows children to live full, active lives.

What is the difference between an asthmatic cough and a cough from another cause?

An asthmatic cough tends to be nocturnal, appears with physical exertion, and worsens with exposure to allergens (pollen, animal fur, cold air). It is usually accompanied by wheezing. A cough from another cause (such as chronic rhinitis, reflux, or chronic infection) may appear when lying down, after meals, or unrelated to activity. Accurate diagnosis requires evaluation and pulmonary function testing.

What is sleep apnea in children and how is it diagnosed?

Sleep apnea in children is a condition where breathing is obstructed during sleep, causing breathing pauses, snoring, frequent wakings, daytime fatigue, restlessness, and difficulty concentrating. In children, the most common cause is enlarged tonsils or adenoids. It is important to get evaluated when suspected, as effective treatment is available in many cases.

What is included in a first visit with a pediatric pulmonologist?

The first visit includes a thorough history with parents, a physical examination, basic pulmonary function testing (from age 4–5), interpretation of any available imaging, and a clear follow-up plan.

What is the difference between basic and advanced pulmonary function tests?

Basic pulmonary function tests (spirometry) measure air volumes and flow rates, which is sufficient for asthma diagnosis and follow-up. Advanced tests (plethysmography, DLCO, exercise testing) provide deeper information on lung volume, diffusion capacity, and exercise tolerance, and are required in more complex diseases.

Can I get reimbursement from private insurance for the visit?

Yes, most private health insurance policies offer reimbursement. The reimbursement rate depends on your specific policy. The clinic staff will be happy to guide you regarding the documents required for submission to your insurer.

When your child's breathing, cough, or sleep worries you,you need someone who looks at the whole picture.

Dr. Guy Steuer

Pediatrician, Pediatric Pulmonologist and Sleep Medicine Physician

Clinic in Ganei Tikva (HaBama Center) · Sharon: 03-6127577 (Sun–Thu 08:00–20:00)

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Our Clinic

A pleasant, calm, and professional environment, so you and your child feel comfortable from the very first moment

Feel at Home

Common Areas of Care & Diagnosis at the Clinic

The main areas we diagnose and treat

Is Your Asthma Under Control?

Asthma Control Test, check how well the asthma is controlled

Asthma in Children & Adults

Recurrent wheezing, nighttime cough, managing flare-ups

Correct Inhaler Use

Guidance for parents and children on proper technique, including the resistant child

Stridor, Rattles & Wheezing

A guide for the worried parent: each breathing sound points to a different area and a different problem

Prolonged Cough

Chronic cough, cough after viral or bacterial pneumonia, cough on exertion

Recurrent Pneumonia

The causes, which imaging and workup are needed, follow-up

Shortness of Breath

How to investigate, and why an accurate diagnosis matters

Bronchoscopy

When the test is needed and what it can reveal

Exercise Intolerance

The pulmonary, cardiac and laboratory workup required

Chronic Rhinitis

The causes, the link to breathing and cough, the workup and the treatment

Prematurity, BPD

Chronic lung disease of premature infants, follow-up

Congenital Anatomical Problems

Lung tissue development problems and combined airway and digestive anomalies

Chronic & Complex Lung Diseases

CF, PCD, ILD, bronchiectasis

Health Topics in Down Syndrome

The key health areas: from respiratory and sleep issues to heart, thyroid, hearing, digestion and development

Neuromuscular Diseases

Muscle and nerve diseases with respiratory involvement

Lung Disease in Pediatric Oncology

Primary or secondary pulmonary involvement

Test Interpretation & Second Opinions

Pulmonary function tests, exercise tests, chest X-rays, chest CT, blood tests, sleep studies...

Sleep Problems in Children & Young Adults

Snoring, breathing pauses, night wakings, difficulty falling asleep and other sleep disorders from A to Z

Behavioral Sleep Problems in Children & Adolescents

Difficulty falling asleep, night wakings, dependency on a parent, solutions for infants, toddlers and adolescents

Pediatrics, Adolescents & Young Adults

General consultation, symptom workup, second opinion, for children and adolescents

Breath Holding Spells

Fainting and breath holding during crying in infants and toddlers

Infectious Diseases & Vaccines

Common infectious diseases, the vaccination schedule, travel vaccines

BRUE, SUDI & Crib Death

Sudden unexplained events in infants, risk factors and prevention

Pre-Enlistment Respiratory Evaluation

An organized respiratory evaluation before military service, for young people with asthma, shortness of breath or a respiratory history

For Physicians & Professionals

Professional Information for Referring Physicians

Referral criteria, red flags, articles and clinical pearls

When to Refer Clinical Moments What to Bring Professional Portal

Frequently Asked Questions

Answers to questions parents commonly ask

What Does the Evaluation Process Look Like?

Listening & History

Understanding the child's and family's story: triggers, physical activity, sleep, frequency of flares, and medication use.

Examination & Testing

Pulmonary function tests, interpretation of imaging (chest X-ray/CT), or additional tests based on the clinical picture.

Treatment Plan & Guidance

Clear explanation, measurable goals, and an organized follow-up plan.

Fees & Insurance

We work with health insurance funds and private insurers

The clinic operates within health fund arrangements as well as privately, to accommodate every family's needs.

For information on reimbursement from private insurance, please contact your insurer directly.

For pricing details please call: 03-6127577

What Parents Say

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"After a year and a half of running between doctors with 'pneumonia' every month, Dr. Steuer was the only one who gave us a professional and precise diagnosis."

A., Feb 2026

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Dr. Steuer in Media & Conferences

Lectures, interviews and educational videos

Dr. Steuer's medical approach

YouTube

Cystic Fibrosis Conference – Sleep Medicine

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Smart Inhalations – The Future is Here

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Chronic Cough – Professional Explanation

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Asthma in Children – Professional Explanation

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Pediatric Pulmonology – Q&A

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Getting to the Clinic in Ganei Tikva

The clinic is located in Ganei Tikva, in the heart of the Gush Dan metropolitan area, serving families from all over central Israel: Petah Tikva, Kiryat Ono, Ramat Gan, Givatayim, Tel Aviv, Rishon LeZion, Holon and the surrounding area.

Address

HaCarmel 20, Ganei Tikva (HaBama Center)

Appointments & Cancellations

Sharon: 03-6127577

Hours

Phone answering & scheduling: Sun–Thu 08:00–20:00 | Fri & holiday eves 08:00–16:00 In-person visits: Sun–Thu 16:00–21:30 | Fri & holiday eves 08:00–16:00 *Phone appointments by prior arrangement 08:00–22:00 *Times may change due to external constraints, please do not arrive without a scheduled appointment

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Directions & Parking

We recommend entering the underground parking lot located beneath the clinic.

Enter through the outdoor parking lot to the right of HaBama Center. Drive to the end and enter the underground parking.

Continue to the end and take elevator A up to the first floor.

Upon exiting the elevator, turn left to the "Physicians' House" through the large glass door.