The prognosis is best in young children who wheeze with viral respiratory infections and who have no symptoms in between these episodes. It can often be difficult to differentiate these early wheezers from children with true asthma. Children with recurrent symptoms tend to have ongoing asthma later in life. Boys outgrow asthma more often than girls, and a child with no evidence of environmental allergies has a better chance of outgrowing asthma as compared to a child with concurrent allergic disease (hay fever). Even in children with ongoing asthma, prognosis is excellent for those with preserved activity level and lung function through the use of appropriate medications.