Introduction: Indoor air pollution from household fuel combustion is a major public health concern, especially in low and middleincome settings. Objectives: This study examined the association between cooking fuel type and respiratory symptoms among children aged 2–6 years attending selected Medical Officer of Health (MOH) clinics in Kandy district. Methods: A descriptive cross-sectional study was conducted among 130 children using a pretested interviewer-administered questionnaire. Respiratory symptoms within the past 30 days were recorded. Associations between cooking fuel type and symptoms were assessed using binomial regression analysis. Results: Among the 130 participants, 52.3% (n=68) were female, with a mean age of 4.05 ±0.99years. 105 participants were from households mainly using LPG and 25 were from households using solid fuel. Overall, 57 children (43.8%) reported cough, 12 (9.2%) sore throat, 48 (36.9%) runny nose, and 41 (31.5%) sneezing. Seventy-six children (58.5%) had at least one respiratory symptom. Symptoms seemed more frequent among solid fuel users compared to LPG users: cough (48.0% vs 42.9%), sore throat (16.0% vs 7 .6%), runny nose (48.0% vs 34.3%), and sneezing (40.0% vs 29.5%). Children exposed to solid fuel had higher odds of cough (OR=1.23, p=0.642), sore throat (OR=2.31, p=0.203), runny nose (OR=1.77 , p=0.205), sneezing (OR=1.59, p=0.313), and any respiratory symptom (OR=1.66, p=0.284). However, none of these associations were statistically significant. Conclusions: Although associations were not statistically significant, possibly due to the smallsample size, respiratory symptoms were more frequent in children from solid fuel households, suggesting a possible increased risk that requires further investigation.