- Bluish discoloration of the skin caused by lack of oxygen (cyanosis) or loss of skin color (
- Crying and then stopping breathing (apnea)
- Momentary unconsciousness or fainting
- Short seizure-like movement (one to two jerks)
After being startled or becoming upset, the child may make a short gasp and then exhale and stop breathing. Then the child quickly becomes blue (cyanotic) and may have many jerky movements that look like a small
The event ends with a brief period of unconsciousness, at which time normal breathing restarts. The child's color improves with the first breath and the event ends. The child may repeat this behavior several times per day, or do it only on rare occasions.
Breath holding can be a frightening experience for parents, who may think it is a seizure or even cardiac arrest. After a doctor has diagnosed the child with breath holding spells, the parent can simply wait for the event's natural end.
Signs and tests
The doctor will take a history and do a thorough physical exam to rule out a physical cause of the breath holding. Because of a known association with iron deficiency, a blood test may be done.
Sometimes patients will have a cardiac test (such as an