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Breath Holding Spells in children? by Tony Kania
Started on: 12-18-2011 08:14 PM
Replies: 17
Last post by: Tony Kania on 12-19-2011 01:53 PM
Tony Kania
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Report this Post12-18-2011 08:14 PM Click Here to See the Profile for Tony KaniaSend a Private Message to Tony KaniaDirect Link to This Post
Benjamin is 13.5 months old, and has had several Breath Holding Spells. At least this is what I can find out on the internet. He just went through this several minutes ago, and I nearly died from anxiety. This is about the 5th time that this has happened, and other than BHS, I read about possible anemia?

He is ok now, but the look of utter fear in his eyes...

He calms down after several minutes, but that time when he is unable to breath just kills me. I am no Dr., and I did call the ER. They said to blow in his face several times to "shock" him back, and to lay him flat to keep the blood flowing to his brain.

Any advice from other parents that went through this would be GREATLY appreciated. I am SCARED!

Tony
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Report this Post12-18-2011 08:18 PM Click Here to See the Profile for WhiteDevil88Send a Private Message to WhiteDevil88Direct Link to This Post
That is scary. I don't have any experience, but I wish you well.
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Report this Post12-18-2011 08:21 PM Click Here to See the Profile for User00013170Send a Private Message to User00013170Direct Link to This Post
Now, im not a doctor, but he isn't going to hurt himself at some point before hes 'hurt' his body will force him to breathe. Even when you know there is no air to breathe ( like underwater ) eventually you will inhale..

Best bet is talk to his pediatrician next week.

[This message has been edited by User00013170 (edited 12-18-2011).]

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Report this Post12-18-2011 08:21 PM Click Here to See the Profile for JimmySClick Here to visit JimmyS's HomePageSend a Private Message to JimmySDirect Link to This Post
My mom told me that when I was a baby (1-2 years old) that I used to hold my breath till I would pass out. She said I would do this if I didn't get (my way or whatever it was I was trying to get). She said the first time I did this that it scared the living crap out of her. The good news is... once I actually passed out, I would breathe again.

[This message has been edited by JimmyS (edited 12-18-2011).]

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Tony Kania
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Report this Post12-18-2011 08:29 PM Click Here to See the Profile for Tony KaniaSend a Private Message to Tony KaniaDirect Link to This Post
That is what the ER is saying Jimmy. Still frickin' shaking right now. Me, not him.

As I read more and more, it has a possibility of anemia, but he does eat quite well. Those are rare instances and usually due to poor nutrition.

As he begins this episode, he becomes shakey, and his breaths are very shallow, and quick. I did read about the passing out thing. (Gotta feel for any parent.)

FYI what is recommended to make it stop...

A quick breath to the face.

Leave them on their back. It keeps the blood flowing to the brain.

?

Thank you.

Tony
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Report this Post12-18-2011 08:32 PM Click Here to See the Profile for IMSA GTSend a Private Message to IMSA GTDirect Link to This Post
I hate pasting full articles but this one is important for you. There apparently is no danger associated with this....I have no idea HOW there is no danger but apparently, there isn't.
What are breath-holding spells?

Breath-holding spells are brief periods when young children stop breathing for up to 1 minute. These spells often cause a child to pass out (lose consciousness). Breath-holding spells usually occur when a young child is angry, frustrated, in pain, or afraid. But the spell is a reflex. Children don't have breath-holding spells on purpose.

There are two types of breath-holding spells:

* A cyanotic spell is caused by a change in the child's usual breathing pattern, usually in response to feeling angry or frustrated. It's the most common type.
* A pallid spell is caused by a slowing of the child's heart rate, usually in response to pain.

Some children may have both types of spells at one time or another.

Breath-holding spells can occur in children between 6 months and 6 years of age. They are most common from 1 to 3 years of age. Some children have them every day, and some have them only once in a while.

Breath-holding spells are usually not serious and don't cause lasting damage. With time, they go away on their own.
What causes breath-holding spells?

Breath-holding spells are usually caused by either a change in the child's breathing or a slowing of the heart rate. These reactions may be brought on by pain or by strong emotions.

In some children, breath-holding spells may be related to iron deficiency anemia, a condition in which the body doesn't produce a normal number of red blood cells.
What are the symptoms?

A breath-holding spell may cause:

* Fainting. It usually lasts for less than a minute.
* Twitching muscles, a stiff body, or a seizure.
* Changes in breathing and heartbeat.
o In a cyanotic spell: The child may breathe too fast or too hard. When the child breathes out, there may be a long pause before the child takes another breath.
o In a pallid spell: The heartbeat may slow down.
* Changes in skin color.
o In a cyanotic spell: The skin may turn red or blue-purple, especially around the lips.
o In a pallid spell: The skin may be pale and sweaty.
* Crying.
o In a cyanotic spell: There may be a short burst of intense crying.
o In a pallid spell: There may be a single cry or no cry at all.

How are breath-holding spells diagnosed?

Doctors can usually diagnose breath-holding spells based on what happens during a spell. The doctor will examine your child and ask you to describe the spells. It may help for you to keep a record of what happens during each spell.

If your doctor thinks that your child has a seizure disorder or another condition, such as iron deficiency anemia, your child may need other tests.
How are they treated?

Most children don't need treatment for breath-holding spells. Spells will go away as your child gets older. If your doctor thinks that a medical condition is causing the spells, your child may need treatment.
To decrease the chance of more spells, make sure that your child gets plenty of rest, and try to help your child feel secure. Be sure to tell your child's doctor if your child starts to have spells more often or if they seem worse or different than before.

Breath-holding spells can be frustrating for parents. If you have trouble dealing with your child's spells or find yourself getting angry, talk with your doctor or a counselor. Try to keep in mind that your child isn't having spells on purpose.
What should you do when your child has a breath-holding spell?

To protect your child during a spell, lay your child on the floor and keep his or her arms, legs, and head from hitting anything hard or sharp.

Your child may stop breathing for up to 1 minute (60 seconds) during a spell. If your child doesn't wake up quickly and start breathing again, call 911 or other emergency services. The 911 operator may tell you to give your child rescue breaths camera while you wait for help to arrive.

After the spell, reassure your child. Don't punish him or her for having the spell.

Edit to add......my 2nd child was slightly anemic and had to be on drops for a few months until he was slightly older. I would definately check him for anemia just to be sure.

[This message has been edited by IMSA GT (edited 12-18-2011).]

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84fiero123
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Report this Post12-18-2011 08:34 PM Click Here to See the Profile for 84fiero123Send a Private Message to 84fiero123Direct Link to This Post
Next time he does it tickle him

he has to breath in and out to laugh

Steve

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and one big pain in the ass when it doesn't.

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Report this Post12-18-2011 08:41 PM Click Here to See the Profile for 82-T/A [At Work]Send a Private Message to 82-T/A [At Work]Direct Link to This Post
I discovered this "phase" also when I ran across it on the internet. I was looking for ways to convince my daughter to poop. Kids have all kinds of "spells" like this. My daughter will go through phases where she absolutely refuses to poop. She'll hold it in for as long as possible until she simply just cannot hold it anymore and then she'll drop collossal turds. She gets better for a while, but it seems like she gets it right back again after a while.

Anyway, I read that kids will hold their breath until they pass out. What I remember reading is that they do this for one of two reasons, it's either to get attention, or because they aren't getting their way and they know that it bothers you. There's some other stuff that kids do that is similar to this. I think banging their heads against the wall is also something like this too.

Ok, I just did a quick search and it looks like they say it's actually unintentional (which would explain the look of fear on your child's face).
http://www.parents.com/advi...ums-is-this-harmful/

It says here that it's an inherited trait and that it's caused by a crazy tantrum.

I know that a couple of times when my daughter was younger (about your child's age)... she would get so upset about whatever it was at the moment. She would scream a little bit... and then breath in reaaaaallly deep. You could count the seconds... like 1, 2, 3, 4... and then... WAAAAAAA!!!!!!!!!!!!!!!!!!!!!!!...
We always knew there was a crazy scream coming when she would pause for a second... heheh... poor girl.

Anyway, it says to take iron pills or increase iron in the diet?

When my daughter would start having tantrums, I would try to distract her with whatever else I could so as to prevent her from actually having the tantrum. Of course, I never wanted to give in... she usually had a tantrum because she wasn't getting her way.
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Report this Post12-18-2011 08:43 PM Click Here to See the Profile for Formula88Send a Private Message to Formula88Direct Link to This Post
 
quote
Originally posted by User00013170:

Now, im not a doctor, but he isn't going to hurt himself at some point before hes 'hurt' his body will force him to breathe. Even when you know there is no air to breathe ( like underwater ) eventually you will inhale..

Best bet is talk to his pediatrician next week.



Breath Holding Spells don't sound like the child just holding his breath.
http://kidshealth.org/paren.../growing/spells.html

 
quote
Types of Breath-Holding Spells

Breath-holding spells differ by cause and characteristics:

Cyanotic breath-holding spells happen when a child stops breathing and turns blue in the face. These spells are often triggered by something that upsets the child, like being disciplined. Parents who have witnessed prior cyanotic spells know exactly when another one is about to occur because the child's face slowly turns a shade of blue, ranging from light blue to almost purple.

Pallid breath-holding spells are less common and more unpredictable because they happen after a child has gotten a sudden fright or startle (like being surprised from behind). Unlike with cyanotic spells, kids turn very pale, almost white, during the spell.

Both types of spells cause kids to stop breathing and lose consciousness for up to a minute. In the most extreme cases, kids have seizures. Having a seizure does not cause any long-term harm or put a child at risk of developing a seizure disorder.


I don't particularly trust that site, but it does suggest there's more to it than voluntarily holding their breath.
(the site recommends CPR if the child doesn't start breathing again - which is dangerous advice, IMO. Mouth-to-mouth, fine, but no chest compressions unless the heart stops. I can just see a frantic parent doing chest compressions on a healthy beating heart because the kid is holding his breath. )
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Tony Kania
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Report this Post12-18-2011 09:32 PM Click Here to See the Profile for Tony KaniaSend a Private Message to Tony KaniaDirect Link to This Post
Thank you. Thank you. Thank you. Thank you. All.

Yes, Benjamin seems to get them from fear, a sharp noise (like the dog barking today), and once just in the middle of a nap. He defianately is not doing this on purpose.

I to have found that they want you to lay the child on his/her back, perhaps blow a puff or two of air in the face, and wait. How in the hell can I just wait? (I am just being overly concerned I believe. After I breath, I can see why they say this.)

Absolute panic and horror. Absolute. That feeling of not knowing what to do.

Amy is making an appointment in the morning. He recently had blood work, and they checked for anemia. He is ok there.

We have been so very blessed with him. It is almost like I am waiting for that "something" moment. Nothing like a supposed tough guy breaking down in uncontrollable tears.

Thank you. I know this is not a Dr's office, but it is nice to know that there are folks that went through things, and are willing to lend advice.

Tony

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Tony Kania
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Report this Post12-18-2011 09:35 PM Click Here to See the Profile for Tony KaniaSend a Private Message to Tony KaniaDirect Link to This Post

Tony Kania

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82-T/A [At Work]...

Just got off the phone with my brother. His oldest also went through a similar situation. He just did not want to poop. Then, when the moment came, he would be in utter pain. Dang kids!

Tony


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Report this Post12-18-2011 09:55 PM Click Here to See the Profile for jimbolayaSend a Private Message to jimbolayaDirect Link to This Post
.

[This message has been edited by jimbolaya (edited 12-18-2011).]

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Report this Post12-18-2011 09:57 PM Click Here to See the Profile for jimbolayaSend a Private Message to jimbolayaDirect Link to This Post

jimbolaya

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Just read the rest of the post in the thread, and you have described it a little different than your first post. I should have read on. Sorry.

Jim
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Tony Kania
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Report this Post12-18-2011 10:27 PM Click Here to See the Profile for Tony KaniaSend a Private Message to Tony KaniaDirect Link to This Post
Nothing to be sorry about. I know that you chimed in on advice.

ImsaGT... Thank you for doing the cut and paste. I have been reading as much as I can, and as crappy as this is, it seems to be a normal thing. I am still going to get a Dr. to look at him. We have an amazing Peds office here, and his medical ins. is up to date. Thank you.

Tony
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Tony Kania
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Report this Post12-19-2011 09:24 AM Click Here to See the Profile for Tony KaniaSend a Private Message to Tony KaniaDirect Link to This Post
A bump for all available information.

Thank you,

Tony
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Report this Post12-19-2011 10:09 AM Click Here to See the Profile for Grandaddy84SESend a Private Message to Grandaddy84SEDirect Link to This Post
Tony, look at his behavior before an episode, what triggers it? Many young children do this trying to get their own way, some do it while crying etc. as listed above. But in a few instances the child is actually having a seizure, so the big question is, is the child doing this willfully, or is it a symptom of something beyond his control? Holding your breath until you pass out isn"t that easy to do, give it a try. What ever you do, don't reward this behaviour, either by giving in to demands or over reacting to an episode. But look for a pattern leading to an episode, he may be angry, or seeking attention, or having an asthma attack or an allergic reaction or an epileptic seizure.
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Report this Post12-19-2011 01:06 PM Click Here to See the Profile for squisher86SESend a Private Message to squisher86SEDirect Link to This Post
The involuntary spells sound like a situation (especially ones triggered by pain) like "getting the wind knocked out of you."

The last time that happened to me I was old enough that I actually remember. I wasn't very old (<10 I think) I was doing something dumb (Say it isn't so!) on my bicycle (home-made ramp IIRC). I screwed up the jump, the bike went out from under me and I landed right on my hind end. One very sharp involuntary intake of breath, and for what seemed like forever for my body to allow me to let it back out.

So, it sounds like he is experiencing something like that.
Our toddler (16 months) is starting to do that when he gets upset. I've found that the "puff" of air works, but by puff, you really need to be surprisingly forceful for it to actually "shock" them out of it.

Though, our little one only seems to hold his breath for ~10-15s or so (still seems like a long time). It's long enough that his lips will turn purpley-blue.

Good luck in any case!
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Tony Kania
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Report this Post12-19-2011 01:53 PM Click Here to See the Profile for Tony KaniaSend a Private Message to Tony KaniaDirect Link to This Post
As always thank you for offering experienced advice.

You can imagine the fear that I have about this. I am thankful for everything that he is, and want to do the best that I can to see him into adulthood. It is comforting to know that this is possably not as dreadful as I first thought. Amy has made an appointment for the little guy.

Reading, it seems like he is not alone. His response seems to stem from being startled. While he is a wise azz like his father, his manupilation skills are easily recognizeable.

Thank you,

Tony
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