Breath-Holding Spells in youngsters

 

Breath Holding Spells ( Cyanotic )

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Breath holding episodes in children

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Breath Holding Spells

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Breath Holding Spell

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Breath holding Spells First with Kids UVM Children’s Hospital

Video taken from the channel: The University of Vermont Medical Center


 

Breathe Easy Over Breath-Holding Spells, Vermont Children’s Hospital, Fletcher Allen

Video taken from the channel: The University of Vermont Medical Center


 

Breath holding spell 21-3-10

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If your young child reacts to sudden pain or upset by not breathing, turning blue or pale, and then fainting, she may have just had a breath-holding spell. When this happens, it can be scary and. Up to 5% of children experience breath-holding spells. They can occur as early as 6 months and may continue until a child is 6 years old.

The peak age for breath-holding spell is 2 years. Breath-holding spells are a reflex, that is the body’s automatic response to distress. They are not a conscious choice on the part of a child or a behavior problem. There are four types of breath-holding spells. 1. The most common is termed simple breath-holding spell, in which the manifestation is the holding of breath in and expiration.

The usual precipitating event is a frustration or injury leading to the temporary cessation of breathing in and expiration. There is no major alteration of circulation or oxygenation and the recovery is spontaneous. Breath-holding spells typically occur when a child begins crying, either because of a fall or a temper tantrum.

Then the child involuntarily holds his or her breath and faints. During a breath-holding spell, a child will become blue and limp and then quickly begin breathing again and wake up. Breath-holding spells can happen as often as several times a day, or as rarely as once a year. Children as young as six months can have breath-holding spells, but breath-holding is most common in children aged 1-2 years. Around 90% of children stop.

Breath-holding spells can run in families. Starts between 6 months and 2 years of age. Goes away by age 6. Many young children hold their breath when upset, turn blue, but. Breath-holding spells can run in families.

Starts between 6 months and 2 years of age. Goes away by age 6. Many young children hold their breath when upset, turn blue, but don’t pass out. Most children who have breath-holding spells will have their first spell before they are 18 months old, and most children grow out of breath holding by the time they are six years old. Children who breath hold will usually have one to six spells per week, but up to 25 percent of children who breath hold will have multiple spells each day.

Breath-holding episodes: usually last for less than 1 minute (if the child faints, they’ll usually regain consciousness within 1 or 2 minutes) are not epileptic seizures. Occur in 5% of all children. Breath Holding Spells: Reasonable Evaluation. Breath holding spells are defined by their benign course; however, Always consider worst-first in the ED. ALTE (or BRUE as it is referred to now) and Seizure need to be considered.

Use your history and exam to help sort these out, as best you are able.

List of related literature:

The most common of these among infants and children is breath-holding spells.

“Swaiman's Pediatric Neurology E-Book: Principles and Practice” by Kenneth F. Swaiman, Stephen Ashwal, Donna M Ferriero, Nina F Schor
from Swaiman’s Pediatric Neurology E-Book: Principles and Practice
by Kenneth F. Swaiman, Stephen Ashwal, et. al.
Elsevier Health Sciences, 2011

Breath-holding spells are common in infants and toddlers, probably related to developmental differences in autonomic control.

“Pediatric Emergency Medicine Secrets E-Book” by Steven M. Selbst
from Pediatric Emergency Medicine Secrets E-Book
by Steven M. Selbst
Elsevier Health Sciences, 2014

• Breath-holding spells occur in younger children (6 to 24 months).

“Pediatric Primary Care Case Studies” by Catherine Burns, Beth Richardson, Margaret Brady
from Pediatric Primary Care Case Studies
by Catherine Burns, Beth Richardson, Margaret Brady
Jones & Bartlett Learning, 2010

Breathholding spells may be associated with an older infant or toddler who is upset, followed by unresponsiveness and either facial pallor or mild cyanosis, lasting less than 1 to 3 minutes.

“Conn's Current Therapy 2020, E-Book” by Rick D. Kellerman, KUSM-W Medical Practice Association, David Rakel
from Conn’s Current Therapy 2020, E-Book
by Rick D. Kellerman, KUSM-W Medical Practice Association, David Rakel
Elsevier Health Sciences, 2019

Breath-holding spells are a common cause of syncope in infants and toddlers, probably related to developmental differences in autonomic control.

“Pediatric Emergency Medicine Secrets E-Book” by Steven M. Selbst, Kate Cronan
from Pediatric Emergency Medicine Secrets E-Book
by Steven M. Selbst, Kate Cronan
Elsevier Health Sciences, 2008

Breath-holding spells are common among young children.

“Comprehensive Pediatric Hospital Medicine E-Book” by Lisa B. Zaoutis, Vincent W. Chiang
from Comprehensive Pediatric Hospital Medicine E-Book
by Lisa B. Zaoutis, Vincent W. Chiang
Elsevier Health Sciences, 2007

Parents are occasionally concerned about breath-holding spells.

“Nelson Textbook of Pediatrics, 2-Volume Set” by Robert M. Kliegman, MD, Bonita F. Stanton, MD, Joseph St. Geme, MD, Nina F Schor, MD, PhD
from Nelson Textbook of Pediatrics, 2-Volume Set
by Robert M. Kliegman, MD, Bonita F. Stanton, MD, et. al.
Elsevier Health Sciences, 2015

Breath-holding spells usually begin between 6 and 18 months of age and stop before the child is 6 years old.

“Epilepsy: A Patient and Family Guide” by Orrin Devinsky, MD
from Epilepsy: A Patient and Family Guide
by Orrin Devinsky, MD
Springer Publishing Company, 2007

It helps to remember that breath-holding spells are not dangerous and usually stop by the time the child starts kindergarten.

“Dr. Spock's Baby and Child Care: 8th Edition” by Benjamin Spock, Robert Needlman
from Dr. Spock’s Baby and Child Care: 8th Edition
by Benjamin Spock, Robert Needlman
Gallery Books, 2004

Most children with breath holding spells seem to have urgent, demanding personalities, although studies have not shown a diagnostic personality profile.

“Current Management in Child Neurology” by Bernard L. Maria
from Current Management in Child Neurology
by Bernard L. Maria
BC Decker, 2009

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
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Biography: https://medicine.yale.edu/profile/kutluk_oktay/
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  • This is glorious, been searching for “white magic luck spells” for a while now, and I think this has helped. Have you ever come across Fanubrey Konrayson Eradicator (do a google search )?

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  • these children like doing it…to get their own way…….I babysat one like that….sacred the shit out of me….I thought the kid die…you just walk away from them while doing their fit

  • I had this as a child until I was pretty old (like 6). It is cause by frustration and high levels of emotional stress and not being able to communicate. The child needs soothing, a hug, compassion and understanding. As an adult I still get something similar. My throat gets locked and I can’t breathe well, speak, cry or even scream. The body goes into freezing mode ( fight, flight or freeze reflex). In reality, inside we feel like we are screaming but we are unable to vocalize it and nothing is coming out. It is a horrible sensation. It’s totally involuntarily. It’s a type of panic mode. At least that’s the way I experienced it.