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Breath-Holding Spells
Brief Version
What is a breath-holding spell?
Breath-holding spells begin at age 6 months to 2 years. These spells usually stop when a child is 4 or 5 years old. Breath-holding spells are not dangerous. They don't lead to any brain problems. Your child may hold his breath when he is suddenly injured, frustrated, angry, or frightened.
During a breath-holding spell:
- Your child may make one or two cries and then hold his breath until he becomes blue around the lips and passes out.
- Your child may stiffen out when he or she passes out.
- Your child will breath normally again and become fully alert in less than 1 minute.
People have a reflex that causes them to breathe after they have been holding their breath. This reflex doesn't work well in some children and they pass out before taking a breath.
How can I take care of my child?
- Treatment during breath-holding.
These spells are harmless and always stop by themselves. During a spell, your child should lie flat. Lying down makes more blood go to the brain and may keep the muscles from jerking. Put a cold, wet washcloth on your child's forehead until he starts breathing again. Don't start mouth-to-mouth resuscitation or call a rescue squad (911)--it's not necessary.
- Treatment after breath-holding.
Give your child a quick hug and go about your business. A relaxed attitude is best. If your child had a temper tantrum because he wanted his way, don't give in after the spell.
Call your child's doctor during office hours if:
- More than one spell occurs each week.
- The attacks change.
- You have other concerns or questions.
CAUTION: Call a rescue squad (911) if your child stops breathing for more than 1 minute or turns white (not blue).
