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Baby turning blue query
Hi my toddler is 2.10yrs old, I wanted to ask when he was infant 1.5months oldhe use to turn blue while crying his foot would turn blue completely, we took him to hospital where his oxygen levels were checked it was normal,then our family doctor suggested to do 2d echo, but we didn't get pediatric doctor who does 2d echo that day, after that we didn't see such episodes, only when he use to have fever his palm and feet would turn bluish,I want to know still it could be related to heart problem?we have never done 2decho after that
Answers (10)
Since there are no warning signs such as breathing difficulty, feeding problems, or poor weight and height gain, it is likely to be a benign condition [ nothing serious , make an video following attack so to rule out breath holding spell ]. However, if you notice any of these symptoms, please consult a pediatrician or a pediatric cardiologist. They may advise a 2D echocardiography (2D Echo) if needed. Based on the limited history provided, it is difficult to give a more definite opinion.
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )
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Get 2 D echo done, if during fever his lower extremities is getting blue.
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Hello
Breath holding spells as we call is usually common between 1-6 years of age and as you mentioned that your last visit to ur paediatrician with history of turning blue after crying and briefly holding their breath leading to bluish discolouration..
wanted to know more in your history that these recent episode had no such incidents like crying holding their breaths during their fever episodes..or any other precipitating factors before the bluish discolouration appeared and also want to know more about baby’s weight and height ..recurrent respiratory infections..
Thanks..
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
7 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
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Dr. Tangade Vishal Bhanudas
Pediatrician
4 yrs exp
Pune
Get 2d echo done.
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Dr. Ankur Gupta
Pediatrician
12 yrs exp
Lucknow
We must get a 2 D echo done as soon as possible.
After that we can discuss based on the findings.
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
Greetings
The baby's symptoms of bluish skin and feet during crying or fever appear consistent with peripheral cyanosis or acrocyanosis, which can sometimes occur as a temporary vascular reaction to temperature changes or distress. However, because the discoloration occurred during crying in infancy and now reappears with illness, it is impossible to rule out an underlying congenital heart problem without proper diagnostic imaging. At 2.10 years old, scheduling a pediatric 2D echocardiogram remains highly recommended to definitively evaluate the structure and function of the heart. You should also consider alternative possibilities, such as a benign cyanotic breath-holding spell or a heightened vasoconscriptive response to fever.
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
Yes to check it out whether it is heart related you need to do a 2D Echo
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Dr. Jay Gajjar
Pediatrician
6 yrs exp
Surat
From your description, it is unlikely to be a serious heart problem, as the episodes occurred only in infancy, oxygen levels were normal, and your child is now doing well. Bluish hands and feet during crying or fever are commonly due to acrocyanosis, which is usually harmless.
Since the 2D echo was never done, you can still get it done once for reassurance, but it is not urgent if your child is active, growing well, and has no blue lips/tongue, breathlessness, or poor weight gain.
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