Some children have breath-holding spells. This is an involuntary stop in breathing that is not in the child's control.
Babies as young as 2 months old and up to 2 years old can start having breath-holding spells. Some children have severe spells.
Children can have breath-holding spells when they are responding to:
Breath-holding spells are more common in children with:
Breath-holding spells most often occur when a child becomes suddenly upset or surprised. The child makes a short gasp, exhales, and stops breathing. The child's nervous system slows the heart rate or breathing for a short amount of time. Breath- holding spells are not thought to be a willful act of defiance, even though they often occur with temper tantrums. Symptoms can include:
Normal breathing starts again after a brief period of unconsciousness. The child's color improves with the first breath. This may occur several times per day, or only on rare occasions.
Your health care provider will perform a physical exam and ask questions about your child's medical history and symptoms.
Blood tests may be done to check for an iron deficiency.
Other tests that may be done include:
No treatment is usually needed. But iron drops or pills may be given if your child has an iron deficiency.
Breath-holding can be a frightening experience for parents. If your child has been diagnosed with breath-holding spells, take the following steps:
Most children outgrow breath-holding spells by the time they are 4 to 8 years old.
Children who have a seizure during a breath-holding spell are not at higher risk for having seizures otherwise.
Contact your child's provider if:
Call 911 or the local emergency number if:
Mikati MA, Obeid MM. Conditions that mimic seizures. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 612.
Roddy SM. Breath-holding spells and reflex anoxic seizures. In: Swaiman KF, Ashwal S, Ferriero DM, et al, eds. Swaiman's Pediatric Neurology: Principles and Practice. 6th ed. Philadelphia, PA: Elsevier; 2017:chap 85.
BACK TO TOPReview Date: 11/6/2023
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Health Content Provider
06/01/2025
|
A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics. This site complied with the HONcode standard for trustworthy health information from 1995 to 2022, after which HON (Health On the Net, a not-for-profit organization that promoted transparent and reliable health information online) was discontinued. |
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2024 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.