Hi C.,
Have you done your own research on Breath Holding Spells? I did after my son had his first at about 8 or 9 months old. His first one was sort of surreal - he was playing in the living room and I was in the kitchen cleaning. I heard him cry, turned around to see him on the floor having what looked like a seizure. It paralyzed me - I couldn't comprehend what I was watching and by the time I did it was over and he was back playing like nothing had happened. I check his pupil's for responsiveness, his pulse and breathe sounds and everything was normal so I didn't think anything of it. We did talk to the pediatrician about it at his next appt and he said that what I described sounded like breath holding spells. The kids' pediatrician was also mine, and my dad's so they know me really well. He asked if I had done any research on them and I said I hadn't because I figured it was a phase. He said I was right - it can be a phase but there are some things to look for.
So I did my own research and here's what I found (Oh, and BTW my son is now 3 1/2 and he stills has them on occassion - usually when he's overly tired AND hurst himself):
1) Breathe holding spells are more common in boys than girls
2) It can be genetic - since it can I started asking family and found out that both my parents had breath holding spells when they were toddlers
3) usually onsets around 8-10 months of age and then the kids tend to "outgrow" it by the time they are 5-7 yrs of age. Most studies said that the majority of children will outgrow it around the age of 3 but the average if ages 5-7yrs.
4) It is a reflex at first but can become a learned response - meaning if they learn that we as parents will coddle them and make a big deal out of the spells the child can learn to use this normally natural reflex as a "tool" to get a response from us.
5) In some cases it can mean a serious genetic disorder. They typically do not start testing for this unless the spells started prior to 6 or 7 months of age or last beyond 7 yrs of age.
I highly suggest researching it so you can get a feel for what all the studies say. Between the studies and my son's personality we learned that he has "triggers" for his spells. If he hurts himself he'll have one and they are usually worse when he's tired AND then hurts himself. So with him we really make sure he takes his naps. He's 3 1/2 yrs old now and he doesn't have them as often as he use to. Sometimes we'll go months without having one which is nice since there was a period of time it seemed like he had one or two a day (this only happened during growth spurts... he's 3 1/2 ft tall and weighs 52lbs - dad's 6'3" - so he's a big boy for his age).
So things we've done:
- noticed a pattern and did what we could to change that pattern
- not reacted to them. We make sure he's on a soft surface and can't injure himself and just let him have his spell. It normally takes him a few minutes to be coherent again so we just leave him where he's at until he's more coherent and acting normal again THEN we hold him and take care of what hurts.
- we tell him that spells are not necessary that he has to learn to settle down when something hurts or he's tired.
So I hope some of this is helpful to you. Definitely talk to your pediatrician about it and do your own research so you know what you're dealing with. I did my own so I had it all to hand to give to family when they looked at me like I was crazy or unconcerned when he had one. They scare people - hell - my son has had a couple that scared me.
Good luck!
A.
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