HOW DO U DIFFERENTIATE BETWEEN A CYANOTIC SPELL AND A BREATH HOLDING SPELL? -DMK

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Squatting position relief cyanotic spell
There are two types of breath-holding spells: A cyanotic spell is caused by a change in the child's usual breathing pattern, usually in response to feeling angry or frustrated. It's the most common type. A pallid spell is caused by a slowing of the child's heart rate, usually in response to pain. What are the symptoms? A breath-holding spell may cause: Fainting. It usually lasts for less than a minute. Twitching muscles, a stiff body, or a seizure. Changes in breathing and heartbeat. In a cyanotic spell: The child may breathe too fast or too hard. When the child breathes out, there may be a long pause before the child takes another breath. In a pallid spell: The heartbeat may slow down. Changes in skin colour. In a cyanotic spell: The skin may turn red or blue-purple, especially around the lips. In a pallid spell: The skin may be pale and sweaty. Crying. In a cyanotic spell: There may be a short burst of intense crying. In a pallid spell: There may be a single cry or no cry at all.
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To the best of my knowledge Cynotic spell is a type of breath holding spell..it is not a seprate phenomenon than breathing hold spell. There are 2 known types of breath-holding spells. The most common (85%) is a cyanotic breath-holding spell, which occurs when facial cyanosis is noticed after the child stops breathing. A pallid breath-holding spell is associated with a sudden scare to the child, and he or she becomes extremely pale during the spell.
- measure SPO2 saturation by pulse oxymeter

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