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Breath-holding spells

Also called: Breath-holding spells

A young child cries hard, holds their breath, and turns blue or pale, sometimes passing out briefly. Scary, but harmless.

Age6 months to 6 years
LastsUnder a minute
Linked toLow iron sometimes

Overview

Spells follow crying, anger, fear, or a minor bump.

Children breathe again on their own.

Symptoms

Common signs:

  • Child holds breath and turns blue after crying
  • Child holds breath while crying and turns blue or pale

Less common

  • Brief fainting

When to get medical care

Call 911Not breathing for more than a minute, jerking that lasts, or a spell with no crying first.
Get care todayThe first spell.
See a doctor soonFrequent spells.

Causes

Strong emotions.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.
  • It can run in families. Tell your doctor if a parent, brother, or sister has it.

Who is more likely to get it

  • Toddlers
  • Family history

Diagnosis

Your child's doctor reviews what happened.

Questions you may be asked

  • What triggered it

Tests

Tests, if needed:

  • Iron test:
  • ECG: Sometimes.

Treatment

Stay calm.

Self-care

  • Lay your child on their side
  • Don't put anything in their mouth
  • Stay with them until they recover

Medicines

Medicines that may help:

MedicineHelps withGood to know
Iron
Low ironOnly if tested low.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

  • Treat low iron

Which doctor treats this

  • Start with your child's pediatrician.

For caregivers

  • Learn the warning signs and when to call the doctor or 911.
  • Keep a list of your child's medicines, doses, and doctors on your phone.
  • Tell teachers, coaches, and sitters what to watch for and what to do.
  • Take breaks and ask for help. Caregivers need care too.

Outlook

Outgrown by age 6.

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Breath-holding spells

Sources

Last updated 2026-11-12.