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Old 11-02-2006, 06:20 PM   #1
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Child waking from nap with blue lips

got a call tonight that my nephew (15 1/2 mos) has been waking from his daytime naps with blue lips. Has anyone ever heard of such a thing? I got this on voicemail so I wasn't able to ask questions, but the message said a navy blue dot in the middle of the bottom lip with the rest of the lips being a more pale blue. Guess the daycare has noticed it a few times and Grandma had him yesterday and saw it. I just don't have a clue...Thanks...

 
Old 11-02-2006, 09:51 PM   #2
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Re: Child waking from nap with blue lips

I've seen this in toddlers but it's usually because they are cold.
What type of environment is he napping in? At 15 1/2 months their skin isn't as "thick" as an adults. So, what's warm to us may be cold to him. From what I've seen in my own daughter when she gets blue lips it's because she's cold.
Did you ask how long the "blue lips" lasted? Was it just from napping or the whole day even when he's active? If it's there from napping, then his body isn't warm enough. Or his face isn't warm enough.
It probably isn't much to worry about. It's very normal for children to have this. Now if the blue lips don't ever go away, there may be a problem. But if after his naps it goes away then most likely it's ok. As he gets older and he grows, this will disappear. Remember, he's young, with new skin and lots of blood traveling around. Meaning, at this early age, the blood is closer to the surface of the skin and affected by temperature. So, being that there are plenty of blood vessels in the lips, and they get cold fast because of the lack of skin or protective skin with layers of fat like the arms or legs, it tends to get colder faster, thus turning blue. And at sleep, circulation slows down. So, after he wakes up, blood gets moving again this should go away almost immediately. If it lasts longer than an hour after a nap, especially if the child is warm, I would go to a doctor.

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Old 11-03-2006, 07:10 AM   #3
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Re: Child waking from nap with blue lips

while this 'could' be from being cold,it should most definitely be evaluated by his ped doc and he should also have the oxygen levels in his blood checked out.this could be an indication of a more underlying issue.at any rate,this is not normal in any child and need to be further investigated just to rule out other possible causes.it could be a pulmonary or circulatory problem.you just need to make sure that his brain and other vital organs are ALWAYS getting the appropriate amount of oxygen.hope this is just a flukey type thing and will eventually go away on its own,but it HAS TO be evaluated,and soon.good luck and please let us know what you find out.marcia

 
Old 11-03-2006, 07:36 AM   #4
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Re: Child waking from nap with blue lips

I agree. My first thought was making sure there was enough oxygen in his blood. I would think they'd want him to do a sleep study since that is when its happening. I still haven't heard anything. Thanks for the replies!

 
Old 11-04-2006, 07:55 AM   #5
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Re: Child waking from nap with blue lips

if you have not done so already,please pass onto them the info i mentioned to you,it really IS crucial that they find out the actual cause as soon as possible,espescially if it is an oxygenation issue within the blood.it could be doing possible damage to organs.hopefully they will follow thru with their ped.keep me posted,K? good luck,Marcia

 
Old 12-03-2006, 12:02 PM   #6
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Re: Child waking from nap with blue lips

While this is very likely nothing, my grandson has a heart problem. Blue lips was one of the main problem signs we were told to look for. I would most certainly tell this to his pediatrician.

 
Old 12-04-2006, 06:51 PM   #7
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Re: Child waking from nap with blue lips

This must be evaluated by a physician. They need to rule out any cardiac condition or pulmonary condition that may be causing his oxygen levels to decrease. A test called a pneumogram with oximetry(can be done at home or in the hospital) or an overnight polysomnogram (a more extensive test and should be done in a board certified pediatric sleep lab.) can be ordered to determine if the oxygen levels are dropping while he sleeps. The first step is to discuss with the child's pediatrican who can help to ascertain what the problem is. It must NOT be ignored and testing must be done to determine what the problem may be. The pediatrician can determine if the child needs to be referred to a specialist.

Last edited by SofteeatHeart; 12-04-2006 at 06:52 PM.

 
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