Photo: Anna Shvets

Why is my baby lips turning black?

Acrocyanosis happens when small blood vessels shrink in response to cold. This is very normal in infants during the first few days after birth. In older children, circumoral cyanosis often appears when they go outside in cold weather or get out of a warm bath. This type of cyanosis should go away once they warm up.

healthline.com - Circumoral Cyanosis: Causes in Infants and Children, Warning Signs

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What is circumoral cyanosis? Cyanosis is a condition in which the skin appears to have a blue tint. It occurs in areas where the blood in surface blood vessels has lower levels of oxygen. Circumoral cyanosis refers to blue discoloration around the mouth only. It’s usually seen in infants, especially above the upper lip. If your child has darker skin, the discoloration might look more gray or white. You might also notice it on their hands and feet. While the appearance of circumoral cyanosis can be alarming, there are a few things you can quickly check for to rule out a medical emergency. Is it an emergency? If the blue color is only around your child’s mouth and not on their lips or other parts of their face, it’s likely harmless. For children with darker skin, you can also check the inside of their mouth, including their gums, for any pale discoloration. If you notice discoloration in any area other than around your child’s mouth or on their hands and feet, seek emergency medical treatment. Additional warning signs include: rapid heart rate

gasping for breath

excessive sweating

breathing problems

What causes it? In many cases, circumoral cyanosis is considered a type of acrocyanosis. Acrocyanosis happens when small blood vessels shrink in response to cold. This is very normal in infants during the first few days after birth. In older children, circumoral cyanosis often appears when they go outside in cold weather or get out of a warm bath. This type of cyanosis should go away once they warm up. If it doesn’t, seek emergency medical treatment. Circumoral cyanosis that doesn’t go away with heat could be a sign of a serious lung or heart problem, such as cyanotic congenital heart disease. How is it treated? Circumoral cyanosis in children usually goes away on its own. For infants, this happens a few days after birth. For older children, it should happen once they get warm. However, if you notice any other unusual symptoms, especially related to breathing, it’s best to take your child to the emergency room as soon as possible. A doctor will likely need to stabilize their airways, breathing, and circulation before trying to figure out the underlying cause.

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Why does my child look GREY?

Pale skin in children and teenagers is rarely anything to worry about. Light-skinned children can look pale in winter because they're not getting enough sun or they're feeling cold. In rare cases, pale skin can be a sign of anaemia, infections, breathing issues and other underlying medical conditions.

raisingchildren.net.au - Pale skin - Raising Children Network

About pale skin

Pale skin in children and teenagers is rarely anything to worry about.

Light-skinned children can look pale in winter because they’re not getting enough sun or they’re feeling cold. In rare cases, pale skin can be a sign of anaemia, infections, breathing issues and other underlying medical conditions.

Should your child see a doctor about pale skin?

In most cases, no. But you should take your child to the GP if your child: has signs of anaemia – pale skin, mouth, tongue, inner eyelids and palms is generally unwell or pale, doesn’t have much energy, or has a fever

has been bruising easily and having a lot of nosebleeds

easily gets dizzy or short of breath

has yellow skin or eyes, darker urine or lighter poo.

You know your child best, so trust your instincts if your child doesn’t seem well. Signs that your child has a serious illness that requires urgent medical attention include severe pain, drowsiness, sudden pale or blue skin, dehydration, troubled breathing, seizures and reduced responsiveness.

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