Symptom 8: Cyclical Cyanosis
Cyclical cyanosis is a particularly alarming symptom that can be observed in infants with choanal atresia. This refers to a pattern where the infant’s skin, especially around the lips and fingernails, turns a bluish color. This change is due to a lack of oxygen and typically occurs during activities like feeding when the baby is unable to breathe through the mouth. When the infant cries and is able to open the blocked nasal passages momentarily, the color returns to normal as the oxygen levels improve.
The cyclical nature of this symptom can cause considerable alarm for parents, as the visual cues of cyanosis are closely associated with serious respiratory issues. It is a critical sign that the infant’s body is not receiving adequate oxygen due to the choanal atresia, and immediate medical intervention is often required to prevent further complications.
For caregivers, recognizing the signs of cyclical cyanosis involves close observation of the infant’s color during different activities throughout the day. Noting the times when the discoloration occurs and its relation to feeding or crying episodes can be instrumental in diagnosing the condition.
The cyclical appearance and disappearance of cyanosis underscore the urgency for medical evaluation. It is a clear indicator that the infant’s breathing is compromised and that without the natural act of crying to clear the nasal passages, the baby is at constant risk of hypoxia.
When cyclical cyanosis is observed, it is imperative to take swift action. This may involve immediate steps to clear the nasal passages and ensure the infant can breathe adequately, followed by a long-term plan to address the choanal atresia, typically through surgical intervention. Prompt recognition and response can significantly reduce the risk of long-term developmental issues associated with chronic low oxygen levels. (8)
