The boys and I were having a wrestling/tickling match tonight and I stopped because I noticed Connor's lips turning purple. After a few minutes we started up again and they turned purple again. I was kind of "testing it out" and noticed that they turn purple within a few seconds of him breathing hard or laughing hard (holding his breath for even just 5 seconds) but then go back to normal red almost immediately.
Would that overly concern you?
He has been cleared twice now by Cardiology, he has a functional murmur, he had an ekg and echo and his heart is structurally normal. Cardiology wants to see him one more time around age 5, but they have zero concerns about his heart.
He's followed every 3 months by Pulmonology because of laryngo/tracheo/broncho malacia. It was bad as an infant, you could hear him breathing a room away, but now only the Pulmonologist can hear it. Sometimes his laryngomalacia will "act up" if he has food residue in his airway (he still has some dysphagia) and sometimes his bronchomalacia will "act up" if he's sick. He has an inhaler he sometimes uses when he has respiratory infections. He will probably get a diagnosis of Reactive Airway Disease at some point. Sometimes activity or illness can trigger bronchospasms, but that wasn't happening tonight. His lips have never turned purple during a bronchospasm.
He is not sick with anything respiratory right now, he is on antibiotics for yet another ear infection (this one ruptured his ear drum)
He has a history of dysphagia with aspiration, but hasn't had any issues with that for over a year now.
It is cold outside, but not too cold inside (our house is 63 degrees right now).
He is very pale-skinned, so it would definitely be easier to see it on him than my other boys.