How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 27443
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

My two year old grandson was diagnosed with a PFO. He was

Customer Question

Hi my two year old grandson was diagnosed with a PFO. He was discharged at 9 months and no further treatment needed. He is totally healthy apart from 3/4 times his lips have turned blue.just his lips. Twice after swimming and once eating. Once at home. He does not get out of breath or in discomfort. Why is this? Gp has referred for another heart scan. Can PFO turn to other heart problems? Would any major problems be picked up at previous heart scan? Can PFO get bigger or worsen ? So worried
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Chip replied 1 year ago.
Hi and sorry for the delay. Just to be clear here--when his lips turn blue there are no other symptoms--no shorness of breath, balance problems, etc?
Customer: replied 1 year ago.
No he remains very happy and normal, just eating his dinner, chatting away.
Expert:  Dr. Chip replied 1 year ago.

I fully understand your concern.

The vast majority of PFO's need no treatment whatsoever and usuall close spontaneously. I would have to say that his blue lips may be from the PFO but really the only way to be sure would be to have an oximeter on his finger at the time to see if his arterial oxygen leve were low, and since he otherwise seems fine then really I don't think oxygenation is a problem for him.

I agree with another scan but PFO's don't enlarge and don't cause other heart problems so he doesn't need surgery

Let me know if you need any more information

Customer: replied 1 year ago.
Thankyou for your reply.
So would you say if he had other heart problems they would have shown up in his previous scan? Can heart problems develop since then? The gp did test his oxygen, but it was about 5 hours after the episode. If he did have heart problems wouldn't there be other signs? He's putting on weight and growing normally. A local has just had a two year old die in his sleep from an unknown heart defect. My daughter us 6 months pregnant with her 2nd child and is in a state of panic about this.
Expert:  Dr. Chip replied 1 year ago.

Yes, the previous scan would have show any other heart defect or problem and most often a PFO is the only defect ever seen.

And yes, since he's otherwise fine with no shorness of breath, dizziness, balance problems, etc there really isn't anything else to worry about here.

And please don't think that the other case has anything to do with your grandson's PFO.

Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 27443
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Dr. Chip and 5 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
Sorry to keep on! But what else could cause this blue lip thing? When I google it all I find is heart problems? I would understand if he was unwell but he's so active and happy and generally very well. He has had three chest infections during a space of two months during the later half of last year/ new year. Surely it has to be caused by something? Although on the Netmums website mums are saying their little ones have had it but they font know why. Can/does it happen for no apparent reason?
Expert:  Dr. Chip replied 1 year ago.
No problem. Are the lips truly blue and how long does that last?
Customer: replied 1 year ago.
Not long after he was on the indoor pool, and after he was eating if say it lasted for about ten minutes. The centre of his bot***** *****p was quite blue and lighter blue on the rest. Like he had eaten a blueberry or something. He had eaten tomatoes, satsuma, kiwi and grapes, with a strawberry yoghurt.
Expert:  Dr. Chip replied 1 year ago.
OK. I really don't think this is cyanosis from a low oxygen content in his arterial blood. If it were, he should have been short of breath and weak. It may have been a temporary allergic reaction but nothing about what you tell me indicates it was from his PFO
Customer: replied 1 year ago.
Ok thank you very much, you have reassured me a lot ūüėä
Expert:  Dr. Chip replied 1 year ago.
Let me know how he does
Customer: replied 1 year ago.
Yes will do. Unfortunately the appointment isn't until August 1st. Hence using this web site. : )
Expert:  Dr. Chip replied 1 year ago.
I think he's just fine

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.