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Bell Gardens, CA
A 25-year-old female asked about a female:

is it normal for my 4 yr old daughters lips to turn purple everytime she gets in the pool?

7 doctor answers14 doctors weighed in
Dr. Jeoffrey Wolens
Pediatrics 27 years experience
Yes it can be: People can have their lips turn purple for a few reasons. As water evaporates from the skin, it cools off the skin itself. When this happens, to keep the rest of the body warm blood vessels in the extremities and lips constrict reducing blood flow to the cold areas. The other reason is that she is getting too little oxygen. I would check with your doctor about this if u are worried.
Dr. Fuad Kiblawi
Pediatric Cardiology 28 years experience
Most likely: It is not unusual, when the body is cold such as in a pool, for the lips, hands and feet to turn purple. However, if concerned, make sure to check with your pediatrician, especially if lips turn purple at other times such as at rest, or with exercise.
Dr. Kenneth Dooley
Pediatric Cardiology 52 years experience
Turn the bottom lip down and if it nice and pink there, the body's oxygen level is probably normal. I agree you should discuss it with your pediatrician.
Sep 13, 2013
Dr. Marc Levine
Pediatric Cardiology 49 years experience
Yes: Blueness of the lips is usually a sign of being cold, rather then a heart problem. Have them checked by her pediatrician.
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 32 years experience
Purple lips: Normal & common if water is cold.
Dr. Creighton Wright
General Surgery 56 years experience
Possibly: May just be cold, but needs well child check for cardiac, pulmonary issues. At age four the routine evaluations have been done i suspect.
Dr. Richard Humes
Pediatric Cardiology 41 years experience
Common: I see this complaint all the time, even without the pool, in toddlers. It is rarely, almost never, heart disease. The very simple and complete solution is to get a pulse ox reading while well, in room air. If it is 98-100% then your child does not have a heart problem leading to blueness.
Dr. Holly Maes
Pediatrics 36 years experience
Normal reaction: If she was in cool water to the point she was shivering, she was just trying to keep his body temperature up. The blueness is the appropriate response of the body to cold stress. Your body shuts down blood flow to the skin to try and preserve body heat, and you turn blue - totally normal and the perfect body response. What she needs is to warm up, and not be in such cool water for so long a time.

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