Q. My 19-month-old son barely breathes while sleeping with heart racing. What is the cause?

Answered by
Dr. Parmar Vishal Himatlal
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Nov 01, 2021

Hi doctor,

My 19-month-old son had blood work done. His alkaline phosphatase level was over 4000 IU/L. What does that mean? He barely breathes while sleeping with his heart racing. He also has decreased appetite, always touches the lower back of his head, and remains uncoordinated.



Welcome to

I got your concern. As blood pressure remains high with abnormal values in the report, it may indicate kidney problems with possible vitamin D deficiency. I need more history and workup for comments. Kindly connect online for more concerns. Thank you.

Thank you doctor,

I am attaching a file.



Welcome back to

I have gone through the attached report (attachment removed to protect patient identity). It looks like vitamin D deficiency but I need your detailed history and concerns. Please write your story in detail. So it may help me. I am waiting for your reply.

Thank you doctor,

He was healthy and had no issues except, the knots present on the sides of the neck. We were keeping an eye on him since he was a baby. What exactly do you need to know? I can see noticeable symptoms going on for almost three months now. Can you explain to me a little about what is going on in the lab work?



Welcome back to

I got your concern. It is looking like nutritional deficiencies only. You need to give vitamin D, vitamin B12, and an iron-rich diet. Have regular monitoring of weight and plot it on a growth chart. He needs to have an assessment on development every three months. At this 19 months of age, little incoordination is expected. For blood pressure, I must say we need multiple measurements to confirm that it is high. Sometimes when a baby cries at the time of taking blood pressure, it gives a false high value. As long as the baby is gaining weight, he develops well and remains playful and active. There is nothing to be worried. Thank you.

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