What happens to a child's lips turning white when they cry urgently?

Patient's question:

When I am very angry or crying intensely, my lips turn black, and my face becomes a bit pale. Yesterday, I couldn't breathe for two or three minutes, and later, some foam or phlegm came out of my mouth.
Previous treatment and effectiveness: None
What kind of help I am seeking: Please provide some advice from the doctor. What could be the possible cause of this? Should I go to the hospital? What should I pay attention to in daily life?

Doctor's answer:

If a child gets angry and cries, it may lead to recurrent episodes of purple lips, in which case it is necessary to have an MRI of the heart performed at the hospital. This symptom is typically indicative of congenital heart disease. When a child becomes agitated, it can easily cause cerebral edema and choking. It is recommended that the child undergo a thorough examination with an MRI of the heart at the hospital. There is nothing else to worry about.

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