Hi Suzie, I am thinking tracheomalasia / laryngomalasia or some sort of like anomaly. A swallowing study could be very helpful. I would also rule out heart defect just on the s/s of mottling and cyanosis. I imagine this could be reflux, however, I would want a bit further investigation. Laurie Wheeler RN MN IBCLC Mississippi USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome