It is important to understand how to identify when your child is ill and needs medical care. This can help your child when needed, as well as prevent unnecessary visits to the doctor or the emergency department.
When to call your pediatrician
When a child has a high fever, most parents will call their pediatrician, but it is important to remember that fever is not the only sign of serious illness.
Whether your child has a fever, if he is irritated, confused, drowsy (not easy to wake up), has difficulty breathing, has a fast and weak pulse, refuses to eat or drinks, and still performs poorly even after the fever has ended Severe headaches or other specific symptoms (burning urinary tract, earache, lameness, etc.), or if he has a fever for more than 24 to 48 hours, you should call your pediatrician or seek medical attention right away.
Fever is not a disease. On the contrary, fever is a symptom of many childhood diseases, especially infections.
In general, if you should call your pediatrician if you:
The rectal temperature of infants under 3 months is equal to or higher than 100.4°F.
3-6 months baby temperatures above 101°F, or
Over 6 months baby temperatures above 103°F
For most of the older children, this is not a figure but the way children act.
If your child is alert, active and playful, has no difficulty breathing, eats and sleeps well, or if the temperature drops rapidly (and he feels good) then you don't necessarily need to call your doctor immediately.
In addition, if your child develops fever and other medical conditions (heart disease, cancer, sickle cells, immune system problems, etc.), you should call your doctor.
As part of acute gastroenteritis or stomach virus, vomiting is usually accompanied by diarrhea. If your child vomits only a few times, keeping a small amount of liquid, no obvious abdominal pain and dehydration, usually does not cause concern.
If your child has symptoms of dehydration (not eating regularly, dry mouth, weight loss, etc.), vomiting of dark green bile (bile vomiting is a sign of bowel obstruction), you should seek medical attention to prevent vomiting, either newborn or young The baby is accompanied by vomiting of the projectile (pyloric stenosis), or if he has a severe headache or abdominal pain. If vomiting begins after the child has had abdominal pain, vomiting usually occurs in children with appendicitis.
Children with colds usually have cough and runny nose.
If your child feels good, even if your child develops a green runny nose, you do not always need to see a doctor each time your child coughs.
If your child's cough or cold symptoms continue to worsen after 3-5 days if they don't get better within 10-14 days, or if he has another specific complaint such as earache, persistent cough, cough, chest pain, wheezing or Difficulty breathing.
Difficulty in breathing
Although children often suffer from viral upper respiratory tract infections or mild asthma, coughing often occurs and wheezing sometimes occurs, but if your child has difficulty breathing, he should call the doctor.
Normally, if your child has shortness of breath and difficulty breathing, if you can see his ribs coming in and out (shrinking), or his breathing seems unable to hold his breath, you can usually recognize that your child has difficulty breathing.
A normal pulse oxygen reading does not mean that your child is not breathing hard because when you have a breathing problem, the drop in oxygen level is a sign of being late.
Children experience dehydration most often during diarrhea and vomiting, continuing to lose fluids, but they may also be dehydrated if they do not drink well.
The first sign of dehydration is that your child will urinate frequently (your child should urinate once every six to eight hours).
Other dehydration symptoms can include:
There was no tears when we cried
Reduced activity or irritability
Weight loss is also a sign of dehydration.
Blur is accompanied by many childhood diseases.
One important way to judge if your child is "too picky" is whether he can comfort.
If your child is very picky and cries, but if you just hold him and it's easy to calm down, then this is much less than those children who can't stand it and keep crying.
A sad child usually seeks immediate medical attention, especially if they also have fever or other symptoms.
If you call your pediatrician's office and say that your child is drowsy, this is the favorite word among many parents and you are likely to be told to let your child come in immediately. From a medical point of view, drowsiness is usually an emergency and it means that your child is hard to wake up. Many people use this term to mean that their children's activities are only slightly reduced. I have many “drowsy” children running around in my office, only to find that my parents think their children are drowsy because he is not as active as usual.
If your child is really drowsy and hard to wake up, then you should seek medical attention immediately. If he is awake and alert and is not as active as usual, then he is not so concerned.
Children often develop skin rashes, skin sensitization, cramps, poison ivy and many diseases such as chickenpox, fifth disease and roseola.
In general, if your child has a rash and fever, you should call your doctor, especially if the rash is purple and does not fade or fade briefly when pressed, or itchy with home remedies Rash.
Red flag symptoms
Other symptoms that often require medical care include, but are not limited to:
- Hemoptysis, vomiting, or bloody diarrhea, especially with fever
- Persistent pain, whether it is abdominal pain, headache or knee pain, or severe pain, especially if it restricts fluidity and cannot be alleviated by home remedies, then you should call your doctor
- Seizures, especially if your child does not normally have seizures such as febrile seizures or epilepsy
- Testicular pain, which is usually a medical emergency
- Head injury, especially if your child is unconscious, behaves differently than usual, and may have a concussion
- Need for sutured incisions and bruises, including wounds that continue to bleed, or wounds that are deep and cracked or that the skin cannot return
- Severe allergic reactions, including swallowing or breathing difficulties
- Severe headaches, especially if your child has stiff neck, irritability, vomiting or fever
- Pain during urination (difficulty in urination), which may be a sign of urinary tract infection
- Weight loss, which is almost normal in children and may be a sign of more serious or chronic illness
For children with chronic symptoms such as headache or stomach pain, if your child's symptoms are worse than usual, you should call your pediatrician.
When you have parenting problems, your pediatrician should also be a good resource.
Many parents can only make appointments for medical problems, but you can also make an appointment or call when your child has problems with sleep or behavior, difficult toilet training, school problems, etc.
Don't wait until the problem is out of control. Some early help or advice may help prevent bigger problems from developing.
Call your pediatrician
If in doubt, when your child is ill, trust your instincts and call your doctor, especially if you think your child has obvious discomfort. If your child's symptoms worsen, even if he was recently seen by a doctor, you should call your doctor.
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