Abdominal Pain - Female
Abdominal Pain - Male
Animal or Human Bite
Antibiotics: When Do They Help
Arm Injury
Arm Pain
Asthma Attack
Athlete's Foot
Back Pain
Bed Bug Bite
Bee or Yellow Jacket Sting
Bottle-Feeding Formula Questions
Breast-Feeding Questions
Breath-holding Spell
Bruises and Cuts
Chest Pain
Circumcision Problems
Coughs: Meds or Home Remedies
Cracked or Dry Skin
Cradle Cap
Crying Baby - Before 3 Months Old
Crying Child - 3 Months and Older
Cut, Scrape, or Bruise
Diaper Rash
Diarrhea Diseases From Travel
Drinking Fluids - Decreased
Dry Skin
Ear - Congestion
Ear - Discharge
Ear - Injury
Ear - Pulling At or Rubbing
Ear - Swimmer's
Ear Infection Questions
Earwax Buildup
Ebola Exposure
Emergency Symptoms Not to Miss
Eye - Allergy
Eye - Foreign Body or Object
Eye - Foreign Object
Eye - Injury
Eye - Pus or Discharge
Eye - Red Without Pus
Eye - Swelling
Fever - How to Take the Temperature
Fever - Myths Versus Facts
Fifth Disease
Finger Injury
Fire Ant Sting
Fluid Intake Decreased
Food Allergy
Foreskin Care Questions
Genital Injury - Female
Genital Injury - Male
Hair Loss
Hand-Foot-And-Mouth Disease HFMD
Hay Fever
Head Injury
Head Lice
Heat Exposure and Reactions
Heat Rash
Human or Animal Bite
Immunization Reactions
Impetigo - Infected Sores
Infection Exposure Questions
Influenza - Seasonal
Influenza Exposure
Insect Bite
Jaundiced Newborn
Jellyfish Sting
Jock Itch
Leg Injury
Leg Pain
Lice - Head
Lymph Nodes - Swollen
Medication - Refusal to Take
Medicine - Refusal to Take
Menstrual Cramps
Menstrual Period - Missed or Late
Mental Health Problems
Mosquito Bite
Mosquito-Borne Diseases from Travel
Motion Sickness
Mouth Injury
Mouth Ulcers
Neck Pain or Stiffness
Newborn Appearance Questions
Newborn Illness - How to Recognize
Newborn Rashes and Birthmarks
Newborn Reflexes and Behavior
Nose Allergy Hay Fever
Nose Injury
Penis-Scrotum Symptoms
Poison Ivy - Oak - Sumac
Puncture Wound
Rash or Redness - Localized
Rash or Redness - Widespread
Reflux Spitting Up
Scorpion Sting
Sinus Pain or Congestion
Skin Foreign Body or Object
Skin Foreign Object
Skin Injury
Skin Lump
Sliver or Splinter
Sore Throat
Spider Bite
Spitting Up - Reflux
Stomach Pain - Female
Stomach Pain - Male
Stools - Blood In
Stools - Unusual Color
Strep Throat Exposure
Strep Throat Infection
Suture Questions
Swallowed Foreign Body or Object
Swallowed Foreign Object
Swallowed Harmless Substance
Swimmer's Itch - Lakes and Oceans
Tear Duct - Blocked
Tick Bite
Toe Injury
Toenail - Ingrown
Tooth Injury
Umbilical Cord Symptoms
Urinary Tract Infection - Female
Urination Pain - Female
Urination Pain - Male
Vaginal Bleeding
Vaginal Symptoms
Vomiting With Diarrhea
Vomiting Without Diarrhea
Weakness and Fatigue
Wheezing Other Than Asthma
Wound Infection


Is Your Child Sick?TM

Emergency Symptoms Not to Miss

Most life-threatening emergencies are easy to recognize. You would not overlook major bleeding, breathing that stops, a seizure or a coma. You would call 911 for help.

  • If you suspected poisoning, you would call the Poison Helpline at 1-800-222-1222.
  • Some emergency symptoms, however, can be missed or ignored. Here's that important list.
  • If your child has any of these symptoms, call your child's doctor now. If you can't reach them, go to the nearest ER. For a few of these symptoms, call 911.

Sick Newborn

  • Your baby is less than 1 month old and has a fever or looks sick. This includes vomiting, cough, or even poor color. Your baby may start to act abnormal if they are getting sick. Examples are poor feeding or sleeping too much. At this age, these symptoms are serious until proven otherwise. During the first month of life, infections can progress very fast.


  • Your young child is lethargic if she stares into space or won't smile. She won't play at all or hardly responds to you. Your child is too weak to cry or hard to wake up. These are serious symptoms.
  • Note: Sleeping more when sick is normal. When awake, your child should be alert.


  • The sudden onset of confusion is serious. Your child is awake but says strange things. She sees things that aren't there. She doesn't recognize you.
  • Note: Brief confusion for 5 minutes or so can be seen with high fevers. This can be normal. But, if not brief, confusion can have some serious causes.

Severe Pain

  • Severe pain keeps your child from doing all normal activities. Your child won't play or even watch a favorite TV show. They just want to be left alone. Your child may cry when you try to hold or move them. Children with severe pain also can't sleep or can only fall asleep briefly.

Inconsolable Crying

  • Constant nonstop crying is caused by severe pain until proven otherwise. Suspect this in children who can't sleep or can only fall asleep briefly. When awake, they will not join in any normal activities. They won't play or be distracted. They may be very hard to console. Caution: Instead of crying, severe pain may cause your child to moan or whimper.

Can't Walk

  • If your child has learned to walk and then suddenly won't, call your doctor. He may have a serious injury to the legs or a problem with balance. If your child walks bent over holding his stomach, he may have appendicitis.

Vomits Bile

  • Vomiting that is bright green is most often bile. Unless your child drank a green liquid, this is not normal. It can mean the intestines are blocked up. This is a surgical emergency.
  • Note: Vomiting some yellow fluid is normal. The yellow color is from stomach acid.

Tender Belly

  • Press on your child's belly while she is distracted by a toy or book. You should be able to press in an inch or so without a problem. If your child winces or screams, it suggests a serious cause. If the belly is also bloated and hard, it's more urgent.
  • Note: If your child just pushes your hand away, you haven't distracted her enough.

Pain in Testicle or Scrotum

  • Sudden pain in the scrotum can be from twisting (torsion) of the testicle. This needs surgery within 8 hours to save the testicle.

Trouble Breathing

  • Breathing is essential for life. Most childhood deaths are caused by severe breathing problems. Breathing problems can be caused by throat or lung infections. Parents need to learn to recognize trouble breathing. If your child has tight croup or wheezing, they need to be seen now. Other bad signs are fast breathing, grunting with each breath, bluish lips, or retractions. This means the skin pulls in between the ribs with each breath. It is a sign of trouble breathing in younger children. Children with severe breathing problems can't drink, talk or cry. If your child is struggling to breathe, call 911.

Bluish or Gray Lips

  • Bluish lips, tongue, or gums can mean not enough oxygen in the bloodstream. Call 911.
  • Note: Bluish skin only around the mouth (not the lips) can be normal. It can be caused by being cold or being afraid.

Trouble Swallowing with Drooling

  • The sudden onset of drooling or spitting means your child is having trouble swallowing. Most often, this is from severe swelling in the throat. The cause can be a serious throat infection. A serious allergic reaction can also cause trouble swallowing. Swelling in the throat could close off the airway.


  • Dehydration means that your child's body fluids are low. Dehydration often is caused by severe vomiting and/or diarrhea. Suspect dehydration if your child has not urinated in 8 hours. Crying no tears and a dry inside of the mouth (tongue) are also signs. In young babies, the soft spot in the head is sunken. Dehydrated children are also tired and weak.
  • Note: If your child is alert, playful and active, he is not yet dehydrated. Children with severe dehydration become dizzy when they stand. Dehydration needs extra fluids by mouth or vein.

Bulging Soft Spot

  • The soft spot in your baby's head is tense and bulging. This means the brain is under pressure.

Stiff Neck

  • A stiff neck means your child can't touch the chin to the chest. To test for a stiff neck, lay your child down. Then lift his head until the chin touches the chest. If he fights you, place a toy or coin on the belly. This makes him have to look down to see it. Older children can simply be asked to look at their belly button. A stiff neck can be an early sign of meningitis.
  • Note: Without fever, a stiff neck is often from sore neck muscles.

Neck Injury

  • Talk to your child's doctor about any neck injury, regardless of the symptoms. Neck injuries carry a risk of damage to the spinal cord.

Purple or Blood-Red Spots or Dots

  • Purple or blood-red spots or dots on the skin need to be seen. When present with fever, they could be a sign of a serious bloodstream infection. The color of these serious rashes will not change when you press on them. The color of normal viral rashes will fade with skin pressure.
  • Note: Bumps and bruises on the shins from active play are different.

Fever (over 100.4°F or 38 °C) in the First 3 Months

  • Fevers in newborns and young babies are treated differently than fevers in older children. Bacterial infections are more common at this age and can get worse quickly. A fever is a rectal or forehead temp of 100.4 F° (38.0° C) or higher. All babies under 3 months of age with a fever need to be seen now. They need tests to decide if the cause is viral or bacterial.

Fever over 105° F (40.6° C)

  • A fever tells you that your child has an infection. Serious infections can occur with low-grade fevers as well as higher fevers. All the above symptoms are stronger signs of serious illness than the level of fever. Research shows fevers alone are a risk factor only when very high. That means levels above 105°F (40.6°C). So, call your doctor if your child's fever goes above 104° F (40° C). This is a safe rule.

Chronic Diseases

  • Most active chronic diseases can have some serious complications. If your child has a chronic disease, learn what those complications are. Find out how to recognize the early changes. Diseases at highest risk for serious infections are those that weaken the immune system. These include sickle cell disease, HIV, cancer, organ transplant, or taking oral steroids. If you are talking with health workers who don't know your child, speak up. Always tell them about your child's chronic disease (such as asthma). Never assume the doctors and nurses already know this.

Copyright 2000-2019 Schmitt Pediatric Guidelines LLC.

Select from over 100 symptoms to learn about managing your child's illness.