Serious childhood illnesses: 0-3 years
Key points
·
Call 000 if your child has symptoms like severe drowsiness,
difficulty breathing, pale or blue skin, seizures or a rash that doesn’t fade.
·
Go to emergency if your child is continuously crying, constantly
irritable, feeding poorly, vomiting blood-stained or green fluid or vomiting a
lot, and/or weeing less than usual.
If you’re not sure whether your child is really sick, trust
may interest you How to take care of anewborn baby
may interest you chickenpox
·
Serious
childhood illnesses: what to do
Babies and young children with the signs and
symptoms listed in this article are at risk of serious illnesses.
If you notice any of the problems listed below,
seek medical attention as soon as possible. You know your child best, so
trust your instincts if your child doesn’t seem well.
The quickest way to get immediate medical
attention is either to call 000 and ask for an ambulance or to take your child
to the emergency department at your nearest hospital.
may interest you Newborn weight and its relationship to allergic diseases
When
to call an ambulance for childhood illnesses
If you notice any of the following signs and
symptoms, call 000 and ask for an ambulance:
·
severe drowsiness or unresponsiveness
·
difficulty breathing or unusual breathing
·
cold hands or feet, or pale, blotchy or blue skin
·
seizures
·
a rash that doesn’t fade when you press your child’s skin.
There’s more information about these signs and
symptoms below.
may interest you What is the reason for the color of the white tongue in infants
Drowsiness and unresponsiveness
It’s normal for your
child to be sleepy sometimes – for example, after a feed. But if your child
seems sleepier than usual, this can be a sign of serious childhood illnesses.
If you can’t wake your child even when you try
really hard many times, get help immediately.
Unresponsiveness can be a sign of several
serious childhood illnesses and conditions, including low blood sugar
(hypoglycaemia) or a life-threatening brain infection (meningitis).
Difficulty breathing or unusual breathing
If your child is having difficulty breathing, you might notice that they:
·
have to breathe much harder to get air into their lungs
·
have a persistent cough or wheeze
·
breathe and the muscles between their ribs pull in
·
can’t make any conversation or sounds.
In severe cases, your child might look very
tired and blue. They might be quiet or make a grunting noise with each breath.
These breathing symptoms might be caused by
conditions like a chest infection (pneumonia) or severe asthma.
may interest you Stages of child development from day one
Cold hands or feet, or pale, blotchy or blue skin
Cold hands or feet or
pale, blotchy or blue skin might be caused by poor blood circulation or low
levels of oxygen in the body, both of which can happen in serious childhood
illnesses like bacterial infections or pneumonia.
Seizures
If your child is having
a seizure, their eyes might roll backwards. They might be
unresponsive, shake violently in all limbs for a short time, and have shallow
or unusual breathing.
At this age, a seizure is most likely
a febrile seizure. Febrile seizures aren’t serious and sometimes happen
when children have fevers. But occasionally seizures might be a sign of a
serious brain infection.
Rash (positive glass test)
Skin spots or blotches
that don’t fade when you press a glass firmly against your child’s skin can be
an early sign of a life-threatening meningococcal infection.
When
to go to a hospital emergency department for childhood illnesses
If you notice any of the following signs and
symptoms, take your child straight to the nearest emergency department:
·
persistent irritability or unusual or continuous crying
·
less wee than usual
·
poor feeding
·
frequent or blood-stained or green vomiting
There’s more information about these signs and
symptoms below.
Irritability or unusual or continuous crying
All babies and young
children cry. But your child might have a serious illness or be in pain if they
are:
·
persistently irritable
·
crying in a high-pitched, weak or other unusual way
·
continuously crying
·
very hard to settle.
Less wee than usual
An early sign of many
serious illnesses is fewer wet nappies than usual – that is, fewer
than half the number of wet nappies your child usually has each day. It
could mean your child has dehydration.
Poor feeding
If your child isn’t
feeding well or has no interest in feeding, this could be an early sign of
childhood illness.
Frequent or blood-stained or green vomiting
Vomiting is a normal way for the body to get rid of something it doesn’t
want. It can also be a sign of illness, infection or obstruction.
Vomiting that doesn’t stop can
cause dehydration and dangerous imbalances in the body’s chemical
system.
Go to an emergency department if your child:
·
is vomiting blood-stained or green fluid
·
has persistent or severe pain with vomiting
·
can’t eat or drink anything and is still vomiting after 12 hours
(children under 5 years) or 24 hours (children over 5 years).
Fever:
when to be concerned about serious illness
A fever is a temperature higher than
38°C. Most children with a fever don’t have a serious illness.
But in some cases, a fever can be a sign of a
more serious infection:
If your child aged 0-1 month has a
fever, take them to the nearest hospital emergency department as soon as
possible.
If your child aged 1-12 months has a
fever, take them to a GP as soon as possible.
If your child aged over 12 months has
a fever, take them to a GP if their fever lasts more than 4 days or if you’re
worried for any other reaso
may interest you The benefits of patting the newborn
With my best wishes