When You Have a Sick Kid…

Childhood is often marked by a series of common illnesses and minor injuries, most of which are not cause for alarm. However, certain symptoms in children should prompt immediate medical attention. Recognising these signs and knowing how to respond can be key in ensuring the health and well-being of your child.
 

Persistent High Fever

A high fever in a child can be a sign of a serious infection. While fevers are common and often harmless, a fever above 39°C that lasts more than a few days, or one that is accompanied by other concerning symptoms such as rash, difficulty breathing, or persistent vomiting, should be evaluated by a doctor.

What to do: Keep the child hydrated, use fever reducers if recommended by a doctor, and seek medical attention if the fever persists or other symptoms develop.
 

Difficulty Breathing

Breathing difficulties, such as rapid breathing, wheezing, or gasping for air, can indicate respiratory infections like pneumonia, asthma, or even a severe allergic reaction.

What to do: If your child is having trouble breathing, seek emergency medical care immediately. In the meantime, keep them calm and try to sit them upright to ease breathing.
 

Severe Abdominal Pain

While stomachaches are common in children, severe or persistent abdominal pain can be a sign of appendicitis, a gastrointestinal infection, or other serious conditions.

What to do: Observe if the pain is localised (e.g., lower right side for appendicitis) and whether it is accompanied by symptoms such as vomiting, fever, or diarrhoea. Seek medical evaluation if the pain is severe or persists.
 

Unexplained Rash or Changes in Skin Color

Rashes can be caused by a variety of factors, from allergic reactions to infections. However, a rash that appears suddenly and spreads quickly, or one that is accompanied by other symptoms such as fever, should be examined by a doctor.

What to do: Avoid applying creams or ointments unless prescribed by a doctor. Note any other symptoms and seek medical advice, especially if the rash is painful, blistering, or turning dark purple or black.
 

Persistent Vomiting or Diarrhoea

Frequent vomiting or diarrhoea can lead to dehydration, which is particularly dangerous in young children. It can also indicate an underlying infection or gastrointestinal issue.

What to do: Ensure your child drinks plenty of fluids to stay hydrated. Oral rehydration solutions can be helpful. Seek medical attention if vomiting or diarrhoea persists for more than 24 hours, if there is blood in vomit or stool, or if the child shows signs of dehydration (e.g., dry mouth, no tears when crying, sunken eyes).
 

Seizures

Seizures can be a frightening experience for both the child and the parent. They can be caused by high fever, epilepsy, head injuries, or other medical conditions.

What to do: Keep the child safe by placing them on their side and removing any nearby objects that could cause injury. Do not put anything in their mouth. Seek immediate medical attention.
 

Persistent Headaches

While headaches are common, persistent or severe headaches, especially if accompanied by vomiting, vision changes, or neurological symptoms, can be a sign of a more serious condition such as a migraine, infection, or brain injury.

What to do: Keep a diary of the headaches, noting frequency, duration, and associated symptoms. Consult with a doctor for a thorough evaluation.
 

Behavioural Changes

Sudden or severe changes in behaviour, such as extreme irritability, lethargy, or withdrawal, can indicate underlying physical or mental health issues.

What to do: Monitor your child’s behaviour and seek advice from a pediatrician or mental health professional if changes persist or worsen.
 
Parents and caregivers should trust their instincts when it comes to their child’s health. If something seems off, it’s always better to err on the side of caution and consult with a doctor.