Paediatrician reveals 5 warning signs in child health that need urgent medical care: Head injury, breathing difficulty


For parents, recognising the signs that your child’s health needs urgent attention is crucial. In an interview with HT Lifestyle, Dr Ravi Malik, paediatrician, MAMC, founder and medical director, Malik Radix Healthcare said, “As a parent, recognising signs that may indicate a serious illness in your child is crucial. Here are some key indicators that necessitate urgent medical attention.” Also read | Child nutrition: Remember these 5 vital healthy eating tips for children

Recognising signs that may indicate a serious illness in your child is crucial.(Pexels)

1. Breathing difficulties

The doctor said that rapid or labored breathing, wheezing, grunting, or gasping sounds during breathing., bluish discoloration of the lips, tongue, or face, chest retractions or indrawing (the skin sucking in between or below the ribs when breathing), high-pitched squeaky sound (stridor) when breathing in and difficulty speaking or crying are signs that you need to rush to see doctor.

2. Fever in infants (below 3 months)

Any fever (temperature above 100.4°F or 38°C) in an infant under 3 months is a medical emergency and requires immediate consultation with a paediatrician or a visit to the ER. Even a low temperature below 97.7°F (36.5°C) in a newborn or infant can be a sign of a serious illness and warrants medical attention.

3. Fever with other concerning symptoms

Here are the signs of fever with other underlying symptoms:

  • High fever above 104°F (40°C) that doesn’t reduce with medication.
  • Fever in children between 3 months and 3 years old with a temperature of 102.2°F (39°C) or higher, along with other symptoms, warrants contacting the paediatrician.
  • Persistent fever lasting more than 3-5 days. Also read | 12 heart-healthy habits every parent should teach their kids
  • Fever accompanied by, severe headache, stiff neck, sensitivity to light (photophobia).
  • Rash or purple spots that do not fade when pressed (non-blanching rash). this could indicate meningitis or sepsis, extreme lethargy or unusual sleepiness and difficulty waking up, inconsolable crying or irritability, persistent vomiting and signs of dehydration, blood in stool or severe diarrhoea, severe abdominal pain, seizures or convulsions.
Persistent fever is a concerning symptoms in children.(Pexels)
Persistent fever is a concerning symptoms in children.(Pexels)

4. Dehydration

Signs of dehydration include decreased urination (no urine in more than 8 hours), dry lips and mouth, lack of tears when crying, sunken eyes or a sunken soft spot (fontanelle) in babies, skin that is not as elastic or springy as usual, lethargy, irritability, or unusual sleepiness. If you suspect dehydration, particularly with vomiting or diarrhea, seek immediate medical attention.

5. Head injuries

Seek immediate medical attention if a head injury involves high speed or height greater than a meter, the child loses consciousness, or vomits more than once. Watch for red flag symptoms following a head injury, such as worsening headache, confusion, changes in behavior, excessive sleepiness, bleeding or clear fluid from the ear or nose, seizures, vision problems, poor coordination, weakness in limbs, difficulty swallowing, sensitivity to noise, or slurred speech. Also read | Doctor lists 6 monsoon diet tips for children to boost immunity and fight infections: ‘Load up on veggies’

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.


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