Emergency Symptoms To Watch For

Some emergency symptoms are either difficult to recognize or are not considered serious by some parents. Most parents will not overlook or underestimate the seriousness of a major burn, major bleeding, choking, a seizure, or a coma. However, if your child has any of the following symptoms, also contact your child’s healthcare provider immediately.

  • Sick newborn

    If your baby is less than 1 month old and looks or acts sick (vomiting, cough, poor color), or abnormal (poor feeding or excessive sleeping) in any way, the problem could be serious.

  • Severe lethargy

    Fatigue during an illness is normal, but watch to see if your child stares into space, won’t smile, won’t play, is too weak to cry, is floppy, or is hard to awaken. These are serious symptoms.

  • Severe pain

    If your child cries when you touch or move him or her, this can be a symptom of meningitis or appendicitis. A child with meningitis also doesn’t want to be held. Constant crying or inability to sleep may mean your child is in severe pain.

  • Can’t walk

    If your child has learned to walk and then loses the ability to stand or walk, he or she probably has a serious injury to the legs or a problem with balance. If your child walks bent over, holding his belly, he or she probably has a serious problem such as appendicitis.

  • Tender abdomen

    Press on your child’s belly while he or she is sitting in your lap and looking at a book. You should be able to press an inch or so in with your fingers in all parts of the belly without a problem. It is a problem if your child pushes your hand away or screams. If the belly is also bloated and hard, the problem is even more worrisome.

  • Tender testicle or scrotum

    Sudden pain in the groin area can be from twisting of the testicle. This requires surgery within 8 hours to save the testicle.

  • Hard time breathing

    You should check your child’s breathing after you have cleaned out the nose and when he or she is not coughing. If your child has trouble breathing, tight croup, or obvious wheezing, he or she needs to be seen immediately. Other signs of difficulty are a fast breathing, bluish lips, or retractions (pulling in between the ribs).

  • Bluish lips

    Bluish lips, tongue, or gums (cyanosis) can indicate a reduced amount of oxygen in the bloodstream.

  • Drooling

    The sudden onset of drooling or spitting, especially associated with trouble swallowing, can mean that your child has a serious infection of the tonsils, throat, or epiglottis (top part of the windpipe).

  • Dehydration

    Dehydration means that your child’s body fluids are low. Dehydration usually follows severe vomiting and/or diarrhea. Suspect dehydration if your child has not urinated in 8 hours (more than 12 hours if over 1 year old); crying produces no tears; the inside of the mouth is dry rather than moist; or the soft spot in the skull is sunken. Dehydrated children are also tired and weak. If your child is alert and active but not making much urine, he is not dehydrated. Dehydration requires immediate fluid replacement by mouth or intravenously.

  • Bulging soft spot

    If the soft spot in the baby’s head is tense and bulging, the brain is under pressure.

  • Stiff neck

    To test for a stiff neck, lay your child down, then lift his head until the chin touches the middle of the chest. If he or she is resistant, place a toy or other object of interest on the belly so he will 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.

  • Injured neck

    Talk to your child’s healthcare provider about any neck injury, regardless of the symptoms. There is a risk of damage to the spinal cord with neck injuries.

  • Purple spots or dots

    Children often get bumps and bruises, but if you notice any unexplained purple or blood-red spots or dots on the skin it could be a sign of a serious bloodstream infection.

  • Fever over 105°F (40.6°C)

    All the preceding symptoms are stronger indicators of serious illness than the level of fever. All of them can occur with low fevers as well as high ones. Fevers alone are serious only when the temperature rises above 105°F (40.6°C). In infants a rectal temperature less than 96.8°F (36°C) can also be serious.

Written by Barton D. Schmitt, MD, author of “My Child Is Sick,” American Academy of Pediatrics Books.
Pediatric Advisor 2015.1 published by RelayHealth.
Last modified: 2009-06-19
Last reviewed: 2014-06-10
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Copyright ©1986-2015 Barton D. Schmitt, MD. All rights reserved.

Patient Portal

myTuftsMed is our new online patient portal that provides you with access to your medical information in one place. MyTuftsMed can be accessed online or from your mobile device providing a convenient way to manage your health care needs from wherever you are.

With myTuftsMed, you can:

  1. View your health information including your medications, test results, scheduled appointments, medical bills even if you have multiple doctors in different locations.
  2. Make appointments at your convenience, complete pre-visit forms and medical questionnaires and find care or an emergency room.
  3. Connect with a doctor no matter where you are.
  4. Keep track of your children’s and family members’ medical care, view upcoming appointments, book visits and review test results.
  5. Check in on family members who need extra help, all from your private account.


Your privacy is important to us. Learn more about ourwebsite privacy policy. X