There are many times when you may want to see your regular pediatrician rather than come to Healing the Whole Child.  To each, this will be different.  Sometimes the decision will be very clear, such as with any acute injury for which  I recommend you see your conventional pediatrician.  Other times this decision will be more fuzzy.

Below are examples of times when urgent care is warranted and you absolutely should bring your child in to see your primary care physician, or take them to the emergency room.  This list certainly does not include all reasons.

Please use your best judgment.  A parent’s intuition is usually correct.  Call your pediatrician if you are unsure.

Times to seek further medical evaluation:

  • Any fever (100.4 or higher) in a baby less than 3 months old
  • Any fever in a baby less than 1month old must be seen immediately.  Infants show very few signs of illness and can be far sicker than they appear.
  • A child over 3 months old with a fever of 105 degrees or higher
  • Difficulty breathing, rapid breathing, nasal flairing, or retractions (pulling in between the ribs with each breath)
  • Urinary symptoms, such as pain with voiding (“peeing”), urinating much more frequently, blood in the urine, or any non-explainable “accidents” in a toilet trained child.
  • If they are showing signs of dehydration: not voided in the last 6 hours or have no tears when crying.
  • A child with a fever lasting more than 5 days should be seen, especially if he/she has progressively worsening symptoms.
  • Any mental status changes, such as confusion, not recognizing people, not waking up, not acting right, severe headache  and/or neck pain or stiffness, or hallucinations.  At this point, I advise you to give a dose of fever reducer such as Motrin (ibuprofen), and seek immediate attention.  If it is just the fever causing the symptoms, then the symptoms should improve within 20-30 minutes when the fever comes down.  However these are potentially dangerous symptoms and must be taken seriously.