Call 911 Now
- Severe trouble breathing (struggling for each breath, can barely speak or cry)
- Lips or face are bluish when not coughing
- You think your child has a life-threatening emergency
Call Doctor or Seek Care Now
- Trouble breathing. Exception: present only when coughing.
- Breathing is much faster than normal
- Lips or face have turned bluish during coughing
- Wheezing (high-pitched purring or whistling sound when breathing out)
- Stridor (harsh sound with breathing in) is heard now
- Ribs are pulling in with each breath (retractions)
- Chest pain and can't take a deep breath
- Dehydration suspected. No urine in more than 8 hours, dark urine, very dry mouth and no tears.
- Not alert when awake ("out of it")
- Weak immune system. Examples are: sickle cell disease, HIV, cancer, organ transplant, taking oral steroids.
- Severe High-Risk child (see that list in Causes). This includes lung disease, heart disease, and bedridden.
- Age less than 12 weeks old with fever. Caution: do NOT give your baby any fever medicine before being seen.
- Fever over 104° F (40° C)
- Your child looks or acts very sick
- You think your child needs to be seen, and the problem is urgent
Call Doctor Within 24 Hours
- High-Risk child for complications of flu. Includes children with other chronic diseases. (See that list in Causes). Also, includes healthy children less than 2 years old.
- Nonstop coughing spells
- Age less than 3 months old with any cough
- Earache or ear drainage
- Sinus pain (not just congestion)
- Fever lasts more than 3 days
- Fever returns after being gone more than 24 hours
- You think your child needs to be seen, but the problem is not urgent
Call Doctor During Office Hours
- Age more than 6 months and needs a flu shot
- Coughing causes vomiting 3 or more times
- Coughing has kept home from school for 3 or more days
- Nasal discharge lasts more than 2 weeks
- Cough lasts more than 3 weeks
- Flu symptoms lasts more than 3 weeks
- You have other questions or concerns
Self Care at Home
- Influenza with no complications and your child is Low-Risk