Dr. Seema Joshi Child Care Clinic

Red Flags

Red Flags

Every child gets sick sometimes — but some symptoms mean your child needs to be seen by a doctor right away.

If your child shows any of the above signs

Call your doctor or go to the emergency room if your newborn

  • Refuses to feed or feeds very little
  • Is unusually sleepy or hard to wake
  • Has fever ≥100.4°F (38°C) or feels cold to touch
  • Vomits green or blood-stained fluid
  • Breathes fast, grunts, or seems to struggle to breathe
  • Turns blue around lips or face
  • Has yellow skin spreading to legs or looks worse after 3 days
  • Has redness or pus around the umbilical cord
  • Has shaking, twitching, or unusual movements

See your pediatrician if your baby

  • Has poor feeding or is not gaining weight
  • Vomits repeatedly or has watery diarrhea
  • Shows signs of dehydration (no tears, dry mouth, fewer wet diapers)
  • Has fever ≥102°F (39°C) or any fever in babies under 3 months
  • Breathes fast or has chest indrawing
  • Is very irritable, floppy, or difficult to console
  • Doesn’t smile by 2 months, roll by 6 months, or sit by 9 months

Red flags to watch for

  • Doesn’t walk by 18 months or doesn’t speak simple words by 2 years
  • Loses skills previously learned
  • Has persistent high fever, rash with fever, or stiff neck
  • Has trouble breathing or noisy breathing
  • Vomits persistently or passes blood in stool/vomit
  • Is unusually sleepy, irritable, or weak
  • Limps, refuses to walk, or has joint swelling

Contact your doctor if your child

  • Has a fever lasting more than 5 days
  • Has persistent cough >3 weeks or night sweats
  • Complains of headache with vomiting or early-morning headaches
  • Loses weight, tires easily, or stops playing
  • Has changes in vision, hearing, or coordination
  • Has persistent pain, joint swelling, or limping
  • Has abdominal pain waking them at night

Contact your doctor if your child

  • Has a fever lasting more than 5 days
  • Has persistent cough >3 weeks or night sweats
  • Complains of headache with vomiting or early-morning headaches
  • Loses weight, tires easily, or stops playing
  • Has changes in vision, hearing, or coordination
  • Has persistent pain, joint swelling, or limping
  • Has abdominal pain waking them at night

Pay attention if your pre-teen

  • Feels persistently sad, withdrawn, or talks about self-harm
  • Has unexplained weight loss or extreme tiredness
  • Faints or has chest pain during exercise
  • Has ongoing bone or joint pain
  • Has very irregular or heavy periods
  • Starts using alcohol, vaping, or drugs
  • Shows sudden drop in school performance or risky behavior

Pay attention if your teen

  • Feels persistently sad, withdrawn, or talks about self-harm
  • Has unexplained weight loss or extreme tiredness
  • Faints or has chest pain during exercise
  • Has ongoing bone or joint pain
  • Has very irregular or heavy periods
  • Starts using alcohol, vaping, or drugs
  • Shows sudden drop in school performance or risky behavior

Call your doctor or go to the emergency room if your newborn

  • Refuses to feed or feeds very little
  • Is unusually sleepy or hard to wake
  • Has fever ≥100.4°F (38°C) or feels cold to touch
  • Vomits green or blood-stained fluid
  • Breathes fast, grunts, or seems to struggle to breathe
  • Turns blue around lips or face
  • Has yellow skin spreading to legs or looks worse after 3 days
  • Has redness or pus around the umbilical cord
  • Has shaking, twitching, or unusual movements

See your pediatrician if your baby

  • Has poor feeding or is not gaining weight
  • Vomits repeatedly or has watery diarrhea
  • Shows signs of dehydration (no tears, dry mouth, fewer wet diapers)
  • Has fever ≥102°F (39°C) or any fever in babies under 3 months
  • Breathes fast or has chest indrawing
  • Is very irritable, floppy, or difficult to console
  • Doesn’t smile by 2 months, roll by 6 months, or sit by 9 months

Red flags to watch for

  • Doesn’t walk by 18 months or doesn’t speak simple words by 2 years
  • Loses skills previously learned
  • Has persistent high fever, rash with fever, or stiff neck
  • Has trouble breathing or noisy breathing
  • Vomits persistently or passes blood in stool/vomit
  • Is unusually sleepy, irritable, or weak
  • Limps, refuses to walk, or has joint swelling

Contact your doctor if your child

  • Has a fever lasting more than 5 days
  • Has persistent cough >3 weeks or night sweats
  • Complains of headache with vomiting or early-morning headaches
  • Loses weight, tires easily, or stops playing
  • Has changes in vision, hearing, or coordination
  • Has persistent pain, joint swelling, or limping
  • Has abdominal pain waking them at night

Contact your doctor if your child

  • Has a fever lasting more than 5 days
  • Has persistent cough >3 weeks or night sweats
  • Complains of headache with vomiting or early-morning headaches
  • Loses weight, tires easily, or stops playing
  • Has changes in vision, hearing, or coordination
  • Has persistent pain, joint swelling, or limping
  • Has abdominal pain waking them at night

Pay attention if your pre-teen

  • Feels persistently sad, withdrawn, or talks about self-harm
  • Has unexplained weight loss or extreme tiredness
  • Faints or has chest pain during exercise
  • Has ongoing bone or joint pain
  • Has very irregular or heavy periods
  • Starts using alcohol, vaping, or drugs
  • Shows sudden drop in school performance or risky behavior

Pay attention if your teen

  • Feels persistently sad, withdrawn, or talks about self-harm
  • Has unexplained weight loss or extreme tiredness
  • Faints or has chest pain during exercise
  • Has ongoing bone or joint pain
  • Has very irregular or heavy periods
  • Starts using alcohol, vaping, or drugs
  • Shows sudden drop in school performance or risky behavior