When to Visit the Office

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You should schedule an appointment for your child to be seen in the office whenever you feel uncomfortable or worried about your child’s medical condition.  A list of a few particularly troublesome concerns that would prompt you to schedule an appointment include:

  1. High or prolonged fever (or any temperature over 100.4 rectally if less than 4 months old).
  2. Persistent headache lasting more than 12 hours or persistent chest pain.
  3. Vomiting that is persistent (more than every 1/2 hour or 6 times over 24 hours) or projectile (past the child’s outstretched hand) or green (bile) fluid.
  4. Diarrhea (stools more often than 1 per hour)
  5. Unusual drowsiness or sleepiness.
  6. Rapid breathing or difficulty breathing, chest retraction at rest.
  7. Wheezing.
  8. Inconsolable crying for more than 3 or 4 hours.
  9. Croupy, hoarse, barking cough.
  10. Drools excessively and cannot swallow.
  11. Seizure.
  12. Severe fall or injury associated with loss of consciousness or vomiting.
  13. Cuts possibly needing stitches.