by Jennifer Shakeel
Each and every new parent’s worst nightmare is not being able to tell when they should call the doctor. You don’t want to be the hypochondriac parent who calls the doctor or rushes to the ER for every sneeze, but you also don’t want to be the parent that should’ve called the doctor when your child wouldn’t stop crying. Unfortunately children do not come with instruction manuals. Raising kids is really a trial and error process. You try what you think will work based on your past experiences… or based on what you have seen other parents do or not do. While I cannot tell you the best way to raise your child, or how to avoid the many pitfalls of childrearing (because that would take away all of the fun of parenting)… what I can do is atleast help you know when you need to call the doctor. First, as a parent and a nurse, my motto is that it is always better to be safe than sorry. But if your little munchkin starts to experience any of the following, pick up the phone and call your pediatrician:- A fever greater than 100 degrees Fahrenheit
- Sweaty or clammy skin
- Unusual and persistent crying
- An injury that causes more than 15 minutes of crying
- Disruptions in feeding patterns, especially a sudden loss of appetite
- Ingestion of anything you suspect may be poisonous
- Vomiting that differs in force or volume from normal spitting up
- Diarrhea that smells foul or shows blood or mucus or is accompanied by a fever
- Constipation that is accompanied by vomiting
- Signs of blood in the urine or bowel movements
- Unusual listlessness or inactivity
- Convulsions or twitching fits
- Marked changes in color or behavior
- Any unfamiliar or widespread rash
- Any burns that result in blisters
- Difficulty in breathing
- A persistent cough
- Redness of the eyes or the discharge of pus from the eyes
- Discharge from the ears or ear pain, which you may be able to recognize by the baby’s constant turning of his head or pulling at his ear
- Swelling or sinking of the fontanels (the two soft spots in your baby’s head)
When should I call the pediatrician for my child?
Call your child’s doctor any time you notice a fever greater than 100 degrees Fahrenheit, unusual or persistent crying, an injury that causes more than 15 minutes of crying, disruptions in feeding, vomiting that differs in force or volume from normal spitting up, diarrhea with blood or mucus or fever, convulsions, any widespread rash, difficulty breathing, blood in the urine or stool, or marked changes in color or behavior. When in doubt, always call — a good pediatrician will never make you feel bad for reaching out.
What fever temperature should prompt a call to the doctor?
Any fever greater than 100 degrees Fahrenheit is worth calling your pediatrician about, especially in infants and young children. Trust the number on the thermometer alongside your read of how your child looks and acts. If your child also seems unusually lethargic, has a rash, is struggling to breathe, or is inconsolably crying, do not wait for the fever to climb higher before picking up the phone.
What should I do if my doctor does not call back and my child seems seriously unwell?
If your doctor does not return your call and your child is in distress, do not wait — call 911 or go to the emergency room. Your child’s safety comes first. If you are consistently made to feel bad for calling or your concerns are routinely dismissed, it is worth finding a different pediatrician. A good doctor welcomes calls from worried parents and understands that you know your child’s normal better than anyone.
How do I know when to trust my gut as a parent about calling the doctor?
You know your child better than anyone — you know their normal. If something feels different or worrying, even if it is not on a formal symptom list, call the doctor. The goal is never to avoid bothering them; it is to keep your child safe. Being too cautious costs very little, while waiting too long can cost everything. Trust your instincts and make the call.

















