Sick baby care

• Call your baby's provider if you think your baby is sick.
• Keep medical supplies on hand at home.
• Ask someone to take care of your baby if you're sick.

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Unfortunately, babies don't come with instruction manuals, and they can't tell you when something is wrong. It can be hard for parents to understand their newborn and tell the difference between a baby's regular fussiness and a more serious problem. Knowing when to call a health provider can be a challenging and nerve-racking experience for parents. 

When in doubt, trust your instincts! If you think your baby needs medical attention, call his health provider. Some problems need immediate attention. Others can wait until regular office hours. Here are some signs to help you know when to call.

Urgent

Call the health provider immediately if your baby:

• Has blood in her vomit or stool.
• Has trouble breathing, very fast breathing (more than 60 breaths in a minute), or blue lips or finger nails.
• Has a seizure. (When a person has a seizure, any part, or all, of the body moves repetitively. Sometimes the person stops breathing.)
• Has eaten or drunk nonfoods that can cause harm such as vomiting, diarrhea, trouble breathing, etc. Examples of nonfoods are detergents, soaps, bleach and rodent control products.
• Is hard to waken or unusually tired.
• Has a rectal temperature above 100.4 degrees F. or below 97.8 degrees F.
• Has yellowish skin or eyes. 
• Is injured and won't stop bleeding.
• Has hurt his head or another part of the body

Less urgent 

Call the health provider's office if your baby:

• Is eating less or shows other changes in appetite.
• Is regularly crying, irritable or unable to be comforted. 
• Has frequent diarrhea. This can be harder to notice in breastfed babies as they usually have soft stools. Contact the health provider's office if your baby's stools are especially soft or watery for 6-8 diaper changes.
• Vomits (more than just spit up) more than 2-3 times a day.
• Has a cold that doesn't improve or gets worse after a few days. 
• Has a rash.
• Is constipated and doesn't have any stools.
• Has fewer than six wet diapers in 24 hours. This can be a sign of dehydration. Other signs include sunken eyes, sunken soft spot (fontanel) on the baby's head, or lack of tears when crying.
• Has fluid draining from her ears.
• Has a tender navel or penis. Look for any redness, bleeding or pus in these areas. 

August 2008