Fever, depression, respiratory changes … See what to look out for when children are sick – Revista Crescer

Sometimes the baby seems smarter. Or have a fever. Otherwise, just a little discouraged dawn. After all, what does all this mean? Do I need to worry? Let’s do it step by step! “We rarely diagnose a disease based on just one symptom. Fever, alone, can be an indication of various things, as well as simple crying or fatigue. Therefore, a set of symptoms needs to be evaluated to diagnose the disease, ”explained Eduardo Gubert, a pediatrician at the Pecuano Princip Hospital in Curitiba (PR).

Although not a separate determinant, some symptoms are a warning sign for parents. Below, we list seven of them, so that you can turn on the yellow light and, if necessary, look at the treatment. Check out:

(Photo: Getty Images)


It is always the reason for attention. The Fever in Children: Pearls and Pitfalls Study, conducted by academics from the Institute for Maternal and Child Health IRCCS; University Degli Study della Campania “Luigi Vanvitelli”; At the University of Trieste, all over Italy; And Harvard Medical School, in the United States, shows that fever is one of the leading causes of laboratory investigations and hospitalizations, accounting for 15 to 25% of visits to primary and emergency care services. Also, antipyretics (against fever) are the most common medication given to children. According to the authors, although most smallpox patients have mild, self-resolving viral illnesses, minorities may be at higher risk of infection.

“In children up to 3 months, from 37.8 degrees Celsius – it is always best to consult a doctor at the onset of the first fever, because at this age, the immune system is still developing, immunization schedule is incomplete, and the child has a higher risk of common infections,” said pediatrician Alain Gomes. The caretaker of the hospital’s shoe batistar pediatric inpatient unit, Red D’Or, in Rio de Janeiro (RJ), warned that after that age, most of the time, the cause of the fever is a viral infection, a common childhood disease that is part of developing immunity. , Such as enteroviruses (which can cause vomiting and diarrhea and even “spots” on the body) and respiratory viruses.

“Fever is a normal reaction of the body to an external agent that causes any kind of infection or inflammation. It’s like the soldiers in our body’s footsteps: they don’t know what to attack and the body responds to this defense before sending a specific response, “Gubert said. Therefore, in babies older than 3 months, you should wait 24 to 48 hours for a diagnosis, as other symptoms usually appear after this period.

During this time the baby must be monitored and, if the temperature is equal to or above 37.8 degrees Celsius, always use antipyretic under medical supervision.

Constant crying or annoyance

There are two highly thematic symptoms here, as they can represent endless possibilities, ranging from routine changes to health problems. It’s important to remember that crying baby communicates – he doesn’t talk! Then, whatever the cause of the discomfort, he will cry. Therefore, the first advice is to check if your baby is clean and fed, whether he is cold or hot.

“We should remove clothing and diapers, paying attention to any physical changes, such as increased volume in the inguinal region (below the abdomen, as it may be a hernia at the site), rashes and skin lesions,” said pediatrician Alain. Parents should consult their pediatrician to learn how to proceed if they experience any of these symptoms. It is also important to notice any changes in the baby’s routine, as this can be frustrating.

If crying is difficult to console and the baby is so nervous that he does not accept feeding, it is necessary to pay attention, because it may be a manifestation of pain which requires a pediatric evaluation.

Focusing on 337 Signs (Photo: Getty Images)

(Photo: Getty Images)

Excessive bowel movements or vomiting

First of all, know that kids are just … lol! Especially in 3 to 6 months, when they start to make saliva and still do not know how to swallow. However, from 6 months, it is worth noting the reason for the dissolution: it may be a tooth decay, for example, or something that demands more attention. “Excessive swallowing can cause difficulty swallowing, due to pain (stomatitis, tonsillitis), mechanical changes (deformities) or functional changes in the digestive tract (for example, nervous causes)”, says Alain Gomes.

For vomiting, it is essential to separate them from regurgitation. “Early in life, some babies regurgitate more, especially after 2 months, when breastfeeding is more effective, that is, babies breastfeed more and move more. At about 3 months of age, the baby discovers his hands, puts them in his mouth and can move his finger deeper to create a gag reflex and revive him more frequently “, explains Eduardo Gubert. If there is either vomiting or regurgitation, the baby should be evaluated by a pediatrician.

Changes in the stool

They are concerned about the normal frequency of defecation and their appearance, such as consistency and color change. “Anything in three color palettes: yellow, green and brown in the normal range,” Gubert said. White stools should always be investigated, as this can lead to pathologies ranging from viral infections such as hepatitis to those that require surgical treatment, such as bile duct defects.

Blood in the stool is also a warning sign that digital marketing entrepreneur Jean Almeida do Nascimento, 38, was quickly trapped in his son. When Benicio, now 4 years old, was 5 months old, he noticed blood and mucus in his stool. “I just ran to the emergency room, and I still had a dirty diaper,” Jean recalled. There, the pediatrician referred her for consultation with a gastropediatrician who diagnosed her with CMPA (cow’s milk protein allergy).

But this is not the only cause of blood in the stool. “This sign is a reason for urgent counseling, as it can also mean gastroenteritis caused by invasive bacteria, requiring antibiotic treatment,” warns pediatrician Aline.

Another problem that demands attention is diarrhea. These may be manifestations of the virus, which are not serious, but pose a risk of dehydration, especially in the case of vomiting and / or refusal to take baby fluids. Depending on the degree, you may need to be hospitalized for venous hydration.

Conversely, which is constipation, as well as requires care. Features are hard stools, painful stools, in cybals (balls). If left untreated, constipation can lead to severe abdominal pain, with the youngest being referred to a hospital to help pass stool.

Red rash on the skin

It is very common for some parents or caregivers to exaggerate the amount of clothes they wear on their children, whether it is winter or summer. This is because babies under 3 months of age do not control their peripheral body temperature very well. So the hands, feet and nose are colder than the center of the body — which is what adults think is the cold of a child.

These extra clothes make the baby sweat more, resulting in red spots, which are called rashes. These are innocuous and effective agents, meaning they disappear on their own when excess heat is eliminated.

However, if this possibility is ruled out, skin rashes may be part of some common childhood viruses, not serious ones. However, if there is a fever with scars within the first 24 hours, it is necessary to consult a pediatrician to rule out the possibility of more serious bacterial infections such as meningococcal meningitis.

Focusing on 337 Signs (Photo: Getty Images)

(Photo: Getty Images)


Prostration in children is always a concern. It should be noted, however, that parents need to adjust their expectations to the reality of their children, as they tend to sleep a lot in the first months of life. Therefore, it is important to talk to a pediatrician in a regular consultation to understand the developmental milestones and what to expect for the little one at each stage. Knowing these features, if there is no abnormal activity that supports the greater need for rest – such as spending the day in the pool and falling asleep earlier – parents should pay attention and see a pediatrician for a comprehensive assessment.

If the child’s behavior changes with other signs and symptoms, such as fever, vomiting, refusal to eat, pain in limbs or any other part of the body, the cost of emergency care.

Respiratory changes

Shortness of breath is always an emergency. But how to identify it? “Look for an emergency room when you see these symptoms: nasal congestion (blowing of the nostrils) and sinking of the abdomen below the ribs and / or at the end of the neck, at the beginning of the chest”, guides pediatrician Aline.

An increase in respiratory rate is also a warning sign. Despite trying to keep the body in balance, such as when a child runs, jumps, etc., this imbalance can be caused by an inflammatory process (e.g. asthma), a metabolic process (degenerative diabetes mellitus) or an infectious process. The latter include pneumonia and bronchiolitis, usually caused by the respiratory syncytial virus (RSV).

“When we talk about respiratory disorders, the most terrifying disease for parents is bronchiolitis. It can begin with a cold within the first three to four days of illness and can lead to fatigue, shortness of breath, and difficulty breathing and difficulty eating. Most of the time, it can be treated at home, but in the most severe cases, hospitalization may be required, “said Gubert.

According to a study published in the journal Pediatric Critical Care by Pandit Bhagwat Dayal Sharma, Post Graduate Institute of Medical Sciences, India, bronchiolitis is the most common respiratory disease in children under 2 years of age: 40% of children.

Physical therapist Vivien Matos, daughter of Lopez de Souza, 38, added to the figure. Isabella, 2, had bronchiolitis when she was just 1 month old. “She started with a low-grade fever and had a strange cough on the second day. I filmed the video and sent it to a pediatrician who wanted to see her immediately and diagnose bronchiolitis, “she recalls. Isabella was treated at home with corticosteroid and respiratory physiotherapy and recovered about a week after the onset of symptoms.

Is it Covid-19?

At this point, it is normal for parents to be concerned about being infected with Covid-19. According to pediatrician Eduardo Gubert, all of the symptoms mentioned in this report may occur during Covid-19 infection, but not in isolated conditions. “It is important to analyze whether parents are positive for the disease, since a child under the age of 1 can rarely communicate with people outside the family circle during this epidemic,” he explained. “If the parents are positive and the child develops at the same time with symptoms such as fever, sickness or shortness of breath, it may indicate that he also has covid,” he said.

Pediatrician Alain Gomes further notes that fever may be the only apparent symptom of a coronavirus infection in a child population, so tests are indicated. [a partir de 24 horas de vida] For diagnostic confirmation, either with RT-PCR test or antigen, known as rapid test. “If it is not tested or if it is positive, the child should be isolated for ten days after the onset of the first symptoms,” he explained.

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