Call 999 / Go to A&E Immediately If
- Non-blanching rash (doesn't fade when a glass is pressed on it)
- Blue lips, tongue, or skin
- Difficulty breathing, grunting, or working hard to breathe
- Won't wake up or is extremely floppy/unresponsive
- Seizure (fit), especially if first-ever or lasting >5 minutes
- Severe dehydration — sunken eyes, no urine for 12+ hours, no tears when crying
- Bulging soft spot in a baby's head
- Stiff neck with fever and headache (in older children)
See a GP the Same Day If
- Fever in a baby under 3 months old
- Fever lasting more than 5 days
- Not drinking enough fluids, or reduced wet nappies
- Persistent vomiting
- Getting worse or you're worried, even without specific red flags
Usually Safe to Manage at Home
- Mild fever in an otherwise well, responsive child over 6 months
- Common cold symptoms without breathing difficulty
- Mild diarrhoea/vomiting with good fluid intake and wet nappies
- Rash that fades under pressure (blanches), in a well child
Trust Your Parental InstinctMultiple studies confirm that a parent's instinct that 'something is seriously wrong' with their child is a valid and important red flag, even without other specific symptoms. Always seek medical assessment if you have this feeling.
The Glass TestPress a clear glass firmly against any rash. If the rash doesn't fade/disappear under the pressure (non-blanching), this can indicate meningococcal disease and is a medical emergency requiring immediate 999 call, regardless of how the child otherwise seems.
Is it normal for young children to get fevers often?
Yes — young children, especially those in nursery/school, can have 8-12 viral infections per year, each potentially causing fever. This is normal immune system development, not a sign of poor health.
Should I always give fever-reducing medicine?
Only if your child is uncomfortable — fever itself isn't dangerous (unless very high or in combination with other red flags) and helps fight infection. Focus on your child's comfort, not the thermometer number.
How do I check for dehydration in a baby?
Count wet nappies (should be at least 4-6/day), check for tears when crying, look for a sunken soft spot or sunken eyes, and check skin — pinch gently; it should spring back quickly.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.