Knowing When to Consult a Pediatrician for Worsening Flu and Cough in Children

May 17, 2023

Photo credit Jelleke Vanooteghem

Here are the top 3 things to look out for children when they need an expert advice from a pediatrician.

1. Persistent or Worsening Symptoms:

One of the primary reasons to consult a pediatrician is when your child's symptoms either persist for an extended period or worsen over time. Here are some signs that indicate the need for medical attention:

• Cough: While coughing is common with the flu, if your child's cough becomes increasingly severe, persists for more than a week, or is accompanied by unusual symptoms such as wheezing, it's time to consult a pediatrician. This could be a sign of complications like bronchitis or pneumonia.

• Fever: A fever is the body's natural response to infection, and it's a common symptom of the flu. However, if your child's fever remains consistently high (above 102°F or 38.9°C) or if it persists for more than a few days despite fever-reducing medication, it's a red flag. High fever can lead to dehydration and may suggest a more severe underlying condition.

• Breathing Difficulties: Respiratory distress is a critical sign that requires immediate medical attention. If your child is struggling to breathe, breathing rapidly, or displaying signs of labored breathing (such as flaring nostrils or retractions), it's crucial to consult a pediatrician promptly. This could indicate conditions like pneumonia or bronchiolitis.

• Lethargy: While fatigue is expected with the flu, if your child becomes excessively lethargic, unresponsive, or unusually difficult to wake up, it's a cause for immediate concern. Lethargy can be a sign of severe illness, and a pediatrician should assess your child's condition.

2. Dehydration:

Dehydration is a significant concern when your child is suffering from the flu or a persistent cough. Fever and increased fluid loss through sweating or respiratory secretions can lead to dehydration. Here's when to consult a pediatrician regarding dehydration:

• Refusal to Drink Fluids: If your child is refusing to drink fluids, has dry lips and mouth, or produces fewer wet diapers (for infants), it's a sign of dehydration. Dehydration can worsen the course of the illness and lead to further complications.

• Excessive Thirst: If your child is showing signs of extreme thirst, it may be an indication that they are losing fluids at a higher rate than usual. This should prompt you to seek medical advice to address the underlying cause and ensure proper hydration.

3. Underlying Health Conditions:

Children with underlying health conditions, such as asthma, diabetes, or a weakened immune system, are at higher risk for complications from the flu and persistent cough. If your child falls into any of these categories and develops symptoms, consulting a pediatrician is crucial:

• Asthma: Children with asthma are more susceptible to respiratory complications during respiratory infections. If your asthmatic child experiences worsening symptoms, including increased coughing, wheezing, or shortness of breath, a pediatrician should evaluate their condition.

• Diabetes: Managing blood sugar levels can become challenging when a child is ill. If your child with diabetes develops the flu or a persistent cough, consult their pediatrician to ensure their diabetes is well-controlled and to discuss any necessary adjustments to their treatment plan.

• Weakened Immune System: Children with weakened immune systems, such as those undergoing chemotherapy or with certain medical conditions, are at heightened risk for severe infections. If your immunocompromised child develops flu or cough symptoms, consult their pediatrician promptly to prevent complications.

In conclusion, recognizing when to consult a pediatrician for worsening flu and cough in children is crucial for their well-being. Persistent or severe symptoms, signs of dehydration, and underlying health conditions should all prompt you to seek medical advice. Trust your parental instincts and don't hesitate to reach out to your child's healthcare provider when in doubt. Early intervention can make a significant difference in their recovery and overall health.