When to Call the Doctor

Content reviewed against published AAP, CDC guidelines

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Not sure if your baby's symptoms need medical attention? Use this guide to understand when to manage at home, when to call your pediatrician, and when to go to the emergency room.

Key takeaways

  • Any fever of 100.4 degrees F or higher in a baby under 3 months requires an immediate call to the doctor or ER visit.
  • Emergency signs like difficulty breathing, blue/gray skin, unresponsiveness, or prolonged seizures always warrant calling 911.
  • Fever thresholds for calling the doctor change by age -- know the right threshold for your baby.
  • Trust your instincts: if something feels wrong, it is always okay to call your pediatrician.
  • Use the symptom checkers on this site for step-by-step guidance on common concerns.

Use our symptom checkers

General emergency signs

Regardless of your baby's specific symptoms, the following signs always warrant immediate medical attention. Call 911 or go to the emergency room right away if your baby:

  • Is not breathing or is struggling to breathe
  • Has blue or gray lips, tongue, or skin
  • Is unresponsive or cannot be woken up
  • Is having a seizure lasting longer than 5 minutes
  • Shows signs of dehydration in a newborn (no wet diapers for 6+ hours, no tears when crying, sunken soft spot)

Age-specific fever thresholds

How you respond to a fever depends on your baby's age. Use these guidelines to know when to call:

  • Under 3 months

    Any fever of 100.4°F (38°C) or higher — call your doctor or go to the ER immediately. Do not wait.

  • 3 to 6 months

    Fever of 101°F (38.3°C) or higher — call your pediatrician.

  • 6 to 24 months

    Fever of 102°F (38.9°C) or higher, or any fever lasting more than 1 day — call your pediatrician.

  • Over 24 months

    Fever of 104°F (40°C) or higher, or any fever lasting more than 3 days — call your pediatrician.

Trust your instincts

You know your baby better than anyone. If something feels wrong, even if you cannot pinpoint exactly what it is, it is always okay to call your pediatrician. Doctors expect these calls — that is what they are there for. You will never be judged for being cautious when it comes to your child's health.

When in doubt, call. A quick phone call can save you hours of worry and ensure your baby gets the care they need.

Frequently asked questions

When should I call 911 for my baby?
Call 911 immediately if your baby is not breathing or struggling to breathe, has blue or gray lips or skin, is unresponsive or cannot be woken up, or is having a seizure lasting longer than 5 minutes.
What temperature is a fever in a baby under 3 months?
Any rectal temperature of 100.4 degrees F (38 degrees C) or higher in a baby under 3 months old is considered a fever and requires an immediate call to your doctor or a trip to the ER. Do not wait.
Should I call my pediatrician at night or wait until morning?
Call right away for any emergency signs such as difficulty breathing, unresponsiveness, or high fever in a young infant. For non-urgent concerns, most pediatric offices have after-hours nurse lines that can help you decide whether to wait until morning.
What are signs of dehydration in a baby?
Signs of dehydration include no wet diapers for 6 or more hours, no tears when crying, a sunken soft spot on the head, dry mouth and lips, and unusual drowsiness or fussiness. Contact your doctor right away if you notice these signs.
Is it okay to call the pediatrician even if I am not sure something is wrong?
Yes. Pediatricians expect and welcome calls from worried parents. You know your baby best, and if something feels off, a quick call can provide reassurance or catch a problem early. You will never be judged for being cautious.

Bottom line

When in doubt, call your pediatrician. They would rather hear from you and reassure you than have you worry alone. For true emergencies — difficulty breathing, unresponsiveness, blue or gray skin, or prolonged seizures — call 911 immediately.

Trust your instincts. If something feels wrong, reach out to your pediatrician. Worrying about your baby means you care — that is a good thing.

All content follows our editorial policy and is reviewed against published clinical guidelines.

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