Call Your Doctor Now (night or day) If

• Your child looks or acts very sick
• Not alert when awake
• Any difficulty breathing
• Great difficulty swallowing fluids or saliva
• Child is confused (delirious) or has stiff neck or bulging soft spot
• Had a seizure with the fever
• Age under 12 weeks with fever above 100.4° F (38.0° C) rectally (Caution: Do not give your baby any fever medicine before being seen)
• Fever above 105° F (40.6° C) at any age
• Very irritable (e.g., inconsolable crying or cries when touched or moved)
• Won't move an arm or leg normally
• Signs of dehydration (very dry mouth, no urine in more than 8 hours, etc.).
• Burning or pain with urination
• Chronic disease (e.g., sickle cell disease) or medication (e.g., chemotherapy) that causes decreased immunity