Call Your Doctor Now (night or day) If

• Your child looks or acts very sick
• Difficulty breathing (under 1 year old) not relieved by cleaning the nose
• Difficulty breathing (over 1 year old) present when not coughing
• Lips or face have turned bluish during coughing
• Wheezing occurs
• Ribs are pulling in with each breath (retractions)
• 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