Childhood Fever & Common Illness · Bryanston

When your child is unwell, the hardest part is knowing how worried to be.

Fever, cough, vomiting, diarrhoea, ear pain and rashes are common in childhood, but age, behaviour, hydration and breathing all influence how concerning they are.

Reasons to book

When it is worth discussing with your GP.

These examples are not a diagnostic checklist. They are common reasons patients bring this type of concern into primary care.

01
Fever with reduced activity

How the child looks, drinks, breathes and responds is often as important as the temperature number.

02
Cough or breathing symptoms

Breathing effort, wheeze and duration can help determine the next step.

03
Vomiting or diarrhoea

Hydration and the child’s ability to keep fluids down are important.

04
Rash or ear pain

These are common but may need examination to identify the cause.

What the GP may consider

The next step depends on the clinical picture.

Primary care combines history, examination and targeted investigation where appropriate. The goal is not to test everything, but to answer the right clinical questions.

01 Age & behaviour

Younger infants and children who appear very unwell need a lower threshold for assessment.

02 Hydration

Urine output, drinking and signs of dehydration matter.

03 Examination

Ears, throat, chest, abdomen and skin may all be relevant depending on symptoms.

04 Follow-up

Children can change quickly, so worsening symptoms may require reassessment.

When routine GP care is not the right level of urgency.

Seek urgent care for severe breathing difficulty, a child who is difficult to wake, seizure, signs of severe dehydration, a non-blanching rash, or another rapidly worsening concern. If you are unsure and symptoms are severe or rapidly worsening, seek urgent medical assessment.

Frequently asked

Useful questions, answered simply.

Is the fever number the most important thing?

No. Age, behaviour, breathing, hydration and associated symptoms are also important.

Does every childhood fever need antibiotics?

No. Many childhood illnesses are viral. Antibiotics are used only when a bacterial infection is suspected or confirmed.

When should I bring my child back?

Reassessment is important if symptoms worsen, new concerning signs appear or recovery is not following the expected course.

Book a consultation

Online information cannot replace an examination when one is needed.

Book an in-person or teleconsultation with the Bryanston practice and let the doctor guide the next step.

Condition enquiry

Still unsure what your symptoms mean?

Describe what is concerning you and the practice can help guide whether an in-person consultation, teleconsultation or another route is appropriate.

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