Newborns Being Sick: Signs, Symptoms, and When to Seek Help

As a parent, it’s natural to worry when your newborn shows signs of being unwell. Newborns are more vulnerable to illnesses due to their developing immune systems, and recognizing the early signs of sickness is crucial for timely care. At Colonia Pediatrics, your trusted pediatrician in Avenel, NJ, we’re here to guide you through understanding newborn illnesses, their symptoms, and when to seek medical attention.

How to Tell if a Newborn is Sick

Newborns can’t communicate their discomfort, so it’s essential to watch for subtle signs of illness. Here are some common indicators:

• Fever: A rectal temperature of 100.4°F (38°C) or higher is a sign of fever in newborns.
• Lethargy: If your baby seems unusually sleepy or difficult to wake, it could indicate illness.
• Poor Feeding: A sick newborn may refuse to eat or have difficulty breastfeeding.
• Irritability: Excessive crying or fussiness can be a sign of discomfort or pain.
• Changes in Breathing: Rapid, shallow, or labored breathing is a red flag.
• Skin Changes: Look for rashes, pale skin, or a bluish tint around the lips and nails.
• Vomiting or Diarrhea: Frequent vomiting or loose stools can indicate an infection or stomach bug.

If you notice any of these symptoms, consult your pediatrician immediately.

Common Illnesses in Newborns

Newborns are susceptible to various illnesses, including:

1. Neonatal Infections

Infections like sepsis, meningitis, or urinary tract infections can occur in newborns. Symptoms include fever, poor feeding, and irritability.

2. Colds and Respiratory Infections

Newborns can catch colds, leading to symptoms like nasal congestion, sneezing, and coughing. While most colds are mild, monitor for difficulty breathing or fever.

3. Jaundice

Jaundice causes yellowing of the skin and eyes due to high bilirubin levels. It’s common in newborns and usually resolves with treatment.

4. Stomach Bugs

Symptoms of stomach flu in newborns include vomiting, diarrhea, and dehydration. Keep an eye on wet diaper counts and consult your pediatrician if symptoms persist.

5. Fever

A fever in a newborn can indicate an underlying infection. Always seek medical attention for a fever in babies under three months old.

How to Take a Newborn’s Temperature

Accurately measuring your baby’s temperature is essential for identifying fever. Here’s how:

1. Use a digital rectal thermometer for the most accurate reading.
2. Clean the thermometer with rubbing alcohol or soap and water.
3. Apply a small amount of petroleum jelly to the tip.
4. Gently insert the thermometer into your baby’s rectum about 1/2 to 1 inch.
5. Hold it in place until the thermometer beeps, then read the temperature.

When to Call the Pediatrician

Contact your pediatrician if your newborn shows any of the following:

• Fever of 100.4°F (38°C) or higher
• Difficulty breathing or persistent coughing
• Refusal to eat for more than one feeding
• Vomiting or diarrhea lasting more than 24 hours
• Signs of dehydration, such as fewer wet diapers or dry mouth
• Unusual rashes or skin discoloration
• Lethargy or difficulty waking

At Colonia Pediatrics, we’re here to provide expert care and peace of mind for your family.

Preventing Illness in Newborns

While it’s impossible to prevent all illnesses, you can take steps to reduce your baby’s risk:

• Handwashing: Ensure everyone who handles your baby washes their hands thoroughly.
• Limit Exposure: Avoid crowded places and keep sick family members away from your newborn.
• Vaccinations: Stay up-to-date on your baby’s immunizations.
• Breastfeeding: Breast milk provides antibodies that help protect your baby from infections.