1. Fevers - a fever that doesn't break within an hour of giving a pain reliever

    Call the doctor immediately for:

    • For any fever in an infant under 3 months, even a temperature as low as 100.4 degrees.
    • For babies older than 3 months, call your pediatrician for a low fever (under 102 degrees) if your child is acting weak, sick, or if the fever lasts for more than three days..
    • For fevers 105 degrees and up, your child should see the pediatrician the same day or go to urgent care.

    If the fever is also accompanied by an inability to drink, confusion, rash, trouble breathing, seizures, constant crying, difficulty waking, persistent vomiting, or diarrhea, call your doctor right away.

  2. Repeated vomiting or diarrhea.
    • Repeated vomiting or if your child has diarrhea or vomiting for more than 12 hours.
    • Blood in your child's stool or vomit.
    • If your child has diarrhea and pees fewer than three times in 24 hours.
  3. Abdominal Pain located in one spot.
  4. A fall that causes swelling in the injured area (arm, leg, ankle, etc.) and that your child is still babying and complaining about the next day.
  5. Any difficulty swallowing. Your child could have something lodged in his throat or may be having an allergic reaction.
  6. Any kind of rash or skin issue that makes you think "Eww, what is that? or that is accompanied by fever.
  7. Unexplained poor food or liquid intake with fever for two days or decreased urine for one day (or both).
  8. Persistent crying.

    As a parent you know your baby's pattern of crying better than anyone. If she is crying more than usual, or if her cry sounds high-pitched, or she is whimpering or moaning, see your doctor.

Sources: WebMD.com, BabyCentre, Parenting.com

prof gray


Prof. Robert H. Gray is an experienced paediatrician who headed the Department of Paediatrics at the University Hospital of the West Indies for many years. His specialty is paediatric neurology. The following are some words of wisdom put together by Prof. Gray throughout his distinguished medical career.


Young babies are completely dependent on a caregiver for the provision of food, comfort and physical contact. Crying is their only means of communication and parents at first often have a difficult time figuring out what may be wrong when he or she cries.

Young babies may cry for a total of one to three hours each day. The frequency and duration of crying will vary with a baby’s personality and will lessen as baby matures.

Older babies and toddlers are able to communicate better through gesture and speech and crying is used by them more as a means of getting attention and of expressing their anger and frustration.


Most children become toilet trained between the ages of two and four years. This milestone is attained even later in children who have impaired brain function.

Bowel control is usually attained before bladder control.

Fifteen percent of normal children are not potty trained at age three years and four percent of normal children at age four years.

Between ten and fifteen percent of children are still wetting the bed at age five years.

Bedwetting is commoner in boys.

The ultimate goal of discipline is to teach your child how to regulate his own behaviour, make his own choices and exercise his own freedom in a responsible way.

Discipline begins at home.

Desirable behaviour should always be rewarded with praise, love and encouragement.

Undesirable behaviour should ideally be ignored or punished by taking time out in young children and by withdrawal of privileges in older children.

Babies learn at different rates. Some are very quick while others are late bloomers.

Babies with developmental delay due to a brain disorder will learn new things, but at a slower rate than normal.

Every new skill acquired, no matter how small, is a big step forward. Babies are great observers and excellent mimics. Babies thrive on attention and praise.

PLAY is an important tool in helping babies to learn.

Healthy eating begins at birth with breast feeding. Exclusive breast feeding is ideal for the first four to six months of life while partial breast feeding, where breast milk is supplemented by infant formula, should be continued through the remainder of the first year of life and beyond.