Meningitis Posted or Updated on 22 Sep 2023

What to do if your child is unwell

Red Symptoms High risk: take immediate action If your child is unwell and has any of these red symptoms GO TO A&E IMMEDIATELY OR CALL 999

TEMPERATURE

• Over 38°C in babies under three months
• Has a temperature and feels abnormally cold to touch / very cold hands and feet

BREATHING

• Very fast breathing, finding it much harder to breathe than normal, or noticeable pauses in breathing
• Grunting; noises with every breath

ACTIVITY and BODY

• Very lethargic/difficult to wake/not responding
• Fit/ convulsion/ seizures
• Weak, high pitched or continuous crying in a younger child
• Confusion or unusually irritable
• Soft spot on a baby’s head is bulging
• Stiff neck, especially when trying to look up and down
• Unusually sleepy, stiff or floppy baby

SKIN, LIPS, TONGUE

• Blue skin, lips or tongue
• Very pale or mottled skin
• A rash that does not fade when you press it

EATING/ DRINKING/TOILET

• Not had a wee or wet nappy for 12 hours
• Very thirsty and not able to keep fluids down
• Bloody or black ‘coffee ground’ sick

Babies under 8 weeks old

Young infants are particularly vulnerable to serious infection. Seek urgent medical help if your young baby shows has a combination of any of the following symptoms with or without fever:

• persistent refusal to feed
• lethargic/excessively sleepy
• irritable
• stiff or floppy body
• weak/high pitched or continuous cry
• grunting
• soft spot on the baby’s head is bulging

Some of these red symptoms are not typical signs of Meningitis or septicaemia (sepsis), but are still signs of severe illness so if your child is unwell and has any of the red symptoms seek urgent medical help.

Trust your instincts. Parents and guardians often know when their child is seriously ill. If your child is ill and getting worse, don’t be afraid to seek medical help immediately – even if you have already seen a doctor.

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Amber Symptoms Intermediate risk: ask for advice. If you are worried about a child who has any of these amber symptoms call NHS111 or see your GP without delay.

TEMPERATURE

• Over 39°C in babies aged three to six months
• High temperature in a child who shows no interest in anything or high temperature for more than 5 days
• Low temperature (below 36°C, check three times in a 10 minute period)

BREATHING

• Fast breathing
• Cough that sounds like a seal barking
• Older child can’t say more than a few words
• Noisy or crackly breathing
• Nostrils are flaring

ACTIVITY & BODY

• Unusually sleepy
• Child cannot be encouraged to show interest in anything/not wanting to do very much
• Not responding normally to family or carers
• Child under 5 not smiling
• Shivering or shaking
• Severe headache
• Dislike of bright lights
• Limb/joint/muscle pain
• Not using/putting weight on an arm, leg, hand or foot
• Swelling of a limb or joint

SKIN, LIPS, TONGUE

• Pale skin, lips or tongue in child under 5
• Sunken eyes
• Rash that fades when pressed with a clear glass

EATING/ DRINKING/TOILET

• Not feeding or eating much
• Not drinking for more than eight hours (when awake)
• Dry mouth
• Under 1 year of age with vomiting and/or diarrhoea
• Vomiting more than twice in the last 24 hours or has bile stained vomit
• More than 5 watery poos in 24 hrs
• Only 1 wet nappy or wee in the last 12 hours

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Other advice

You may have already seen a health professional about your child but it is important to seek further advice if:

• You feel that your child is worse than when you previously sought advice
• You are more worried about your chid than when you previously sought advice
• You are concerned that you are unable to look after your child

Meningitis and septicaemia (sepsis) are unusual in children. But if you do have concerns and your child’s health is not improving as quickly as you would expect or seems to be getting worse, even if their temperature falls, act swiftly.