Reasons to call after hours:

• Any trauma that has occurred.
• If a baby is less than 3 months of age and develops a rectal temperature greater than 100.4⁰F
• Behavioral changes such as refusing to take a bottle for more than 3 feeding sessions, listlessness, or uncontrollable crying.
• Vomits repeatedly over 1/2 of the feeding.
• Has frequent watery stools (greater than 4-5 a day), especially with blood or mucus.
• Has pus, redness, odor around the cord.
• Has a severe rash.
• Any difficult or labored breathing, especially coughing, rapid breathing, excess coughing or appears to stop breathing.
• Any seizure, continuous jerking or loss of consciousness.
• Parents feel angry, out of control with concern of child abuse.

These problems usually can wait until regular office hours:

• Slight nasal congestion without fever or without frequent coughing.
• Constipation
• Pinworms
• Rashes present for several days not getting worse.
• Prescription refills for routine medicines.
• Chronic cough not getting worse.