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Q: My child was diagnosed with the flu on Tuesday, and today (Thursday) they still have a mild fever, severe vomiting cough, and eye discharge. Should we see a doctor today?

  • Myeongchan Kim
  • 9 hours ago
  • 3 min read

Medically reviewed by Sang Hyun Ahn, MD

Content edited by Myeongchan Kim, MD


This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.


Question:

My child was diagnosed with the flu on Tuesday. Today is Thursday, and a mild fever still persists. The cough is so severe that it causes vomiting. My child also has bloodshot eyes, a lot of eye discharge, and a very stuffy nose, which is making it impossible for them to sleep. Should we go back to the doctor today, or should we observe at home and go tomorrow?


Answer:

I understand your concern, as it is the third day since the flu diagnosis and symptoms like a mild fever, severe cough, and eye issues are still causing your child a lot of discomfort.


Current Condition Assessment

Flu symptoms typically peak and last for about 3 to 5 days, while a cough and nasal congestion can linger for 1 to 2 weeks. However, if your child experiences ANY of the following red flag symptoms, you should seek immediate medical attention today (at a pediatrician or urgent care):

• Difficulty breathing, such as the skin pulling in under the ribs (retractions), breathing too fast, or nostrils flaring.

• Lips or fingernails turning a blueish color.

• No urine output for over 8 hours, or a complete inability to drink fluids or eat.

• Extreme lethargy, poor eye contact, or weak responses when awake.

• Coughing up blood or complaining of chest pain.

• A fever that lasts for more than 5 days or a fever that drops and then returns.


If none of the above apply, and your child is playful when awake and can tolerate drinking small amounts of fluids, it is generally safe to observe tonight and visit the doctor tomorrow morning.


Home Care Tips for Tonight

• Congestion & Eye Discharge: Use a saline nasal spray followed by a gentle nasal aspirator to clear the stuffy nose. Gently wipe the eye discharge with a clean, warm, damp washcloth.

• Cough Relief: If your child is over 1 year old, you can give 1 teaspoon of honey before bed or when the cough is severe. Elevate their upper body slightly while sleeping, and use a humidifier to maintain indoor humidity between 40-60%.

• Hydration: Offer very small sips of water, breastmilk, or formula frequently (every 5-10 minutes) rather than large amounts at once, which can trigger more vomiting.

• Fever Management: If the fever makes your child uncomfortable, you can give acetaminophen or ibuprofen. Always check the label for the appropriate weight-based dosage.


What to Ask at Tomorrow's Doctor Visit

When you go in for a follow-up, it would be helpful to ask the doctor:

• "Could the severe, vomiting-inducing cough be a sign of a secondary infection like pneumonia?"

• "Do the bloodshot eyes and discharge suggest bacterial conjunctivitis (pink eye)?"

• "Are antibiotics or any additional tests needed at this stage?"


Try these home care measures tonight to help your child rest. If you remain uncertain about their breathing or hydration, or if their condition worsens at any point overnight, please seek immediate in-person evaluation. Otherwise, follow up with your pediatrician tomorrow morning for a thorough assessment.


For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.






 
 
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