Ask the Experts: "Common problem vs. serious symptom--how to tell?"
![]() Phillip Burk, MD Cascade Valley Granite Falls Clinic |
Q: I am a new mother. This is my first baby and I am constantly worried about him. How can I tell the difference between a common problem that babies have and one that might be more serious? K.G. Camano Island
A: First of all, don't worry. Nearly all new parents share your anxiety. I often recommend Dr. Steven Shelov's book, Your Baby's First Year to new parents. This, or a similar book, can help answer many of your questions and ease your concerns.
Because your baby can't tell you when something hurts, it is important to know what symptoms may be signs of a serious problem. Call your baby's doctor immediately if your baby:
- Shows no interest in eating or is feeding poorly - Your baby should want food at least eight to 12 times a day during their first five days. An underfed baby may seem sleepy or too easy to care for.
- Has a deepening yellow skin - Many babies (65%) develop Jaundice during the first week of life. While this is most often normal, it can be a sign of problems.
- Has a fever - Whenever your baby has a fever you should contact its doctor. This is often a sign of serious infection.
- Has difficulty breathing - Most babies breathe about 20 to 40 times a minute.
- Is choking - Call immediately for medical help. Your baby cannot make any noise when they are choking, and their face will turn bright red, then blue.
- Is vomiting or has diarrhea - Your baby should be seen immediately. Babies are very susceptible to dehydration and this may also be a sign of a serious problem.
- Is not passing normal stool - Your baby's stool should range from green to yellow. You should talk to their doctor about any other color.
- Is not making normal amounts of urine - If your baby is getting enough to eat, they will have six to eight wet diapers a day after the first three days.
Even knowing these symptoms of serious problems, it is always best to take your baby in to the doctor if you are concerned.
Disclaimer: This information is provided for educational purposes only. It should not replace a visit with your health care professional. Call your doctor if you need more information or have additional questions.


