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Children’s Health (Common Concerns & When to Get Care)

Most childhood illnesses, bumps and worries are common and pass with time, rest, fluids and good routines. But some signs — trouble breathing, a high fever with a stiff neck or a rash that does not fade, dehydration, a seizure, a head injury, swallowing something poisonous, or talk of suicide — need 911 or the emergency room right away. This guide covers kids about 1 to 12 and points to our other guides.

Call 911 or go to the nearest emergency room right away if your child:

Babies under 3 months with a fever of 38°C (100.4°F) or higher need medical care right away (CDC, NHS). The NHS advises calling an ambulance or having someone else drive rather than driving a very sick child yourself (NHS), and says to trust your instincts and get help at once if you think something is seriously wrong, even if not every symptom is present (NHS). Never wait for a chiropractic, acupuncture, massage or herbal visit when you see any of these signs.

What this guide is for

This is a hub guide for parents and caregivers of children from about 1 to 12 years old. It covers everyday wellness, common illnesses and injuries, mental health and behavior, development and home safety, and when home care is reasonable and when to get help. Where we have a full guide on a topic, we link to it; see our Babies guide for infants. It is education, not a diagnosis, and it does not replace your child’s doctor. Several sources come from the UK’s National Health Service (NHS), which uses different phone numbers and words (“paracetamol,” “A&E”); in the U.S., call 911 or go to the emergency room. This guide gives no medicine doses.

Everyday wellness

Sleep

CDC lists 11 to 14 hours of sleep a day for ages 1 to 2 and 10 to 13 hours for ages 3 to 5 (both including naps), and 9 to 12 hours for ages 6 to 12 (CDC). Its general sleep habits include the same bedtime and wake-up time every day, a quiet, calm, cool bedroom, and screens off at least 30 minutes before bed; if a child regularly has trouble sleeping, talk to a health care provider. See our guides on sleep problems, bad dreams and bed wetting.

Food and drink

MedlinePlus suggests filling half the plate with fruits and vegetables, choosing lean proteins such as meat, nuts and eggs, serving whole grains, and offering water or milk instead of sugary fruit drinks and sodas (MedlinePlus). The NHS likewise says the best drinks for children are water and milk, and that sugary drinks can lead to weight gain and harm teeth (NHS). See our guides on weight control, celiac disease and allergies.

Activity and screens

For ages 6 and up, CDC recommends at least 60 minutes a day of moderate-to-vigorous activity, mostly aerobic, with vigorous activity and muscle- and bone-strengthening activity on at least 3 days a week. For ages 3 to 5, the goal is to be active throughout the day, mainly through play (CDC). For screens, the World Health Organization advises no screen time for 1-year-olds and no more than 1 hour a day, with less being better, for ages 2 to 4 (WHO). The sources we reviewed did not give a firm daily limit for school-age children, so we suggest family rules that protect sleep, homework and play, including screens off at least 30 minutes before bed.

Vaccines

CDC’s child immunization schedule lists vaccines for each age. Examples shown include hepatitis B at birth, measles-mumps-rubella (MMR) and varicella at 12 to 15 months, and influenza every year from 6 months (CDC). CDC updates the schedule from time to time (the page we reviewed was updated in July 2025), so ask your child’s doctor for the current one. The Vaccines for Children program provides vaccines free or at reduced cost to children 18 and younger whose parents may not be able to afford them (CDC).

Teeth, eyes and ears

  • Teeth. Half of children aged 6 to 9 have had at least one cavity. Children who brush daily with fluoride toothpaste have fewer cavities, sealants on the back teeth prevent 80% of cavities, and CDC recommends a dental visit every year. Untreated cavities can cause pain and interfere with eating, speaking, playing and learning (CDC). See our Teeth guide.
  • Vision. A pediatrician will likely screen your child’s vision at checkups. Squinting, rubbing the eyes, or headaches after schoolwork are reasons to have vision checked, and CDC notes that about 90% of eye injuries can be prevented with protective eyewear (CDC). See our eyes guide.
  • Hearing. All babies should be screened by 1 month of age, and children at risk should have at least one hearing test by age 2 to 2½. If you think a child might have hearing loss, ask the doctor for a hearing test as soon as possible (CDC). See our ear guide.

Common illnesses: home care and when to get help

Fever

The NHS defines a high temperature as 38°C (100.4°F) or more. Most children can be cared for at home, and the temperature should fall over 1 to 4 days. Give plenty of fluids (breastfed babies should keep breastfeeding), watch for dehydration, check on the child often including overnight, and give children’s paracetamol (acetaminophen) or ibuprofen if the child seems distressed, checking the label or asking a pharmacist. Do not undress or sponge down the child; the NHS calls a fever a natural and healthy response to infection (NHS). Never give aspirin to children (CDC). Get urgent medical advice if the child is under 3 months with a temperature of 38°C or higher, 3 to 6 months with 39°C or higher, has a rash along with the fever, has had a high temperature for 5 days or more, is not their usual self and you are worried, or shows signs of dehydration (NHS).

Colds and coughs

The NHS says children average 5 to 8 colds a year and most colds in younger children improve within 2 weeks. A cough is usually nothing to worry about if the child is feeding, drinking, eating and breathing normally without wheezing. Antibiotics are prescribed only for a bacterial infection such as a chest infection. See a doctor for a cough lasting more than 3 weeks, a cough that is worse at night or when running around (which may be asthma), or a very high temperature with a cough. Difficulty breathing, or being unable to swallow fluids or saliva, is an emergency (NHS). The NHS says children under 6 should not take over-the-counter cough and cold medicines unless a doctor or pharmacist advises it (NHS); CDC says not under 4 unless a provider specifically advises it (CDC). See our guides on colds, flu, bronchitis, pneumonia, sinus problems and asthma. See our Throat guide; the NHS says most sore throats in children get better within a week, antibiotics are not normally needed, and trouble breathing or swallowing, drooling or a high-pitched noise when breathing is an emergency (NHS).

Ear infections

NIDCD says five out of six children will have at least one ear infection by their third birthday. A young child may tug at an ear, be fussy, sleep poorly, have a fever, or have trouble hearing quiet sounds (NIDCD). CDC says to seek care for a fever of 102.2°F (39°C) or higher, fluid or pus draining from the ear, worsening symptoms, hearing loss, or symptoms lasting more than 2 to 3 days. A provider may suggest watchful waiting for 2 to 3 days, since the body often clears the infection on its own, and prescribe antibiotics if the child does not improve (CDC). Vaccines, avoiding smoke and never putting a baby to bed with a bottle can lower the chance of infection (CDC, NIDCD). The NHS advises against putting oil, ear drops or cotton buds in the ear unless a doctor says to (NHS).

Vomiting and diarrhea

The NHS says vomiting usually stops in 1 or 2 days and diarrhea usually lasts 5 to 7 days. Give small sips of fluid often, keep breast or bottle feeding, do not water down formula, avoid fruit juice and fizzy drinks, and do not give medicine to stop diarrhea to children under 12. Keep the child home until free of vomiting and diarrhea for at least 2 days (NHS). Get urgent advice if a baby under 12 months is ill, the child stops feeding, a child under 5 shows signs of dehydration, fluids will not stay down, there is blood in the stool, or vomiting lasts more than 2 days or diarrhea more than 7. Go to the emergency room for vomit with blood or that is green, a sudden severe tummy ache or headache, a stiff neck, possible poisoning, or blue, grey or blotchy skin (NHS). In babies and young children, dehydration signs include a dry mouth, crying without tears, no wet diapers for 3 hours or more, sunken eyes, unusual sleepiness and irritability (MedlinePlus). See our digestion guide.

Rashes

The NHS says many things can cause a rash in children, and they are often nothing to worry about (NHS). Do the glass test: press the side of a clear glass firmly on the rash. If the spots stay visible through the glass, the rash does not fade, and the NHS says to call for an ambulance or go to the emergency room; on brown or black skin, check the palms, soles, lips, tongue and inside the eyelids. Get emergency help too for a rash with a stiff neck, dislike of light, confusion, trouble breathing, or sudden swelling of the lips, mouth, throat or tongue (NHS). Hand, foot and mouth disease is common in children under 5: CDC says it causes fever, sore throat, painful mouth sores and a rash on the hands and feet, most children recover in 7 to 10 days, and there is no U.S. vaccine for it (CDC). See our eczema, hives, insect bites and warts guides.

Croup

The NHS lists a barking, seal-like cough, a hoarse voice and a harsh, high-pitched sound when breathing in, often worse at night and after a few days of cold symptoms (NHS). MedlinePlus says children from 6 months to 3 years are at highest risk, symptoms usually last about 3 to 5 days, and most viral croup is mild and can be treated at home (MedlinePlus). The NHS suggests keeping the child upright, calm and well hydrated, and says not to use steam. Get emergency help if the child is struggling to breathe, has blue, grey or pale lips or skin, is drowsy or hard to wake, is limp, is drooling or cannot swallow, or is very upset and cannot be calmed (NHS).

Injuries

Most bumps are minor, but head injuries deserve extra care. The NHS says most head injuries are not serious, and lists emergency signs: loss of consciousness, being unable to stay awake, a seizure, a fall from more than 1 metre (about 3 feet) or 5 stairs, vision or hearing problems, clear fluid from the nose or ears, new numbness or weakness, trouble walking or speaking, a bruise, swelling or large cut on the head of a baby under 1, or changed behavior such as becoming more irritable or uninterested. For a minor injury, an adult should stay with the child for at least the first 24 hours; symptoms can last up to 2 weeks, and children should avoid rough play for a few days (NHS). CDC says a child with a concussion needs to be seen by a health care provider, and that repeat head impacts raise the risk of longer, more serious symptoms (CDC). See our guides on head trauma, burns, bruises and animals. For any serious injury, or one you are unsure about, call 911.

Mental health, behavior and bullying

NIMH says that in most cases, sadness, worry, tantrums or trouble sitting still are just typical developmental phases. Signs that a younger child may need help include frequent tantrums or fears, stomachaches or headaches with no medical cause, sleeping too much or too little, trouble making friends and a drop in grades. In older children, look for loss of interest in favorite activities, low energy, withdrawing from friends and family, self-harm, substance use or thoughts of suicide. Consider getting help if symptoms last for weeks or longer, cause distress, or interfere with school, home or friendships, and seek help immediately if a child talks about hurting themselves or someone else (NIMH). CDC names anxiety, depression and behavior disorders among children’s mental health conditions and says early diagnosis and access to services can make a difference (CDC).

A good first step is to talk with your child’s doctor and ask for a referral to a mental health professional who works with children. NIMH says effective talk therapy often involves parents, and a child whose challenges affect schoolwork may qualify for school supports such as an individualized education program (IEP) (NIMH). Our guides cover anxiety, depression, ADD & ADHD, autism, behavioral problems and tics.

Bullying. MedlinePlus describes bullying as repeated, deliberate harm with a power imbalance. It can be physical, verbal or social, and cyberbullying can be anonymous and harder for adults to notice. Warning signs include unexplained injuries, lost belongings, headaches or stomachaches, trouble sleeping, sudden loss of friends and not wanting to go to school. Parents can listen, reassure the child it is not their fault, involve the school, practice responses together, and follow up, because bullying may not stop quickly (MedlinePlus).

Development

CDC’s “Learn the Signs. Act Early.” program has milestone checklists from 2 months to 5 years. If a child is not meeting milestones, has lost skills they once had, or you have other concerns, CDC says “don’t wait”: talk with the doctor and ask about developmental screening, and if you are still concerned, ask for a specialist referral and contact your state or territory’s early intervention program. CDC notes that the American Academy of Pediatrics recommends general developmental screening at 9, 18 and 30 months and autism screening at 18 and 24 months (CDC). About 1 in 6 children aged 3 to 17 in the U.S. has one or more developmental disabilities (CDC). See our guides on developmental disabilities, autism, cerebral palsy and Down syndrome.

Safety at home and on the road

  • Car seats. CDC describes four stages: rear-facing (keep children rear-facing as long as possible), forward-facing with a harness, a booster seat until the seat belt fits (usually around ages 9 to 12), then the seat belt. Keep children buckled in the back seat until age 13. In 2023, 43% of the child passengers aged 14 and younger killed in U.S. crashes were not buckled up (CDC).
  • Water. CDC says more children aged 1 to 4 die from drowning than from any other cause. Use a four-sided fence at least four feet tall with self-closing, self-latching gates around a pool, and have an adult supervise closely and constantly whenever children are in or near water, including bathtubs. Swim lessons do not replace supervision, and life jackets are advised in natural water (CDC).
  • Poisons and medicines. Keep medicines, cleaning products and other dangerous products out of children’s reach (MedlinePlus). Poison Help (1-800-222-1222) is free and confidential (Poison Control). Swallowed button batteries can burn through a child’s esophagus, sometimes within about 2 hours, even if the child has no symptoms at first; call the National Battery Ingestion Hotline at 1-800-498-8666 or Poison Help and go to the emergency room (Poison Control). See our drug overdose and medication safety guides.
  • Helmets and falls. CDC advises helmets for biking, scooters, skateboarding, skiing and contact sports; window guards; safety gates at the top and bottom of stairs; and soft material such as hardwood mulch or sand under playground equipment (CDC).

Side by side

Six approaches compared

For every condition we look at the same six approaches: what each involves, what it typically costs, and what a patient can realistically expect.

ApproachWhat it involves Estimated costWhat to expect
Conventional medicine (AMA) Your child’s doctor or pediatrician: well-child checkups, vaccines, vision and hearing screening, developmental screening, diagnosis and treatment of illness and injury, referral to specialists, therapists and mental health professionals, and emergency care. Vaccines for Children provides vaccines free or at reduced cost to eligible children 18 and younger, per CDC. Other costs: being researched. Most childhood illnesses are mild and managed at home with guidance; the doctor decides when antibiotics or other treatment are needed. Early screening and early intervention help children with hearing, vision or developmental concerns.
Chiropractic Spinal and joint adjustment or gentle manual therapy for children, sometimes for back or neck pain, or for conditions such as colic, asthma or ear infections. About $55 to $100 for a self-pay follow-up visit and $90 to $200 for a first visit, per The Pricer. These are general self-pay ranges; we did not find child-specific prices. Reviews find the evidence for non-back conditions is weak or inconclusive. Serious injuries in children are rare but reported, often with an underlying problem. Never a substitute for medical care for fever, breathing trouble, ear infections or asthma.
Acupuncture Fine needles (or non-needle methods) at acupuncture points, sometimes used for pain, sleep or other concerns in children. About $125 to $230 for a first visit and $90 to $185 per follow-up visit paying cash, per The Pricer. These are general self-pay ranges; we did not find child-specific prices. Studies in children are few and mostly small. A 2024 review called the evidence for chronic pain weak. Needles must be sterile and single-use; ask about experience with children.
Herbal medicine Mostly a question of safety: herbs, teas and supplements are not tested like medicines, and many have not been studied in children. Honey for cough is the best-studied home remedy. Cost estimate being researched. NCCIH warns that children can react more strongly than adults and that supplement labels may not match contents. A Cochrane review found honey probably eases cough better than no treatment or placebo in children aged 12 months and older. The NHS describes honey only for children over 1.
Massage therapy Gentle, relaxing massage for comfort, sleep and stress, and in some settings pediatric massage for infants and young children. One national chain: about $70 to $90 a month on a membership and about $125 to $160 for a non-member 60-minute massage, per The Pricer. We did not find child-specific prices. An umbrella review of pediatric massage in children under 5 reported benefits such as weight gain and less fussing, but only some of the reviews were high quality. Little research on common school-age illnesses.
MBHA Wellness Coach Family habits behind children’s health: sleep routines, food and drinks, activity, screen use, keeping up with checkups, vaccines, dental and vision care, and home safety. Cost estimate being researched. Supports — never replaces — your child’s doctor. Small, steady family routines matter more than any one product or treatment.

Approach 1 of 6

Conventional medicine (AMA)

For most childhood concerns, the first stop is your child’s doctor or pediatrician. Regular checkups are where vision is screened (CDC), development is screened at the ages CDC lists (CDC) and vaccines are given (CDC).

Medicine safety. Ask your doctor or pharmacist before giving any medicine, and read the label. The NHS says not to give paracetamol to a child under 2 months, not to give ibuprofen to a child under 3 months, who is dehydrated or who has chickenpox, and not to alternate the two unless a health professional advises it (NHS). See our medication safety guide.

Cost. The Vaccines for Children program provides vaccines free or at reduced cost to eligible children (CDC). Other costs: cost estimate being researched.

Find a medical doctor in our directory

Approach 2 of 6

Chiropractic

Chiropractic and osteopathic manipulation are among the most common complementary approaches parents choose for children; NCCIH reports that 3.4% of U.S. children aged 4 to 17 used chiropractic care in 2017 (NCCIH, NCCIH). Here is what the research says.

  • A broad review. A 2019 systematic review of manual therapy in children found 50 studies. Moderate-positive overall findings were reported for low back pain, pulled elbow and premature infants; for most other conditions the findings were inconclusive or unclear. Twenty studies reported adverse events, which were transient and mild to moderate (Parnell Prevost et al., 2019).
  • Colic and asthma. A 2021 commentary on a review of six articles concluded that spinal manipulation as a stand-alone treatment showed either no or equivocal effects for infantile colic and childhood asthma, and should not be promoted as having strong supporting evidence for non-musculoskeletal conditions (Goertz et al., 2021).
  • Physiotherapy position statement. A 2024 international statement recommended against spinal manipulation of infants, against neck and low-back manipulation of children, and against manipulation for conditions such as asthma, ADHD, autism, colic, bed wetting and ear infections. It said manipulation may be appropriate for neck and back pain in adolescents; no high-certainty evidence was available, and the rates of harm could not be determined (Gross et al., 2024).

Safety. A review of published reports found 15 serious adverse events in infants and children treated by various manual therapists, including 3 deaths (none under chiropractic care) and 12 serious injuries, 7 of them involving chiropractors. Most involved high-velocity spinal manipulation and an underlying pre-existing condition; the authors call such cases rare and recommend a thorough history and exam first (Todd et al., 2015). NCCIH says serious problems from spinal manipulation are rare, but there are no accurate estimates of how often they happen (NCCIH).

If you choose to try it: get a diagnosis from your child’s doctor first and do not delay medical care; ask about the practitioner’s experience with children, education and licensing (NCCIH); and say no to any technique that worries you. MBHA does not suggest chiropractic care in place of medical care for a fever, an ear infection, croup, dehydration or an asthma attack. See our ear and asthma guides.

Cost. The Pricer reports about $55 to $100 for a self-pay follow-up visit and about $90 to $200 for a first visit (The Pricer). We did not find child-specific prices.

Find a chiropractor in our directory

Approach 3 of 6

Acupuncture

Acupuncture uses very fine needles at specific points on the body; some practitioners use pressure, lasers or other non-needle methods with children.

  • Chronic pain. A 2024 systematic review found only 5 studies of acupuncture for chronic pain in children and young people (two case series, two single-arm studies and one randomized trial). Pain intensity went down, but the authors judged the evidence weak because of small studies and design limitations (Bissoto et al., 2024).
  • Sleep. A 2025 meta-analysis of 17 studies with 1,091 children with neurodevelopmental conditions found acupuncture-related treatment added to usual care improved sleep scores, with few adverse events; evidence quality was rated moderate for the main sleep score (Jeong & Lee, 2025). See our developmental disabilities guide.
  • We found little research on acupuncture for common childhood illnesses such as colds, ear infections or fever.

Safety. NCCIH says relatively few complications have been reported, but infections, punctured organs and injury to the central nervous system can happen with nonsterile needles or improper treatment. FDA regulates needles as medical devices that must be sterile and single-use, most states license acupuncturists, and acupuncture should not be used to postpone seeing a health care provider (NCCIH). Ask about experience with children, and tell your child’s doctor (NCCIH).

Cost. The Pricer reports roughly $125 to $230 for a first private appointment and about $90 to $185 per follow-up visit paying cash (The Pricer). These are not child-specific prices.

Find an acupuncturist in our directory

Approach 4 of 6

Herbal medicine

Many parents try herbal teas, supplements or home remedies. NCCIH reports that 11.6 percent of children aged 4 to 17 had used a complementary product or practice in the past year in a 2012 survey, and that infants are sometimes given teas or botanical supplements for fussiness or stomach problems (NCCIH). The sources we reviewed did not show any herb or supplement to treat the common childhood conditions in this guide.

Safety first

  • NCCIH says children may react more strongly than adults because of their size, developing organs and immature immune systems, and some supplements contain contaminants. Dietary supplements cause about 23,000 emergency room visits a year, one-fifth involving children. Keep them out of children’s reach (NCCIH).
  • Supplements are not tested like medicines, FDA generally cannot review them for safety or effectiveness before sale, many have not been studied in children, and labels may not match contents (NCCIH).
  • Tell all your child’s providers about every product your child takes (NCCIH). See our medication safety guide; see our Plants guide.

Honey for cough

Honey is the best-studied home remedy for children’s cough. A Cochrane review of six randomized trials with 899 children aged 12 months to 18 years found that honey probably reduces cough frequency better than no treatment or placebo (moderate-certainty evidence), and may work about as well as dextromethorphan, a cough medicine. Most children received honey for only one night, and the authors found no strong evidence for or against using it (Oduwole et al., 2018). The NHS describes a warm lemon-and-honey drink only for children over 1 (NHS).

Cost. Cost estimate being researched.

Approach 5 of 6

Massage therapy

Gentle massage can be soothing for a child, and many families enjoy it as part of a bedtime routine.

  • Infants and children under 5. A 2024 umbrella review of 22 systematic reviews of pediatric massage (mostly pediatric tuina, a Chinese form) in children under 5 reported more weight gain and length growth, less fussing and better motor development compared with routine care. Only 7 of the 22 reviews were high quality, and the authors called for better studies that report adverse events (Chen et al., 2024).
  • Hospital settings. In a retrospective review of 3,015 massage sessions for young people with blood or cancer conditions at one children’s hospital, patients reported lower pain, stress and anxiety afterward. This was not a controlled trial (Rodgers-Melnick et al., 2023).
  • We found little research on massage for common school-age illnesses, and none showing it treats infections, asthma or fever.

Safety. Keep massage gentle. MBHA suggests holding off when a child has a fever or an unexplained rash and calling the doctor instead. Choose a licensed massage therapist with experience with children and tell your child’s doctor (NCCIH).

Cost. One national chain’s memberships run about $70 to $90 a month, and a non-member 60-minute massage about $125 to $160, per The Pricer; prices vary by location (The Pricer). We did not find child-specific prices.

Find a massage therapist in our directory

Approach 6 of 6

MBHA Wellness Coach

An MBHA Wellness Coach can help your family build the daily habits behind children’s health — alongside, never instead of, your child’s doctor and emergency care.

A coach can help you keep a simple record of vaccines, checkups and screening tests, and questions to bring to the doctor. If your child is struggling with worry, mood, behavior or bullying, a coach can listen and help you plan the next step, including reaching out to your child’s doctor (NIMH). A coach does not diagnose or treat illness. Cost: cost estimate being researched.

Another approach

Who to call: quick reference

In their own words

Wellness and lifestyle testimonials

Please read first. This is one parent’s personal experience, not medical advice. MBHA makes no medical claims and does not claim any product treats a child’s sleep, health or development. Talk with your child’s pediatrician about sleep problems, and never stop or change a child’s prescribed medicine because of anything you read here. Small magnets are a serious hazard if a child swallows them (call 911 or Poison Help at 1-800-222-1222 right away), so keep them away from babies and young children, and do not use magnets near implanted devices such as pacemakers, pumps or shunts.

My three-and-a-half-year-old hadn’t slept through the night for most of his life. I put a magnetic travel pad and a far-infrared travel comforter on his bed while he was sick, and once he got better he slept through the night three nights in a row. When I went out of town and took them off, he woke up during the night again, so they stay on his bed now and we’re all thrilled.

— Janice

Shared with first names only. Lightly edited for length and spelling.

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Sources

This page is for education only and is not medical advice. Costs are typical U.S. ranges and estimates; yours will depend on your provider, location and insurance. Talk with your doctor before starting, stopping or combining any treatment. In an emergency, call 911. See our disclaimer.

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The Monterey Bay Holistic Alliance is a charitable, independent registered nonprofit 501(c)(3) organization and does not endorse any particular products or practices. Claims and statements herein are for informational purposes only and have not been evaluated by the Food and Drug Administration. We strongly recommend that you seek out your trusted medical doctor or practitioner for diagnosis and treatment of any existing health condition. MBHA provides administrative support, education and navigation — not medical, legal or tax advice — and cannot guarantee claim, billing or fundraising outcomes. MBHA is not an emergency service: in an emergency, call 911 or go to the nearest emergency room.