Paediatrics - Child Specialist Clinic (Children's Health)

Paediatrics is a medical specialty that manages medical conditions and provides care for newborns, infants, children, and early adolescents.

What are the Symptoms of Common Childhood Illnesses?

To learn more about common childhood illnesses and symptoms, select the portion of the body where your child is experiencing symptoms on the diagram below.

Most Common Childhood Illnesses by A-Z

To view the list of symptoms, select from the A – Z listing tab below.

A - C
D - F
G - I
P - R
S - U
Asthma
Bronchiolitis
Chickenpox
Clubfoot
Common cold
Conjunctivitis
Constipation
Croup

Asthma

Asthma is a common long-term condition that can be well controlled in most children. The severity of asthma symptoms varies between children. Asthma affects airways. A sudden, severe onset of symptoms is known as asthma attack.

Symptoms of asthma include:

  • Difficulty in breathing
  • Wheezing
  • Shortness of breath

Bronchiolitis

Bronchiolitis is a lower respiratory tract infection that affects babies and children under two years old. Bronchiolitis affects bronchioles (smaller airways). It is caused by a virus called RSV (respiratory syncytial virus).

Symptoms of bronchiolitis include:

  • Runny nose
  • Dry persistent cough
  • Fever
  • Difficulty breathing

Chickenpox

Chickenpox is a mild disease that most children catch at some point. It is caused by the varicella-zoster virus. Chickenpox is highly contagious and can be passed onto others for about two days before the rash appears to until the blister has burst and crusted over.

If your child has chickenpox, keep them away from public area. One can develop chickenpox within 10-21 days after being near someone who has chickenpox.

Symptoms of chickenpox include:

  • Fever
  • Rash (small, itchy, red spots like pimples) develops on the chest and back, and spreads to the face, mouth, scalp, arms, and legs.
  • Rash develops into thin-walled water blisters which then burst, dry up and become dry brown crusts

Getting the chickenpox (varicella) vaccine can reduce the risk of your child contracting the highly contagious chickenpox infection.

Clubfoot

Clubfoot is a condition whereby the forefoot (part of the foot connected to the lower leg bone) is abnormally twisted relative to the lower leg bone to point inward and downward. This may happen with one or both feet.

There are two types of Clubfoot:

  • Postural Clubfoot - Involves muscle imbalance and/or tightness, but there is usually no bone or joint involvement.
  • Structural Clubfoot - Involves the bone and joints of the foot, where the child's foot cannot go through the full range of movements.

Symptoms of clubfoot include:

  • One or both feet may be turned inwards and can be seen soon after birth.
  • The calf muscle and the affected foot may be slightly smaller than normal.
  • The foot may not have the full range of movement.

Common cold

The common cold is a mild, self-limiting, upper respiratory tract infection. Symptoms of common cold include:

  • Nasal stuffiness
  • Runny nose
  • Sneezing
  • Sore throat
  • Cough
  • Fever

Infants may also be irritable, have snuffles, and difficulty with feeding. 

When should you seek help from a paediatrician: 

  • If symptoms last for more than ten days.
  • If your child presents with fever and rash.
  • If your child is not waking or interacting.
  • If your child is finding it hard to breathe.

Conjunctivitis

Conjunctivitis is a common eye infection where the conjunctiva (thin, clear membrane that protects the eyes) become inflamed as the result of a bacterial or viral infection.

Symptoms of conjunctivitis include:

  • Inflammation (swelling) of the conjunctiva 
  • Red, itchy eyes, and sticky eyelids
  • Watering the eyes more than usual
  • May have a discharge
  • Eyes may feel sore
  • Vision is blurred

Constipation

Constipation is very common and can occur in children of all ages. Constipation means passing hard stools with difficulty and less often than normal. Abdominal pain is a common symptom too.

Croup

Croup is a common respiratory tract infection in children between the age of six months and 12 years old. It is an infection that affects the child’s upper airway (larynx, trachea, bronchus).

Croup is caused by respiratory viruses. Viral croup usually resolves within one week.

Symptoms of croup include:

  • Fever
  • Watery nose
  • Hoarseness of voice
  • “Croupy” or barking cough
  • Difficulty in breathing
  • Stridor (noisy breathing)
  • Poor feeding
Diarrhoea
Ear infections
Eczema
Fever

Diarrhoea

Most children have occasional loose stools. However, diarrhoea is when your child frequently passes unformed, watery stools. Diarrhoea and vomiting can be more serious in babies because they can easily loose too much fluid from their bodies and become dehydrated.

When should you seek help from a paediatrician:

  • Your child has passed six or more diarrhoeal stools.
  • Your child has vomited three times or more in the past 24 hours.
  • Your child has not been able to hold down fluids for the last eight hours.
  • Your child is floppy, irritable, not eating.
  • Your child is having severe stomach pain.
  • Your child has a headache and stiff neck.

Ear infections

Ear infections are common in babies and toddlers. Most ear infections are caused by virus and often after a bout of the common cold.

Ear infections can be painful and can sometimes cause fever. A child may rub or pull at their ears. Young babies cannot always tell where the pain is coming from and may just cry and seem irritable.

When should you seek help from a paediatrician:

  • If symptoms last longer than four days.
  • If the infection worsens with severe pain.
  • If your child has a very high temperature.
  • If your child is having breathing difficulties.

Eczema

Eczema is also known as atopic dermatitis. The onset of eczema is most common when the infant is between 1 to 3 months old.

Symptoms of eczema include:

  • Patches of itchy, dry skin on hands, neck, face, and feet.
  • Redness, scaly skin, and skin discolouration.

Eczema is usually recurrent. The rash gets better, then reappear soon after.

Eczema rash is often itchy, so treatment is usually needed for this condition. Moisturisers are often used to treat mild eczema. For severe eczema, a topical steroid cream or ointment may be needed.

Fever

Fever happens when the body's internal 'thermostat' raises the body temperature above its normal level. This thermostat is found in a part of the brain called the hypothalamus.

Fever by itself is not an illness; it is usually a symptom of other conditions such as infections (e.g., common cold, influenza, gastroenteritis, tonsillitis).

It is a fever when your child's temperature is at or above one of these levels:

  • Measured orally (in the mouth): 37.8°C / 100°F
  • Measured rectally (in the bottom): 38°C / 100.4°F
  • Measured in an axillary position (under the arm): 37.2°C / 99°F

When should you seek help from a paediatrician:

  • Your infant younger than 3 months old has a rectal temperature of 38°C / 100.4°F or higher
  • Your child has a temperature higher than 38.9°C / 102.2°F
  • Your child has a temperature lower than 39°C / 102.2°F who:
    • Shows signs of dehydration (peeing less than usual, not having tears when crying, less active than usual).
    • Has lasting diarrhoea or repeated vomiting.
    • Has a specific complaint such as a sore throat or an earache.

Learn more about fever in children, what causes prolonged fevers, when it is a mere symptom, and it might be a sign of something more serious.

Gastroenteritis (upset stomach)
Hand-Foot-and-Mouth Disease (HFMD)
Heat rash
Influenza

Gastroenteritis (upset stomach)

Upset stomach can sometimes be caused by food allergies, but often they are caused by an infection or stomach bug. This is called gastroenteritis. The most common cause of gastroenteritis is usually a virus, such as rotavirus.

When should you seek help from a paediatrician:

  • Your child has passed six or more diarrhoeal stools.
  • Your child has vomited three times or more in the past 24 hours.
  • Your child has not been able to hold down fluids for the last eight hours.
  • Your child is floppy, irritable, not eating.
  • Your child is having severe stomach pain.
  • Your child has a headache and stiff neck.

Hand-Foot-and-Mouth Disease (HFMD)

Hand-foot-and-mouth (HFMD) is a common infectious disease that is seen in children and infants. The disease is usually mild and self-limiting.

HFMD is contagious. The virus spreads from person to person through faecal-oral route and the infected person's nose and throat secretions, fluid from scabs or blisters.

Symptoms of HFMD include:

  • Fever
  • Sore throat
  • Mouth sores
  • Skin rash with blisters on arms, legs, and buttocks

When should you seek help from a paediatrician:

  • Your child is not drinking enough water.
  • Your child’s condition is not improving after 10 days.
  • Your child has a weakened immune system.
  • Your child has severe symptoms such as high fever with chills.
  • Your child is younger than 6 months.

Heat rash

A heat rash appears after exposure to heat or sweat. However, it usually disappears after a cool environment is provided to the affected child, such as wearing loose clothing or switching on air-conditioning.

A heat rash typically does not necessitate treatment. If symptoms worsen, they are usually attributed to other illnesses. Bring your child to a paediatrician if you have concerns about your child’s condition.

Influenza

Commonly known as the flu, influenza is caused by a virus and spreads through the air when infected people cough/sneeze.

Symptoms of influenza include:

  • High-grade fever above 38°C
  • Chills
  • Cough
  • Sore throat
  • Headache
  • Nasal congestion
  • Muscle aches
  • Fatigue

If you notice these symptoms, seek your doctor’s help for medication. Most influenza cases can be well managed at home with medication, rest, and proper fluid intake by the child.

Getting flu vaccines every year can reduce the risk of contracting influenza for various common strains.

Pertussis (Whooping Cough)
Pneumonia

Pertussis (Whooping Cough)

Pertussis or whooping cough is an acute bacterial infection caused by the bacteria Bordetella pertussis. This infection affects the respiratory tract and is highly contagious. It spreads through respiratory droplets and by direct contact with fluids from the nose or mouth of infected person.

Serious cases and fatalities are often observed in early infancy stage.

Symptoms of pertussis include:

  • Onset of runny nose, sneezing, low-grade fever, malaise, mild conjunctiva inflammation
  • Cough that gradually becomes more severe but non-productive
  • Paroxysmal cough with inspiratory whoop
  • Post-tussive gagging / vomiting / cyanosis

Ensure that your infant receives the pertussis vaccination at 2, 3 and 5 months of age according to the Malaysian National Immunisation Programme.

Pneumonia

Pneumonia is an infection that affects one or both lungs. It can usually be triggered by cold or flu bouts.

Pneumonia causes fluid or pus to fill the air sacs of the lungs. It obstructs the normal exchange of gas inside the lungs, which leads to low levels of the oxygen in the blood and impaired removal of carbon dioxide from the body.

Young children are considered most susceptible to pneumonia. 

Symptoms associated with pneumonia differ considerably depending on the cause and the health condition of the child. They may include:

  • Cough with or without phlegm that is yellow, green, brown, or blood-stained
  • Difficulty breathing
  • Chest pain that worsens when you breathe or cough
  • Fever and chills
Sinusitis
Skin allergy
Sticky eyes
Strep throat (throat infection)
Swollen gums
Tonsillitis
Torticollis (Wry Neck)
Urinary Tract Infection (UTI)

Sinusitis

The build-up of sinus fluids allows viruses and bacteria to grow which may cause a sinus infection.

Symptoms of sinusitis include:

  • Stuffy nose
  • Inability to breathe clearly
  • Headaches
  •  Sore throat caused by postnasal drip
  • Cough
  • Pain near cheekbones

Skin allergy

Skin allergy can be acknowledged if the onset of the rash is after exposure to an allergen, which causes the allergic reaction. The reaction may occur within minutes, or between 4 to 6 hours after the exposure.

Allergens are usually substances or foods that trigger an allergic reaction. Common culprits of an allergic reaction in children are certain foods such as eggs, seafood, and peanuts.

Symptoms of an allergic skin reaction include:

  • Flaking of skin
  • Redness
  • Itchy rashes
  • Bumps
  • Swelling of the lips or the eyes
  • Breathing difficulties

Sticky eyes

‘Sticky eyes’ is a common condition in newborn babies and young children while their tear ducts are developing. Symptom includes sticky stuff in the corner of their eyes or eyelashes.

Strep throat (throat infection)

Strep throat is an infection caused by the bacteria Streptococcus pyogenes.

Symptoms of strep throat include:

  • Sore throat
  • Swollen tonsils
  • High fever
  • Stomach pain

Take your child to a paediatrician for a strep test if he/she shows the symptoms above.

Swollen gums

Swollen gums are a typical sign of gum disease and usually appear reddish or purplish due to increased blood flow to the area. They could also seem shiny or smooth, and they typically bleed.

If your child’s gum swelling persists for more than a few days or causes significant pain, you should take him/her to visit a dentist or periodontist.

Tonsillitis

Located on each side of the back of the throat, tonsils are part of the immune system that produce antibodies to fight germs that attack the mouth.

Tonsillitis is a condition when the tonsils are infected and enlarged. Viral infection is the main cause of tonsillitis.

Symptoms of tonsillitis include:

  • Difficulty and pain when swallowing
  • Fever and chills
  • Headache
  • Loss of voice
  • Sore throat
  • Swollen lymph glands at the jaws and neck
  • White spots of pus on the tonsils
  • Abdominal pain

Torticollis (Wry Neck)

Torticollis (also called Wry Neck) is when the baby’s head is tilted. The chin points to one shoulder, while the head tilts toward the opposite shoulder.

Congenital Torticollis occurs when the neck muscle that runs up and toward the back of the baby’s neck is shortened. Torticollis may be present soon after birth due to scar tissue and tightness of the muscle on one side of the neck, or it may occur later in childhood.

Symptoms of torticollis include:

  • The baby has difficulty turning the head to the opposite side.
  • The baby may not be able to move his or her head as normal as other babies.
  • There may be a lump in the baby’s neck muscle.
  • The baby may have flattening of head and face due to his or her preference of head position.
  • The neck muscle (sternocleidomastoid) may be tight.

Urinary Tract Infection (UTI)

Urinary tract infection (UTI) is a common bacterial infection of the bladder or kidneys. It is a common cause of fever in young children. UTI can be suspected especially when no other obvious sources of fever are identified.

Symptoms of UTI in children include:

  • Fever
  • Child starts to cry when passing urine
  • Going to the toilet very frequently (feeling of “cannot wait”)
  • Small amount of urine at a time
  • Urine may be cloudy or strong smelling
  • Blood may be present in the urine
  • Stomach or back pain

Take your child to a paediatrician for if he/she shows the symptoms above. UTI in children must be treated because untreated UTI poses a risk of kidney damage.

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