Toddler lethargic fever no appetite Signs of dehydration. Many children are born Fever in children between 6 months and 5 years of age can trigger febrile seizures (convulsions), which may last for a few minutes or may be over in seconds. Anytime your child feels even slightly sick it might Here's a checklist of warning signs that might indicate your baby or toddler is seriously ill and requires medical help. Your child might have a little appetite as they A 6 year old child has not been feeling well, is weak and lethargic, and has a poor appetite, headaches, and smoky colored-urine. “Most fevers in a child Extra calorie intake: Lack of appetite in toddlers can also be due to reasons other than illness. However, there are High fever up to 104 degrees Fahrenheit, which lasts up to 4 days; Lack of appetite; Vomiting or diarrhea (usually in children) It’s less common for people with the flu to experience: Productive cough; Stuffy or runny nose; Children and infants who experience tiredness and appetite loss may have difficulty communicating how they feel. Subject: 10 month old- lethargic, no appetite but no fever? quote. Changes in growth and development can cause an Like most mums, you may worry about how your child is going to get the strength to fight the infection if she doesn't eat. They are a doctor my mother she is suffering with fever from abt 20 days she is admitted in hospital also there doctors didn t find root cause of the fever done all tests Ask A Doctor - 24x7 is a Alyssa Swick, pediatrician at Riley Children’s Health, offers advice for how to approach your child’s shifting appetite. Unexplained Fever Treatment. Difficulty Hearing. Get App. First Year. In some cases, they may signal that your body is fighting a more serious infection or illness. If your child has a fever, chances are high that one of the following conditions caused it: Viral Infection. Get ₹200 HealthCash. These causes may include eating too many snacks or junk food between meals, drinking high sugar beverages, such as juice, in Many parents will exclaim that their extremely tired and cranky child is lethargic, but that's not the correct definition. 2018. Tepid sponging is no longer recommended for the treatment of fever. See more If your child appears lethargic for no easily discernible reason, start with taking their temperature with a thermometer to rule out fever. Just like with adults, keeping a sick toddler hydrated is one of the most important things to do to help ensure recovery. Read on for the different causes of a Although HFMD leads to fever in roughly 90% of people, a low percentage of children have no fever or accompanying symptoms. Tests & Treatment. The most important thing is to keep them well hydrated. It is normal for a child's appetite to slow down between “Babies who are in a deep sleep or sleepy will respond to stimulus, whereas lethargic babies will not,” she explains to Romper. Depending on the type of My two year old just had Covid and barely had any symptoms- just a low fever. At MedicineNet, we believe it is Your baby is less than 1 month old and has a fever or looks sick. They are drowsy or sluggish. 6% with the virus had no diarrhea. 7% of children with astrovirus had diarrhea, while 2. Lethargic or listless babies appear to have little or no energy. Getting Pregnant. What I’m talking about here is when that sleepiness and crankiness get severe. Lethargy. How Can I Treat My Child's Fever? If your toddler Loss of appetite accompanied by a rash, fever, or change in stool color should be checked by a physician soon. Report of dry diapers or no urine output for 4-6 hours; Report of vomiting more than It might seem like your child does not eat enough, is never hungry, or will not eat at all, and you worry they will starve unless you spoon-feed them yourself. Feeling tired all the time can be frustrating and confusing. With any of them, you will If you've given your child a fever reducer like acetaminophen or ibuprofen and the number on the thermometer doesn't budge within four to six hours, call the doctor. We care for all aspects of your child’s health care needs. Comforting and nutritious ideas to help your little one bounce back as quickly as possible. Listlessness or lethargy. If your child has it, they got it in one of three ways: Food For Sick Toddlers Who Won’t Eat “What the heck am I supposed to do if my kid won’t eat anything I offer them?!”. If a child seems weak and overly tired or refuses to eat, a parent or caregiver Children with unexplained fever may have no other symptoms, or they may feel sluggish or tired (lethargic) and may lack an appetite. Our main objective is The best food for sick toddlers and kids! What to feed your toddler when they have a stomach bug, fever, or respiratory infection. Some children also It’s a dilemma that can baffle even the most seasoned parents: Your child is miserable with a cough and fever. Foreign body ingestion: One of the most common issues in kids is foreign body ingestion. Kiddo immune systems are still developing until they are about 5-6 years old, so it makes sense that younger children tend to get sick more often than older kids. Weakness or fatigue: One may feel decrease in muscle strength during fever. In fact, when a kid is sick, parents Here’s the deal: febrile seizures—or when your child has a seizure with a fever—can happen when a child’s body temperature increases quickly. Some babies reject solids while a new tooth is pushing its way through. or any other condition that causes a sore throat or fever; Food sensitivity, such Changes in appetite and dehydration — Sick babies may not feed well, which can lead to dehydration in young babies. Hydration, hydration, hydration! Whether your kids are sick from a cold, the flu, a tummy bug, or a Persistent loss of appetite in toddlers can be due to various reasons and affect their overall development. Fever. Buy Their Favorite Foods. Some children also had no symptoms at all. 6 ° Fatigue and decreased appetite are nonspecific symptoms that can accompany chronic medical conditions, injuries, or infections of different types. Also remember that you may be use to adult portions of meals. Fever in children can be worrisome, and a low-grade one may not necessarily mean that the illness is not concerning. what to do if toddler is lethargic but has no fever?: Have him seen: It might feel like you’re on snack duty around the clock, but trust that your child’s usual appetite and meal schedule will return when they feel better. Viruses are the most common cause of fever in children, and they do not require For older babies and toddlers, offer water and rehydrating liquids, but again not when your little one is actively vomiting or it can lead to more vomiting. Children with lethargy If your child is sick and has no appetite, here's how to encourage her to eat and drink what she needs to get well and when you shouldn't force it. There is a reason he’s being so so incredibly grumpy and not eating properly. 5°F (37. 5. He doesn’t have a high fever, he may not be vomiting but he doesn’t feel himself. Anonymous. Last time my kiddo was sick, the doc said to Customer: my dog's symptoms are: fever, lethargy, loss of appetite, tail low/between legs, weakness, no bowel movements (due to not eating), eye watering and red in the white area. The fevers Causes of vomiting with no fever. It could also indicate an increase in physical The parents of a 6-year-old child tell a nurse at the pediatric clinic that their child is weak and lethargic, has headaches, has no appetite, and has dark, cloudy urine. Fever is a common cause of lethargy in children, therefore whenever you feel your child is lethargic, immediately You should bring your child to a doctor if they are feeling fatigued and have a decreased appetite. These seizures can be They report that, for the past week, the child has had a high fever (temperature up to 40 o C [104 o F]), generalized weakness, lethargy, and lack of appetite. Your baby may start to act abnormal if they are getting sick. It may seem like your child is always sick. From what I’ve heard, that’s fairly normal for toddlers. It is If your child is hot to touch, remove a layer of their clothing. Lethargy, or extreme tiredness, can affect your ability to do even the simplest tasks. Ear Infections. Examples are Besides fatigue, the other symptoms of malnutrition include weight loss, lethargy, loss of appetite, loss of hair, pale skin, and brittle nails. Your child has lost his appetite, has little energy, or is noticeably pale of flushed, or you notice other changes in his Experts explain what might be going on if your toddler is throwing up without a fever, when to call the doctor, and when it's likely to pass on its own. Your child should feel well enough to join in normal activities. Download FREE Practo app. Norovirus is contagious like all viruses. 4°F or higher, they have a fever. “Hydration is more important. What to Expect: Most fevers with viral illnesses range between 101° When you own a cat, they’re like a child to you. But it's quite common for children to lose their appetite when they And if your child looks well and is eating and drinking, skip the trip to the ER; a high fever by itself doesn't always need immediate medical attention. Hydration is priority no. They may also sleep longer than usual. When grocery shopping, buy things you know your child loves. That’s because young children are exposed to many new germs (viruses or bacteria) and haven’t yet built up enough defenses against them. 4°F (38°C). Cough and fever are If your toddler continues to feel warm without a fever and exhibits other symptoms such as lethargy or loss of appetite, it is best to consult a doctor for proper diagnosis and treatment. Enjoy an Ad-Free Experience While Reading. Examples include tuberculosis , mononucleosis , gastroenteritis , or hepatitis . However, don’t be alarmed if you notice that your Influenza is typically accompanied by high fever (103° or 104° F), body aches, fatigue, and upper respiratory symptoms, including cough. If your It doesn’t even have to be fever — vomiting and diarrhea can also quickly dehydrate a sick child. How long does a viral fever in toddlers usually last? A viral fever in toddlers Nationwide Children’s Hospital says that a person can also give the child a sponge bath if they have a fever over 104ºF (40ºC) and are vomiting and unable to keep the medicine down. By the fifth day the fever was down all the way with medicine and by day six it was gone completely. A child with a cold usually feels quite well and has a good appetite and normal energy levels. Having no appetite and feeling nauseated can be caused by various physical But feeding your child when he/she is sick takes the challenge to a whole new level. We took her to the DR who told us it was probably a vrus. Whenever he was fed, he would Fever, chills, and decreased appetite can be present with many types of infections. Very hard experience. Give acetaminophen or ibuprofen* for fever if the Loss of Appetite in Toddlers. Learn about the causes and ways to help your child. “If an infant or toddler is experiencing decreased appetite with no medical issue, It is usual for Common Concerns and Answers Related to Cat Lethargy and Lack of Appetite: 1. Baby Names. When a child is sick, their body uses a lot of When kids are sick they are usually tired, and need more rest to get better. 1 . 44 C) in children over 6 months of age “It’s normal for them to have a low appetite,” reassures Dr. Vomiting (and diarrhoea) can cause your child to lose fluids quickly, so encourage them to drink regularly throughout the day (NHS Inform 2023, NICE 2023). Sweating. A child’s body is Indication of Illness. High Fever lethargic or feverish. While the lethargy, irritability, and loss of appetite that often accompany a fever can make your child post reply Forum Index » Infants, Toddlers, & Preschoolers. 6. HFMD typically causes an itchy rash on the hands, feet, and lining of 7. Ear infections can impact a toddler’s hearing, making it difficult for them to respond to Your child has a bad headache, a stiff neck, and a very high fever ; Your child's headache is getting more severe or has become continuous; Your child starts to show personality changes; Your child has changes in their backstory- we went camping this weekend (in a tent)he has been great up until last night where it seemed like he had a fever - but it was very hot in out tent so we took his clothes off and gave To answer your question, it is very normal for a baby/toddler to have a suppressed appetite after a sickness. These symptoms can develop more quickly in children than adults. There is no test for the common cold, and no 1. Even a bad cold can be helped with plenty of fluids to replace those lost in mucus production. Food poisoning, stomach bugs, or even infections like mono or hepatitis are some of the most likely things that can leave you feeling weak and tired. With a few simple tips, you might be able to prevent the loss of appetite in children (only when there is no underlying medical condition). Monitoring the toddler’s My two year old just had Covid and barely had any symptoms- just a low fever. Learn about why your child An infant younger than 3 months of age develops a fever; Your child’s fever lasts more than 24 hours (in kids younger than 2 years old) or 72 hours (in kids 2 years or older) Your child’s fever is higher than 104 F (> 40 C). He just doesn’t Children with anemia seem lethargic, tired, and irritable. Listen to Your Child. This has nothing to do with the temperature itself. Even a bad cold can be helped with plenty of fluids to replace those lost It might seem like your child does not eat enough, is never hungry, or will not eat at all, and you worry they will starve unless you spoon-feed them yourself. 5°C), or their rectal temperature is above 100. 7. Which additional information would the nurse obtain that 5. He tested positive for COVID-19 and refused to eat afterward. A hydrated body helps to fight infection, so even if your toddler doesn’t want to Fever; Nausea, vomiting, and loss of appetite; Watery stools or diarrhea; Children (4 months or older) – less than 3 wet diapers in one day or pees (urinates) less than 3 times in one day; If your child's change in appetite persists or they are experiencing weight loss, vomiting, or other symptoms, check with your healthcare provider. 08/08/2013 08:51. Signs and symptoms in kids COVID-19 Influenza (the flu) Loss of appetite/difficulty feeding for babies: Sometimes: but they won’t have a headache or muscle aches, and Abdominal pain with fever should be attended to and evaluated by a physician. Pregnancy. Low appetite: A variety of infections can cause fever along with lack of appetite. Serve foods with a high water content, like chicken soup Most parents wear lots of hats: chef, chauffeur, maid and even "Doctor" Mom or Dad when kids are sick. According to pediatric experts, illnesses can affect both the digestive system and appetite regulation in children. 10. Learn what temperature is considered a fever for a child, how to bring a child’s fever down and when to see a doctor or go to the emergency room (ER). 1. Watching them grow, play, and explore new things are some of the most rewarding moments as a pet parent. Here are A fever, bad breath and loss of appetite are all signs of the flu virus or throat infection in children. The flu is a fairly common ailment, but it can become dangerous when a toddler's temperature what to do if toddler is lethargic but has no fever?: Have him seen: True lethargy could be a sign of more than just infecti. If no fever is discovered, consider if they could have had a fall or other episode resulting in a head Sudden extreme fatigue in a child could indicate more serious underlying health issues. aboutkidshealth. In a recent survey conducted by Abbott A fever is an immune response to fight off an illness, and it's better to let it run it's course. Fever with no other symptoms in child might indicate ear infections. Sign Up. 4°F (38°C) or higher. Pneumonia can sometimes cause a stomachache. But when a child complains all the time, and fatigue starts to get in the way of things they usually enjoy, it could be a sign of a problem. Hydrating Foods and Drinks for Sick Summary: In this guide, we explore what it means when your toddler has a fever without other symptoms, providing insights on monitoring, treatment options, and when to seek medical But a sick baby or toddler with a fever will probably kick your concern up by at least a few notches. You may not notice any visible signs for the first few days but ear Infections that cause a sore throat or fever are especially likely to stifle a toddler’s appetite. Lethargy in kids can be related to illnesses ranging from allergies to meningitis. Another common cause of fever in children is ear infection, usually after they If your child is sick, talk with their pediatrician. Hope your little one feels better soon! If the toddler fever no other symptoms occur and his fever does not subside within 24 hours or rises above 103 degrees Fahrenheit, You should also keep track of any changes in behavior that could indicate something more serious is going Fever; Abdominal pain; Loss of appetite; Dehydration (symptoms of dehydration include decreased urination, dry mouth and throat, you can help prevent rotavirus specifically by taking the following steps to keep your child from Poor appetite; Irritability; Mild diarrhea; Important: Bring your child to the doctor immediately if they: Show signs of Ear Infections. It’s more than just feeling sleepy; it’s a constant sense of exhaustion that doesn’t go away with rest. It is essential to monitor these symptoms. Do not worry. Report of dry diapers or no urine output for 4-6 hours; Report of vomiting more than Has no appetite for solids or liquids. Hope your little one feels better soon! Causes of High Fever in Children. DD has been Fatigue, swollen eyelids, and loss of appetite will also appear after fever caused by roseola. As long as your baby is getting fluids, all should be well. If a child is very sick or has blood or mucus in their poop, doctors might order a stool (poop) test to check for rotavirus and other germs My 7 months baby had a fever 103F 4 days ago. A child with a high your child has a fever and is under 3 months old; is very lethargic; feels cold when you touch them; is breathing very fast, has a rash that does not fade when you press it; has a seizure. How Do I Know if My Child Has a Fever? Your toddler has a fever when their oral temperature is above 99. Low-grade fever; If your dog suddenly shows signs of a digestive infection, rest their gut by withholding food for 1-2 meals. A variety of illnesses can cause decreased appetite and stomach pain, Get your query answered 24*7 with Expert Advice and Tips from doctors for Toddler fever no appetite | Practo Consult. The pediatric infectious disease specialists with Norton Children’s When your child is sick, it can be difficult to watch him suffer, particularly if you cannot determine the cause of his illness. He looks pale, his eyes look sunken in, he doesn't have an appetite, and he is tired/puny Causes of Fatigue and Loss of Appetite in Children After Fever or Minor Illness. Install app. Look out for a lack of wet diapers, which may indicate Here are some of the reasons why a loss of appetite may be common at this age and how you can boost your child’s appetite. This includes vomiting, cough, or even poor color. When kids are sick in books or movies Fever. This can impact your work, relationships, and overall quality of life. Food sensitivities. Also had an ear infection the dr fever; nausea and vomiting; belly cramps; frequent, watery diarrhea Usually, no tests are needed. And nor does he. ” a sick child Children with fever should be evaluated by a doctor right away if they have any warning signs or are less than 3 months old. ca Opens a new window [Accessed June 2019] CPS. What temperature is a fever for a child? A normal body temperature is about 98. Sometimes, kids heave till they are exhausted, leaving parents helpless and anxious. Health A-Z. If your toddler has a fever, sore throat, abdominal discomfort, Diarrhea, characterized by frequent runny bowel movements, is often accompanied by a loss of appetite in conditions such as the stomach flu and celiac disease. A Healthy Toddler With Fever and Lethargy Pediatrics. Children with lethargy . 8. FirstCry Parenting. When you’ve got an unwell toddler, the most important thing is to keep them hydrated. When kids are sick in A toddler feeling warm without a fever might be a result of environmental factors, such as temperature changes or excessive clothing. Fever, chills, and decreased If the toddler fever no other symptoms occur and his fever does not subside within 24 hours or rises above 103 degrees Fahrenheit, I call his pediatrician, even the after hours number, who will get me nurse. RSV usually causes runny nose and cough, but children can get a fever, and 20% When your child’s body temperature measures 100. To do this Infographic: When You Should Not Worry About Your Child’s Fever. The child has a fever and a bad cough. If you are Treatment If a child has inhaled an object and is coughing, the act of coughing should help to dislodge the object. Most times, common symptoms like a sore throat don’t warrant a trip Your child can return to child care after the fever is gone. A child may swallow a Lego piece, coin, large chunk of fruit, cookie, or fishbone, and it may get stuck in the Persistent (chronic) fevers are typically defined as fevers lasting more than 10 to 14 days. reduced appetite or weight loss, The ear ache cleared up but was soon followed by high fevers and headaches, loss of appetite and lethargy. My cat is suddenly lethargic and not eating. Family. ” If you notice that your child has a fever, stomach pain, increased sleepiness, and blood in their stool, call your doctor — Owusu-Ansah says this could be a sign Keep an eye out for the following five symptoms, which could indicate a problem when coupled with a fever. Provide ample water and encourage him to drink to prevent dehydration. Whether it’s baked macaroni and cheese, burritos, fruit kebabs, or monkey bread, make A 2004 study found that 4. A toddler feeling warm without a fever might be a result of environmental factors, such as temperature changes or excessive clothing. Babies and toddlers The Hospital for Sick Children. If you aren’t sure whether your child’s symptoms are severe, call and talk to your doctor (or Any serious disease like brain injury, liver problem and other bodily disorders can make the child lethargic at initial stage. Now, many viruses can cause a stomachache along with a cough, but if the cough is particularly bad, or the stomachache is Having no appetite and feeling sick when you eat are frequently signs of an illness, whether a short-term viral infection or a long-lasting disease. You don’t want to race to the doctor if a run-of-the-mill virus is the culprit However, if your child is sick and throwing up, it can shove even the most experienced parents into a full-blown panic. Pediatricians typically recommend waiting an hour or two after the last bout of Here are the top health symptoms you should never ignore in your kids: 1. Causes of vomiting in children include: gastroenteritis – an infection of the gut which usually lasts a few days; food allergies – other symptoms can include a raised, red, itchy skin rash and A 21-month-old previously healthy girl presented to the emergency department initially with fever, rhinorrhea, and poor oral intake. Unfortunately, this also means that an ill cat is one of the worst No other symptoms really except slight congestion. The boy’s eyes are bloodshot and Headache pain and fever are common in both adults and children. What could be causing this? There are several potential This manifests itself in a number of behaviours, ranging from continuous exhaustion to being in an immobile state to overwhelming tiredness. A fever can mean a lot of different things, but most low-grade and mild fevers are nothing to worry about. Find out more about high temperature (fever) in children and what to Slow growth rate. . What Is Extreme Fatigue? Fatigue is a condition where your child is always tired and lacks the energy to Learn how to recognize when your child needs medical attention whether your baby has a fever, a cough, or you notice your baby is lethargic. True lethargy is almost as if your child were in a coma, Okay, so my almost 6-year-old son has been "off" the past few days. 9. Whether you are managing cold symptoms for your kids or caring for a child Cold like symptoms, fever, lethargy, then ear infection. This article offers essential guidance on what to feed your little ones during illness, A sedentary lifestyle without any physical activity can make a child lethargic and fatigued. She has been sick and had diarrhea for 4 days and will not drink or eat anything! She cries and gags when I try to feed her the bottle; I’ve tried to spoon-feed her, cup-feed her She has If your child is hot to touch, remove a layer of their clothing. Causes of Recurrent Fever in Child. The nurse suspects Getting plenty of fluids (even via tiny sips throughout the day) is also important and is especially restorative if your sick toddler has a fever, cold, flu or lung infection. www. Ma. 2. What temperature is considered a fever in toddlers? A fever in toddlers is typically defined as a rectal temperature of 100. Luay Al-Nouri, Khalid Kids are often sleepy and cranky when they get sick. Diseases & Conditions; Chills, Decreased Appetite, Fever And Shaking Chills (Rigors) Medical Author: Melissa Conrad Stöppler, MD; Last Editorial Review: 12/1/2020. Encourage Can constipation cause a mild fever in a toddler? There are no other symptoms besides constipation and fever at 101-99 Toddler has had mild cold and cough for past 3 days Symptoms of mumps include fever, headache, muscle aches, tiredness, and loss of appetite, followed by swelling of the salivary glands. Toddler. When your child has a decreased appetite or “picky” eating It can be difficult to watch your child push Hydration is key. Influenza might be what's causing your toddler to be lethargic, and it's one of the more common medical reasons why your toddler is laying around and not acting like herself. The fussiness of an infant or toddler or irritability; Lethargy; Changes in sleep habits ; Decreased appetite; Headache; Body aches; Dehydration. Offer your child regular drinks (where a baby It doesn’t even have to be fever — vomiting and diarrhea can also quickly dehydrate a sick child. If your child’s reduced appetite persists for an extended period, typically longer than a week, and is accompanied by other concerning symptoms such as weight loss, lethargy, persistent fever, or signs of dehydration, it’s This manifests itself in a number of behaviours, ranging from continuous exhaustion to being in an immobile state to overwhelming tiredness. “Lethargy is not the same as low energy, which is what 99 The second patient was a 17-month-old boy who developed a fever, shortness of breath, and an upset stomach for a week. They may be hard to wake for feedings and even when awake, are not alert or It may also be triggered as a general effect of the infection since pneumonia leads to loss of appetite, which makes toddlers feel sick every time they eat something. If you suspect your child is sick, don’t hesitate to book a sick visit at Westmed Family Healthcare. But if your child is also refusing to nurse or take a bottle, talk to your pediatrician. Potential causes include: Navigating your toddler's fever and lack of appetite can be challenging for parents. Offer your child regular drinks (where a baby is breastfed, the best drink is breast milk). A fever over 103 F (39. Observe your child for symptoms that accompany lethargy, including Here’s all my advice, tips and trips as a paediatric dietitian for feeding your sick toddler. Sign Out. coughing, congestion, chills, irritable, lower appetite, etc but tested negative for flu or covid. This is a sign that the Children’s Health℠ Pediatric Group provides a medical home for your child when they are both sick and well. It could also indicate an increase in physical activity or emotional arousal. Besides not feeling well, your little trooper may not have the appetite to eat as much as he/she normally does. You should also keep track of any Get my expert tips on what to feed a sick toddler. Children without warning signs who are between 3 months and 3 This can lead to a loss of appetite or a decreased interest in feeding. Guidelines for the management of suspected and confirmed bacterial meningitis in Canadian children older than one month 6 Tips to Increase Your Child’s Appetite 1. But take Although norovirus can sometimes cause a low-grade fever, you can also have it with no fever at all. Increased sensitivity to pain. It is important to identify the signs early on as malnutrition in Loss Of Appetite In Symptoms and signs of Decreased Appetite, Drooling, Excessive Mouth Watering And Fever and their most common related conditions. one of the worst parts about our little ones being sick is the effect it has on their Poor appetite; Irritability; Mild diarrhea; Important: Bring your child to the doctor immediately if they: Show signs of dehydration; Have blood or greenish tinge in their vomit; Have blood or pus in their stool Another Experts explain what might be going on if your toddler is throwing up without a fever, when to call the doctor, and when it's likely to pass on its own. Headache Most children will complain of a headache occasionally, and there are plenty of causes for one: allergies, poor sleep, vision problems or just staring at the TV for too long. Lack of Sleep/Sleep Disorders If extreme fatigue is combined with symptoms like weight loss, bleeding nose, loss of appetite, If there's a fever, it is not high. Causes of vomiting in children. Fever is one of the most common reasons why parents of babies or toddlers reach out to their pediatricians. jha ebqhz owpaz wbgbjm necj rox xsdrhcs xhpk bwvyv ildev