Many diseases and conditions don’t have straightforward “telltale” signs, but there are some things parents can keep an eye on.

Knowing any early warning signs can help you rule out certain conditions, and get the early diagnosis and treatment your child needs. While many symptoms can be part of common childhood illnesses, look for anything persistent and unusual.

Emily Vistica-Sampino, MD, pediatric hematologist/oncologist at Connecticut Children's, informs parents what to keep a watch on. Please note: the below is not meant to be a guide or replace true medical advice. Always, always visit a doctor for any of these symptoms. 
 

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1. Fatigue and weakness that don’t go away

Children are naturally energetic, so prolonged tiredness or unusual weakness may be a red flag of an underlying issue. If your child is tired all the time even with plenty of rest, call your pediatrician.  They may order some bloodwork out of precaution. 

2. Recurrent fevers or infections

Recurrent fevers without an obvious cause, such as a cold or flu, may indicate an underlying issue. For example, if you have low white blood cell counts you may have trouble fighting infections. Additionally, certain blood cancers like leukemia can weaken the immune system, making children more prone to infections. 
 

3. Bruising or bleeding that seems out of the norm

Excessive bruising, prolonged nosebleeds, or prolonged bleeding from minor cuts may signal a blood disorder, which affects the body's ability to clot blood properly. It’s important to understand that many blood disorders are NOT blood cancer. Kids with bleeding disorders may require additional supportive care prior to any procedures.
 

 

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Keep your radar up if your child frequently complains of bone, leg, or joint pain without a known injury or condition or if it is waking your child up from sleep. Your child might need to see a pediatric orthopedic specialist, rheumatologist or hematologist/oncologist.

Emily Vistica-Sampino, MD,
Pediatric Hematologist/Oncologist, Connecticut Children's

4. Bone, leg or joint pain that raises flags from pediatric specialists

Occasional leg pain can be normal in childhood.  It is very rare that it means anything serious. Keep your radar up if your child frequently complains of bone, leg, or joint pain without a known injury or condition or if it is waking your child up from sleep. Your child might need to see a pediatric orthopedic specialist, rheumatologist or hematologist/oncologist.

5. Swollen lymph nodes

Swollen lymph nodes are most often a normal response to fighting infections. Let your pediatrician know, however, if your child has persistent, painless, hard, or growing lumps in the neck, armpits, or groin or if it is associated with other symptoms such as fever or weight loss not related to a known illness.

6. Weight loss or decreased appetite for no apparent reason

Significant weight loss without changes in diet or eating habits, or a noticeable decrease in appetite lasting more than a few weeks, definitely warrants a call to your pediatrician. 

7. Frequent headaches with vomiting

Morning headaches, particularly those accompanied by vomiting, can be a sign of something other than the stomach bug. If these symptoms persist or worsen, get medical attention. 

8. Changes in vision, balance or coordination

Call your pediatrician as soon as your child complains about blurry vision, difficulty walking, frequent falls, or trouble with coordination.
 
Parents should trust their instincts and consult a healthcare professional if symptoms persist or worsen. While many of these signs can be attributed to benign conditions, early medical evaluation is crucial for ruling out serious illnesses.

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