Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek emergency care if your child is confused, very difficult to wake, has a seizure, develops unusual bleeding, vomits blood, or passes black, tar-like stool.
These may be signs of severe dehydration, bleeding, or acute liver failure.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Arrange prompt medical advice if your child has possible hepatitis A symptoms, especially jaundice, dark urine, pale stools, or a known exposure.
Early contact also helps protect household members and other close contacts.
Contact a healthcare service urgently if your child:
Cannot keep fluids down
Urinates much less than usual
Has worsening jaundice or belly pain
Is unusually weak or difficult to engage
Has symptoms that improve and then clearly return
Has an existing liver condition and develops possible hepatitis symptoms
3
Does any of this apply?
Book an appointment
Routine follow-up is appropriate for lingering tiredness, reduced appetite, or planned repeat blood tests when the child is otherwise stable and gradually improving.
Every sign above is quoted from the sofidex article on Hepatitis A - children. If you are not sure, err upward — it is always reasonable to be checked.