Pediatrics

Every effort is made to schedule same day visits for sick kids. If your child is sick, please call early in the day to schedule a visit.

Trying to decide whether to come in for a visit? You can select your child’s symptom or health condition on the SEATTLE CHILDREN’S WEBSITE. This free resource provides information to help you determine how sick your child is and when to call a doctor. It also provides information as to what you can safely treat at home.

Another great resource for naturopathic pediatric care is NaturalPath – a blog written solely by Naturopathic Doctors. Dr. Krystal Richardson is a regular contributor. Click here to access their pediatric articles.

Babies under 2 months of age always need to be seen right away if they develop any of the following:

  • An axillary temperature below 97.7 F (36.5 C) or above 99 F (37.2 C).
  • A rectal temperature above 100.4 F (38 C). (Note: If axillary temperature is above 99 F then rectal temperature should be checked.)
  • Not urinated within 24 hours of birth or not within 12 hours at any other time.
  • Is under 24 hours old and has skin or eyes that are turning more and more yellow (this can appear to parents like the baby has a tan).
  • Not enough wet or dirty diapers: Expect at least 1 wet diaper on day 1; 2 on day 2; and 3 on day 3; After the first week, at least 6 to 8 wet diapers in 24 hrs is normal. You should see at least 1 dirty diaper each day in the first few days of life; By day 4 or 5, your baby should be having 4 or more yellow bowel movements per day.
  • A hard time waking up for feedings or seems too tired to eat, not interested in eating, is hardly ever alert, and/or is floppy (weak muscle tone).
  • A belly button that is red, hot, or oozing pus or blood.
  • Shortness of breath, a hard time breathing, or is breathing fast for several minutes, or looking blue around the lips or mouth.
  • Vomits green liquid.
  • Purple or blood-colored spots or dots on the skin.
  • Any swelling of the head, face, or neck.
  • A problem you feel cannot wait until the clinic reopens.

Call the clinic within 24 hours if your baby experiences any of the following:

  • Is over 3 months old and has an axillary temperature of 99 F (37.2 C) or higher for more than 24 hours with no other visible symptoms.
  • Is over 3 months old and has an axillary temperature of 99 F (37.2 C) or higher for more than 3 days, regardless of symptoms.
  • Doesn’t seem satisfied after feedings or is not breastfeeding at least 8 times per day or bottle-feeding at least 6 times per day.
  • Has not had a bowel movement in the past 24 hours, or has stools that have mucous, blood, or a foul odor.
  • Is over 24 hours old and has skin or eyes that are turning more and more yellow (this can appear as though baby has a tan).
  • Coughs a lot or often chokes during feedings.
  • Vomits more than 2 times a day, or has vomiting with diarrhea (vomiting is when the stomach contents “shoot out,” not just regurgitation).

Well child checks are recommended at the following ages:

  • Between 1 and 2 weeks of age
  • 2 months
  • 4 months
  • 6 months
  • 9 months
  • 12 months
  • 15 months
  • 18 months
  • Beginning at 2 years old, well child checks are recommended annually