SickChildGuide v2.1 — PaedCare KGH

📋 Educational Tool Only: This app helps decide when to seek care. Does not diagnose illness.

💧 ORS Dosage Calculator

Based on WHO / IMNCI / IAP guidelines

Child's Weight (kg)

Dehydration Level

📊 Quick ORS Reference Chart

Weight	No Dehydration (per stool)	Some Dehydration (4 hrs)
5 kg	50 ml	375 ml
8 kg	80 ml	600 ml
10 kg	100 ml	750 ml
15 kg	150 ml	1125 ml
20 kg	200 ml	1500 ml
25 kg	250 ml	1875 ml

⚠️ Severe dehydration: Go to hospital immediately for IV fluids.

🥄 How to Prepare ORS

1️⃣1 litre clean water — boiled and cooled

2️⃣Add 1 ORS sachet and dissolve completely

🏠Home ORS: 6 level teaspoons sugar + ½ level teaspoon salt in 1 litre of boiled and cooled water

3️⃣Give small sips frequently — never force large amounts

4️⃣Discard after 24 hours — prepare fresh daily

⚠️ Never give: sports drinks, soft drinks, or fruit juice as ORS substitutes.

🍌 Zinc & Feeding During Diarrhoea

✅Zinc: 20 mg/day × 14 days (≥6 mo) | 10 mg/day × 14 days (<6 mo)

✅Continue breastfeeding

✅Continue age-appropriate feeds — do not starve

✅Extra meal daily for 2 weeks after illness

❌Do NOT give anti-diarrhoeal drugs to children

🔍 Assess Your Child's Dehydration

Check ALL signs you notice RIGHT NOW:

😴 Difficult to wake / Lethargic / Unconscious

Cannot be roused

👁️ Eyes appear sunken

Eyeballs look deep/hollow

🚫 Unable to drink / Refusing all fluids

Will not drink

💧 No tears when crying

Eyes dry during crying

🚽 No urine for more than 8 hours

Diaper dry for long time

✋ Skin pinch goes back slowly (>2 sec)

Returns slowly or stays up

😠 Restless / Very irritable / Thirsty

Unusually cranky, wants water

👅 Dry mouth / Dry tongue

Lips and tongue feel dry

🥤 Drinks eagerly / Thirsty

Child drinks eagerly when offered fluids

✋ Skin Pinch Test

1️⃣Pinch abdomen skin between two fingers

2️⃣Hold 1 second, then release

✅Immediately back: Normal

⚠️1–2 sec: Some dehydration — start ORS

🚨>2 sec or stays up: Severe — hospital now

🚨 Any fever in baby under 3 months — HOSPITAL IMMEDIATELY

→Temperature ≥38°C in infants under 3 months is always a medical emergency.

⚠️ Babies aged 3–6 months — Extra Caution

For babies aged 3–6 months, fever ≥38.5°C, fever lasting more than 24 hours, or poor feeding requires same-day medical review. Do not delay.

🌡️ Fever Management Guide

✅ 37.5–38.4°C (Low Grade)

Tepid sponging · Adequate fluids · Light clothing · Monitor. Paracetamol usually not needed.

⚠️ 38.5–39.4°C (Moderate)

Paracetamol 15 mg/kg/dose every 4–6 hrs only when needed. Max 4 doses/day. Push fluids. See doctor if fever persists beyond 3 days, or earlier if danger signs appear.

🔴 ≥39.5°C (High Fever)

Give Paracetamol immediately. Tepid sponging. Seek medical care urgently if high fever does not reduce, child is dull, breathing fast, has convulsions, rash, poor feeding, or any danger sign.

💊 Paracetamol Dose Calculator

⚠️ Under 3 months — DO NOT give paracetamol. Go to hospital.

Child's Weight (kg)

Child's Age (months)

❌ What NOT to Do in Fever

❌Do NOT give Aspirin — Reye's syndrome risk

❌Do NOT give Nimesulide — banned under 12 yrs

❌No cold water/ice for sponging — lukewarm only

❌No over-clothing

❌Do NOT give antibiotics for every fever

✅Push fluids — ORS, coconut water, breast milk

⚡ Febrile Convulsion — What to Do

1️⃣Stay calm. Most stop within 5 minutes

2️⃣Place on side — prevents choking

3️⃣Do NOT put anything in the child's mouth — no finger, no spoon, no cloth. Do NOT pour water, oil, or any liquid into the mouth during the convulsion.

4️⃣Do not restrain forcefully

🚨Seizure >5 min — hospital immediately

7️⃣After seizure — always go to hospital

🚨 Blue lips, stopped breathing — CALL FOR HELP NOW

📊 Respiratory Rate Calculator (WHO/IMNCI)

Count breaths for 60 seconds (child calm and resting). Enter below:

Child's Age Group

Breaths counted in 60 seconds

📊 WHO Fast Breathing Reference

Age	Fast Breathing	Action
<2 months	>60/min	Hospital Now
2–12 months	>50/min	Hospital Now
1–5 years	>40/min	Hospital Now
>5 years	>30/min	See Doctor

🔍 Additional Breathing Signs

Select ALL signs you notice:

📉 Chest indrawing (skin between ribs pulled in)

🔊 Stridor — noisy sound breathing IN

🎵 Wheeze — whistling sound breathing OUT

👃 Nostrils flaring

😫 Grunting with each breath

💙 Blue/purple lips or fingernails (cyanosis)

⏸️ Breathing stopped briefly (apnea)

🚨 Age-Specific Emergency Alerts

→Young babies show danger differently. Know what to watch for.

👶 Newborn (0–28 days) — Red Alert Signs

ANY sign below = 🚨 GO TO HOSPITAL IMMEDIATELY

🚨 GO TO HOSPITAL IMMEDIATELY for:

🍼Poor feeding / Unable to breastfeed / Not sucking

🌡️Fever ≥38°C — ANY fever in a newborn is an emergency

🥶Temperature below 36.5°C (Hypothermia)

🫁Fast breathing (>60/min) or breathing difficulty

📉Chest indrawing — skin between ribs pulled in

⚡Convulsions / Fits / Jerky movements

😴Excessive sleepiness / Difficult to wake / Lethargic

🟡Yellow colour on palms and soles (Severe Jaundice)

💙Blue discolouration (Cyanosis) — lips, tongue, fingers

🤲Reduced movement — less active than usual

🎗️Umbilical cord — redness, swelling, or discharge

💊Bloated / distended / hard abdomen

💡 Newborns cannot show illness clearly. When in doubt — seek help immediately.

🍼 Young Infant (1–3 months) — Urgent Signs

Any below = Same-day paediatric review

⚠️ SAME-DAY PAEDIATRIC REVIEW for:

🌡️Fever ≥38°C — still an emergency

🤢Persistent vomiting

🍼Poor feeding / Taking less than usual

🫁Any difficulty breathing / fast breathing

😴Excessive sleepiness / difficult to rouse

⚡Any convulsion or unusual jerky movements

🔴Any rash — especially red, spreading, or non-blanching

🔍 Age-Based Alert Checker

Baby's Age Group

🚨 Go to Hospital IMMEDIATELY if you see ANY of these

Do not wait. Do not try home treatment. These are emergencies.

🔴 Emergency Danger Signs

Unable to drink or breastfeed

Severe dehydration risk

Vomiting everything — cannot keep any fluid down

Convulsions / Fits / Seizures — any type

Lethargic / Unconscious / Difficult to rouse

Fast / Difficult breathing / Chest indrawing

Nostrils flaring, grunting, stridor

Blue / purple lips or nails (Cyanosis)

Critical oxygen deficiency

Rash with fever — spots that do NOT fade when pressed

Possible meningococcal disease

Bulging fontanelle (soft spot bulging outward in infant)

Possible meningitis

Bloody diarrhoea

Dysentery

Any fever in baby under 3 months old

Severe abdominal pain or rigid abdomen

Seizure lasting >5 minutes

Poison / chemical ingestion — see Poisoning tab

Snake bite / Scorpion sting

Severe burn (larger than palm, or face/hands)

Allergic reaction — swollen lips/tongue after food/medicine

Anaphylaxis

No urine for more than 12 hours

🟡 See Doctor Same Day

Fever for more than 3 days

Diarrhoea not improving after 2 days

Ear pain or ear discharge

Child not eating for more than 1 day

Persistent cough with fast breathing

Eye redness with yellow/green discharge

📞 Emergency Ambulance — Free

108

Government ambulance service — available across Andhra Pradesh

☠️ POISONING — GO TO HOSPITAL IMMEDIATELY

→Do not wait for symptoms. Do not try home treatment. Go now.

🚫 CRITICAL — What NOT to Do

❌Do NOT induce vomiting — causes more damage for corrosives

❌Do NOT force milk or water

❌Do NOT give home remedies — ghee, oil, salt water etc.

❌Do NOT wait for symptoms — some poisons act slowly

❌Do NOT leave the child alone

✅ What TO Do Immediately

1️⃣Call hospital / ambulance — emergency room immediately

2️⃣Skin/eyes exposed — rinse with clean water 15–20 minutes

3️⃣Bring the container / packet to hospital

4️⃣Note the time child was exposed

5️⃣If unconscious — place on side. Do not give anything by mouth.

📞India Poison Control Helpline: 1800-11-6117 (Toll-free)

🚑Emergency Ambulance: 108 (Free)

⚗️ Common Childhood Poisonings

🛢️ Kerosene / Petroleum

❌ Do NOT induce vomiting — aspiration pneumonia risk. Hospital immediately. Keep upright.

🧴 Acids / Toilet Cleaners / Phenyl

❌ No vomiting. No milk. Hospital immediately. Rinse mouth gently with water.

🧪 Alkalis / Drain Cleaners / Bleach

❌ No vomiting. No acidic liquids. Hospital immediately.

🦟 Mosquito Repellent / Insecticide

Skin: remove clothing, wash 15 min. Swallowed: hospital immediately. Watch: excessive saliva, pin-point pupils.

💊 Medicines (Tablets / Syrups)

Even safe medicines toxic in overdose. Bring bottle. Hospital immediately. Paracetamol OD — delayed liver failure.

🩸 Iron Tablets or Syrup

Iron tablets or syrup — including mother's iron tablets — can be dangerous for toddlers. Even a few tablets can cause serious harm. Go to hospital immediately.

🔋 Button Batteries

EXTREMELY DANGEROUS. Endoscopy needed within 2 hours. Hospital IMMEDIATELY. Do NOT wait.

❓ Unknown Substance

Bring all containers. Hospital. Call 1800-11-6117.

🛡️ Prevention — Keep Children Safe

✅Store medicines in child-proof locked cabinets

✅Never store chemicals in soft drink bottles

✅Keep cleaning products out of children's reach

✅Child-proof your home — cabinet locks, high shelves

✅Save Poison Control in your phone: 1800-11-6117

🚨 ALL animal bites require same-day medical review

→Rabies is fatal once symptoms start. Early vaccination is the only protection.

🐾 First Aid — Immediate Steps (ALL Animal Bites)

1️⃣Wash immediately: Soap and running water for at least 15 minutes. Single most important step.

2️⃣Apply Betadine (povidone iodine) or 70% alcohol

3️⃣Do NOT close/suture the wound immediately

4️⃣Seek medical care SAME DAY for wound assessment + rabies vaccination

5️⃣Check tetanus immunisation — booster may be needed

⚠️ Do NOT apply: chilli, turmeric, soil, or home remedies — these cause infection.

🐾 Animal-Specific Guidance

🐕 Dog Bite

🔴Stray dog: HIGH rabies risk — ARV same day

🟡Pet dog (vaccinated): wound care + medical review

📋ARV schedule: Day 0, 3, 7, 14, 28 — do NOT miss any dose

💉Deep bite / face/neck/head: Also needs RIG (Rabies Immunoglobulin)

🐈 Cat Bite

High infection risk (Pasteurella). Same-day review + ARV if stray cat.

🐒 Monkey Bite

Rabies + Herpes B virus risk. Hospital immediately. ARV required.

🐭 Rat Bite

Rat Bite Fever risk. Doctor same day. Antibiotics may be needed.

🐍 Snake Bite

🚨HOSPITAL IMMEDIATELY — even if no symptoms yet

✅Keep child calm and still — movement spreads venom

✅Immobilise the bitten limb

❌Do NOT cut, suck venom, tourniquet, or ice

💉Ask the hospital about Anti-Snake Venom (ASV). ASV is available in government hospitals. Do not delay transfer to a facility where ASV is available if envenomation is suspected.

🦂 Scorpion Sting

Hospital immediately in children — cardiovascular collapse risk. Cold pack (not ice). No tourniquet.

💉 Rabies Vaccination (ARV)

✅ARV is FREE at all Government hospitals in India

✅When started promptly and completed fully, rabies PEP is highly effective. Do not miss any dose.

✅WHO regimen: Day 0, 3, 7, 14, and 28

✅RIG for severe bites / bites on head/face/neck

❌Do NOT miss any dose — incomplete vaccination does not protect

❌Rabies is fatal once symptoms begin. Prevention only option.

🚑Emergency Ambulance: 108 (Free — Government ambulance)

Home care advice only. Never give prescription medicines without doctor advice.

🤧 Common Cold / URTI

✅Saline nasal drops — 2 drops each nostril, 3–4 times/day

✅Steam inhalation (adult supervised) — above 2 years only

✅Honey 1 tsp bedtime for cough — above 1 year only

✅Push warm fluids — warm water, dal water, soups

❌Do NOT give cough syrups / antihistamines below 2 years

❌Antibiotics NOT needed for viral colds

🤢 Vomiting

✅Small ORS sips — 5 ml every 5 minutes

✅Continue breastfeeding in infants

✅After 2 hours tolerating ORS, reintroduce feeds

❌Do NOT give anti-emetics without doctor

🚨Projectile / green / blood in vomit → hospital immediately

🦟 Mosquito / Insect Bite

✅Calamine lotion or cold compress for swelling and itching

✅Mosquito nets and repellents

✅Fever within 7 days of bite — check dengue/malaria

🚨Bee/wasp sting + swollen throat/difficulty breathing → hospital

🩹 Minor Injuries

✅Clean with running water 5–10 minutes

✅Apply antiseptic + clean bandage

✅Check tetanus immunisation status

🚨Deep wound / heavy bleeding / animal bite → hospital immediately

💊 Safe Home Medicine Cabinet

✅Paracetamol syrup — 15 mg/kg/dose

✅ORS sachets — always keep at home

✅Zinc syrup — for diarrhoea (14 days)

✅Saline nasal drops

✅Digital thermometer

✅Antiseptic solution (Betadine)

❌Never self-administer antibiotics, steroids without prescription

🤲 Handwashing

🧼Wash with soap and water for at least 20 seconds

⏰Critical: before feeding, after toilet, after nappy change

💡Handwashing reduces diarrhoea by 50% and pneumonia by 25%

💉 Vaccination

✅Follow IAP 2024 immunisation schedule

✅Missed dose — catch-up vaccination is always possible

✅Mild fever/soreness after vaccination — normal

❌Vaccines do NOT cause autism — dangerous myth.

🤱 Breastfeeding

✅Start within 1 hour of birth — colostrum is the baby's first vaccine

✅Exclusive breastfeeding for first 6 months

✅Continue up to 2 years with complementary foods

🌡️ Fever Myths

❌ MYTH: High fever causes brain damage

FACT: Normal infection fevers do NOT cause brain damage. The underlying illness can.

❌ MYTH: Every fever needs antibiotic

FACT: 90% of childhood fevers are viral. Antibiotics only work for bacterial infections.

❌ MYTH: Always bring down fever with medicine

FACT: Treat child's discomfort — not the number. Paracetamol if uncomfortable or ≥38.5°C.

💊 Antibiotic Misuse

❌Most childhood fevers and coughs are viral — antibiotics do not help

❌Overuse creates resistant bacteria — harder to treat future infections

❌Never use leftover antibiotics or share between children

✅Always complete the full prescribed course

📋 Saved Reports

Stored on your device only. No data sent to any server.

💬 Feedback to Doctor

Questions or suggestions? WhatsApp Dr. Chakravarthy's team:

📧 bhimisetti@gmail.com

🔒 Privacy Statement

Last updated: June 2026 · IT Act 2000 · DPDP Act 2023

📋 Data Collection

✅No registration required. No account needed.

✅No personal information collected — no name, phone, or email.

✅No external server storage. All calculations occur locally on your device.

✅No personal health information transmitted outside your device.

📊 Tracking & Analytics

✅No tracking technologies used.

✅No advertising. No analytics. No cookies.

💾 Reports & Storage

✅Reports stored only on your device using localStorage.

✅The application functions offline after first load.

✅You may delete saved reports at any time from the Reports tab.

✅We cannot access reports stored on your device.

✅Parents remain responsible for safeguarding information on their device.

⚖️ Legal

✅Compliant with Information Technology Act 2000 (India).

✅Follows Digital Personal Data Protection Act 2023 (India) principles.

✅No formal data processing registration required as no personal data collected.

📞 Contact

📧bhimisetti@gmail.com

📱WhatsApp: 9848253535

🏥Dept. of Paediatrics, AMC/KGH, Visakhapatnam, AP

🛡️ Summary: 100% privacy-safe. Nothing leaves your device. No data sold or shared.

⚕️ Medical Disclaimer

For parent education and screening purposes only.

Does NOT diagnose disease, prescribe treatment, or replace professional medical advice.

Always consult a qualified paediatrician for diagnosis and treatment.

Emergency signs require immediate medical attention. Do not delay.

The developer and institution accept no liability for decisions made solely on the basis of this app.