• Coughs lasting more than 3 weeks
• Fast, or short shallow breathing
• Noisy breathing
• Forced or strained breaths
• Chest and neck muscles pulled in with each breath
• Sucking in under the rib cage
• Raised temperature: see Page C overleaf
• Less wet nappies: see Page B overleaf
• Breathing makes baby’s head bob
• Breathing makes nostrils widen
• Difficulty speaking or drinking
• Vomiting frequently after coughing
• Having less than half of usual feeds
• Pale or mottled skin (blotchiness, with different shades and colours)
• Very restless, or very agitated, or very sleepy