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Common Pediatric Conditions

Common Pediatric Conditions

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CDC's Developmental Milestone


Social & Emotional

Begins to smile at people

Can briefly calm them self (may bring hands to mouth and suck on hand)

Tries to look at parent

Language & Communication

Coos, makes gurgling sounds

Turns head toward sounds

Cognitive (Learning, Thinking, Problem-solving)

Pays attention to faces

Begins to follow things with eyes and recognize people at a distance

Begins to act bored (cries, fussy) if activity doesn’t change

Movement/Physical Development

Can hold head up and begins to push up when lying on tummy

Makes smoother movements with arms and legs

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Doesn’t respond to loud sounds

Doesn’t watch things as they move

Doesn’t smile at people

Doesn’t bring hands to mouth

Can’t hold head up when pushing up when on tummy

Social & Emotional

Smiles spontaneously, especially at people

Likes to play with people and might cry when playing stops

Copies some movements and facial expressions, like smiling or frowning

Language & Communication

Begins to babble

Babbles with expression and copies sounds they hear

Cries in different ways to show hunger, pain, or being tired

Cognitive (Learning, Thinking, Problem-solving)

Lets you know if they are happy or sad

Responds to affection

Reaches for toy with one hand

Uses hands and eyes together, such as seeing a toy and reaching for it

Follows moving things with eyes from side to side

Watches faces closely

Recognizes familiar people and things at a distance

Movement/Physical Development

Holds head steady, unsupported

Pushes down on legs when feet are on a hard surface

May be able to roll over from tummy to back

Can hold a toy and shake it and swing at dangling toys

Brings hands to mouth

When lying on stomach, pushes up to elbows

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Doesn’t watch things as they move

Doesn’t smile at people

Can’t hold head steady

Doesn’t coo or make sounds

Doesn’t bring things to mouth

Doesn’t push down with legs when feet are placed on a hard surface

Has trouble moving one or both eyes in all directions

Social & Emotional

Knows familiar faces and begins to know if someone is a stranger

Likes to play with others, especially parents

Responds to other people’s emotions and often seems happy

Likes to look at self in a mirror

Language & Communication

Responds to sounds by making sounds

Strings vowels together when babbling (“ah,” “eh,” “oh”) and likes taking turns with parent while making sounds

Responds to own name

Makes sounds to show joy and displeasure

Begins to say consonant sounds (jabbering with “m,” “b”)

Cognitive (Learning, Thinking, Problem-solving)

Looks around at things nearby

Brings things to mouth

Shows curiosity about things and tries to get things that are out of reach

Begins to pass things from one hand to the other

Movement/Physical Development

Rolls over in both directions (front to back, back to front)

Begins to sit without support

When standing, supports weight on legs and might bounce

Rocks back and forth, sometimes crawling backward before moving forward

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Doesn’t try to get things that are in reach

Shows no affection for caregivers

Doesn’t respond to sounds around him

Has difficulty getting things to mouth

Doesn’t make vowel sounds (“ah”, “eh”, “oh”)

Doesn’t roll over in either direction

Doesn’t laugh or make squealing sounds

Seems very stiff, with tight muscles

Seems very floppy, like a rag doll

Social & Emotional

May be afraid of strangers

May be clingy with familiar adults

Has favorite toys

Language & Communication

Understands “no”

Makes a lot of different sounds like “mamamama” and “bababababa”

Copies sounds and gestures of others

Uses fingers to point at things

Cognitive (Learning, Thinking, Problem-solving)

Watches the path of something as it falls

Looks for things they see you hide

Plays peek-a-boo

Puts things in their mouth

Moves things smoothly from one hand to the other

Picks up things like cereal o’s between thumb and index finger

Movement/Physical Development

Stands, holding on

Can get into sitting position

Sits without support

Pulls to stand

Crawls

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Doesn’t bear weight on legs with support

Doesn’t sit with help

Doesn’t babble (“mama”, “baba”, “dada”)

Doesn’t play any games involving back-and-forth play

Doesn’t respond to own name

Doesn’t seem to recognize familiar people

Doesn’t look where you point

Doesn’t transfer toys from one hand to the other

Social & Emotional

Is shy or nervous with strangers

Cries when mom or dad leaves

Shows fear in some situations

Hands you a book when he/she wants to hear a story

Repeats sounds or actions to get attention

Puts out arm or leg to help with dressing

Plays games such as “peek-a-boo” and “pat-a-cake”

Language & Communication

Responds to simple spoken requests

Uses simple gestures, like shaking head “no” or waving “bye-bye”

Makes sounds with changes in tone (sounds more like speech)

Says “mama” and “dada” and exclamations like “uh-oh!”

Cognitive (Learning, Thinking, Problem-solving)

Explores things in different ways, like shaking, banging, throwing

Finds hidden things easily

Looks at the right picture or thing when it’s named

Copies gestures

Starts to use things correctly; for example, drinks from a cup, brushes hair

Bangs two things together

Puts things in a container, takes things out of a container

Lets things go without help

Pokes with index (pointer) finger

Follows simple directions like “pick up the toy”

Movement/Physical Development

Gets to a sitting position without help

Pulls up to stand, walks holding on to furniture (“cruising”)

May take a few steps without holding on

May stand alone

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Doesn’t crawl

Can’t stand when supported

Doesn’t search for things that he/she sees you hide

Doesn’t say single words like “mama” or “dada”

Doesn’t learn gestures like waving or shaking head

Doesn’t point to things

Loses skills he/she once had

Social & Emotional

Likes to hand things to others as play

May have temper tantrums

May be afraid of strangers

Shows affection to familiar people

Plays simple pretend, such as feeding a doll

May cling to caregivers in new situations

Points to show others something interesting

Explores alone but with parent close by

Language & Communication

Says several single words

Says and shakes head “no”

Points to show someone what he wants

Cognitive (Learning, Thinking, Problem-solving)

Knows what ordinary things are for; for example, telephone, brush, spoon

Points to get the attention of others

Shows interest in a doll or stuffed animal by pretending to feed

Points to one body part

Scribbles on his own

Can follow 1-step verbal commands without any gestures; for example, sits when you say “sit down”

Movement/Physical Development

Walks alone

May walk up steps and run

Pulls toys while walking

Can help undress herself

Drinks from a cup

Eats with a spoon

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Doesn’t point to show things to others

Can’t walk

Doesn’t know what familiar things are for

Doesn’t copy others

Doesn’t gain new words

Doesn’t have at least 6 words

Doesn’t notice or mind when a caregiver leaves or returns

Loses skills he once had

Social & Emotional

Copies others, especially adults and older children

Gets excited when with other children

Shows more and more independence

Shows defiant behavior (doing what he/she has been told not to)

Plays mainly beside other children, but is beginning to include other children, such as in chase games

Language & Communication

Points to things or pictures when they are named

Knows names of familiar people and body parts

Says sentences with 2 to 4 words

Follows simple instructions

Repeats words overheard in conversation

Points to things in a book

Cognitive (Learning, Thinking, Problem-solving)

Finds things even when hidden under two or three covers

Begins to sort shapes and colors

Completes sentences and rhymes in familiar books

Plays simple make-believe games

Builds towers of 4 or more blocks

Might use one hand more than the other

Follows two-step instructions such as “Pick up your shoes and put them in the closet.”

Names items in a picture book such as a cat, bird, or dog

Movement/Physical Development

Stands on tiptoe

Kicks a ball

Begins to run

Climbs onto and down from furniture without help

Walks up and down stairs holding on

Throws ball overhand

Makes or copies straight lines and circles

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Doesn’t use 2-word phrases (for example, “drink milk”)

Doesn’t know what to do with common things, like a brush, phone, fork, spoon

Doesn’t copy actions and words

Doesn’t follow simple instructions

Doesn’t walk steadily

Loses skills he/she once had

Social & Emotional

Understands the idea of “mine” and “his” or “hers”

Shows a wide range of emotions

Separates easily from mom and dad

May get upset with major changes in routine

Language & Communication

Follows instructions with 2 or 3 steps

Talks well enough for strangers to understand most of the time

Carries on a conversation using 2 to 3 sentences

Cognitive (Learning, Thinking, Problem-solving)

Can work toys with buttons, levers, and moving parts

Plays make-believe with dolls, animals, and people

Copies a circle with pencil or crayon

Turns book pages one at a time

Screws and unscrews jar lids or turns door handle

Movement/Physical Development

Climbs well

Runs easily

Walks up and down stairs, one foot on each step

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Falls down a lot or has trouble with stairs

Drools or has very unclear speech

Can’t work simple toys (such as peg boards, simple puzzles, turning handle)

Doesn’t speak in sentences

Doesn’t understand simple instructions

Doesn’t play pretend or make-believe

Doesn’t want to play with other children or with toys

Doesn’t make eye contact

Loses skills he/she once had

Social & Emotional

Is more and more creative with make-believe play

Would rather play with other children than by himself/herself

Talks about what he/she likes and what he/she is interested in

Language & Communication

Knows some basic rules of grammar, such as correctly using “he” and “she”

Sings a song or says a poem from memory such as the “Itsy Bitsy Spider” or the “Wheels on the Bus”

Tells stories

Can say first and last name

Cognitive (Learning, Thinking, Problem-solving)

Names some colors and some numbers

Understands the idea of counting

Draws a person with 2 to 4 body parts

Uses scissors

Tells you what he/she thinks is going to happen next in a book

Movement/Physical Development

Hops and stands on one foot up to 2 seconds

Catches a bounced ball most of the time

Pours, cuts with supervision, and mashes own food

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Can’t jump in place

Has trouble scribbling

Shows no interest in interactive games or make-believe

Ignores other children or doesn’t respond to people outside the family

Resists dressing, sleeping, and using the toilet

Can’t retell a favorite story

Doesn’t follow 3-part commands

Doesn’t understand “same” and “different”

Doesn’t use “me” and “you” correctly

Speaks unclearly

Loses skills he/she once had

Social & Emotional

Wants to please/be like friends

More likely to agree with rules

Likes to sing, dance, and act

Can tell what’s real and what’s make-believe

Shows more independence

Is sometimes demanding and sometimes very cooperative

Language & Communication

Speaks very clearly

Tells a simple story using full sentences

Uses future tense; for example, “Grandma will be here.”

Cognitive (Learning, Thinking, Problem-solving)

Counts 10 or more things

Can draw a person with at least 6 body parts

Can print some letters or numbers

Copies a triangle and other geometric shapes

Knows about things used every day, like money and food

Movement/Physical Development

Stands on one foot for 10 seconds or longer

Hops; may be able to skip

Uses a fork and spoon and sometimes a table knife

Can use the toilet on his/her own

Swings and climbs

Concerns Act Early By Talking To A CallonDoc Pediatrician If Your Child

Doesn’t show a wide range of emotions

Shows extreme behavior (unusually fearful, aggressive, shy or sad)

Unusually withdrawn and not active

Is easily distracted, has trouble focusing on one activity for more than 5 minutes

Doesn’t respond to people, or responds only superficially

Can’t tell what’s real and what’s make-believe

Doesn’t play a variety of games and activities

Can’t give first and last name

Doesn’t use plurals or past tense properly

Doesn’t talk about daily activities or experiences

Doesn’t draw pictures

Can’t brush teeth, wash and dry hands, or get undressed without help

Loses skills he once had

Development

Middle childhood brings many changes in a child’s life. By this time, children can dress themselves, catch a ball more easily using only their hands, and tie their shoes. Having independence from family becomes more important now. Events such as starting school bring children this age into regular contact with the larger world. Friendships become more and more important. Physical, social, and mental skills develop quickly at this time. This is a critical time for children to develop confidence in all areas of life, such as through friends, schoolwork, and sports.

Emotional/Social Changes

Show more independence from parents and family.

Start to think about the future.

Understand more about his or her place in the world.

Pay more attention to friendships and teamwork.

Want to be liked and accepted by friends.

Cognitive (Thinking and Learning)

Show rapid development of mental skills.

Learn better ways to describe experiences and talk about thoughts and feelings.

Have less focus on one’s self and more concern for others.

Positive Parenting Tips

Show affection for your child. Recognize his/her accomplishments.

Help your child develop a sense of responsibility—ask him/her to help with household tasks, such as setting the table.

Talk with your child about school, friends, and things he/she looks forward to.

Talk with your child about respecting others. Encourage him/her to help people in need.

Help your child set his/her own achievable goals.

Help your child learn patience by letting others go first or by finishing a task before going out to play.

Make clear rules and stick to them, such as how long your child can watch TV or when he/she has to go to bed. Be clear about what behavior is okay and what is not okay.

Do fun things together as a family, such as playing games, reading, and going to events in your community.

Development

Your child’s growing independence from the family and interest in friends might be obvious by now. Healthy friendships are very important to your child’s development, but peer pressure can become strong during this time. Children who feel good about themselves are more able to resist negative peer pressure and make better choices for themselves. This is an important time for children to gain a sense of responsibility along with their growing independence. Also, physical changes of puberty might be showing by now, especially for girls. Another big change children need to prepare for during this time is starting middle or junior high school.

Emotional/Social Changes

Start to form stronger, more complex friendships and peer relationships. It becomes more emotionally important to have friends, especially of the same sex.

Experience more peer pressure.

Become more aware of his body as puberty approaches. Body image and eating problems sometimes start around this age.

Cognitive (Thinking and Learning)

Face more academic challenges at school.

Become more independent from the family.

Begin to see the point of view of others more clearly.

Have an increased attention span.

Positive Parenting Tips

Spend time with your child. Talk with him/her about his/her friends, his/her accomplishments, and what challenges he/she will face.

Be involved with your child’s school. Go to school events; meet your child’s teachers.

Encourage your child to join school and community groups, such as a sports team, or to be a volunteer for a charity.

Help your child develop his/her own sense of right and wrong. Talk with him/her about risky things friends might pressure him to do, like smoking or dangerous physical dares.

Help your child develop a sense of responsibility—involve your child in household tasks like cleaning and cooking. Talk with your child about saving and spending money wisely.

Meet the families of your child’s friends.

Talk with your child about respecting others. Encourage him/her to help people in need. Talk with him/her about what to do when others are not kind or are disrespectful.

Help your child set his/her own goals. Encourage him/her to think about skills and abilities he/she would like to have and about how to develop them.

Make clear rules and stick to them. Talk with your child about what you expect from him/her (behavior) when no adults are present. If you provide reasons for rules, it will help him/her to know what to do in most situations.

Development

This is a time of many physical, mental, emotional, and social changes. Hormones change as puberty begins. Most boys grow facial and pubic hair and their voices deepen. Most girls grow pubic hair and breasts, and start their period. They might be worried about these changes and how they are looked at by others. This also will be a time when your teen might face peer pressure to use alcohol, tobacco products, and drugs, and to have sex. Other challenges can be eating disorders, depression, and family problems. At this age, teens make more of their own choices about friends, sports, studying, and school. They become more independent, with their own personality and interests, although parents are still very important.

Emotional/Social Changes

Show more concern about body image, looks, and clothes.

Focus on themselves; going back and forth between high expectations and lack of confidence.

Experience more moodiness.

Show more interest in and influence by peer group.

Express less affection toward parents; sometimes might seem rude or short-tempered.

Feel stress from more challenging school work.

Develop eating problems.

Feel a lot of sadness or depression, which can lead to poor grades at school, alcohol or drug use, unsafe sex, and other problems.

Cognitive (Thinking and Learning)

Have more ability for complex thought.

Be better able to express feelings through talking.

Develop a stronger sense of right and wrong.

Positive Parenting Tips

Be honest and direct with your teen when talking about sensitive subjects such as drugs, drinking, smoking, and sex.

Meet and get to know your teen’s friends.

Show an interest in your teen’s school life.

Help your teen make healthy choices while encouraging him to make his own decisions.

Respect your teen’s opinions and take into account her thoughts and feelings. It is important that she knows you are listening to her.

When there is a conflict, be clear about goals and expectations (like getting good grades, keeping things clean, and showing respect), but allow your teen input on how to reach those goals (like when and how to study or clean).

Development

This is a time of changes for how teenagers think, feel, and interact with others, and how their bodies grow. Most girls will be physically mature by now, and most will have completed puberty. Boys might still be maturing physically during this time. Your teen might have concerns about her body size, shape, or weight. Eating disorders also can be common, especially among girls. During this time, your teen is developing his unique personality and opinions. Relationships with friends are still important, yet your teen will have other interests as he develops a more clear sense of who he is. This is also an important time to prepare for more independence and responsibility; many teenagers start working, and many will be leaving home soon after high school.

Emotional/Social Changes

Have more interest in romantic relationships and sexuality.

Go through less conflict with parents.

Show more independence from parents.

Have a deeper capacity for caring and sharing and for developing more intimate relationships.

Spend less time with parents and more time with friends.

Feel a lot of sadness or depression, which can lead to poor grades at school, alcohol or drug use, unsafe sex, and other problems.

Cognitive (Thinking and Learning)

Learn more defined work habits.

Show more concern about future school and work plans.

Be better able to give reasons for their own choices, including about what is right or wrong.

Positive Parenting Tips

Talk with your teen about her concerns and pay attention to any changes in her behavior. Ask her if she has had suicidal thoughts, particularly if she seems sad or depressed. Asking about suicidal thoughts will not cause her to have these thoughts, but it will let her know that you care about how she feels. Seek professional help if necessary.

Show interest in your teen’s school and extracurricular interests and activities and encourage him to become involved in activities such as sports, music, theater, and art.

Encourage your teen to volunteer and become involved in civic activities in her community.

Compliment your teen and celebrate his efforts and accomplishments.

Show affection for your teen. Spend time together doing things you enjoy.

Respect your teen’s opinion. Listen to her without playing down her concerns.

Encourage your teen to develop solutions to problems or conflicts. Help your teenager learn to make good decisions. Create opportunities for him to use his own judgment, and be available for advice and support.

If your teen engages in interactive internet media such as games, chat rooms, and instant messaging, encourage her to make good decisions about what she posts and the amount of time she spends on these activities.

If your teen works, use the opportunity to talk about expectations, responsibilities, and other ways of behaving respectfully in a public setting.

Talk with your teen and help him plan ahead for difficult or uncomfortable situations. Discuss what he can do if he is in a group and someone is using drugs or under pressure to have sex, or is offered a ride by someone who has been drinking.

Respect your teen’s need for privacy.

Encourage your teen to get enough sleep and exercise, and to eat healthy, balanced meals.

Immunization Schedule

2 months
DTaP, IPV, Hep B, Hib, PCV13, Rotavirus
4 months
DTaP, IPV, Hib, PCV13, Rotavirus Hep B (if not given at birth)
6 months
DTaP, IPV, Hep B, Hib, PCV13, Rotavirus*
9 months
None (unless catch up is needed)*
12 months
Hib, PCV13, MMR, Varicella, Hep A*
15 months
DTaP*
18 months
Hep A*
2 years
None (unless catch up is needed)
3 years
None (unless catch up is needed)
4 - 6 years
DTaP, IPV, MMR, Varicella
11-12 years
Tdap, Meningococcal (junior high catch up)

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FAQs

CallonDoc can treat anyone age 2 or older.
Once you complete the questionnaire forms, you'll be able to chat with a medical provider via phone or video.
We treat a wide range of pediatric conditions such as ear infections, respiratory illnesses, sinusitis, asthma and much more.
Our doctors understand the limitations of telemedicine and what is appropriate for an in-person visit. You'll be fully refunded and referred to the appropriate care.
We don't provide care for severely ill or unstable patients.
With your consent, we can send a visit summary to your pediatrician, as well as be available for physician-physician consultation.
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