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Child's arms and legs hurt with fever

08 Aug 18

A child has a high temperature and his hands and feet are cold, what should I do?

An increase in body temperature accompanies many diseases that occur in children. This symptom not only worsens the baby’s well-being, but can also have serious consequences, especially when it comes to the baby’s health in the first years of life. When a child has a high temperature and his hands and feet are cold, what to do in this case ?

Fever: what is it?

A condition in which a person has a very high temperature and cold extremities is called fever. The cause of this condition is a sharp disruption of the blood supply to the extremities due to spasm of peripheral vessels. Fever can trigger febrile convulsions, so if parents see that the child has a fever, but his feet and hands are cold, then help should be provided immediately.

Often the causes of fever are:

  • rotavirus infection;
  • ARVI;
  • bacterial pneumonia;
  • some disorders associated with the functioning of the brain.
  • Signs of fever in children include:

    • pallor of the skin;
    • cyanosis of lips and fingertips;
    • arrhythmia;
    • arrhythmic breathing;
    • cold feet and hands.
    • This condition is considered the most dangerous for children under 1 year of age, since their thermoregulation system, due to its development, is far from perfect. Against this background, the baby may experience severe convulsions, overheating and even severe intoxication. If a baby has symptoms of fever, it is necessary to immediately call a medical team - the child needs urgent medical attention!

      Coldness of the extremities against a background of high temperature is a dangerous condition that threatens the occurrence of seizures, so it is important to take appropriate measures to avoid them.

      A child has a high temperature and his hands and feet are cold, what to do:

      1. It is unacceptable to give a child a fast-acting antipyretic, since a sharp drop in body temperature will increase the compression of blood vessels, which will increase the likelihood of immediate seizures. To eliminate the spasm, the baby should be given an antispasmodic, for example, Baralgin or No-Shpu. The dosage of the drug should correspond to the age of the baby. You can also give an intramuscular injection of 2% papaverine (instead of a tablet). After some time, the baby can be given Nurofen.
      2. When providing first aid to a child, the parent must remain calm, even despite the criticality of the situation. To normalize blood supply to the extremities, they should be thoroughly rubbed. However, it is unacceptable to use alcohol tinctures, vodka, or vinegar for rubbing, as this can increase the constriction of blood vessels.
      3. After rubbing the limbs, the child’s feet should be put on warm socks or a warm heating pad placed on them, and then covered with a blanket.
      4. What to do if a child has a high fever, and his hands and feet are cold, and, in addition, convulsions begin:

      5. The baby's clothes are removed.
      6. The room where it is located is thoroughly ventilated.
      7. You need to moisten a sponge in warm water and rub the baby with it, then cover him with a thin blanket.
      8. If the convulsions have stopped, the baby should be provided with plenty of fluids.

      If convulsions persist, a medical team should be called. The same should be done if there is persistent vomiting, diarrhea and signs of dehydration.

      When a child has a high temperature, it is forbidden to give aspirin, since this drug has a negative effect on the liver and kidneys. If there are any doubts regarding solving the problem of high fever in children, you should consult a doctor, because self-medication can be extremely dangerous.

      Cold extremities are a common problem; this phenomenon can be caused both by the peculiarities of thermoregulation and by certain chronic diseases.

      But cold hands and feet at high temperatures are an unusual phenomenon, most often found in young children or adults suffering from complex chronic diseases with impaired immune defense function. Popularly, this condition was aptly dubbed “white fever.”

      Reasons causing this condition

      This phenomenon refers to the body's defensive reactions. A malfunction of the immune system and the vascular system leads to a special physiological process in which blood flows from the periphery to large internal organs, at the same time the vessels of the extremities sharply spasm and heat exchange in them is disrupted.

      Externally, this condition is characterized by pronounced pallor of the skin, hence the appropriate name - “white fever”.

      This type of fever can occur against the background of acute inflammatory diseases, most often of viral etiology (influenza, acute respiratory viral infections, acute respiratory infections, scarlet fever, mumps, whooping cough, measles, etc.) or be a consequence of ineffective treatment of the disease, its improper treatment without proper medical supervision.

      It also occurs in diseases of the nasopharynx (pharyngitis, rhinitis, laryngitis, tracheitis), bronchopulmonary system (bronchitis and pneumonia), various sluggish chronic ailments of internal organs and systems in the acute stage (mononucleosis, glomerulonephritis, hepatitis, etc.) This condition can also accompany injuries and brain tumors, some types of allergies.

      Symptoms of white fever:

      • intense body heat and at the same time cold hands and feet;
      • weakness and indifference to what is happening;
      • loss of appetite or complete refusal to eat;
      • total pallor of the skin;
      • change from hot flashes to stunning chills.

      Diagnosis of “white fever”

      This type of hyperthermia can be distinguished from a normal rise in temperature by the following signs: with normal fever, the skin is evenly warm throughout the body, and the patient’s state of health is satisfactory. “White fever” causes severe chills, trembling in the extremities, feet, palms and lips are sorely marbled or bluish, the general condition suffers - blood pressure rises, the heartbeat quickens, and breathing becomes difficult.

      If you measure the temperature in the usual way and rectally, in the case of “white fever” there will be a difference of one or more degrees.

      The “white” type of fever is considered extremely dangerous for infants. Babies have not yet developed a thermoregulation system, and the body's response to infection can be unpredictable. There is a possibility of severe overheating and seizures, as well as poisoning of the body with the products of its own intoxication. If you detect a high temperature in your baby, accompanied by a sharp cold snap in the extremities, you should immediately call an ambulance or, if the child’s condition is satisfactory, call your local pediatrician.

      Since temperature is not a disease, but its manifestation, that is, one of the symptoms, it is important to begin treatment of the underlying disease. To do this, you need to contact a doctor who will make the correct diagnosis, prescribe an adequate regimen for taking the necessary medications, and to completely get rid of residual effects, prescribe effective additional physical procedures, massage, or a set of therapeutic exercises.

      Before the doctor arrives, at a high temperature (above 38.5), children are given Paracetamol, Nurofen syrups, Tsefekon, Efferalgan suppositories strictly in the dosage prescribed in the instructions for use for this age. Adults can take the same drugs in tablets, or aspirin or its derivatives. After consultation with a pediatrician or local physician, in the absence of contraindications, antispasmodics are included in the fight against “white fever”: “No-shpu”, “Papaverine”, Nikoshpan”, etc.

      Pre-medical measures include lightly rubbing the patient's legs and arms, and wrapping them in an additional blanket (there is no need to cover the body!). You can apply a heating pad with hot (but not scalding!) water to your feet. Increasing the drinking regime and traditional vinegar wiping are also useful.

      If after all the measures the temperature has not dropped, the issue of hospitalization of the patient must be decided.

      What not to do in this condition

      • There is no need to use an electric heater in the room where the patient is, because despite the chilliness of the limbs, the overall body temperature is high and by heating the air, you can provoke overheating of the whole body.
      • Do not rub your limbs with alcohol under any circumstances; this may cause increased spasm of the small vessels of the arms and legs.
      • The temperature should not be reduced to normal levels; recovery will take time, and temperature reactions are needed to fight the infection. The main thing is to observe positive dynamics, a gradual decrease in body temperature and an improvement in the general condition of the patient.
      • “White fever” has clear distinctive signs; if you find it in yourself or your loved ones, be sure to consult a specialist. This will help you avoid unnecessary complications and get competent advice on how to deal with it.

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