At low temperatures, cold feet and hands. High temperature in a child and cold extremities

It is an indicator of the normal functioning of the body, which, when pathogenic microbes enter it, begins to react adequately, activating its defenses. If you do not knock it down, maintaining it to a certain limit, then you can guarantee the death of most microorganisms and the formation of a healthy immune system in the future. But when the fever is accompanied by cooling of the child’s extremities, the principle of providing him with adequate assistance should be completely different.

What body temperature is considered elevated?

If it exceeds 37.5 o C (when measured in the armpit) or 38 o C (in the anus). In children under 2 years of age, it is better to take measurements rectally. Determining the temperature in other places of the body is not recommended, since this guarantees less reliable results.

Values exceeding 41 o C (when determined in the armpit) and 41.6 o C (in the rectum) are considered life-threatening. In such cases, a doctor should be called immediately.

Causes of fever in a child

The body's heat balance is regulated by a special part of the brain called the hypothalamus. It is he, and not the bacteria and viruses themselves, that causes the temperature to rise so that the body begins to produce the substances required to fight the infection. This helps to cope with the disease as soon as possible.

If the temperature does not rise, interferon gamma will not be produced. The same can be said about the situation when it is artificially knocked down, preventing the activation of substances required to fight pathogenic microorganisms that cause the disease. This provokes disruption of the immune system, since the emerging interferon is necessary not only for the production of antibodies to viruses, but also for storing this in the immune memory.

The existing regulatory center is capable of setting the body’s permissible high temperature, which is required to destroy microorganisms and ensure the fastest possible recovery. The only thing is that if the child’s body overheats from the outside and if the center of self-regulation is disrupted (which is possible in the presence of brain tumors and as a result of traumatic brain injuries), the numbers can rise to unacceptable limits, but this is extremely rare.

The main clinical manifestations of classical conditions with increasing temperature

Feverish conditions can manifest themselves in different ways:

A high body temperature, at which the skin is noticeably warm and red, is called “red” or “pink” fever, and, as a rule, the child feels more or less normal. The use of antipyretics in most of these cases is not required.
A high temperature in a child and cold extremities indicate the manifestation of the so-called “white or pale fever,” which is accompanied by characteristic symptoms: increased pallor of the skin, chills, and a general serious condition. In this case, the use of antipyretics is justified, especially if hyperthermic syndrome is present.

When to lower a child's body temperature

When an absolutely healthy child without neurological problems, metabolic disorders (metabolism) and diseases of the cardiovascular system has a temperature of 39 o C-39.5 o C. In this case, one should focus on the general condition. If the child tolerates high readings well, it is possible and even necessary to allow even such numbers and not take anything for the temperature.
Children in the first six months of life, as well as older children with additional health problems. In cases of poor health, the temperature is reduced to 38.5 o C (with axillary measurement) or 38.9 o C (with rectal measurement).
If a child has a high fever and cold hands and feet, this indicates white fever. Taking antipyretic drugs is justified here. This must be done when the temperature reaches the first critical limits - 38.0-38.5 0 C. Also in this case, you may need to take additional antihistamines and vasodilators, which should be checked with your doctor.

What does a fever indicate against the background of cooling hands and feet?

If a child has a high temperature and cold extremities, while he cannot warm up, this indicates a failure of thermoregulation in the body. The cause is a spasm of peripheral blood vessels, which disrupts the process of heat transfer, which can even lead to convulsions. This condition can be explained by the well-known fact that at high temperatures the viscosity of the blood increases, thereby sharply slowing down its circulation through the vessels. This is typical if there are abnormalities in the functioning of the central nervous system in a child, with hypotension (low blood pressure) and as a result of non-compliance with the drinking regime, which leads to a lack of fluid in the body.

High temperature and cold feet, and often hands, are the first sign of the onset of “white” fever. It is important to identify the symptoms in time and prevent possible negative consequences.

The main signs of "white" fever

This condition is characterized by the following symptoms:

cold hands and feet;
pronounced pallor of the skin, while the blueness of the lips and nails may be noticeable;
chills (muscle tremors) even at high body temperatures, while the child complains that he is cold and cannot warm up even under a warm blanket;
rapid heartbeat, possibly heavy rapid breathing;
an increase in temperature to high values, which often does not respond well to antipyretic drugs;
sometimes severe toxicosis is added (damage to the central nervous system, which is characterized by general weakness, lethargy, lethargy, or, on the contrary, anxiety, increased agitation, delirium, convulsions).

What to do with high fever and cold extremities

If your child has obvious symptoms of white fever, you should:

do not allow body temperature to exceed 38-38.5 o C, measured in the armpit;
call an ambulance;
rub your arms and legs to stimulate blood flow to the extremities;
warm up - wrap the child up, put on woolen socks, you can use a warm heating pad on the feet;
regularly ventilate the room and maintain the air temperature in it no higher than 20 o C;
with the permission of the pediatrician, use “No-shpu” to dilate blood vessels;
do not give strong antipyretics - this can worsen the spasm, only ibuprofen and paracetamol for fever;
ensure plenty of drinking - water, juices, fruit drinks, compotes (exclude tea, since it contains caffeine-like substances that increase urination, and this can lead to increased dehydration), and you need to drink little by little, but often.

Why is high temperature dangerous?

With a fever, febrile seizures (seizures) may occur. They are most common in children of primary preschool age. It is necessary to take all measures to prevent this from happening. If this happens, you should:

Place the child on his side on a hard surface, turning his head towards the floor. This will help prevent vomit or foreign objects from entering the respiratory system;
pay attention that there are no sharp corners or dangerous objects nearby to avoid injury;
in this case, for children with fever, use antipyretic suppositories - it is forbidden to pour medicine into the mouth so that the child does not choke or choke;
Be sure to call emergency assistance.

Antipyretic drugs for children

If a child has a high temperature and cold extremities, already at 38.0 o C, it is necessary to use special medications, for which the following can be used:

paracetamol in the form of rectal suppositories from 3 months, according to research, it causes a minimal number of side effects;
ibuprofen - is allowed to be given to children from the age of six months, but according to pediatrician indications it can be used at an earlier stage (you should be aware that the drug can provoke hypothermia, cause inflammation of the stomach and is contraindicated for chickenpox and dehydration).

It must be remembered that the simultaneous use of these two drugs is unacceptable. Paracetamol for fever is used much more often, since its use is more convenient and possible in cases where the child refuses to take medications orally.

Also, for symptoms of “white” fever, it is sometimes possible to give children antispasmodics, which can help establish the natural process of sweating. To do this, take “No-shpa”, which promotes vasodilation. We must not forget that this drug has many contraindications, so the drug can only be used according to a doctor’s indications and in the permitted dosage.

Remember that if the disease is characterized by a high temperature in a child and cold extremities, then this is a mandatory reason to contact a specialist. In any case, children under one year of age require a pediatrician to be called home to make a correct diagnosis and exclude serious pathologies.

Poor health, severe lethargy, chills, cold feet and hands are manifestations of hyperthermic syndrome, which occurs as white fever. This is a dangerous pathological condition, the complications of which include edema and swelling of the brain, the development of disseminated intravascular coagulation syndrome and convulsive syndrome.

Hyperthermia syndrome is a violation of thermoregulation, manifested by a limitation in the ability to discharge thermal energy in the presence of excess heat production. Heat formation is stimulated by toxins, autoantibodies, and medications that can provoke pyrogenic reactions. It should be said that heat transfer is carried out through the skin (about 70–80% of thermal energy), lungs (about 20%), with urine and feces. When spasm of peripheral vessels occurs during white fever, the release of heat through the skin is blocked; the temperature of the extremities decreases, and the internal temperature (core temperature), on the contrary, increases.

Hyperthermic syndrome complicates the course of infectious processes and accompanies metabolic disorders and endocrine disorders. It can occur due to injuries, during surgery under anesthesia, or when using medications. Hyperthermia also develops under conditions of high ambient temperature when adequate heat transfer is impossible.

Children are at higher risk of developing hyperthermia:

up to 3 months of age;
with lesions of the central nervous system;
for chronic diseases of the cardiovascular and respiratory systems;
for storage diseases.

Episodes of convulsions that have already occurred against the background of an increase in body temperature are also important. They are called febrile and can be repeated in children with infectious or non-infectious fevers or overheating.

Hyperthermic syndrome is characterized by:

Weakness, lethargy or, conversely, agitation, delirium, hallucinations.
Cold feet and hands at temperatures above 39–40 C.
Feeling chilly.
Pale and marbling of the skin, cyanotic (blue) nails.
Increased heart rate (tachycardia), shortness of breath.
Increased blood pressure.

In the clinical picture of hyperthermic syndrome with white fever, one of the main signs is a sustained increase in body temperature: it does not decrease or decreases slightly even after taking antipyretics.

In the absence of timely treatment, the prognosis is unfavorable - hyperthermia has a pathological effect on the cardiovascular and nervous system, leading to dehydration, changes in the acid-base state, and blood thickening.

Children tolerate fever worse than adults; The risk of complications is highest in patients in the younger age group. Cold feet with a high temperature in a child is a symptom that cannot be ignored.

Hyperthermic syndrome is an extremely dangerous condition. It is necessary to seek medical help immediately. You can use it yourself:

drink plenty of fluids (never alcohol);
gentle rubbing of the limbs (without using alcohol solutions);
applying warm heating pads to the legs and arms;
antipyretics (paracetamol, ibuprofen).

The goal of antipyretic therapy is to reduce the adverse effects of hyperthermia. If, 30 minutes after taking the medicine, the temperature has decreased by 1–1.5 C from the initial one, and the skin begins to warm up and turn pink, this is a favorable sign. Children should not be given acetylsalicylic acid (aspirin), nimesulide (Nimesil) - these drugs are extremely toxic and can cause serious complications. The use of physical cooling methods (wiping with water and alcohol, cold enemas) for pale fever is prohibited.

The danger of a possible overdose of antipyretics should be taken into account. When the temperature is resistant to the use of paracetamol or ibuprofen, frequent repeated use does not guarantee an antipyretic effect, but may cause the development of drug intoxication.

If the child’s feet are still cold at a fever and there is no response to antipyretics, antispasmodics (no-spa, papaverine), neuroleptics (droperidol), metamizole sodium, pipolfen, glucocorticosteroids, infusions of glucose solution, crystalloids are used. In severe condition, the patient is hospitalized in the intensive care unit.

http://prostudnik.ru/proyavleniya/temperatura/holodnye-nogi.html

A child has a high temperature and cold extremities: what to do?

In most cases, children normally tolerate high temperatures, which rise during acute respiratory viral infections, influenza and colds. However, there are exceptions to the rules. A high temperature in a child and cold extremities (cold hands and feet) are the first symptoms of #171;white fever#187;. Why does white fever occur and why is it dangerous?

#171;White fever#187;: causes and symptoms

This type of fever is very dangerous because it is difficult to predict the increase in temperature and the duration of this condition.

#171;White fever#187; is a sharp and rapid increase in body temperature, in which the balance between the body's production of thermal energy and heat transfer is disrupted.

Lethargy, weakness throughout the body;
At a temperature of 37.5 and above, the child has cold hands, pale skin, lips and nails may turn blue. Paleness of the skin during heat occurs due to spasms of peripheral vessels;
Arrhythmia, tachycardia occurs;
The baby has a headache, chills, and increased blood pressure;
Delusions, hallucinations, and convulsions occur (at a temperature of 39 and above).

If the baby has cold feet and hands, and a temperature of 38, these are the first symptoms of the appearance of #171;white#187;, or, as it is called, #171;pale#187; fever. Parents should immediately provide first aid, and if the child’s temperature is 39 and above, call a doctor.

Methods of treating #171;white fever#187;

Under no circumstances should an increase in body temperature in a baby be ignored. If a child complains of feeling unwell, his body temperature rises, and his limbs become cold, this indicates a violation of blood circulation in the vessels.

If the above symptoms are present, the small patient must be warmed up urgently to quickly relieve spasms.

If children's legs and arms become cold, mechanical methods of relieving the fever should not be used. It is strictly prohibited:

Wipe the body with vinegar or alcohol solution;
Wrap in a cold sheet;
To normalize blood supply, the patient's limbs need to be warmed.

For symptoms of white fever, it is necessary to give the patient plenty of fluids. Warm teas, decoctions, and infusions are suitable for drinking.

Important! If a child has white fever, taking antipyretic drugs should be combined with rubbing the child's limbs to reduce vascular spasm.

Medicines for young children

The spasm that leads to icy limbs is relieved with antispasmodic drugs. You can give your baby No-Shpa in an age-appropriate dosage. The drug is prescribed to children from 1 year of age. The medicine relieves spasm for about 5-8 hours.

Papaverine is suitable for a six-month-old baby to relieve spasms. The product is available in the form of tablets, injection liquid or suppositories.

Important! When diagnosing white fever, it is better to give the child antipyretics in the form of syrup, since antipyretics in the form of suppositories may not work due to the peripheral vascular spasms mentioned above.

When to lower the temperature:

Children under 3 months of age inclusive, as well as children with a history of seizures, severe lung and heart disease, can be prescribed antipyretic drugs at temperatures below 38 degrees.
When the temperature rises to 38.5 degrees, a child who is feeling unwell is prescribed an antipyretic drug (Ibuprofen, Panadol, Paracetamol, Nurofen, etc.). Medications to reduce fever should not be used for more than 3 days without consulting a pediatrician.
If a child’s temperature rises to 39 degrees, it is recommended to reduce it by 1-1.5 degrees by giving the baby an antipyretic. Temperatures above 39 degrees can cause febrile seizures.

Important! If the temperature does not exceed 38.5°C and the child’s condition does not worsen, there is no need to reduce it (except for children under 3 months of age). Temperature #8212; This is not a disease, but a response of the body’s immune system to the invasion of the virus.

Amidopyrine;
Phenacetin;
Antipyrine;
Nimesulide. The medication should not be given to children due to its hepatotoxicity;
Metamizole (analgin). The drug may cause anaphylactic shock. Its use provokes agranulocytosis, which is often fatal;
Acetylsalicylic acid for viral diseases, chickenpox, and influenza can lead to Reye's Syndrome. This severe ecephalopathy is accompanied by liver failure. The fatal outcome is 50%.

Main signs and symptoms of pink fever.

Pink (or red) fever is much easier for children to tolerate and has a more beneficial effect on the entire body as a whole. With this increase in temperature, the skin is pink, hot and moist. Fever is characterized by increased heat transfer, which reduces the risk of overheating of the child's body.

The main symptoms of “pink” fever in a baby:

Warm and moist skin;
Hot legs and arms;
General health is satisfactory.

First aid for pink fever:

Rubbing the body with water. An excellent effect is obtained by using a solution with the addition of mint. Menthol has a cooling effect and eases the baby's condition;
Drink plenty of fluids. At a high mark on the thermometer, a large amount of liquid evaporates. To restore water balance, the patient must be given warm drinks frequently. When refusing food, a small patient should be given a pharmaceutical solution of glucose, previously diluted in warm boiled water.
If the temperature rises significantly, it must be brought down with antipyretic drugs. The safest medications for babies are those containing paracetamol or ibuprofen. Candles are suitable for newborns and infants; older children will like syrup.

Important! Pink fever is a favorable sign of the immune system fighting infection.

Why does the body need fever?

Why do many diseases in young children occur with elevated body temperature? Their immunity fights germs in this way. Fever is a protective function of the body against infection, viruses and inflammatory processes. During fever in children:

The work and activity of organs is activated;
Metabolism accelerates;
Immunity works effectively;
Antibodies are intensively produced;
The proliferation of dangerous microbes and bacteria practically stops;
The bactericidal property of blood increases;
Toxins and harmful substances are removed from the body.

Fever in young children is a very important symptom that indicates the immune system is fighting the disease.

Remember that only a doctor can make a correct diagnosis; do not self-medicate without consultation and diagnosis by a qualified doctor.

http://lechenie-baby.ru/simptoms/belaya-lihoradka-u-rebenka.html

Why are your hands and feet always cold and how to get rid of it?

The problem being discussed today worries many women. Such representatives of the fair sex have palms and feet that remain icy even in the warmest summer weather. This phenomenon greatly worries most patients, because they have to constantly carefully insulate themselves and forget about thin stockings.

What’s most surprising is that even various tricks like heated socks and gloves cannot cope with the problem. Many doctors today are trying to find ways to combat it. We’ll talk more about this amazing phenomenon in this article.

Reasons why hands and feet are constantly cold

Before you begin to deal with the problem under discussion, you should accurately determine the cause of its occurrence. Indeed, in some cases it may even be a serious disease. In this case, only a doctor can make an accurate diagnosis and begin treatment.

Why do adults' limbs regularly get cold?

Scientists have proven that thermoregulation in the body of representatives of the fair sex is weaker than in men. Therefore, we can say that nature “rewarded” the girls with cold hands and feet. But sometimes the reasons are more serious.

For example, thyroid diseases. In such cases, the amount of hormones produced by the thyroid gland is not enough for the entire body. Due to lack of energy, the entire body can freeze.

Another possible cause is vegetative-vascular dystonia. Residents of large cities are especially susceptible to this disease.

Also included in the list of reasons for constantly cold hands and feet is a lack of iron in the body or too low-calorie diet. With a lack of iron, heat is wasted too quickly and the person begins to freeze. Incorrectly designed diets lead to the same result. No matter how much you want to lose weight, you should remember that our body still needs fat.

Causes of the phenomenon in a child

If a child has cold hands or feet, this may indicate that he is very cold or even has a cold. In this case, additional symptoms will be fever, runny nose, cough, etc. The problem goes away along with the disease. First of all, use a thermometer. to find out your body temperature.

The phenomenon under discussion also occurs in infants. If he eats well and sleeps peacefully, then there is no cause for alarm. After all, the heat exchange of babies is not at all the same as that of adults.

What do cold fingers and toes mean when the temperature is high?

This situation, when at high temperatures the extremities are cold, has its own name - “white fever”. In this case, lowering body temperature can be much more difficult. Blood accumulates in the central large organs, and the limbs spasm.

Physical methods of reduction in this case will be completely ineffective. Therefore, you should take special strong antipyretic drugs as early as possible.

An often discussed phenomenon indicates that temperatures will continue to rise. As soon as it subsides, the limbs and ears will become warm and may even blush slightly.

What to do and how to get rid of it?

First of all, you should find out whether the cause of the current situation is a serious illness. If this is the case, then you will need to start treating it as soon as possible. As a result, along with recovery, these unpleasant symptoms will go away.

Traditional methods of treatment

But there are also various folk ways to solve the problem. First of all, it is physical activity. To recharge your energy and get your blood pumping, you should start every day with proper exercise. This will also affect the general condition of the body and will allow you to quietly improve your figure without much effort.

If a person does not have problems with the heart and blood vessels, then a bathhouse or sauna will help combat constantly freezing hands and feet. You can visit her about 2 times a week.

Control over nutrition is also important. Fats must be present in the diet. In addition, you should eat hot food at least once a day. It's best if it's soup or broth.

Drinking ginger tea is also beneficial. This ingredient can perfectly warm up the body and regulate blood circulation.

But cigarettes should be stopped. Each new puff leads to immediate disruption of blood circulation. As a result, both hands and feet, and all other parts of the body as a whole freeze.

http://myadvices.ru/xolodnye-ruki-i-nogi/

Every person has experienced an increase in body temperature at least once in their life. This can happen for various reasons. Most often, the thermometer level rises when the body is damaged by viruses and bacteria. It is worth noting that many pathological microorganisms begin to die when the temperature reaches 38 or 39 degrees. This is how a person fights the disease and gains immunity. Sometimes it happens that the patient has a high temperature, but his hands and feet are cold. What does this mean and how to behave in this situation? You will learn about this from the presented article.

Temperature and cold hands and feet: what does it mean?

Doctors call this condition white fever. All due to the fact that a person’s skin at such a moment becomes very pale. This pattern is explained quite simply.

If a person has a fever and cold hands and feet, this indicates that the blood vessels are spasming. Necessary oxygen...

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 fever 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.

Symptoms of fever

The list of signs of acute forms of infectious diseases certainly includes increased body temperature. Fever acts as a protective-adaptive mechanism and, in uncomplicated variants of ARVI or other pathology, is normally tolerated by patients.

The exception is the “pale” type, when at high temperatures the extremities remain cold - this condition is called “white” fever.

Causes

“White” or “pale” fever is a pathological variant of increased body temperature. Heat production, then...

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; they occur most often 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 on...

The number of colds among children especially increases with the onset of the first cold weather. Some parents care too much for their children, and as soon as the air temperature drops a few degrees, they are already wearing warm winter clothes, warming their feet with several socks, wrapping them in scarves and winter hats. However, the children continue to play at the same pace as a few days ago, when the weather was still warm outside.
And at school, during breaks, our children run around at breakneck speed. And here there is no caring mother who will keep an eye on their behavior and wardrobe. As a result, fever, cough, runny nose, and... Long live ARVI! But if the body’s thermoregulation is impaired, the child’s temperature rises, while his hands are cold. What does this symptom mean - banal overheating of the body or a sign of disease?

Hyperthermia - what is it?

Hyperthermia is an increase in body temperature due to impaired thermoregulation of the body. This...

I will write specifically then:
child 7 years old
yesterday 39.5, didn’t drop all day (the doctor said it was viral)
The arms and legs were cold, apparently just this white fever (although the cheeks were a little pinkish due to the temperature)
in the evening it dropped to 38.5, so she went to bed, sweated a little in the morning, but not much...
in the morning 37
Today around five o'clock in the evening it suddenly rose again to 39.5
(the doctor came, she already recommended an antibiotic, because the nose is not breathing, she is afraid that she will get sinusitis; well, and a bunch of other medications, Sinupret, for example, for a stuffy nose (I highlight it because it is a new medicine for me). but this is just me, to the fullest, not to discuss treatment in principle, otherwise we’ll go off-topic, and I’m not writing all the details, I’m now more interested in cold extremities :))))
so, again 39.5
my feet are cold, my hands are warm, but my daughter says that my hands are cold too...
I warmed it up, but it seems to me to no avail...
I'm clearly feeling worse...
I...

The number 38 will not scare an experienced mother: the initial stages of treatment have been worked out to the point of automaticity. But when the mercury steadily creeps up, and your hands and feet, on the contrary, get cold...

Is this a terrible symptom of some rare disease or an individual reaction of the body? How is it that the fever increases and the limbs are frozen? How to help?! Wrap up and turn on the heaters or open the windows? Should I call a doctor or wait?

So what to do?

In order not to lose sight of a critical situation, we will sort it out now.

White and red fever: what is it?

Fevers (and in language we understand, an increase in temperature above 37°C) are white (cold) and red (pink, hot).

Cold extremities occur exclusively with white fever. We will talk about her.

Dear moms and dads!
There is no need to mock the pediatrician’s psyche by declaring that the baby has “delirium tremens.” Delirium tremens, also known as “delirium”, but in common parlance “squirrel” is something else...

Hyperthermia is overheating, an increase in the body temperature of a child or adult with some disturbance in the body’s thermoregulation. It may be a symptom of a viral or infectious disease, or simply caused by overheating. If hyperthermia is caused by a disease, then usually the whole body is hot, but it also happens that a child has cold hands and feet even with a fever.

Children's bodies are often exposed to ARVI

Why does this happen, what should parents do if a similar phenomenon occurs? When to start lowering the temperature, with what medications?

Each organism is individual, as is its reaction to diseases and medications. What may be quite tolerable for one, can cause significant harm to another. The same applies to children with fever - some may not even notice the high temperature, while others may experience convulsions already at 38°C. That's why the following tips can only be called general, and every parent...

Cold hands and feet with fever

Increased readings when measuring body temperature indicate that increased heat production is occurring inside the body. In this case, most pathological microorganisms die. But many patients notice that at high temperatures, their hands and feet remain cold.

Why do you have cold hands and feet when you have a fever?

With this condition, the pallor of the skin is striking. And this is natural! The fact is that high body temperature with cold extremities indicates vasospasm. In this case, blood flows from the arms and legs to the internal organs. The patient experiences dizziness, general weakness, chills, arrhythmia – the so-called “fever” among the people.

What to do if you have a high temperature and cold extremities?

If the mercury column does not reach 38 degrees when measuring temperature, and your hands and feet are cold, then it is important to monitor the indicators in the future. When the temperature...

Illnesses in young children often resolve with an increase in temperature. The child, as they say, is “on fire.” His breath and the surface of his body become hot, and the baby’s face turns red. However, it also happens that at a temperature above 38.5 degrees, the child’s hands and feet are cold. Why the usual scheme does not work, what is happening in the baby’s body, whether it is necessary to lower the temperature - questions for which we will look for answers together.

An increase in temperature during illness is normal. But if it is accompanied by cold hands and feet, then parents need to take additional measures to treat the baby

What happens to a child’s blood circulation at high temperatures?

Monitoring the child’s condition at high temperatures is the main task of parents. It is unacceptable to ignore the slightest changes in the functioning of his body. Cold legs and arms in this case indicate generalized vascular spasm. Illness and high temperature impair circulation...

Maybe someone has known this for a long time, but I only recently came across this information and it turned out to be very useful.

If a child (and even an adult) has cold extremities (arms, legs) at a high temperature, then the temperature will not go away until they are warmed up!! This is a spasm of blood vessels, this is very bad (and, foolishly, I was happy, I thought - this is how the temperature comes out).
Therefore, be sure to warm the legs and arms until they are steamed with water or put on a heating pad. And something like No-shpa to relieve the spasm.

My 2-year-old Masya has a temperature of 39.5, nothing upset her, her legs are cold. As soon as I wrapped my legs (just my legs) in a blanket and warmed them up, the temperature itself dropped to 37.8. Before this we suffered for days.

For adults, the situation is the same: first we warm our legs and arms, then we knock them down.

If your hands and feet are cold, you can’t wipe them!! This will only intensify the spasm even more!! First warm it up, then wipe it off and bring down the temperature.

Do not be ill!...

I found it here in the vastness of BB, consulted with our cardiologist, she said that it is better not to give Corvalol at this age, but she confirmed about noshpa and said that it is necessary to give it. I’ll explain what this means on my fingers because... I am not a doctor myself, some children experience convulsions when their temperature rises (this is a neurological problem), cold hands and feet mean vasospasm, i.e. a harbinger of seizures, in fact, if nothing is done about it and the temperature continues to rise, the child may begin to have seizures. Here is the cardiologist’s recommendation for temperatures above 38.5: “1/3 suprastin, 1/2 no-shpa, 1/4.1/3 analgin or antipyretic.

Read the article, I found it on the BB, what the doctor wrote above confirmed to me, you draw your own conclusions, good luck:

At home there should always be antipyretics (children's suppositories, potions, but you shouldn't place high hopes on suppositories and potions alone, so analgin and aspirin must be there), no-spa, Corvalol and antihistamines (if, suddenly...

In the vast majority of cases, febrile conditions in patients, especially in childhood, are explained by the presence of infection. Fever is a way to fight pathogenic microorganisms; its biological role is to prevent the proliferation of the pathogen and create conditions for recovery.

However, high body temperature is a test not only for bacteria, and the body's reaction can be different.

“White” or “pale” fever is a pathological variant of increased body temperature. Heat production, that is, the body's production of thermal energy, significantly exceeds heat transfer, and the balance between these processes is disrupted.

In the pathogenesis of “pale” fever, the release of catecholamines into the blood - biologically active substances that cause reactions from the cardiovascular system and influence the mechanisms of thermoregulation - is of great importance.

The appearance of a “white” type of fever is an unfavorable prognostic sign. It can cause complications, including seizures and cerebral edema. It must be said that disorders in the form of “cold” hyperthermia are most common in children.

A feature of their body is imperfect thermoregulation and a low ability to transfer heat through the evaporation of sweat from the surface of the skin in combination with a large amount of heat produced. Dr. Komarovsky emphasizes that high fever and cold extremities in a child is a condition that all parents need to be aware of.

Symptoms

The clinical picture of “white” fever includes such signs as:

If the patient has a high temperature and cold hands, you should think about the development of “pale” fever and remember the need for emergency care.

Convulsions that appear against a background of high temperature are called febrile. Most often observed in children aged 3 months to 5 years, it is a condition that is directly related to age. Clinically uncomplicated febrile seizures manifest as generalized tonic-clonic seizures, the episode of which lasts about 15 minutes. The most typical development is at the peak of the temperature curve.

There are several theories regarding febrile seizures. It is believed that they can transform into an epileptic variant of seizures if they are repeated often enough and are pronounced. At the same time, there is an opinion that febrile seizures are not dangerous, since undesirable effects on the central nervous system are observed in very rare cases and they should not cause brain damage.

Despite the difference in assumptions, febrile seizures are usually benign and neurological damage is not to be feared.

Treatment

To help a patient with a “pale” type of fever, you need:

Cool, humidified air in the room (from 18 to 20 °C within 50–70% humidity).
Drinking enough.

Drug treatment is prescribed by a doctor upon examination.

Rubbing with alcohol solutions, cold enemas and other physical methods of cooling during “white” fever are prohibited, as they increase vascular spasm and reduce heat transfer, aggravating the patient’s condition.

For initial treatment of “white” fever use:

papaverine solution, no-shpa in combination with suprastin solution;
paracetamol solution;
anticonvulsants (diazepam) in combination with metamizole sodium solution.

If there is no response to diazepam, replace it with sodium valproate intravenously. The effectiveness of therapy is assessed by reducing body temperature in the armpit (by 0.5 degrees or more in 30 minutes). A favorable sign is the transformation of fever from “pale” to “pink”.

If a patient develops febrile seizures, assistance must be provided immediately. At home, before the arrival of the medical team, the following activities are performed:

turn the patient on his side, remove sharp hard objects;
unfasten the collar, buttons, belts, provide air access;
transfer the child from a bed with a back or sides to a sofa;
wipe with water at room temperature;
call emergency help.

Antipyretics are also needed; drugs of choice are paracetamol, ibuprofen. If the seizure continues, you should wait for medical professionals to determine the most appropriate administration and dosage of medication.

During the period of convulsions, you should not try to unclench your jaws and open the patient’s mouth; this can lead to additional trauma, asphyxia as a result of teeth or an object used for unclenching getting into the respiratory tract. The head must be protected from impacts on a hard surface.

Anticonvulsants (sibazon, lorazepam) are not used for a single episode of seizures that were stopped before examination by a doctor and are required only for prolonged or repeated seizures.

Hyperthermia syndrome is a violation of thermoregulation, manifested by a limitation in the ability to “reset” thermal energy in the presence of excess heat production. Heat formation is stimulated by toxins, autoantibodies, and medications that can provoke pyrogenic reactions. It should be said that heat transfer is carried out through the skin (about 70-80% of thermal energy), lungs (about 20%), with urine and feces. When spasm of peripheral vessels occurs during “white” fever, the release of heat through the skin is blocked; the temperature of the extremities decreases, and the internal temperature (core temperature), on the contrary, increases.

Children are at higher risk of developing hyperthermia:

up to 3 months of age;
with lesions of the central nervous system;
for chronic diseases of the cardiovascular and respiratory systems;
for storage diseases.

Symptoms

Hyperthermic syndrome is characterized by:

Weakness, lethargy or, conversely, agitation, delirium, hallucinations.
Cold feet and hands at temperatures above 39-40 °C.
Feeling chilly.
Pale and marbling of the skin, cyanotic (blue) nails.
Increased heart rate (tachycardia), shortness of breath.
Increased blood pressure.

In the clinical picture of hyperthermic syndrome with “white” fever, one of the main signs is a steady increase in body temperature: it does not decrease or decreases slightly even after taking antipyretic drugs.

In the absence of timely treatment, the prognosis is unfavorable - hyperthermia has a pathological effect on the cardiovascular and nervous system, leading to dehydration, changes in the acid-base state, and blood thickening.

Children tolerate fever worse than adults; The risk of complications is highest in patients in the younger age group. Cold feet with a high temperature in a child is a symptom that cannot be ignored.

Treatment

Hyperthermic syndrome is an extremely dangerous condition. It is necessary to seek medical help immediately. You can use it yourself:

drink plenty of fluids (never alcohol);
gentle rubbing of the limbs (without using alcohol solutions);
applying warm heating pads to the legs and arms;
antipyretics (paracetamol, ibuprofen).

The goal of antipyretic therapy is to reduce the adverse effects of hyperthermia. If 30 minutes after taking the medicine the temperature has decreased by 1-1.5 °C from the initial one, and the skin has begun to warm up and turn pink, this is a favorable sign. Children should not be given acetylsalicylic acid (aspirin), nimesulide (Nimesil) - these drugs are extremely toxic and can cause serious complications. The use of physical cooling methods (wiping with water and alcohol, cold enemas) for “pale” fever is prohibited.

Cold feet are a dangerous symptom that usually appears when a child has a very high temperature. In this situation, not all parents know what exactly they need to do. The thing is that many of the usual methods of dealing with fever are not applicable here.

Causes

If the temperature rises to 38 degrees, children experience the development of generalized vasospasm. This is what causes the limbs to quickly cool down. At the same time, the following symptoms occur:

the skin turns pale;
become very dry.

In children with cold extremities and elevated temperatures, blood circulation slows down, which, first of all, leads to a decrease in sweating. As a result, the body loses the ability to independently regulate its own heat exchange. This situation poses the greatest danger for infants, since their thermoregulation does not yet work properly.

In general, the presence of fever indicates normal functioning of the immune system. It is she who actually forces the blood to be redirected to vital organs. As you might guess, the lower extremities have minimal priority, because the vessels located there spasm, which leads to cooling of the arms and legs.

This condition in a child (primarily due to too pale skin) is called white fever. It occurs most often against the background of the following ailments:

piggy;
flu;
ARVI;
whooping cough.

What exactly is the body temperature considered elevated today?

In children over 2 years of age, measurements are taken in the armpit. For those younger, it is recommended to place the thermometer rectally. You should know that the difference between the indicators is 0.5 (the larger value will be in the latter case).

An elevated temperature is considered to be 37.5-38 °C.

Indicators of more than 41 degrees are life-threatening (not only for children, but also for adults). In this case, you need to immediately call an ambulance.

Symptoms

When the baby's body temperature rises above 38 °C, white fever always begins. Its development is indicated by a number of signs that differ only slightly from the typical manifestations of hyperthermia. We are talking about the following factors:

cold hands and feet against a background of heat;
convulsions;
pale skin;
irregular (confused) breathing;
lack of appetite.

The overheating that occurs (if it is not brought under control) leads to severe intoxication. Thanks to the characteristic symptoms accompanying white fever, when they appear, parents can quickly take all the necessary measures to combat it. However, it is important not to forget about treating the underlying disease.

Parents' actions when there is a noticeable increase in temperature

Identification of the previously described symptoms is the basis for calling a local doctor or an ambulance. White fever is a very dangerous condition, and you can’t do it without a qualified specialist. While the doctors are on their way, we must
warm the baby and do everything necessary to improve the thermoregulation of his body.

It is advisable to use any antipyretic drug based on Paracetamol. The drugs should be given already at 38.5 degrees. For children older than three months, suppositories are suitable. It is permissible to prescribe Ibuprofen for six-month-olds. This drug is sometimes also used to treat younger children, but only with the permission of the pediatrician. The problem is that it has some pretty nasty side effects. It often provokes:

hypothermia;
indigestion.

It is prohibited to use Ibuprofen for:

dehydration;
chicken pox.

Under no circumstances should you give your baby two antipyretics at the same time.

Sometimes children suffering from white fever are also prescribed antispasmodics. They allow you to restore sweating. No-Shpa will do here. And, again, the doctor must authorize the appointment.

A child whose temperature has only risen to 38.5 °C needs to be wrapped warmer. A large blanket will do. When the heat is stronger, only the extremities need to be warmed. Use:

wool socks;
mittens;
heating pads.

It is useful to constantly massage your legs and arms - this will speed up blood circulation.

Make sure that the temperature in the nursery is a maximum of 20 degrees and no higher. Let your baby drink more often - dehydration is extremely dangerous. Stock up:

juices;
fruit drinks;
compotes;
boiled water.

It is better not to use tea; it has an extremely undesirable diuretic effect in our case. Drinks are given often, but in small volumes - 1-2 sips are enough for the child.

What you should never do at high temperatures

Quite often, young, inexperienced parents listen to the advice of older relatives and, as a result, their actions only worsen the baby’s condition. As a result, recovery will require more time, effort and resources.

The famous Ukrainian pediatrician Komarovsky especially emphasizes that various folk remedies should not be used to combat high fever. It is very dangerous to try to relieve a fever with:

rubbing with vodka or vinegar;
wrapping with wet cloth, etc.

In addition, it is strictly forbidden to additionally warm the room using electric fireplaces and other similar devices. Many adults believe that by acting in this way they are helping the patient, but this is not the case. In reality, in addition to an increase in air temperature, it also causes excessive drying, which is completely unacceptable. Warmth and low humidity will worsen the condition of the little patient.

Do not give too many antipyretic drugs. Temperature is a normal reaction of the body to the introduction of infection. This is how he fights her. For viruses, a satisfactory indicator is 38.5 degrees. Before these values, no medications are required at all, except in cases where the parents know that the baby does not tolerate fever well.

Every mother measures the child’s temperature only when the baby shows signs of illness. If the baby is active, cheerful and cheerful, then there is no need to take temperature measurements at all. To make sure that the baby has signs of illness, the mother just needs to put her hand or lips on the baby’s forehead to determine the elevated temperature.

If the baby's forehead is cold, then there is no need to take temperature measurements. But there are cases when a child’s forehead is cold, and the temperature rises to 38 degrees. What does this indicator indicate? Thermometer malfunction or the development of an unknown disease? We will look at this in more detail in the material.

The child has a fever and a cold forehead

Parents resort to measuring the child’s body temperature when there are accompanying signs for this. These signs include: lethargy, general malaise, loss of strength. If you touch not only the forehead, but also the back of the head, it will not be so cold, and a repeated measurement shows 38 degrees. If the baby has a fever, but the forehead is cold, then the main sign of this phenomenon is an infectious or viral infection of the body.

It is important to know! If the thermometer mark does not exceed 38 degrees, then giving antipyretics is strictly contraindicated.

If parents detect signs of illness in their baby, then there is no need to hesitate and wait until serious complications begin. You should immediately visit a doctor or call an ambulance. We will find out further what reasons can provoke high fever, while the child’s forehead remains cold.

Symptoms of white fever

One of the fundamental causes of such a phenomenon as a cold forehead and fever is white fever. White fever received this name for one simple reason: as the disease develops, signs of pale skin appear. If the forehead is cold and the baby’s temperature rises, this indicates that a spasm of blood vessels is developing. With vascular spasm, not only the forehead gets cold, but also the limbs.

It is important to know! The cause of white fever is pathogenic bacteria that infect the child’s body.

Spasm of blood vessels is a process in which oxygen begins to be localized in all vital organs. In this case, there is a strong outflow of blood from the extremities, as a result of which when you put your hand to your forehead, you can find that it is not hot. Vasospasm is a very dangerous sign, often manifesting itself in children at high temperatures above 38 degrees. Some children who have pathologies with the cardiovascular system are prone to developing white fever if the temperature is above 37 degrees.

It is important to know! A temperature of 37 degrees does not pose a danger to a child only if the baby has no signs of white fever.

In addition to the fact that the baby's head and limbs are cold, additional signs of white fever include: weakness, exhaustion, dizziness, lethargy, loss of appetite and pale skin. There are cases when the child begins to delirium and has hallucinations. In this condition, the baby should not be disturbed, but should immediately call an ambulance, informing the dispatcher that the baby has signs of white fever.

Cold forehead due to overheating

Why do children's body temperature rise, but their forehead becomes cold? If this phenomenon was not provoked by white fever, then the cause may be a banal overheating of the body. Many parents miss one very important point when wrapping up their children during cool weather. A child sweats very quickly during active games, so if you wrap your baby up, this will negatively affect his well-being as a result of overheating.

The main symptoms of overheating of the body are the following factors:

Nausea and headache.
Fever.
Bleeding from the nose.
Difficulty and rapid breathing.
Temperature increase.
Fainting.

If the cause of the baby’s illness is overheating of the body, then you should resort to the following actions:

undress the child to allow normal temperature to settle;
prevent sun exposure to the baby’s body;
Have your child drink as much fluid as possible to prevent dehydration.

It is important to know! Giving lotions to a child with a fever is extremely contraindicated, so if the child does not get better, you should give him an antipyretic and then call an ambulance.