At a low temperature, cold feet and hands. High fever in the 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 it is not knocked down, withstanding up to a certain limit, then it is possible to guarantee the death of most microorganisms and the formation of healthy immunity in the future. But when a fever is accompanied by a cooling of the limbs in a child, 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 old, it is better to take measurements by the rectal method. It is not recommended to determine the temperature in other parts of the body, as 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's call should be immediate.

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 directly the bacteria and viruses themselves, that causes an increase in temperature so that the body begins to produce the substances required to fight the infection. This helps in the shortest possible time to cope with the disease.

If the temperature does not rise, the production of interferon gamma will not occur. The same can be said about the situation when it is artificially knocked down, preventing the activation of the substances required to fight the pathogens that cause the disease. In this case, a disruption in the functioning of the immune system is provoked, 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 center of regulation is capable of setting the high temperature that is acceptable for the body, which is required for the destruction of microorganisms and the fastest possible recovery. The only thing is that if the child’s body is overheated from the outside and if the center of self-regulation is violated (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 an increase in temperature

Feverish conditions can manifest themselves in different ways:

High body temperature, in which the skin is visibly 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 bring down the body temperature in a child

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

What does fever mean when hands and feet are cold?

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 reason is a spasm of peripheral blood vessels, in which the process of heat transfer is disrupted, which can even lead to convulsions. This state can also be explained by the well-known fact that at high temperatures, blood viscosity increases, thereby sharply slowing down its circulation through the vessels. This is typical in the presence of abnormalities in the work 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 fever 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;
severe pallor of the skin, while cyanosis of the lips and nails may be noticeable;
chills (muscle trembling) even at high body temperatures, while the child complains that he is cold, cannot warm himself even under a warm blanket;
palpitations, heavy rapid breathing;
an increase in temperature to high values, which is often poorly amenable to the action of antipyretics;
sometimes pronounced toxicosis is added (damage to the central nervous system, which is characterized by general weakness, lethargy, lethargy, or, on the contrary, anxiety, increased arousal, delirium, convulsions).

What to do with high fever and cold extremities

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

not to allow body temperature to exceed 38-38.5 ° C, measured in the armpit;
call an ambulance;
rub hands and feet to stimulate blood flow to the limbs;
warm - wrap the child, put on woolen socks, you can use a warm heating pad on your feet;
regularly ventilate the room and maintain the air temperature in it no higher than 20 ° C;
with the permission of the pediatrician, use "No-shpu" to dilate blood vessels;
do not give potent antipyretics - this can increase spasm, only ibuprofen and paracetamol from temperature;
provide plenty of drink - 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 a little, but often.

What is dangerous high temperature

Fever can cause febrile convulsions (convulsive seizures). Most often they occur in children of younger preschool age. All measures must be taken to prevent this from happening. If this happens, you should:

lay 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 organs;
pay attention that there are no sharp corners, dangerous objects nearby in order to avoid injury;
in this case, from the temperature, children should use antipyretic candles - it is forbidden to pour medicines into the mouth so that the child does not choke or choke;
be sure to call for emergency assistance.

Antipyretic drugs for children

At a high temperature in a child and cold extremities already at 38.0 ° C, it is necessary to use special medications, for which it is allowed to use:

paracetamol in the form of rectal suppositories from 3 months, according to studies, it causes a minimum number of side effects;
ibuprofen - it is allowed to give children from six months of age, but according to the testimony of a pediatrician, it can also be used at an earlier date (you should know that the drug can provoke hypothermia, cause inflammation of the stomach and is contraindicated in chicken pox and dehydration).

It must be remembered that the simultaneous adoption of these two funds is unacceptable. Paracetamol for temperature is used much more often, since its use is more convenient and possible in cases where the child refuses to take oral medication.

Also, with symptoms of "white" fever, it is sometimes allowed to give children antispasmodics, which can help in establishing the natural process of sweating. To do this, take "No-shpu", which promotes vasodilation. We must not forget that this drug has many contraindications, so you can use the drug only according to the 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 for contacting a specialist. In any case, children under one year old need to call a pediatrician at home to make the correct diagnosis and exclude serious pathologies.

Feeling unwell, severe lethargy, chills, cold feet and hands are manifestations of hyperthermic syndrome, which proceeds like white fever. This is a dangerous pathological condition, among the complications of which are edema and swelling of the brain, the development of disseminated intravascular coagulation syndrome and convulsive syndrome.

Hyperthermic syndrome is a violation of thermoregulation, manifested by a limitation of the possibility of discharging thermal energy in the presence of excess heat production. Toxins, autoantibodies, as well as drugs that can provoke pyrogenic reactions become stimulants for the formation of heat. It should be said that heat transfer is carried out with the help of the skin (about 70–80% of thermal energy), lungs (about 20%), with urine and feces. When a spasm of the peripheral vessels occurs in white fever, the release of heat through the skin is blocked; the temperature of the extremities decreases, and the internal (core temperature), on the contrary, grows.

Hyperthermic syndrome complicates the course of infectious processes, accompanies metabolic disorders, endocrine disorders. It can occur with injuries, during surgery under anesthesia, with the use of drugs. Hyperthermia also develops under the influence of high ambient temperature when adequate heat transfer is impossible.

In children, the risk of developing hyperthermia is higher:

under the age of 3 months;
with lesions of the central nervous system;
in chronic diseases of the cardiovascular and respiratory systems;
in storage diseases.

The 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 recur in children with infectious or non-infectious fevers, 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.
Paleness and marbling of the skin, cyanotic (bluish) nails.
Increased heart rate (tachycardia), shortness of breath.
Increase in 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 antipyretics.

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

Children tolerate fever worse than adults; the highest risk of complications in patients of 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. You need to seek immediate medical attention. You can use it on your own:

drinking plenty of water (in no case alcohol);
careful rubbing of the limbs (without the use of alcohol solutions);
applying warm heating pads to the legs, 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 dropped by 1–1.5 C from the initial one, and the skin began to warm up, turned 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 methods of cooling (rubbing with water and alcohol, cold enemas) in pale fever is prohibited.

Consideration should be given to the risk of a possible overdose of antipyretics. When the temperature is resistant to the use of paracetamol or ibuprofen, frequent repeated use does not guarantee an antipyretic effect, but may be the cause of drug intoxication.

If the child’s legs are still cold at a temperature and there is no response to antipyretic drugs, antispasmodics (no-shpa, papaverine), antipsychotics (droperidol), metamizole sodium, pipolfen, glucocorticosteroids, glucose solution infusions, crystalloids are used. In a serious condition, the patient is hospitalized in the intensive care unit and intensive care.

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

High temperature in a child and cold extremities: what to do?

In most cases, children normally tolerate high temperatures, which rise with SARS, flu and colds. However, there are exceptions to the rule. A child's high temperature and cold extremities (hands and feet are cold) are the first symptoms #171; of white fever #187;. Why does white fever occur and why is it dangerous?

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

This type of heat is very dangerous, since it is difficult to predict the rise 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 disturbed.

Lethargy, weakness in the whole body;
At a temperature of 37.5 and above, the child has cold hands, pale skin, lips and nails may turn blue. Pallor of the skin during heat occurs due to spasms of peripheral vessels;
There is arrhythmia, tachycardia;
The baby has a headache, chills appear, blood pressure rises;
There are delirium, hallucinations, convulsions (at a temperature of 39 and above).

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

Ways to treat #171;white fever#187;

In no case should you ignore the increase in body temperature in a baby. 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.

In the presence of the above symptoms, a small patient must be urgently warmed to quickly relieve spasms.

If children's legs and arms get cold, you can not use mechanical methods to relieve heat. It is strictly forbidden:

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

With symptoms of white fever, it is necessary to give the patient a large amount of fluid. Warm teas, decoctions, 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 vasospasm.

Medications for young children

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

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

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

When to lower the temperature:

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

Important! If the temperature does not exceed 38.5 ° C and the child's condition does not worsen, it is not necessary to reduce it (with the exception of children under 3 months of age). Temperature #8212; it is not a disease, but the response of the body's immune system to the invasion of the virus.

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

The main signs and symptoms of "pink" fever.

Pink (or red) fever is much easier on children and has a more beneficial effect on the whole organism. With such an 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 feet and hands;
General health is satisfactory.

First aid for "pink" fever:

Rubbing the body with water. An excellent effect is the use of a solution with the addition of mint. Menthol has a cooling property, facilitates the condition of the baby;
Plentiful drink. At a high mark on the thermometer, a large amount of liquid evaporates. To restore the patient's water balance, it is often necessary to drink warm drinks. When refusing food, a small patient should be given a pharmacy solution of glucose, previously diluted in warm boiled water.
In the case of a significant increase in temperature, it must be knocked down with antipyretics. The safest drugs for babies are drugs that include paracetamol or ibuprofen. Candles are suitable for newborns and babies, older children will like syrup.

Important! Rose fever is a favorable sign of the immune system's fight against infection.

Why does the body need fever?

Why, then, in young children, a large number of diseases occur with elevated body temperature? Their immune system fights microbes in this way. Fever is a protective function of the body against infection, viruses and inflammatory processes. During a fever in children:

The work and activity of organs is activated;
Accelerates metabolism;
Immunity works effectively;
Strongly produced antibodies;
The reproduction of dangerous microbes and bacteria practically stops;
The bactericidal property of blood increases;
Toxins and harmful substances are removed from the body.

An increase in temperature in young children is a very important symptom that indicates the struggle of the immune system with 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 hands and feet always cold and how to get rid of it?

The problem under discussion today worries a lot of women. In such representatives of the fair sex, the palms and feet 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 is most surprising, even various tricks like heated socks and gloves do not allow to cope with the problem. Many doctors are trying to find ways to deal with it today. We will 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 can even be a serious disease. In this case, only a doctor can accurately diagnose and begin treatment.

Why do limbs in adults regularly freeze?

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

For example, thyroid disease. 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 whole organism can freeze as a whole.

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

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

Causes of the phenomenon in a child

If cold hands or feet are observed in a child, 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 along with the disease. First of all, use a thermometer. to know body temperature.

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

What do cold fingers and toes mean at a high temperature?

Such a situation, when at a high temperature the limbs are cold, has its own name - “white fever”. In this case, lowering the body temperature is 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, special strong antipyretic drugs should be taken as early as possible.

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

What to do and how to get rid of it?

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

Folk methods of treatment

But there are various popular ways to fix the problem. The first is physical activity. To recharge your batteries and disperse the blood, you should start every day with a full-fledged gymnastics. This will also affect the general condition of the body and will allow you to imperceptibly improve the figure without much effort.

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

Nutritional control is also important. Fat must be present in the diet. In addition, hot meals should be consumed at least once a day. It is best if it is soup or broth.

It is also good to drink ginger tea. This ingredient is able to perfectly warm up the body, as well as regulate blood circulation.

But cigarettes should be done away with. Each new puff leads to an instant violation 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 at least once in his life faced with an increase in body temperature. This can happen for various reasons. Most often, the level of the thermometer rises at the time of damage to the body by viruses and bacteria. It is worth noting that many pathological microorganisms begin to die when the temperature reaches 38 or 39 degrees. So a person fights the disease and receives immunity. Sometimes it happens that the patient has a high temperature, hands and feet are cold at the same time. 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 the skin of a person at such a moment becomes very pale. This pattern is explained quite simply.

If a person has a temperature and cold hands and feet, then this indicates that the blood vessels are spasmodic. The required oxygen...

An increase in body temperature accompanies many diseases that occur in children. This symptom not only worsens the well-being of the crumbs, but can also threaten with serious consequences, especially when it comes to the health of the baby in the first years of life. When a child has a high temperature, and the 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 the extremities are cold is called a fever. The cause of this condition is a sharp violation of the blood supply to the limbs due to spasm of peripheral vessels. Fever can provoke febrile seizures, so if parents see that the child has a fever, but at the same time his feet and hands are cold, then help should be provided immediately.

Often the causes of fever are:

rotavirus infection; SARS; bacterial pneumonia; some disorders associated with the functioning of the brain.

Fever symptoms

The list of signs of acute forms of infectious diseases certainly includes elevated body temperature. Fever acts as a protective and adaptive mechanism and is normally tolerated by patients with uncomplicated ARVI or other pathologies.

The exception is the "pale" type, when the limbs remain cold at high temperature - this condition is called "white" fever.

Causes

"White", or "pale" fever is a pathological variant of an increase in body temperature. Heat production...

Cold extremities are a common problem, such a phenomenon can be caused both by the features 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 in adults suffering from complex chronic diseases with impaired immune defense function. In the people, this condition was aptly dubbed "white fever".

Reasons for this condition

This phenomenon refers to the protective reactions of the body. Failure of the immune system and the vascular system leads to a special physiological process in which blood rushes from the periphery to large internal organs, at the same time, the vessels of the limbs sharply spasm and heat exchange in them is disturbed.

Outwardly, this condition is characterized by a 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 are too diligent in taking care of the kids, and as soon as the air temperature drops a few degrees, they are already put on warm winter clothes, their feet are warmed with several socks, wrapped in scarves and winter hats. However, the children continue to play at the same pace as they did 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 track of their behavior and wardrobe. As a result, fever, cough, runny nose, and ... Long live SARS! But with impaired thermoregulation of the body, the child's temperature rises, while his hands are cold. What does such a symptom mean - a banal overheating of the body or a sign of a disease?

Hyperthermia - what is it?

Hyperthermia is an increase in body temperature with impaired thermoregulation of the body. Such...

I'll write exactly then:
child 7 years old
yesterday 39.5, didn’t knock down all day, (the doctor said viral)
hands and feet were cold, apparently, just this very white fever (although the cheeks were a little pinkish from the temperature)
in the evening it fell to 38.5, so she went to bed, she sweated a little in the morning, but not much like ...
morning 37
today at five o'clock in the evening it suddenly rose again to 39.5
(the doctor came, she already recommends an antibiotic, because the nose does not breathe, she is afraid of how to prevent sinusitis; well, and a bunch of medicines, synupret, for example, from a stuffy nose (I single it out, because a new medicine for me). but this is me, to the heap, not to discuss treatment in principle, otherwise we’ll go offtopic, and I’m not writing all the details, I’m now more interested in cold extremities :))))
so, again 39.5
feet are cold, hands are warm, but my daughter says that her hands are cold too...
warmed up, but it seems to me, to no avail ...
obviously feeling worse...
I...

An experienced mother cannot be scared by the number 38: the initial stages of treatment have been worked out to automatism. But when the column of mercury confidently creeps up, and the hands and feet, on the contrary, get colder ...

Is it a terrible symptom of some rare disease or an individual reaction of the body? How is it that the fever is rising and the limbs are icy? How to help?! Wrap up and turn on the heaters or open the windows? Call a doctor or wait?

So what to do?

In order not to fade into the background in a critical situation, we will understand now.

White and red fever: what is it?

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

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

Dear moms and dads!
No need to mock the pediatrician's psyche, declaring that the baby has "delirious tremens". Delirium tremens, it is also "delirium", and colloquially "squirrel" is something else ...

Hyperthermia is overheating, an increase in the body temperature of a child or an adult with some violation of the thermoregulation of the body. It can 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 the child has cold hands and feet even at a temperature.

The child's body is often exposed to SARS

Why does it happen like being parents if a similar phenomenon is observed? When to start bringing down the temperature, with what drugs?

Each organism is individual, as is its reaction to diseases, to drugs. What may be quite tolerable for one, may harm another significantly. Also in children with a fever - some may not even notice a high temperature, while others may begin to have convulsions already at 38 ° C. That is why the following tips can only be called general, and every parent ...

Cold hands and feet at a temperature

Elevated indicators when measuring body temperature indicates that there is an increased production of heat inside the body. In this case, most of the pathological microorganisms die. But many patients notice that at a high temperature, the hands and feet remain cold.

Why are there cold hands and feet at a temperature

In this condition, the pallor of the skin is striking. And this is natural! The fact is that a high body temperature with cold extremities indicates a vasospasm. In this case, there is an outflow of blood from the arms and legs to the internal organs. The patient has dizziness, general weakness, chills, arrhythmia - the so-called "fever" in the people.

What to do with high fever and cold extremities?

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

Diseases of young children often go away with fever. The child, as they say, "burns." His breath and the surface of the body become hot, the baby's face turns red. However, it also happens that at temperatures above 38.5 degrees, the hands and feet of the child are cold. Why the usual scheme does not work, what happens in the baby's body, whether it is necessary to bring down the temperature - questions that we will look for answers to together.

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

What happens to the blood circulation of a child at a high temperature?

Monitoring the condition of the child at high temperature is the main task of parents. It is unacceptable to disregard the slightest changes in the work of his body. Cold legs and arms in this case indicate a generalized vasospasm. Illness and high fever disturb the circulation...

Maybe someone knows this for a long time, but I just recently came across this information and turned out to be very useful.

If a child (and an adult) has cold extremities (arms, legs) at a high temperature, then the temperature will not go down until they are heated !! This is a vasospasm, this is very bad (and I, a fool, rejoiced, I thought - this is how the temperature goes out).
Therefore, the legs-handles must be warmed up to steam with water or put a heating pad. And something like No-shpa to relieve spasm.

At the age of 2, my masi has a temperature of 39.5, it didn’t go astray, my legs are cold. As soon as she wrapped her legs (only legs) in a blanket and warmed her up, the temperature itself went down to 37.8. Before that, they suffered for days.

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

If your hands and feet are cold - do not wipe! So only increase the spasm even more !! First warm - then wipe and bring down the temperature.

Do not be ill!...

I found it here in the open spaces of BB, consulted with our cardiologist, she said that it is better not to give Corvalol at this age, but she confirmed about noshpu and said to give it without fail. What does this mean I explain on the fingers. she is not a doctor herself, some children have convulsions when the temperature rises (this is a neurological problem), cold hands and feet, this means vasospasm, i.e. a harbinger of convulsions, in fact, if nothing is done about it and the temperature continues to rise, the child may begin to have convulsions. Here is the recommendation of a cardiologist at a temperature above 38.5: "1/3 suprastin, 1/2 no-shpy, 1/4.1/3 analgin or antipyretic.

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

At home, there should always be antipyretics (children's candles, potions, but you should not have high hopes for candles and potions, so analgin and aspirin must be available), no-shpa, Corvalol and antihistamine (if, suddenly, ...

In the vast majority of cases, febrile conditions in patients, especially in childhood, are due to the presence of infection. Fever is a way to fight pathogenic microorganisms, its biological role is to prevent the reproduction of the pathogen, creating conditions for recovery.

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

"White", or "pale" fever is a pathological variant of an increase in body temperature. Heat production, that is, the production of thermal energy by the body, significantly exceeds heat transfer, and the balance between these processes is disturbed.

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

The appearance of a "white" type of fever is an unfavorable prognostic sign. It can become a provocateur of complications, among which are convulsive syndrome 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 the imperfection of thermoregulation and low ability to transfer heat through the evaporation of sweat from the surface of the skin, combined with a large amount of heat produced. Dr. Komarovsky emphasizes that a high temperature and cold extremities in a child is a condition that all parents need to know about.

Symptoms

The clinical picture of "white" fever includes such signs as:

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

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

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 convulsions are not dangerous, since an undesirable effect on the central nervous system is observed in very rare cases and they should not cause brain damage.

Despite the difference in assumptions, febrile seizures are usually benign in nature and neurological disorders should not be feared.

Treatment

To help a patient with a "pale" type of fever, it is required:

Cool humidified indoor air (18 to 20 °C within 50-70% humidity).
Sufficient amount of drink.

Drug treatment is prescribed by the doctor during the examination.

Rubbing with alcohol solutions, cold enemas and other physical methods of cooling with "white" fever are prohibited, as they increase vasospasm and reduce heat transfer, aggravating the patient's condition.

For the initial therapy of "white" fever, use:

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

In the absence of a response to the introduction of diazepam, replace it with sodium valproate intravenously. The effectiveness of therapy is assessed by a decrease in body temperature in the armpit (by 0.5 degrees or more in 30 minutes). A favorable sign is the transformation of the fever from "pale" to "pink".

If a patient develops a febrile seizure, assistance should 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 solid 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 for emergency help.

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

During the period of convulsions, one should not try to unclench the 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 airways. The head must be protected from hitting a hard surface.

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

Hyperthermic syndrome is a violation of thermoregulation, manifested by a limitation of the possibility of "dumping" thermal energy in the presence of excess heat production. Toxins, autoantibodies, as well as drugs that can provoke pyrogenic reactions become stimulants for the formation of heat. It should be said that heat transfer is carried out with the help of the skin (about 70-80% of thermal energy), lungs (about 20%), with urine and feces. When a spasm of the peripheral vessels occurs with "white" fever, the release of heat through the skin is blocked; the temperature of the extremities decreases, and the internal (core temperature), on the contrary, grows.

In children, the risk of developing hyperthermia is higher:

under the age of 3 months;
with lesions of the central nervous system;
in chronic diseases of the cardiovascular and respiratory systems;
in 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.
Paleness and "marbling" of the skin, cyanotic (bluish) nails.
Increased heart rate (tachycardia), shortness of breath.
Increase in 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 antipyretics.

In the absence of timely treatment, the prognosis is unfavorable - hyperthermia has a pathological effect on the cardiovascular and nervous systems, leads to dehydration, shifts in the acid-base state, and blood clots.

Children tolerate fever worse than adults; the highest risk of complications in patients of 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. You need to seek immediate medical attention. You can use it on your own:

drinking plenty of water (in no case alcohol);
careful rubbing of the limbs (without the use of alcohol solutions);
applying warm heating pads to the legs, 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 dropped by 1-1.5 ° C from the initial one, and the skin began to warm up, turned 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 methods of cooling (wiping with water and alcohol, cold enemas) with "pale" fever is prohibited.

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

Causes

If the temperature has risen to 38 degrees, the development of generalized vasospasm is observed in children. This is what leads to the fact that the limbs quickly cool down. In parallel, the following symptoms occur:

the skin turns pale;
become very dry.

In children with cold extremities and elevated temperature, 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 transfer. This provision is most dangerous for infants, since their thermoregulation does not yet work properly.

In general, the presence of fever indicates the normal functioning of the immune system. It is she who actually causes the blood to be redirected to the vital organs. As you might guess, the lower limbs have a minimum 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;
SARS;
whooping cough.

What exactly is the body temperature today considered elevated

In children older than 2 years, measurements are taken in the armpit. For those whose age is younger, it is recommended to put 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 - 37.5-38 ° C.

Life-threatening (not only for a child, but also for an adult) are indicators of more than 41 degrees. 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. These are the following factors:

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

The overheating that occurs (if you do not take it under control) leads to severe intoxication. Due to the characteristic symptoms that accompany white fever, parents can quickly take all necessary measures to combat them when they appear. However, it is important not to forget about the treatment of the underlying disease.

Actions of parents with a noticeable increase in temperature

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

It is advisable to use any antipyretic agent based on Paracetamol. Give drugs should be already at 38.5 degrees. For children older than three months, suppositories are suitable. Six-month-olds are allowed to prescribe Ibuprofen. For the treatment of younger children, this drug is sometimes also used, but only with the permission of the pediatrician. The problem is that it has a number of rather unpleasant side effects. It often provokes:

hypothermia;
indigestion.

Do not use Ibuprofen for:

dehydration;
chickenpox.

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

Sometimes babies suffering from white fever are still prescribed antispasmodics. They allow you to restore perspiration. No-Shpa will do here. And, again, the appointment must be approved by the doctor.

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

woolen socks;
mittens;
heating pads.

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

Make sure that the temperature in the nursery is a maximum of 20 degrees and not 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. Drinking is often given, but in small volumes - 1-2 sips are enough for a child.

What to do in no case can not be at high temperatures

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

The well-known Ukrainian pediatrician Komarovsky emphasizes that various folk remedies should not be used to combat high fever. It is very dangerous to try to eliminate a fever with:

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

In addition, it is strictly forbidden to additionally warm the room with the help of electric fireplaces and other similar devices. Many adults believe that by acting in this way they are helping the sick, but this is not so. In reality, in addition to an increase in air temperature, it also becomes excessively dry, which is completely unacceptable. Heat and low humidity will worsen the condition of a small patient.

Do not give too many antipyretics. Temperature is a normal reaction of the body to the introduction of an infection. This is how he fights her. With viruses, a satisfactory indicator is 38.5 degrees. Up to these values, no medication is required at all, unless parents know that the baby does not tolerate heat well.

Each mother measures the temperature of the child only when the baby has 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, it is enough for the mother to put her hand or lips on the baby's forehead to determine the fever.

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

The child has a fever and a cold forehead

Parents resort to measuring body temperature in a child 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, then it will not be so cold, and a second measurement shows 38 degrees. If the baby has a temperature, and 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 discover signs of illness in the baby, then there is no need to hesitate and wait until serious complications begin. It is necessary to immediately resort to visiting a doctor or call an ambulance. What reasons can provoke a strong fever, while the child’s forehead remains cold, we will find out further.

Symptoms of white fever

One of the fundamental causes of such a phenomenon as a cold forehead and fever is white fever. This name was given to white fever for one simple reason: with the development of the disease, signs of pale skin appear. If the forehead is cold, and the temperature rises in the baby, then this indicates that a spasm of blood vessels is developing. With vasospasm, not only the forehead becomes 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. At the same time, there is a strong outflow of blood from the limbs, as a result of which, putting a hand to the forehead, one can find that it is not hot. Vasospasm is a very dangerous symptom, often manifested 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 the child, only if the baby does not have signs of white fever.

In addition to the fact that the head and limbs of the baby are cold, additional signs of white fever include: weakness, exhaustion, dizziness, lethargy, loss of appetite and pallor of the skin. There are cases when the child becomes delirious and hallucinations appear. In this state, the baby should not be disturbed, but an ambulance should be called immediately, informing the dispatcher that the baby has signs of white fever.

Cold forehead due to overheating

Why do children have a rise in body temperature, and the forehead becomes cold at the same time? 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 their children up during cool weather. The child sweats very quickly during active games, so if you wrap the baby, this will negatively affect his well-being as a result of overheating.

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

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

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

undress the child to allow the temperature to return to normal;
exclude the sun from hitting the body of the crumbs;
Give your child as much fluid to drink as possible to prevent dehydration.

It is important to know! Putting lotions on a baby in a feverish state is extremely contraindicated, so if the baby does not get better, you should give him an antipyretic, and then call an ambulance.