Cold extremities in a child with fever. Hot feet and hands when the temperature drops. Cold hands and feet with fever

Increased performance when measuring body temperature, it indicates 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, arrhythmia – the so-called “fever” among the people.

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 exceeds this figure, you should take some antipyretic drug. It is especially important to react in time when the temperature rises if the patient is a child, an elderly person or has a chronic disease. Without timely assistance convulsions may begin, and it is much more difficult to correct the condition.

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

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

Reasons causing this condition

This phenomenon refers to the body's defensive reactions. Malfunction of the immune system and 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 state characterized by pronounced pallor of the skin, hence the appropriate name - “white fever”.

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

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

Symptoms of white fever:

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

Diagnosis of “white fever”

Distinguish this type hyperthermia from a normal rise in temperature can be the following signs: with normal fever, the skin is evenly warm throughout the body, and the patient feels satisfactory. “White fever” causes severe chills, tremors in the limbs, feet, palms and lips of a sore marble hue or bluish, suffers general state- blood pressure rises, heart rate increases, breathing becomes difficult.

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

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

Treatment

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

What not to do in this condition

• There is no need to use an electric heater in the room where the patient is, because despite the chilliness of the limbs, the overall body temperature is high and by heating the air, you can provoke overheating of the whole body.
• Do not rub your limbs with alcohol under any circumstances; this may cause increased spasm of the small vessels of the arms and legs.
• The temperature should not be reduced to normal levels; recovery will take time, and temperature reactions are needed to fight the infection. The main thing is to observe positive dynamics, a gradual decrease in body temperature and an improvement in the general condition of the patient.

"White fever" has vivid features If you find it in yourself or your loved ones, be sure to consult a specialist. This will help you avoid unnecessary complications and get competent advice on how to deal with it.

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A hot head and cold feet when a child has a fever is an unusual combination of temperature indicators of the body and limbs. Found in most clinical pictures for colds and viral diseases. The condition is unpleasant and dangerous for a small patient and requires medical attention. Systemic circulation is impaired, internal organs suffer from oxygen starvation. Therefore, if a child has a high fever and cold feet, you need to seek help from your local pediatrician.

What is a child's temperature?

This is a symptom of a cold or viral disease, which is accompanied by general weakness, tinnitus, and excessive sweating. In this case, the child has a hot forehead and temperature regime of the whole body. Attacks of elevated temperature are accompanied by chills and fever and require immediate use of non-steroidal anti-inflammatory drugs. Cold extremities when a child has a fever indicate a condition that doctors call “white fever.”

What body temperature is considered elevated?

Ideally, a child’s body temperature reaches 36.6 degrees, and a level of 37 and above is considered elevated. Separately worth noting physiological characteristics infants who have acceptable indicator is the range of 37 - 37.3 degrees. IN the latter case much depends on the room temperature, others external factors. Symptoms of white fever occur with an increase in body temperature, while the body's thermoregulation, especially lower limbs broken. The color of the skin is pale and bluish.

High temperature in a child and cold extremities

For inflammation and acute infections The body temperature rises significantly, while the patient has severe joint pain, aches throughout the body, weakness and increased drowsiness. The head and forehead are hot, there is perspiration. Feet may remain cold even in warm socks and have a pale tint. Other symptoms of poor health include:

• attacks of dizziness;
• nausea, less often – vomiting;
• hyperthermia;
• decline in physical activity;
• instability of the emotional sphere;
• signs of weak immunity.

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

Many people believe that there is no need to bring down the temperature of 39, it is necessary to give the immune system the opportunity to independently cope with the health problem that has arisen. This is an erroneous opinion, since in the case of white fever, a spasm is observed in the affected body and blood circulation is disrupted. Among the complications of white or pink fever, doctors identify convulsions and acute oxygen deprivation.

Why are my hands and feet cold at temperatures?

A hot head and cold feet are a sign of a disease that needs to be treated promptly. Since vascular spasm predominates in the child’s body, limiting blood flow, doctors recommend warming the baby with warm drinks and rubbing the feet with alcohol. Thereby stimulating systemic blood circulation, normalizing the processes of heat reception and heat transfer. If the blood reaches the arms and legs in insufficient quantities, they become cold, and convulsions are possible in the future.

Why is high temperature dangerous?

Progressive vasospasm at fever in a child - dangerous condition which leads to seizures and disability. This is one of the few explanations why disturbed body temperature with cold extremities of a child requires timely treatment conservative methods. It is necessary to start with the recommended dosages of the medicine when the thermometer reaches 37.5 degrees.

What to do with high fever and cold extremities

If parents notice cold feet at a high temperature in a child, they should immediately seek advice from a pediatrician, and feel the child’s forehead and hands. Self-medication is prohibited, since it can only worsen the general well-being of the little patient. Compresses will not be superfluous cool water on the forehead, and non-steroidal anti-inflammatory drugs may not work. Here are recommendations from knowledgeable experts:

1. To warm the child, you need to put a warm heating pad under his feet and first put on woolen socks.
2. A good effect can be obtained from rubbing the limbs, but after completing the procedure it is necessary to put warm socks on your feet.
3. It is advisable to drink more warm liquids to forcefully stimulate the slow systemic blood flow.

Medications

A sick child may be wet from a high body temperature, while the feet remain cold. Treatment can be carried out at home, but on the recommendation of a specialist it is important to use several pharmacological groups with representatives different forms release:

• antispasmodics to relieve spasms of smooth muscles: No-Shpa, Drotaverine;
• antihistamines: Zodak, Zyrtec, Suprastin;
• ointments with a warming effect: Dr. Theiss ointment, turpentine ointment, Doctor Mom.

Antipyretic drugs

You can reduce body temperature with cold extremities with Ibuprofen or Papaverine. In the first case, we are talking about a medicinal suspension with a pleasant taste, in the second - about suppositories that are supposed to be administered rectally. The child will be wet within 15 - 20 minutes, but will need to sweat a little more. Here are the effective ones medical supplies in a given direction:

1. Panadol. Baby syrup It has a sweet taste and is approved for use by children already in the first year of life, according to the instructions for use. Daily doses are determined by the individual weight of the patient, the course of treatment is 5–7 days.
2. Nurofen. The drug is prescribed for intolerance to paracetamol and the inactivity of the above medication. Active ingredient– ibuprofen. Available in the form of a sweet suspension, it is used according to the principle described above for 5 - 7 days, according to the patient’s weight category.

Antispasmodics

No-shpa is recommended to be used in case of severe vascular spasms, preferably intramuscularly to speed up the overall therapeutic effect. The child is more often prescribed rectal suppositories with Papaverine, which begin to act 15 - 20 minutes after administration of a single dose. Here are effective antispasmodics if your child has cold feet at a fever:

1. No-shpa. Relieves spasms, lasts up to 4 – 8 hours. Recommended daily dose– up to 3 tablets, but not at once. The course of treatment is until the alarming symptoms disappear.
2. Drotaverine. Another reliable antispasmodic that restores vascular tone. The drug is available in tablets. It is recommended to take 1 – 3 pieces per day, no more.

Use of lytic mixture

Cold hands and feet at a child's temperature need to be warmed, and for this it is recommended to rub the palms and feet with alcohol, and wiping with vinegar will not be superfluous. To quickly restore the general condition of a small patient, pediatricians recommend using a lytic mixture. This resuscitation event in the form of intramuscular injections, which effectively relieves high fever, removes spasms, and normalizes the child’s well-being.

Prepare lytic mixture can be done at home, and for this you need to combine the following pharmacological ingredients:

• But Shpa;
• Diphenhydramine;
• Analgin.

Method of preparation, rules of use:

1. You need to combine 1 ml of each ingredient and mix the composition.
2. The solution will be injected into the gluteal or femoral muscle.
3. Improvements come after a few minutes.

In this way, you can normalize the temperature, warm your legs and arms, and prevent the formation of cramps. Use medicinal composition systematically is extremely undesirable, since the body very soon gets used to such treatment, and it becomes ineffective. This is a one-time event that gives a lasting effect at temperature.

Video

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 the child has a high temperature, and his hands and feet are cold, what to do in this case?

Fever: what is it?

A condition in which a person has a very high temperature and cold extremities is called fever. The reason for this condition is sharp violation blood supply to the extremities due to spasm peripheral vessels. Fever can cause febrile seizures, therefore, 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

Signs of fever in children include:

• pallor of the skin;
• cyanosis of lips and fingertips;
• arrhythmia;
• arrhythmic breathing;
• cold feet and hands.

This condition is considered the most dangerous for children under 1 year of age, since their thermoregulation system, due to its development, is far from perfect. Against this background, the baby may experience severe convulsions, overheating and even severe intoxication. If a baby has symptoms of fever, it is necessary to immediately call a medical team; the child needs emergency care doctor!

Actions

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

Heat a child has cold hands and feet, what to do:

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

Convulsions

What to do if a child has a high fever, and his hands and feet are cold, and, in addition, convulsions begin:

1. The baby's clothes are removed.
2. The room where it is located is thoroughly ventilated.
3. Need to be soaked in warm water sponge and rub the baby with it, then cover him with a thin blanket.
4. If the convulsions have stopped, the baby should be provided with plenty of fluids.

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

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

In most cases, children normally tolerate the high temperature that rises during ARVI, 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 “white fever”. Why does white fever occur and why is it dangerous?

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

“White fever” is a sharp and rapid increase in body temperature, in which the balance between the body’s production of thermal energy and heat loss is disrupted.

Main symptoms:

1. Lethargy, weakness throughout the body;
2. 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;
3. Arrhythmia, tachycardia occurs;
4. The baby has a headache, chills, and increased blood pressure;
5. 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 “white” or, as it is called, “pale” fever. Parents should immediately provide first aid, and if the child’s temperature is 39 and above, call a doctor.

Methods of treating "white fever"

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 urgently to quick removal spasms.

If children's legs and arms become cold, do not use mechanical methods relieving fever. It is strictly prohibited:

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

For symptoms of white fever, it is necessary to give the patient a large number of liquids. 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.

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:

1. Children under 3 months of age inclusive, as well as children with a history of seizures, serious illnesses lungs and heart, antipyretic drugs can be prescribed at temperatures below 38 degrees.
2. When the temperature rises to 38.5 degrees, the child feeling unwell prescribed (Ibuprofen, Panadol, Paracetamol, Nurofen, etc.). Medications to reduce fever should not be used for more than 3 days without consulting a pediatrician.
3. 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). Fever is not a disease, but a response of the body’s immune system to the invasion of the virus.

1. Amidopyrine;
2. Phenacetin;
3. Antipyrine;
4. Nimesulide. The medication should not be given to children due to its hepatotoxicity;
5. Metamizole (analgin). The drug may cause anaphylactic shock. Its use provokes agranulocytosis, which is often fatal;
6. Acetylsalicylic acid for viral diseases, chickenpox, and influenza can lead to Reye's Syndrome. This severe cephalopathy is accompanied by liver failure. Death 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 for the entire body as a whole. With such an increase in temperature skin Pink colour, hot and humid. 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:

1. 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;
2. Drink plenty of fluids. At a high mark on the thermometer, a large amount of liquid evaporates. Recovery water balance The patient should be given warm drinks frequently. When refusing food little patient You should give a pharmaceutical solution of glucose, previously diluted in warm boiled water.
3. If the temperature rises significantly, it must be brought down. 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 struggle immune system with infection.

Why does the body need fever?

Why do young children develop a large number of diseases? elevated temperature bodies? Their immunity fights germs in this way. Fever is the body's defense 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 very important symptom, which indicates the fight of the immune system against the disease.

Remember what to put correct diagnosis Only a doctor can, do not self-medicate without consultation and diagnosis by a qualified doctor.