What to do with the temperature of cold extremities. High fever and cold hands and feet - what to do

“The child has a high temperature and cold extremities, what should I do?!” - Good question for the local pediatrician. The situation itself is non-standard, because if we are talking about a common cold or something else, the temperature of the entire body of the child rises. And here the limbs remain cold. As if the blood does not have enough strength to warm them up, or is it really a sign of a dangerous disease?

Why does the child have a high temperature, but the hands and feet are cold?

The age of the child does not matter. Unfortunately, children get sick at any age, even in the first months of life. It is more important to know the causes and other important points related to temperature.

when the baby is only a couple of months old, it is important to measure the temperature after eating, waiting for awakening, waiting a few minutes after bathing. And then you get higher performance;
it is better to calm a crying child first before measuring, the baby should be in a calm state;
when taking measurements with fashionable thermometers, it is worth remembering, when measuring in the mouth, subtract -0.5 degrees from the result obtained, measuring in the ass to -1 degree. Therefore, the usual thermometer does not lose its relevance;
mercury thermometers are still the best and give accurate results.

When to call your doctor:

a 3-month-old child with a temperature of 39+;
the baby is lethargic, does not want to drink, rarely pees and his urine is dark;
antipyretics do not help;
the child vomits with temperature, he has diarrhea;
convulsions.

It is important to observe the behavior of the child, noting all concomitant signs:

cold extremities;
weakness;
sluggish movements;
deterioration in general well-being.

Perhaps he has vasospasm, so to the limbs needed blood flows badly. The process of heat exchange is disrupted, which can also cause convulsions. The child has a high temperature and cold extremities, feeling discomfort, the heart works faster, trying to help the peripheral vessels, but the spasm does not allow the blood to pass.

Sometimes this happens when:

the child suffers from disorders in the central nervous system;
he has low blood pressure;
dehydration.

What to do if a child with fever has cold extremities?

Call the doctor, call an ambulance. All possible reasons similar condition quite serious and require professional help. Waiting for the doctors, you can not try to bring down the temperature conventional methods- wipe with cool towels, wrap, this will complicate the situation. To help your child in some way, you can do:

give No-shpu (the dosage according to age is written on the preparation), of course, if the baby is sick, it’s not worth the risk;
antipyretic (usually paracetamol or ibuprofen), again a link - if it is not the baby who suffers;
try to drink more often (all ages);
wrap with a blanket, but so that air enters (also suitable for everyone).

For the treatment of infants, there are other drugs and they should be given only after consulting a doctor.

Procedure - do not immediately take the drugs. When the baby is shivering with an increase in temperature, he will turn pale, the problem may be in violations of heat transfer, a sharp decline temperature will only increase the spasm.

The child has a high temperature and cold extremities - no panic. Fear in the eyes of the mother, her impotence, tears or hysteria will only aggravate the situation. Even monthly babies perfectly feel the mood of their mother and feed on it. Calm and positive approach! Having called for help, calm the child, hold it in your arms or cuddle it, rub and massage the limbs. If there is a nurse nearby, tell them to inject 2% papaverine (if not a small baby is sick). Later, enter Nurofen, they are sold not only in pills, but also as candles. It's best the drugs get into the bloodstream without having to go to the liver on their way out of the baby's stomach. When calling an ambulance, do not let the doctors inject analgin. A seemingly harmless drug reduces hemoglobin, and this then adversely affects the number of leukocytes.

Instant antipyretics can significantly harm. Pediatricians are also not advised to rush with such drugs. Usually the temperature rises during the struggle of the body with some kind of virus. Doctors give the body time to fight the scourge.

What is special about fever? With it, the temperature will rise, but the limbs will remain cold, the peripheral vessels will narrow and will not let enough blood in.

How dangerous is such a fever?

In infants, especially at high temperatures, their limbs do not immediately get cold. Sometimes the child has a high temperature and cold extremities, and sometimes just a temperature, and the body is convulsing. These are some of the parts of the child's brain that will react to the resulting spasm in the vessels. This condition may be accompanied by suffocation, the baby bites the tongue, or blistering discharge is visible from the mouth. Those areas of the brain that can cause seizures are responsible for breathing. Spasm is an atypical condition for the body, and it “fails”.

What moms say

“Semyon often has this: the temperature soars to forty, his hands and feet are just icy. He behaves calmly - runs, laughs, plays. Maybe appetite is reduced, but not by much. I did not think before that the condition required serious intervention, so I was not afraid. After all, I did not notice any deviations in behavior. I give an antipyretic every few hours, usually before going to bed. When he sleeps, I insert candles. Well, the son rarely gets sick ”

Anna, 30 years old

“I couldn’t really understand what was going on! Forehead hot, body hot, hands icy. The antipyretic medicine was constantly given, strongly rubbed. The popular No-shpa was also recommended, but I was afraid, it was small at all ... I simply called an ambulance - they pricked it and immediately the temperature went down. Never delay calling an ambulance! Especially when the child is no more than 3 years old!

Lana, 24 years old

“No antipyretics and rubbing helped us too much. She gave syrups, put candles, nothing. Scared of course. Called the ambulance. We arrived, gave an injection, it didn’t last long. Save the aspirin!

Oksana, 28 years old

It is important to take seriously the situation when a child has a high fever and cold extremities.If this happens periodically, take the baby to an appointment. Perhaps he has a vascular disease or problems in a part of the brain. This does not happen in a vacuum and it is important to remember this!

Do not scare an experienced mother with the number 38: initial stages treatments worked out to automatism. But when the column of mercury confidently creeps up, and the hands and feet, on the contrary, get colder ...

This is terrible symptom some rare disease Or individual reaction of an organism? 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 a different condition. It arises due to sharp drop blood alcohol level. So, let's dwell on the term " white fever"And in order to avoid embarrassment, we will use it.

Why does the body turn on cooling mode?

White fever is when a child has a fever and the feet and hands are cold.

The mechanism is simple: the temperature rises and centralization of blood circulation occurs. Due to spasm of peripheral vessels increased blood flow to vital important bodies (brain, lungs, heart, etc.). And the limbs become cold, because. their heating is not an important task for the body now.

Hands need to be warmed up.

Why is it dangerous? Heat production (heat production) increased due to fever. Heat transfer (removal of unnecessary heat from the body) has fallen due to spasm of peripheral vessels. As a result, the little one overheats even more.

Consequently, we have two tasks: to increase the low, to bring down the high. We are working!

Larisa (child 2 years old):

“My Syomochka is always like this: the temperature is under forty, and her hands and feet are icy. At the same time, he does not show any signs of illness: he plays, laughs. Maybe he's just eating less than usual. I did not know that such a condition was dangerous, so there was no particular fear. I give antipyretic with a frequency of 5 hours, always at night.

How can you help your child cope with this condition?

All actions - as at normal temperature. Hot hands / feet or cold - this is the second question. There is one exception - see the paragraph "What to get from the first aid kit".

Find out where the temperature came from viral disease or bacterial - leave all these dances with a tambourine to pediatricians.
And we calmly execute our "helper" algorithm.

First of all - regimen and diet!

We work strictly according to Komarovsky! Our goal is cool (open the window or put the windows in the ventilation mode) and humid (humidifier to help) air. No humidifier? A couple of times a day we wipe the dust and wash the floors in the nursery. Everything in order to breathe a sick child was pleasant, and to give extra degrees is easy.

At the same time, we do not turn the child into a frozen semi-finished product.

You can't do without woolen socks.

Give him socks, his favorite pajamas, a blanket. A precious person should be warm. Otherwise, sweat will not form, heat will not be lost, and the thermometer will not move.

To sweat well, the child needs a large number of liquids. So let's drink. Compotes, fruit drinks, decoctions, water... They pretended to be a parrot and offer, offer, offer.

You need to drink a lot!
Even if you don't want to.
For the disease to come out.

Do your kids insist on dinner? Feed, but sparingly and light food.

Not asked to eat? Do not transfer products! The child's body is busy - it fights with the enemy and cannot waste resources on digestion. The evil virus will defeat the dragon - he wants to eat, then treat him. Do wives with trays not run to OMON fighters for a special task? Here is the same approach.

If you want - wipe with water at room temperature, most importantly - WITHOUT additives.

Lana (child 1 year and 3 months):

“I don’t understand anything, the temperature is high, and my arms and legs are just cold! I give antipyretics, I rub my limbs with vodka, they also advised No-shpu, but somehow it’s scary.

What to get from the first aid kit?

Look closely first at the child, then at the thermometer. If at 38.5 ° C the son plays cheerfully and runs into the toilet “in a small way” no less than usual, you can wait a little with the pills.

If even at 37.5 ° C he is sluggish, passive, despite all your tea-ventilation manipulations, then it is worth delving into the medicine box. Every baby is different, so focus on the state specific child.

And in the pharmaceutical arsenal we have only paracetamol and ibuprofen. .

Remember, with "white" fever, it is better to give syrups. Candles due to the same vasospasm will not have the desired effect.

Oksana (child 2 years and 8 months):

“Nothing helped us: no rubbing, no candles, no fever syrups. Scared terribly. I had to call an ambulance. They gave an injection, but it also did not help for long. What saved us was a regular aspirin.”

What if there are seizures?

Such deceit also happens, especially when a high temperature of 39 is a predisposition to this matter (that is, convulsions have already happened before or one of the parents can remember similar episodes from their childhood).

Let's remember the basics of first aid:

put the child in a safe place and on the barrel;
do not hold a person strongly, just fix the head slightly so that there are no injuries;
DO NOT PUT ANYTHING ANYWHERE!!!
call a doctor.

Everything about febrile seizures ah-.

In what situations urgently call "03"?

Our motto: "Do not be shy". A sick child is a reason to forget about all “It was inconvenient to disturb”, “We thought it would pass by itself” and other excuses.

But calling a pediatrician at home for every sneeze is blasphemy. Therefore, let's determine when there are reasons to cut off the phones, and when you can humbly walk to the clinic yourself.

Call a doctor if:

the baby is not yet 3 months old;
his fontanel sunk;
you cannot water the child yourself;
found ANY rash on the baby's body;
the baby is crying, but there are no tears;
the child complains of a severe headache;
the general condition of the child is rapidly deteriorating;
nausea, diarrhea, convulsions were added to the temperature;
no effect * from drugs;

* The effect is not an instant drop in temperature to 36.6°C. We will be satisfied with a decrease of 1-2 ° C, this shows that the antipyretics are working.

No significant result from treatment in 3 days.

Are you worried? Afraid of missing important symptoms? Take your child to the clinic. If he is able to play and jump, then little walk won't hurt.

Does your child's condition worry you? He lies and is not very determined to walk a kilometer or two? Call the pediatrician.

Have you expanded your “temperature horizons”? Is it already not so scary to feel cold hands in a child?

Well, fine. For visualization and consolidation of knowledge - a short video from Dr. Komarovsky:

Calm parents are like a special forces unit: they act clearly, harmoniously and armed. , For example.

Ibuprofen works!

Need an action plan? Please follow me, learn more about 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 - normal phenomenon. But if it is accompanied by cold hands and feet, then parents need to take additional measures baby treatment

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 temperature disturb the circulation of blood, it slowly reaches the extremities. There is a failure in the thermoregulatory system of the baby, sweating worsens.

The process of raising the temperature triggers the production of interferons called by the body to fight the virus. The active activity of interferons leads to a rise in temperature beyond 38 degrees, fever begins. What is happening suggests that the body is building up strength and effectively destroying viruses. Maximum amount interferons are produced on the 2nd day of illness. Knowing this, pediatricians do not recommend bringing down the temperature on the first day, it is better to wait 2 days.

Cold hands and feet at high temperatures are not typical for all children. However, some babies under 4 years of age suffer from febrile seizures. This is the reaction of the brain of the crumbs to the resulting vasospasm. Such cramps look much worse than just cold hands and feet. The child is tormented by hypoxia and suffocation, biting of the tongue may occur, blistering discharge appears from the mouth. This rarely happens, but parents should be prepared for such a development of the situation if they notice the coldness of the extremities of their son or daughter.

Cold hands and feet of a child at high body temperature indicate vasospasm

What should parents do?

The first priority is to quickly warm the child. It would seem, where else to warm when the offspring is "burning" and the thermometer shows 38 degrees and above. By warmly covering the child, you will help to quickly remove the spasm. The room temperature should be within 20 degrees. Put on your baby warm pajamas and cover with a blanket. If the increase continues and reaches 38.9-39.5 degrees, remove the blanket and warm only the limbs.

Additional measures to warm the arms and legs will help restore blood supply. Place a heating pad under your feet. At the same time, start rubbing your hands. Perform rubbing intensively to disperse the blood.

Organize for your little one plentiful drink. Chills and fever take a lot of fluid from the body, it is necessary to quickly replenish these losses. The drink should be warm, cold and hot drinks should not be given. cook medicinal tea with linden, chamomile or raspberry. Cook unsweetened dried fruit compote. good for drinking cranberry juice and rosehip tea.

When you have a cold, you need to drink plenty of fluids, as the body loses a lot of fluid.

What cannot be done with such a reaction is to try to do the opposite. No mechanical attempts to relieve heat. Replace cold compresses with warm ones. If using vodka or vinegar, warm them up first. You should not open the crumbs, cover it as described above. It is also impossible to lay a child on a cold wet sheet. Act calmly and smartly.

What drugs can relieve spasm?

Spasm of the limbs, leading to chills, is relieved with antispasmodics. As a rule, use Papaverine or No-Shpu. Drugs affect the process of sweating, bringing it back to normal, which helps to reduce the temperature. The drugs are serious, so you should not use them yourself. Call the doctor at home to examine the baby and make the final decision on the appointment of a specific antispasmodic.

No-Shpa

The drug No-shpa has an antispasmodic effect, but it must be used strictly according to the doctor's prescription.

The working substance of No-Shpy is drotaverine. Has a vasodilating effect. No-Shpa does not belong to the main antipyretic drugs. The drug is not without side effects and contraindications, it should be taken with caution. Experts point out that the drug is taken only in isolated cases, when other medicines have not helped. No-Shpa is approved for the treatment of children after 1 year. Removal of spasm lasts about 4-8 hours. There is enough time to lower the temperature and return the warmth to the crumbs' legs. Dosage of the drug:

children from 1 to 6 years old can be given 1-3 tablets (40-120 mg) per day, at regular intervals;
a dosage of 1/3 tablet requires maintaining an interval between doses of 3 hours. For 1/2 tablet at a time, increase the interval to 4 hours between doses;
the daily rate for 6-12 years is 2-5 tablets per day. A single dose is 1/2 tablet.

You can give No-Shpu to a child at a high temperature before or after meals. It is forbidden to use an antispasmodic for babies with renal, cardiac and liver failure. No-Shpa is also contraindicated for low blood pressure, bronchial asthma and indigestion of lactose. Keep in mind that a rise in temperature may be associated with other diseases. If the baby complains of abdominal pain, perhaps 38 degrees are associated with an exacerbation of pancreatitis, appendicitis, or intestinal obstruction.

The dosage of the drug is prescribed depending on the age of the small patient

The body of young children can be allergic to drotaverine. The most common side effects are constipation or vomiting. There have been cases of insomnia and malfunctions in the functioning of the heart and blood vessels (low blood pressure and tachycardia). If this antispasmodic makes you wary, and you would not like to give it to the baby, use the safer Papaverine.

Papaverine is allowed to be used for treatment from 6 months of age in infants. The product is produced in various forms: tablets, suppositories, injections. Buy a special children's version of Papaverine in pharmacies to avoid an overdose of the drug. Antispasmodic should be taken approximately 20 minutes before the use of antipyretic drugs. If the interval is not exactly observed, vasodilation will occur later and thermoregulation will not be restored in time. Permitted daily doses of the drug:

child under 2 years - 5 mg 2 times a day;
2-4 years - 5-10 mg 2 times a day;
5-6 years - 10 mg 2 times a day;
7-9 years - 10-15 mg 2 to 3 times a day.

Papaverine can be taken both in tablets and in the form of suppositories. At the same time, it is necessary to comply exact dosage drug prescribed by the pediatrician

The serious nature of antispasmodics obliges parents to give them to their baby only as directed by a doctor. It is especially important to consult a doctor at the first dose of drugs. Given that No-Shpa and Paracetamol are perfectly combined, their joint use is practiced at a temperature that has risen above 38.5 and signs of cold extremities. The dose of the drug is calculated based on the weight and age of the patient.

An increase in body temperature is completely normal defensive reaction the child's body, due to which they are more quickly activated defense mechanisms helping to cope with the pathology. Often, parents can determine if the body temperature has risen without a thermometer by feeling the child's skin. Usually, the forehead, temples, arms, legs become hot. But there are also situations when, at a high temperature, the child's limbs remain cold. What is the reason for this phenomenon, is it normal, and what should be done in this case, we will consider further.

Why does the child have a high temperature, but the hands and feet are cold?

If, when the temperature rises, there is a pinking of the skin, their humidity, warming, this means that in children's body a balance is maintained between heat production and heat transfer. Those. in environment the same amount of heat is released as is produced by the body. In such a situation, the general well-being of the child is not significantly disturbed, and this is a relatively favorable circumstance that does not always require the use of antipyretic drugs.

When the child has a high temperature, hands and feet are cold, skin pale and chills, this is more dangerous phenomenon. Also in this case, there is:

severe weakness;
lethargy;
marked deterioration in the child's well-being.

The reason is a spasm of peripheral vessels, which leads to a violation of heat transfer processes and can cause seizures in a child. This can also be explained by the fact that at elevated temperatures, the blood becomes more viscous, and its movement in the capillaries slows down sharply. Often this situation can occur when:

deviations in the work of the central nervous system;
low blood pressure;
lack of fluid in the body.

What to do if a child with fever has cold extremities?

First of all, of course, you need to call a doctor or an ambulance. Under no circumstances should methods be used in this case. physical cooling(wiping with water, wrapping in a damp sheet, etc.), this will only aggravate the situation. Usually for to reduce the temperature and alleviate the condition of the baby, it is recommended to do the following.

I will only add why children with white fever should never be wiped.
As already mentioned above, with white fever, the child has spasms of peripheral vessels - the vessels of the skin. At the same time, the skin loses the ability to normally remove heat, and a picture is obtained when the child overheats inside, and the heat is not removed outside. Any rubbing (even with plain water) increases the spasm of the skin vessels, and can lead the situation into a direct threat to the life of the child. Why this happens is quite understandable if you know a little physics - water, and even more so water with vodka or vinegar, actively evaporates and cools the skin dramatically. Which only enhances the spam of blood vessels, as I said.

Now directly about vodka and vinegar, that is, why is it impossible to wipe children with rose fever with water with these substances (after all, in theory, you can wipe with pink fever?). Here again I will not bear the gag, but I will quote, this time, the famous pediatrician, Dr. Evgeny Olegovich Komarovsky.

"When the body temperature rises, everything must be done to ensure that the body has the opportunity to lose heat. Heat is lost in two ways - by evaporating sweat and by warming the inhaled air.
Two required steps:
1. Plentiful drink - so that there is something to sweat.
2. Cool air in the room (optimally 16-18 degrees).
If these conditions are met, the likelihood that the body itself will not cope with the temperature is very small.
Attention!
When the body comes into contact with cold, a spasm of skin vessels occurs. It slows down blood flow, reduces the formation of sweat and heat transfer. The temperature of the skin decreases, but the temperature of the internal organs increases. And it's extremely dangerous!
Do not use the so-called "physical methods of cooling" at home: ice packs, wet cold sheets, cold enemas, etc. In hospitals or after a doctor's visit, you can, because before (before physical methods cooling), doctors prescribe special medications that eliminate spasm of skin vessels. At home, everything must be done to prevent spasm of skin vessels. So

Cool air, but enough warm clothes.

Particles of heat are carried away from the body during the evaporation of sweat and thus the body temperature drops. Several methods have been devised to speed up evaporation. For example, put a fan next to a naked child; rub it with alcohol or vinegar (after rubbing it decreases surface tension sweat and it evaporates faster).
People! You can’t even imagine how many children paid with their lives for these rubbing! If the child is already sweating, then the body temperature will drop by itself. And if you rub dry skin - this is crazy, because through the delicate skin of a child, what you rub with is absorbed into the blood. Rubbed with alcohol (vodka, moonshine) - alcohol poisoning was added to the disease. Rubbed with vinegar - added acid poisoning.
The conclusion is obvious - never rub anything. And fans are also not needed - the flow of cool air, again, will cause a spasm of skin vessels. Therefore, if you are sweating, change (change) into dry and warm clothes, then calm down.

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 occipital part 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 organism.

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 malaise in the baby, then there is no need to hesitate and wait until serious complications begin. It is necessary to immediately resort to a visit to the doctor or call 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 reasons for such a phenomenon as cold forehead and temperature rise 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 is developing. blood vessels. 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 very dangerous sign, often manifested in children at high temperatures over 38 degrees. Some children who have pathologies with 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 features 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 a 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 children during cool weather. The child sweats very quickly during active games, so if you wrap the baby up, 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.

“The child has a high temperature and cold extremities, what should I do?!” — A good question for the district pediatrician. The situation itself is non-standard, because if we are talking about a common cold or something else, the temperature of the entire body of the child rises. And here the limbs remain cold. As if the blood does not have enough strength to warm them up, or is it really a sign of a dangerous disease?

Why does the child have a high temperature, but the hands and feet are cold?

when the baby is only a couple of months old, it is important to measure the temperature after eating, waiting for awakening, waiting a few minutes after bathing. And then you get higher performance;
it is better to calm a crying child first before measuring, the baby should be in a calm state;
when taking measurements with fashionable thermometers, it is worth remembering, when measuring in the mouth, subtract -0.5 degrees from the result obtained, measuring in the ass to -1 degree. Therefore, the usual thermometer does not lose its relevance;
mercury thermometers are still the best and give accurate results.

When to call your doctor:

a 3-month-old child with a temperature of 39+;
the baby is lethargic, does not want to drink, rarely pees and his urine is dark;
antipyretics do not help;
the child vomits with temperature, he has diarrhea;
convulsions.

It is important to observe the behavior of the child, noting all the accompanying signs:

cold extremities;
weakness;
sluggish movements;
deterioration in general well-being.

Perhaps he has a vasospasm, so the necessary blood flows poorly to the limbs. The process of heat exchange is disrupted, which can also cause convulsions. The child has a high temperature and cold extremities, feeling discomfort, the heart works faster, trying to help the peripheral vessels, but the spasm does not allow the blood to pass.

Sometimes this happens when:

the child suffers from disorders in the central nervous system;
he has low blood pressure;
dehydration.

What to do if a child with fever has cold extremities?

Call the doctor, call an ambulance. All possible reasons This condition is quite serious and requires professional help. While waiting for the doctors, you can’t try to bring down the temperature using the usual methods - wipe it with cool towels, wrap it up, this will complicate the situation. To help your child in some way, you can do:

give No-shpu (the dosage according to age is written on the preparation), of course, if the baby is sick, it’s not worth the risk;
antipyretic (usually paracetamol or ibuprofen), again a link - if it is not the baby who suffers;
try to drink more often (all ages);
wrap with a blanket, but so that air enters (also suitable for everyone).

For the treatment of infants, there are other drugs and they should be given only after consulting a doctor.

What is special about fever? With it, the temperature will rise, but the limbs will remain cold, the peripheral vessels will narrow and will not let enough blood in.

How dangerous is such a fever?

What moms say

Anna, 30 years old

Lana, 24 years old

Oksana, 28 years old

Elevated body temperature is an indicator that the body has activated its immune defenses, and the fight against the disease is now underway. However, there are situations that require special attention. So, an increase in body temperature in a child, during which cooling of the arms and legs is observed, belongs to this type, because it is necessary to choose the appropriate treatment and know what is categorically contraindicated. These and other features can be found below.

What temperature is considered elevated for a child?

Fever indicators vary depending on the age of the child. So, in infants, the condition is considered normal when the mark on the thermometer does not exceed 37.3, and for older children, the ideal value is 36.6.

The temperature is elevated if it exceeds 37. It is important to know that above 41 degrees is life-threatening, therefore, in such a situation it is required urgent help doctor.

For an accurate measurement, some recommendations should be followed. First, remember that the temperature is not measured within 30 minutes after eating, waking up, water procedures. Secondly, the child must be calm. Thirdly, consider the fact that it is higher in the oral cavity and in anus, than in armpit. The most accurate thermometer is the mercury thermometer.

Why do children get cold hands and feet when the temperature rises?

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Rubbing and warming the limbs, drinking plenty of water and other methods

What absolutely cannot be done?

At elevated temperature and cold extremities are contraindicated:

Trituration alcohol solutions, because the liquid, evaporating from the skin, increases the vascular spasm, which is one of the reasons for the cooling of the extremities. This method considered effective in combating high temperatures.
The use of drugs of only one type. In this case, the most efficient complex treatment: antipyretics along with antispasmodics.
It is forbidden to try to cool the patient, for example, by taking a cold bath.

When should an ambulance be called immediately?

In the event of convulsions, loss of consciousness, hallucinations, an ambulance should be urgently called. Also, a visit to a doctor is necessary in the absence of a positive effect after procedures aimed at lowering body temperature and increasing the temperature of the extremities.

Iron deficiency anemia is a fairly common disease that has numerous symptoms. One of them is subfebrile temperature. It is worth knowing that this symptom can be a sign of other diseases, and in order to accurately determine anemia, it is necessary to undergo a full medical examination. Only on the basis of the results of the analyzes it is possible to establish correct diagnosis and appoint effective treatment. Self-treatment of the disease is strictly prohibited, as this can lead to negative changes in the body. How is the change in temperature in anemia related to this condition?

What is anemia and what causes it

Anemia, or anemia, is a disease characterized by reduced amount such a blood component as erythrocytes, which leads to hypoxia (oxygen starvation) of the body. Most often, this disease occurs as a result of a lack of iron in human body, leads to a deterioration in the synthesis of hemoglobin, which is also important for health. At risk for the development of anemia are children of the first year of life, girls in adolescence during puberty and pregnant women.

There are the most different reasons that cause anemia. These include the following disorders of the body:

increased blood loss due to trauma, surgical intervention, internal bleeding;
iron deficiency caused by poor absorption;
high demand for this element, manifested during rapid growth body and regular sports;
lack of a supply of this element, accumulated in the body from birth, in young children;
serious pathologies thyroid gland, gastrointestinal tract and adrenal glands;
improper diet, from which the body cannot get the iron it needs;
hormonal disorders in the body, especially those that occur during pregnancy;
bearing a child, during which female body gives all the iron to the developing fetus;
physical exercises that consume a large amount of iron to increase muscle mass.

In newborns, there may be a lack of iron in the body in several cases:

if there was a multiple pregnancy;
if the baby was born premature for 2 or more weeks;
if future mother was a severe chronic iron deficiency in the body.

Poor absorption of chemical element can be observed with a lack of vitamins C, D and group B. The absorption of this element is also improved by amber and citric acid, pepsin, and trace elements such as zinc, magnesium, cobalt and iron. These chemical components and some amino acids contribute to a better absorption of iron, and if they are deficient in the body, the named element is absorbed much more difficult.

It is important to understand that absorption suppression of an element can be affected by indigestion, treatment with certain antibiotics, intoxication, daily excessive food intake, and calcium and phosphorus. Under these conditions, the absorption of iron is greatly hampered.

In adult patients and adolescent children, iron deficiency anemia can develop with acute, neglected blood loss, which often occurs in the gastrointestinal tract (with erosion, cracks, polyps, etc.). Sometimes the cause of severe iron loss is helminthic infestations, as well as the presence blood clots in the urine, which is called hematuria.

An increased need for an iron element occurs in the following cases:

in children during puberty (especially boys);
in girls and women with monthly menstrual bleeding;
in pregnant women, especially in the third trimester: it is necessary to provide oxygen not only to the body of the expectant mother, but also to the rapidly growing fetus, which can be adversely affected by hypoxia.

The degree and symptoms of the disease. How to self-diagnose anemia

Iron deficiency anemia can be of several degrees of severity:

weak - hemoglobin does not exceed the level of 90 - 110 g / l;
medium - the level of the substance varies between 70 - 90 g / l;
severe - the hemoglobin level is less than 70 g / l.

At the onset of the disease, there are practically no signs of anemia, and in order to diagnose its presence, it is necessary to conduct a blood test. However, as the situation worsens, the following symptoms may occur:

headache and dizziness;
nausea and vomiting;
very frequent, poorly palpable pulse;
dyspnea;
pale skin and mucous membranes;
pointed nose, sunken eyes and cheeks acute stage illness;
sticky sweat;
limbs and face constantly cold;
constant weakness and drowsiness;
frequent fainting (more than 2 - 3 times a day);
changes in the work of the heart, namely: the appearance of noise, knocking down the frequency, rhythm disturbance, and so on;
increased fatigue;
weakness in muscles and joints;
dry skin, on which cracks appear;
brittle nail plates;
violation of the integrity of the hair, which falls out strongly;
diseases in oral cavity: caries, white coating in the language;
cracks near the lips that do not heal well;
change taste preferences: eating chalk, clay and so on;
attraction to unusual smells: acetone, paint;
low-grade fever with anemia - up to 37.3 degrees;
urinary incontinence (occurs as a result of disruption of the central nervous system);
deterioration of immunity;
loss of appetite;
decrease in brain activity.

Most often, it is possible to cope with iron deficiency anemia in 2 to 3 months, by adjusting the diet and additionally using iron preparations. However, it must be remembered that the disease indicates certain serious problems with health, which require careful diagnosis and subsequent treatment.

What does subfebrile temperature mean?

Body temperature is complex indicator, which determines the thermal state of a person. Everyone is well aware that normal temperature healthy person is 36.6°C. This means that the body's thermoregulation mechanism is “automatically” tuned to this figure. Minor physiological changes within 0.5 - 1°C, while the general temperature range is 36 - 39°C. If the mercury column of the thermometer rises to 38 - 39 ° C, doctors suspect that the patient has a febrile temperature; if it is above 39 degrees, then we are talking about pyretic. There is also the concept of subfebrile temperature, but not everyone knows what it means.

This term implies the meaning of "near-febrile". In fact, the classic view of such a temperature reaches 37 - 37.5 ° C, however, some experts indicate more high values, which are 37.5 - 38 ° C. Therefore, it can be said that most of Doctors consider "near-febrile", or subfebrile, a temperature equal to 38°C.

Important: this temperature often accompanies a large number of diseases, sometimes being the very first and main symptom that is diagnosed on early stage. Since the disease may not give other symptoms, except for subfebrile temperature, it occurs potential danger for human health in the form of serious complications. This is due to the fact that low-grade fever indicates the presence and active progression of a certain infection in the body, the development of which can be caused by the most various factors including stress and hormonal imbalance.

The main signs of such a temperature are "fast" and frequent jumps in indicators up to 38 ° C. Sometimes this increase is observed only a couple of hours in evening time while during the day the patient feels normal. The occurrence of subfebrile temperature after a recent illness may indicate an incomplete recovery of the patient or a deterioration in the state of immunity, and also be side effect certain medicines. Often doctors are unable to determine exact reason temperature increase - as a result, they talk about the phenomenon of post-infectious subfebrile condition.

Subfebrile temperature with the development of anemia

Iron deficiency anemia and subfebrile temperature are closely related at the biochemical level. Due to the lack of iron in the body, there is a deterioration in the synthesis of hemoglobin and a decrease in its amount in erythrocytes, which supply the cells of the systems and internal organs oxygen. hypoxia, or oxygen starvation, in turn, first of all affects the work of the body as a whole, especially on the cells of the brain, which leads to disruption of the metabolic processes responsible for the normal functioning of all organs and systems.

That is why subfebrile temperature in anemia is not less than common symptom than other signs of illness. most likely to develop iron deficiency anemia adolescents are considered to be in the puberty stage. A significant decrease in immunity during this period causes them to increase subfebrile condition, frequent colds as well as loss of appetite and weight loss.

If poor absorption of iron is caused by a lack of folic acid(vitamin B9) and cyanocobalamin (vitamin B12), which are involved in the production of hemoglobin in bone marrow, then this type of anemia is called pernicious. If you do not pay attention to it and subfebrile temperature, this can lead to inflammation and atrophy of the gastrointestinal mucosa.

There are several ways to measure body temperature:

In the armpit
The method is used to measure temperature at an older age, while the norm is 35.6 - 37 ° C. Important: this measurement option is considered the easiest and most affordable, since anyone can perform it.
Through the mouth
The norm is 35.5 - 37.5 ° C. In this way, the temperature is measured in children or the elderly in order to get a more truthful result.
Through the anus
It is only used to determine the temperature in children or pregnant women, as the readings will be more reliable. Normal performance are 36.6 - 38 ° C.

Anemia treatment

Anemia therapy consists in correcting nutrition and taking the necessary medications. Wherein medicines are prescribed to the patient only at an advanced stage of the disease. Accept iron-containing preparations recommended along with natural juices(pomegranate, orange, etc.), supplying the body essential vitamins and elements that promote the absorption of iron.

The main drugs that are prescribed for anemia are of the following types:

non-ionic compounds;
ionic iron-containing compounds: sulfate, chloride and ferrous gluconate.

When conducting an effective drug therapy improvement in the patient's condition will be noted already on the fifth day, and an increase in hemoglobin levels will become noticeable 3 to 4 weeks after the start of taking the drugs. The content of hemoglobin is completely normalized after 1.5 - 2 months drug therapy. During the entire treatment, it is necessary to regularly monitor the level of hemoglobin, which will make it possible to understand how correctly the dosage of drugs is selected. This can be done with the help of a systematic blood test for hemoglobin. If the treatment is ineffective, the doctor should adjust the dosage in accordance with the patient's condition.

The development of the patient's diet should be carried out under the guidance of the attending physician, who will give the necessary recommendations.

Iron-rich foods include:

lean meat and liver;
vegetables and fruits (pomegranate, apples, pineapple);
seafood;
plant food.

In order for this element to be better and completely absorbed by the body, it is important to correctly combine dishes of vegetable and meat origin. For the prevention of anemia, it is required to use a balanced and mandatory healthy eating and moderate exposure to the sun.

Treatment of subfebrile temperature during the development of this disease will directly depend on the factors provoking its appearance. For correct setting diagnosis, you should undergo a medical examination, as well as pass certain urine and blood tests.

Important: any patient should refuse to take medications that reduce the temperature when it is less than 37.5 - 38 ° C. Also, you do not need to take antipyretic compounds if the subfebrile temperature is kept long time. In this case, the main treatment will be to establish the cause of subfebrile condition and eliminate it.

Can there be a temperature during a heart attack or after it

Heart attack is the worst heart disease: where pain occurs, how it manifests itself, whether there is a temperature during a heart attack - this is worth knowing for every adult. Physicians often encounter patients with various pains in the heart. It is important to recognize myocardial infarction in time in order to immediately help the injured person. A heart attack can happen to anyone and at any age. There are many reasons for this disease. Most deaths from myocardial infarction occur within the first hour of onset. But in most cases, a person's life can be saved. Calmness, knowledge of a clear algorithm of actions in such a situation and confidence are the factors that determine whether the patient can survive.

General clinical picture of a heart attack

In fact, myocardial infarction is necrosis of the heart muscle. This is a signal from the heart that it is not receiving enough blood, which means oxygen and nutrients. As a result of a violation or complete cessation of blood circulation, a certain area of \u200b\u200bthe heart muscle dies.

People over 40 suffer from myocardial infarction most often. This happens less often in young people. Know how to recognize a heart attack common features not only doctors should be able to.

The main symptom of myocardial infarction is strong pain in the left half of the chest, and taking conventional medicines almost does not bring relief to the victim. The irradiation of pain also occurs in left hand, shoulder, shoulder blade, stomach. The pain can feel completely different, but always very strong. May drop sharply blood pressure, speak cold sweat. The patient may feel dizzy, have nausea, vomiting, and sometimes even diarrhea. The patient's skin color becomes pale gray, all limbs become cold.

The pulse can be felt very weakly or not at all. The victim may have tachycardia, blood pressure drops sharply. A person can be scared, he has observed hard breath. Serious disturbances in the functioning of the nervous system can occur: fainting or loss of consciousness, hiccups, weakness.

The causes of a heart attack can be the following factors:

stressful situations;

mental strain;

excessive consumption of alcohol and food;

a sharp change in weather conditions;

lack of sleep;

high blood cholesterol;

diabetes;

sedentary lifestyle.

This is the time you need to do:

Perform a first aid.
Call an ambulance.
Get to a specialized hospital.
Do coronary angiography.
To diagnose.
Restore blood flow to the heart muscle.

predisposition to such cardiovascular pathologies can be inherited.

What does the temperature say

Can there be a temperature during a heart attack? Undoubtedly. Its increase is one of the important signs by which the onset of this terrible disease. This is due to the fact that there are sharp reactive changes in the victim's body. Temperature in myocardial infarction on the first day is present in 90 percent of cases. As a rule, it can appear immediately during an attack or by the end of the first day, and it happens that on the second or even on the third day.

A significant increase in body temperature (up to 40 degrees) is quite rare and, as a rule, is a sign of any accompanying disease (pneumonia, kidney inflammation). The degree of increase in body temperature of the patient also depends on the extent of damage to the heart muscle.

Often in older people, the temperature during a heart attack remains normal. If cardiogenic shock has occurred, the temperature may even decrease. In young people, this reaction of the body is much more pronounced, so they often experience an increase in body temperature. The occurrence of such a reaction should prompt the doctor that new lesions in the myocardium are occurring. The temperature may rise slowly, reaching very high point, then drops down to the normal mark of 36.6. Sometimes there are cases of a heart attack, in which immediately occurs sharp rise followed by a decrease. Usually the temperature in the range of 37-38 degrees lasts up to five to seven days. If it continues to hold on longer than this period, then this should especially alert the doctor, since it means that there are complications in the patient's body.

In medicine, there are cases when a heart attack turned into a protracted form with a peripheral change in body temperature. After a short time (2-3 weeks), the patient may develop signs of pleurisy, arthritis, pneumonia with fever.

What to do immediately

If there is a suspicion of a heart attack, you need to urgently take the necessary measures:

Ensure the patient is in a sitting position.
Give a pain reliever. Find out if the victim is allergic to medical preparations, since it is possible intolerance to drugs with acute development allergic reactions, otherwise the drug will not help the person, but only lead to complications.
Immediately call an ambulance and take the person to the hospital.

It is necessary to wait for the arrival of the doctors and transfer the patient under their supervision. Only in this case will he have a chance for salvation.

The following factors matter:

compliance with the daily routine;
lack of mental and physical stress;
lack of bad habits;
diet compliance. Need to drink water in enough, eat regularly (every three to four hours). Sugar and foods that contribute to the accumulation of fat should be excluded.

On average, the organization of a heart attack can be within three to four months, with a large focal heart attack - up to six months.

At the end of treatment, the patient will need to take a course rehabilitation measures. After a heart attack, overload is contraindicated for the next few years.

To avoid a heart attack, you should active image life, monitor your weight, say goodbye to smoking, harmful products, alcohol, and also with the habit of eating late at night. If necessary, you need to visit a doctor and take tests. To lower cholesterol, which provokes diseases such as a heart attack, take statins as recommended by your doctor. In your daily diet, you need to include foods that help cleanse blood vessels (garlic, ginger, vegetables). After a heart attack, you should be especially careful about your own health.

Remember - trouble can happen to anyone. Do not pass by if the person next to you becomes ill. Someday you may find yourself in this situation.