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Child Has Fever With Hot Body, Cold Feet And Hands. On Amoxicillin. Looking For Suggestion

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Posted on Tue, 5 Mar 2013
Question: My daugther is sick
She has fever for 3 days
I worry because her body is jot but her hand's and feet is cool
Wi going to the hospital they gift her amoxicillin
doctor
Answered by Dr. Hema Yadav (1 hour later)
Hello,
Thanks for posting your query.
The toe- core temperature gap is a sign of significant infection causing sepsis or shock.On examination it is perceived as cold extremities along with central body fever.
When our body is dealing with a significant infection or sepsis the blood supply to the vital organs increases and to less important structures like skin and extremities decreases this causes a difference between their temperatures ( tummy - toe difference). In critically ill patients this can be an early sign of shock and such patients need to be monitored and treated accordingly in a hospital .
In your case, your daughter does seem to be having a bacterial infection and hence started on antibiotics ( amoxicillin ). The fever is likely to reduce in a couple of days ( after the initiation of antibiotics) . In case she has any other symptoms like dehydration ( decreased urination), refusal to feed, disorientation etc then it's best to get her admitted in the hospital setup.If she is clinically stable ( assuming doctors have ruled out shock) then there is no reason to worry.
Her body is fighting off an infection and thus the fever and temperature changes.
Meanwhile the most important thing you can do is to keep her well hydrated with plenty of fluids ( oral rehydration solution ) which will help her recover faster.
Hope I have answered your query.
Please let me know if you have any further queries.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Hema Yadav (27 minutes later)
Thank for you answer
I call her pediatrician they put appoinment for tomorrow afternoon
doctor
Answered by Dr. Hema Yadav (2 hours later)
Hello,
Thanks for the follow up.
Yes, it is reassuring to get her evaluated by her pediatrician .
However I hope with adequate hydration, analgesics ( acetaminophen ), amoxicillin she should recover soon.
Hope she has a speedy recovery.
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Hema Yadav

Pediatrician, Infectious Diseases

Practicing since :2005

Answered : 1528 Questions

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Child Has Fever With Hot Body, Cold Feet And Hands. On Amoxicillin. Looking For Suggestion

Hello,
Thanks for posting your query.
The toe- core temperature gap is a sign of significant infection causing sepsis or shock.On examination it is perceived as cold extremities along with central body fever.
When our body is dealing with a significant infection or sepsis the blood supply to the vital organs increases and to less important structures like skin and extremities decreases this causes a difference between their temperatures ( tummy - toe difference). In critically ill patients this can be an early sign of shock and such patients need to be monitored and treated accordingly in a hospital .
In your case, your daughter does seem to be having a bacterial infection and hence started on antibiotics ( amoxicillin ). The fever is likely to reduce in a couple of days ( after the initiation of antibiotics) . In case she has any other symptoms like dehydration ( decreased urination), refusal to feed, disorientation etc then it's best to get her admitted in the hospital setup.If she is clinically stable ( assuming doctors have ruled out shock) then there is no reason to worry.
Her body is fighting off an infection and thus the fever and temperature changes.
Meanwhile the most important thing you can do is to keep her well hydrated with plenty of fluids ( oral rehydration solution ) which will help her recover faster.
Hope I have answered your query.
Please let me know if you have any further queries.
Regards