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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are My Baby's Palms Getting Hot And Cold Due To Brain Fever?

My 9 month old baby suffering by some virus as yesterday Doctor told me. Babies feet & palm getting hot some times & cold some times. he is not filling well as we saw his face. His body temp is +_ 97 degree.

Sir my question that is this a symptoms of brain fever ?
Tue, 9 Jun 2015
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Pediatrician, Pulmonology 's  Response
Hi...this looks like a viral illness as of now. The symptoms of brain fever include -
1. Seizures/ Fits.
2. Altered sensorium/ unconsciousness.
3. Weakness of any of the body parts.
4. Patchy rash over the skin - blotchy.
5. Not recognizing parents and care takers.
6. Continuous vomiting.

But, Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
Regards - Dr. Sumanth
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Are My Baby's Palms Getting Hot And Cold Due To Brain Fever?

Hi...this looks like a viral illness as of now. The symptoms of brain fever include - 1. Seizures/ Fits. 2. Altered sensorium/ unconsciousness. 3. Weakness of any of the body parts. 4. Patchy rash over the skin - blotchy. 5. Not recognizing parents and care takers. 6. Continuous vomiting. But, Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn t require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - Dr. Sumanth