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Infant suffering from fever and cold. Hot head. Why?

Yes i have a son that is 11mths old and he has had a fever of 102 and higher since 5ish until now. i took him in this afternoon at 2 to the his doctor and he stated that my baby just had the common cold . i m giving him acetaminophen. its funny though because right now his head is hot and everything else is cool. what should i do?
Asked On : Mon, 21 Jan 2013
Answers:  5 Views:  181
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Pediatrician 's  Response

Thank you for your query.

It is normal for the head and torso to be warm and the peripheries cooler. You should continue measuring the temperature at one place only (axilla) and record it. Continue giving acetaminophen 4-5 ml. 4 hrly. if the temperature is above 99F by side (axilla). If the temperature is above 101 then you can do sponging of the whole body by luke warm water to bring down the temperature.

Continue giving medication for the common cold as advised by your doctor. The temperature will start to come down once the infection gets controlled.

I hope I have responded to your query to your satisfaction.

Wishing your son an early recovery.


Answered: Mon, 21 Jan 2013
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Pediatrician Dr. Diana Divakar's  Response
Thank you for opting to post your queries and giving us this opportunity to clarify your doubts.
Well, infants have a rapidly growing brain. So, as compared to the rest of the body the blood circulation to the head is always more. Hence, the temperature of the head is always hot. So, in children its not a good idea to touch and see the temperature. It is always better to check the temperature with a digital thermometer in the axilla. Especially when children have fever, they can have a differential temperature (i.e. the feet will be cold and the head will be hot). You will have to keep a record of his temperature and continue giving him paracetamol. Visit you pediatrician again if the fever doesnt settle within a total of 5 to 6 days.
I hope I have been successful in clarifying all your doubts. I will always be available in case of further doubts. Take care and stay healthy.
Answered: Mon, 21 Jan 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
Thank you for your query,
You continue the medication as prescribed by your doctor for cold and fever.
Infants head will be hot even without fever also due to increased vascularity to head and neck parts.
So in this situation you measure the body temperature and if it is more than 100 degree F you can give acetaminophen in prescribed dose otherwise not required.
Hope i have answered your query.
Answered: Mon, 21 Jan 2013
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Pediatrician, Cardiology Dr. Pradeep Kumar's  Response
Hot head with cold body is a very common phenomenon when the temperature coming down particularly in infancy.
Actually in infancy large part of body heat are lost from the head due to its high surface area in infancy.
So you need not to worry. Don't give further antipyratic by assuming it as fever,as this may lead to overdose. Measure axillary or oral temp. for monitoring.
Answered: Mon, 21 Jan 2013
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Pediatrician Dr. Synthyia Bhagat's  Response
Thanks for your query
Your son is having fever with cold symptoms of respiratory infection which is mostly viral in nature and takes few days to settle.
I suggest you to continue with paracetamol 6 hourly till fever comes below 100F,give him plenty of fluids,warm water will be soothing.
In case symptoms persist,i advise you to take him to pediatrician for evaluation and further management.

Your baby will be fine
God bless
Answered: Mon, 21 Jan 2013
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